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Better Therapeutics Announces Fourth Quarter and Full Year 2021 Financial Results

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Better Therapeutics (BTTX) announced positive results from its pivotal clinical trial on BT-001, a prescription digital therapeutic for type 2 diabetes. The trial, involving 669 adults, noted a statistically significant A1c reduction of -0.4% (p < 0.001) after 90 days. In financial results for Q4 2021, R&D expenses surged to $6.4 million, while the net loss was $13.9 million, or $0.71 per share. The company reported cash reserves of $40.6 million as of December 31, 2021. Better Therapeutics aims to submit a de novo classification request to the FDA following study completion.

Positive
  • Positive primary endpoint data from the pivotal trial for BT-001.
  • Statistically significant A1c reduction of -0.4%, indicating efficacy.
  • 42.7% of patients showed clinically meaningful A1c improvements with BT-001.
  • Strong engagement metrics supporting the nCBT mechanism of action.
Negative
  • Net loss increased to $40.3 million for the full year 2021.
  • R&D expenses rose significantly to $19.4 million for the year.
  • General and administrative expenses surged to $8.8 million for the year.

Company Highlights Positive Pivotal Clinical Trial Data for BT-001, a Prescription Digital Therapeutic for Type 2 Diabetes

SAN FRANCISCO--(BUSINESS WIRE)-- Better Therapeutics, Inc. (NASDAQ: BTTX), a prescription digital therapeutics (PDT) company developing nutritional cognitive behavioral therapy (nCBT) to address the root causes of cardiometabolic diseases, today announced its financial results for the fourth quarter and full year ending December 31, 2021. These results follow the recent announcement of positive primary endpoint data from the pivotal clinical trial for the company’s BT-001 prescription digital therapeutic.

“Better Therapeutics is at a transformational moment in our company’s history as we close our first quarter as a public company and begin to see the results of the investments we’ve made in using digitally-delivered nCBT to treat cardiometabolic diseases,” stated Kevin Appelbaum, Co-Founder and CEO of Better Therapeutics. “The primary endpoint data we announced last week showed that our PDT for treating uncontrolled type 2 diabetes has the potential to significantly change how we treat this complex, costly, and all too common condition. We look forward to completing our pivotal study next quarter and submitting our de novo classification request to the FDA immediately thereafter.”

Pivotal Clinical Trial Data for BT-001

The data released by Better Therapeutics demonstrated the safety and efficacy of BT-001 in an open label, randomized, controlled, parallel group trial enrolled 669 adults with type 2 diabetes and mean baseline A1c of 8.1%. Participants were randomized to receive standard of care with or without BT-001 and the primary efficacy endpoint was the difference in mean change from baseline in A1c after 90 days of treatment between the two groups. The six-month trial is ongoing and is expected to be completed in Q2 2022. The findings included data showing:

  • A highly statistically significant primary efficacy endpoint (n=602) improvement in A1c between the intervention and control groups (-0.4%, p <0.001).
  • Clinically meaningful changes (A1c reductions of 0.4% or more) in 42.7% of the group receiving standard of care and BT-001 vs. 25.4% in the group receiving standard of care alone (difference of 17.3%, p <0.0010).
  • A clear dose-response between greater engagement in nCBT and greater reductions in A1c, supporting nCBT as a mechanism of action.
  • Measures of patient engagement, adherence, persistence, and satisfaction were all positive.

