89bio Reports Second Quarter 2024 Financial Results and Corporate Updates

Rhea-AI Summary

89bio (Nasdaq: ETNB) reported Q2 2024 financial results and corporate updates. The company is advancing three Phase 3 trials for pegozafermin in MASH (metabolic dysfunction-associated steatohepatitis) and SHTG (severe hypertriglyceridemia). Key highlights include:

1. Initiated ENLIGHTEN-Cirrhosis Phase 3 trial for MASH patients with compensated cirrhosis (F4).
2. Ongoing enrollment in ENLIGHTEN-Fibrosis for non-cirrhotic MASH and ENTRUST for SHTG.
3. Cash position of $531.4 million as of June 30, 2024.
4. Q2 2024 net loss of $48.0 million, up from $38.4 million in Q2 2023.
5. R&D expenses increased to $44.9 million in Q2 2024 from $34.9 million in Q2 2023.

The company expects topline data from the ENTRUST trial in 2025 and is preparing for potential commercialization of pegozafermin.

Positive

• Initiated ENLIGHTEN-Cirrhosis Phase 3 trial for MASH patients with compensated cirrhosis
• Strong cash position of $531.4 million as of June 30, 2024
• Increased net interest income to $6.5 million in Q2 2024 from $4.6 million in Q2 2023
• Advancing three Phase 3 trials simultaneously in MASH and SHTG
• Preparing for potential commercialization of pegozafermin

Negative

• Net loss increased to $48.0 million in Q2 2024 from $38.4 million in Q2 2023
• R&D expenses rose to $44.9 million in Q2 2024 from $34.9 million in Q2 2023
• G&A expenses increased to $8.6 million in Q2 2024 from $7.2 million in Q2 2023

Financial Analyst

89bio's Q2 2024 results reveal a mixed financial picture. While R&D expenses increased by 28.7% year-over-year to $44.9 million, reflecting investment in clinical trials, the company maintains a strong cash position of $531.4 million. This robust liquidity, bolstered by additional $24.7 million from warrant exercises, provides a solid runway for ongoing Phase 3 trials.

The widening net loss of $48.0 million, up from $38.4 million in Q2 2023, is primarily due to increased R&D and G&A expenses. However, this is partially offset by higher interest income. The company's focus on commercial readiness alongside clinical development suggests confidence in pegozafermin's potential, but investors should monitor cash burn rate as trials progress.

Medical Research Analyst

89bio's progress in MASH (Metabolic dysfunction-Associated SteotoHepatitis) trials is noteworthy. The initiation of two Phase 3 trials - ENLIGHTEN-Fibrosis and ENLIGHTEN-Cirrhosis - targets both non-cirrhotic MASH and MASH with compensated cirrhosis. This comprehensive approach addresses a significant unmet medical need, particularly for patients with advanced fibrosis and cirrhosis.

The potential for accelerated approval using histology in both trials is promising. The ENLIGHTEN-Cirrhosis trial's design, with its dual endpoint strategy (fibrosis regression at 24 months and a clinical outcome composite), aligns with regulatory pathways for both accelerated and full approval. This strategy could expedite market entry while gathering long-term efficacy data, potentially positioning pegozafermin as a leading treatment in the evolving MASH landscape.

–The Phase 3 ENLIGHTEN-Fibrosis trial in patients with non-cirrhotic metabolic dysfunction-associated steatohepatitis (MASH) and the Phase 3 ENLIGHTEN-Cirrhosis trial in patients with compensated cirrhosis (F4) are enrolling patients–

–Phase 3 ENTRUST trial for patients with severe hypertriglyceridemia (SHTG) continues to enroll patients and topline data is expected in 2025–

SAN FRANCISCO, Aug. 05, 2024 (GLOBE NEWSWIRE) -- 89bio, Inc. (Nasdaq: ETNB), a clinical-stage biopharmaceutical company focused on the development and commercialization of innovative therapies for the treatment of liver and cardiometabolic diseases, today reported its financial results for the second quarter ended June 30, 2024.

“We are thrilled to have initiated two pivotal Phase 3 trials addressing non-cirrhotic MASH (ENLIGHTEN-Fibrosis in F2-F3) and MASH with compensated cirrhosis (ENLIGHTEN-Cirrhosis in F4), which have the potential for accelerated approval using histology in both trials,” stated Rohan Palekar, CEO of 89bio. “In parallel to executing on three Phase 3 trials in both MASH and SHTG, we continue to take important steps forward that we believe will strategically enhance our preparedness for potential commercialization of pegozafermin including commercial manufacturing readiness. We believe in the prospects of pegozafermin in MASH, given the urgent medical need for more severe patients with advanced fibrosis and cirrhosis, in addition to the significant opportunity in SHTG to help patients who are refractory to current standard of care."