Fourth Quarter and Full-Year 2021 Financial Results

  • Research and development expenses for the fourth quarter of 2021 were $6.4 million, compared to $0.8 million for the same period in 2020. Research and development expenses for the twelve months ended December 31, 2021 were $19.4 million, compared to $3.7 million for the same period in 2020. The increase in research and development expenses is primarily due to an increase in personnel and clinical trial expenses related to advancing research in conjunction with the Company’s prescription digital therapeutic, BT-001.
  • Sales and marketing expenses for the fourth quarter of 2021 were $1.2 million, compared to $0.1 million for the same period in 2020. Sales and marketing expenses for the twelve months ended December 31, 2021 were $2.3 million, compared to $0.2 million for the same period in 2020. The increase in sales and marketing expenses is due to an increase in personnel, marketing and consulting expenses associated with pre-launch preparations of BT-001.
  • General and administrative expenses for the fourth quarter of 2021 were $4.6 million, compared to $0.6 million for the same period in 2020. General and administrative expenses for the twelve months ended December 31, 2021 were $8.8 million, compared to $2.5 million for the same period in 2020. The increase in general and administrative expenses is primarily due to higher personnel related and other costs to support company growth and additional costs of being a public company.
  • Net loss attributable to common shareholders for the fourth quarter of 2021 was $13.9 million or $0.71 per basic and diluted share, compared to net loss attributable to common shareholders of $2.1 million, or $0.20 per basic and diluted share for the same period in 2020. Net loss attributable to common shareholders for the twelve months ended December 31, 2021 was $40.3 million or $3.11 per basic and diluted share, compared to net loss attributable to common shareholders of $7.9 million, or $0.79 per basic and diluted share for the same period in 2020.
  • Cash and cash equivalents were $40.6 million on December 31, 2021.

About Better Therapeutics

Better Therapeutics is a prescription digital therapeutics (PDT) company developing a novel form of cognitive behavioral therapy to address the root causes of cardiometabolic diseases. The company has developed a proprietary platform for the development of FDA-regulated, software-based solutions for type 2 diabetes, heart disease and other conditions. The cognitive behavioral therapy delivered by Better Therapeutics’ PDT is designed to enable changes in neural pathways of the brain so lasting changes in behavior become possible. Addressing the underlying causes of these diseases has the potential to dramatically improve patient health while lowering healthcare costs. Better Therapeutics clinically validated mobile applications are intended to be prescribed by physicians and reimbursed like traditional medicines.

For more information visit: bettertx.com

Forward-Looking Statements

Certain statements made in this press release are "forward-looking statements" within the meaning of the safe harbor provisions under the United States Private Securities Litigation Reform Act of 1995. Forward-looking statements are typically identified by words such as “plan,” “believe,” “expect,” “anticipate,” “intend,” “outlook,” “estimate,” “forecast,” “project,” “continue,” “could,” “may,” “might,” “possible,” “potential,” “predict,” “should,” “would” and other similar words and expressions, but the absence of these words does not mean that a statement is not forward-looking. The forward-looking statements in this press release include, but are not limited to, statements regarding the timing and results of the ongoing trial of BT-001 in patients with type 2 diabetes, Better Therapeutics’ plans regarding FDA submissions, expectations related to the potential benefits of BT-001 and CBT and their potential treatment applications, Better Therapeutics’ plans regarding the research and advancement of its product candidates for additional treatments, expectations related to the interest of healthcare providers and payers in PDTs and legislative developments affecting PDTs and the outcome of such developments, among others. These forward-looking statements are based on the current expectations of the management of Better Therapeutics and are inherently subject to uncertainties and changes in circumstances and their potential effects and speak only as of the date of such statement. There can be no assurance that future developments will be those that have been anticipated. These forward-looking statements involve a number of risks, uncertainties or other assumptions that may cause actual results or performance to be materially different from those expressed or implied by these forward-looking statements including: risks related to Better Therapeutics’ business, such as the willingness of the FDA to authorize PDTs for commercial distribution and insurance companies to reimburse their use, market acceptance of PDTs, the risk that the results of previously conducted studies will not be repeated or observed in ongoing or future studies involving our product candidates and other risks and uncertainties included under the header “Risk Factors” in the definitive proxy statement/prospectus filed by us on October 12, 2021.

BETTER THERAPEUTICS, INC.

BALANCE SHEETS

(in thousands)

 

 

 

December 31,

 

 

 

2021

 

 

2020

 

 

 

(Unaudited)

 

 

 

 

ASSETS

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

Cash and cash equivalents

 

$

40,566

 

 

$

123

 

Prepaid expenses

 

 

4,409

 

 

 

124

 

Other current assets

 

 

276

 

 

 

216

 

Total current assets

 

 

45,251

 

 

 

463

 

Capitalized software development costs, net

 

 

5,077

 

 

 

5,555

 

Property and equipment, net

 

 

82

 

 

 

89

 

Other long-term assets

 

 

548

 

 

 

280

 

Total Assets

 

$

50,958

 

 

$

6,387

 

 

 

 

 

 

 

 

LIABILITIES AND STOCKHOLDERS’ EQUITY (DEFICIT)

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

Accounts payable

 