Recent Highlights and Anticipated Milestones

Metabolic dysfunction-associated steatohepatitis (MASH)

• ENLIGHTEN-Cirrhosis, a Phase 3 trial of pegozafermin in MASH patients with compensated cirrhosis (F4), was initiated in the second quarter.
  • ENLIGHTEN-Cirrhosis is a global Phase 3, randomized, double-blind, placebo-controlled trial evaluating pegozafermin for the treatment of MASH patients with compensated cirrhosis (F4). The trial will enroll approximately 760 patients, who will be randomized in a 1:1 ratio to either receive 30mg of pegozafermin administered weekly or a placebo. A subset of the 760 patients will be evaluated at 24 months to assess fibrosis regression, potentially supporting an accelerated approval filing in the United States and conditional approval in Europe. The primary endpoint of fibrosis regression is defined as an improvement in fibrosis from F4 to an earlier stage. The primary endpoint for the final analysis will be a clinical outcome composite and is expected to form the basis for confirmatory or full approval.
• Data from the ENLIVEN Phase 2b trial was presented at the European Association for the Study of the Liver Congress (EASL) and was selected for the Poster Tour, a dedicated discussion session.
  

Severe Hypertriglyceridemia (SHTG)

• Enrollment is ongoing in ENTRUST, the Phase 3 trial evaluating the efficacy, safety and tolerability of pegozafermin in patients with SHTG.
• Topline results from this trial are expected to be reported in 2025.

Corporate Update

• Dr. Charles McWherter joined the Board of Directors, effective July 30, 2024. Dr. McWherter most recently served as Chief Scientific Officer and President of Research and Development of CymaBay Therapeutics, until it was acquired by Gilead Sciences in March 2024.
  

Second Quarter 2024 Financial Results

Cash Position. As of June 30, 2024, 89bio had cash, cash equivalents and marketable securities of $531.4 million, which does not include $19.4 million and $5.3 million of proceeds received by the Company subsequent to June 30, 2024 from the exercise of common stock warrants prior to June 30, 2024 and on July 1, 2024, respectively.

Research and Development (R&D) Expenses. R&D expenses were $44.9 million for the three months ended June 30, 2024, compared to $34.9 million for the three months ended June 30, 2023. The increase in R&D expenses was primarily driven by increases in clinical development, contract manufacturing, and personnel-related expenses, including stock-based compensation driven by higher headcount.

General and Administrative (G&A) Expenses. G&A expenses were $8.6 million for the three months ended June 30, 2024, compared to $7.2 million for the three months ended June 30, 2023. The increase in G&A expenses was primarily due to an increase in professional fees and personnel-related expenses including stock-based compensation driven by higher headcount.

Net Loss. 89bio reported a net loss of $48.0 million for the three months ended June 30, 2024, compared to a net loss of $38.4 million for the three months ended June 30, 2023. The increase in net loss was primarily attributable to increased R&D expenses to advance the company's Phase 3 clinical trials, increased G&A expenses associated with higher headcount, and expenses to support the Company's expanded operations. These increases in operating expenses were offset in part by the increase in net interest income and other to $6.5 million for the three months ended June 30, 2024 from $4.6 million for the three months ended June 30, 2023, mainly due to a change in interest rates and an increase in the average invested balances.

About 89bio 
89bio is a clinical-stage biopharmaceutical company dedicated to the development of best-in-class therapies for patients with liver and cardiometabolic diseases who lack optimal treatment options. The company is in Phase 3 studies for its lead candidate, pegozafermin, for the treatment of metabolic dysfunction-associated steatohepatitis (MASH) and severe hypertriglyceridemia (SHTG). Pegozafermin is a specifically engineered, potentially best-in-class fibroblast growth factor 21 (FGF21) analog with unique glycoPEGylated technology that optimizes biological activity through an extended half-life. The company is headquartered in San Francisco. For more information, visit www.89bio.com or follow the company on LinkedIn.