$

1,523

 

 

$

514

 

Accrued payroll

 

 

1,352

 

 

 

39

 

Other accrued expenses

 

 

1,858

 

 

 

60

 

Total current liabilities

 

 

4,733

 

 

 

613

 

Long-term debt, net of debt issuance costs

 

 

9,505

 

 

 

640

 

Deferred tax liability

 

 

 

 

 

152

 

Simple Agreements for Future Equity

 

 

 

 

 

11,740

 

Total liabilities

 

 

14,238

 

 

 

13,145

 

Commitments and contingencies

 

 

 

 

 

 

Stockholders’ equity (deficit):

 

 

 

 

 

 

 

 

Common stock

 

 

2

 

 

 

1

 

Additional paid-in capital

 

 

108,461

 

 

 

24,649

 

Accumulated deficit

 

 

(71,743

)

 

 

(31,408

)

Total Stockholders’ Equity (Deficit)

 

 

36,720

 

 

 

(6,758

)

Total Liabilities and Stockholders’ Equity (Deficit)

 

$

50,958

 

 

$

6,387

 

BETTER THERAPEUTICS, INC.

STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS

(in thousands, except share and per share data)

 

 

 

 

 

Three Months Ended
December 31,

 

Year Ended
December 31,

 

2021

 

2020

 

2021

 

2020

 

(Unaudited)

 

(Unaudited)

 

(Unaudited)

 

 

Revenue

$

 

 

$

 

 

$

 

 

$

8

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Operating Expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Research and development

 

6,354

 

 

 

811

 

 

 

19,436

 

 

 

3,660

 

Sales and marketing

 

1,177

 

 

 

77

 

 

 

2,336

 

 

 

216

 

General and administrative

 

4,573

 

 

 

630

 

 

 

8,788

 

 

 

2,455

 

Total operating expenses

 

12,104

 

 

 

1,518

 

 

 

30,560

 

 

 

6,331

 

Loss from operations

 

(12,104

)

 

 

(1,518

)

 

 

(30,560

)

 

 

(6,323

)

Interest expense, net

 

(182

)

 

 

(2

)

 

 

(185

)

 

 

(100

)

Gain on Loan Forgiveness

 

 

 

 

 

 

 

647

 

 

 

 

Change in fair value of SAFEs

 

(1,611

)

 

 

(149

)

 

 

(10,390

)

 

 

189

 

Loss before provision for (benefit from) income taxes

 

(13,897

)

 

 

(1,669

)

 

 

(40,488

)

 

 

(6,234

)

Provision for (benefit from) income taxes

 

(3

)

 

 

82

 

 

 

(153

)

 

 

153

 

Net loss

$

(13,894

)

 

$

(1,751

)

 

$

(40,335

)

 

$

(6,387

)

Cumulative preferred dividends allocated to Series A Preferred Shareholders

 

 

 

 

(389

)

 

 

 

 

 

(1,507

)

Net loss attributable to common shareholders, basic and diluted

$

(13,894

)

 

$

(2,140

)

 

$

(40,335

)

 

$

(7,894

)

Net loss per share attributable to common shareholders, basic and diluted

$

(0.71

)

 

$

(0.20

)

 

$

(3.11

)

 

$

(0.79

)

Weighted-average shares used in computing net loss per share

 

19,686,940

 

 

 

10,629,023

 

 

 

12,982,472

 

 

 

9,949,376

 

 

Better Therapeutics Press Contact:

Ryan McKenna at Real Chemistry

rmckenna@realchemistry.com

Source: Better Therapeutics, Inc.

FAQ

What were the financial results for Better Therapeutics (BTTX) in Q4 2021?

Better Therapeutics reported a net loss of $13.9 million for Q4 2021, compared to $2.1 million in Q4 2020.

What are the results of the clinical trial for BT-001?

The pivotal clinical trial for BT-001 showed a significant A1c reduction of -0.4% in participants using the digital therapeutic.

What is the current cash position of Better Therapeutics (BTTX)?

As of December 31, 2021, Better Therapeutics had cash and cash equivalents of $40.6 million.

What are the future plans for Better Therapeutics (BTTX) after the clinical trial?

Better Therapeutics plans to submit a de novo classification request to the FDA following the completion of its pivotal study.

BETTER THERAPEUTICS INC

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