Forward-looking Statements
Certain statements in this press release may constitute "forward-looking statements" within the meaning of the federal securities laws, including, but not limited to, statements regarding the therapeutic potential and utility, efficacy and clinical benefits of pegozafermin, the safety and tolerability profile of pegozafermin, trial designs, clinical development plans and timing for pegozafermin, including the topline results from the ENTRUST Phase 3 trial in SHTG, and enrollment in clinical trials, including enrollment of the Phase 3 ENLIGHTEN-Fibrosis trial and Phase 3 ENLIGHTEN-Cirrhosis trial in MASH and ENTRUST Phase 3 trial in SHTG. Words such as "may," "might," "will," "objective," "intend," "should," "could," "can," "would," "expect," "believe," "design," "estimate," "predict," "potential," "anticipate," "goal," "opportunity," "develop," "plan" or the negative of these terms, and similar expressions, or statements regarding intent, belief, or current expectations, are forward looking statements. While 89bio believes these forward-looking statements are reasonable, undue reliance should not be placed on any such forward-looking statements, which are based on information available to us on the date of this release. These forward-looking statements are based upon current estimates and assumptions and are subject to various risks and uncertainties (including, without limitation, those set forth in 89bio's filings with the Securities and Exchange Commission (SEC)), many of which are beyond 89bio's control and subject to change. Actual results could be materially different. Risks and uncertainties include: expectations regarding the timing and outcome of the ENLIGHTEN-Fibrosis Phase 3 trial and Phase 3 ENLIGHTEN-Cirrhosis trial in MASH and ENTRUST Phase 3 trial in SHTG; 89bio's ability to execute on its strategy; positive results from a clinical study may not necessarily be predictive of the results of future or ongoing clinical studies; 89bio's substantial dependence on the success of it lead product candidate; competition from competing products; the impact of general economic, health, industrial or political conditions in the United States or internationally; the sufficiency of 89bio's capital resources and its ability to raise additional capital; and other risks and uncertainties identified in 89bio’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2024 and other subsequent disclosure documents filed with the SEC. 89bio claims the protection of the Safe Harbor contained in the Private Securities Litigation Reform Act of 1995 for forward-looking statements. 89bio expressly disclaims any obligation to update or alter any statements whether as a result of new information, future events or otherwise, except as required by law.

89bio, Inc. Condensed Consolidated Statement of Operations and Comprehensive Loss (Unaudited) (In thousands, except share and per share amounts)
		Three Months Ended June 30,								Six Months Ended June 30,
		2024				2023				2024				2023
Operating expenses:
Research and development		$	44,865			$	34,915			$	92,293			$	57,221
General and administrative			8,571				7,214				18,420				13,432
Total operating expenses			53,436				42,129				110,713				70,653
Loss from operations			(53,436	)			(42,129	)			(110,713	)			(70,653	)
Interest expense			(874	)			(894	)			(1,737	)			(2,969	)
Interest income and other, net			6,473				4,630				13,029				6,393
Net loss before income tax			(47,837	)			(38,393	)			(99,421	)			(67,229	)
Income tax expense			(134	)			—				(231	)			—
Net loss		$	(47,971	)		$	(38,393	)		$	(99,652	)		$	(67,229	)
Comprehensive loss		$	(48,135	)		$	(38,747	)		$	(100,525	)		$	(67,473	)
Net loss per share, basic and diluted		$	(0.48	)		$	(0.52	)		$	(1.02	)		$	(1.06	)
Weighted-average shares used to compute net loss per share, basic and diluted			99,831,111				74,126,569				97,838,926				63,706,856

89bio, Inc. Condensed Consolidated Balance Sheet Data (Unaudited) (In thousands)
	June 30,				December 31,
	2024				2023
Cash, cash equivalents and marketable securities	$	531,384			$	578,870
Total assets		582,138				596,269
Total current liabilities		41,653				29,611
Non current liabilities		25,568				30,352
Total stockholders’ equity		514,917				536,306
Total liabilities and stockholders' equity	$	582,138			$	596,269

Investor Contact: 
Annie Chang
89bio, Inc.
annie.chang@89bio.com

PJ Kelleher
LifeSci Advisors, LLC
+1-617-430-7579
pkelleher@lifesciadvisors.com

Media Contact:
Sheryl Seapy
Real Chemistry
sseapy@realchemistry.com

FAQ

What are the main Phase 3 trials 89bio (ETNB) is currently conducting?

89bio is currently conducting three main Phase 3 trials: ENLIGHTEN-Fibrosis for non-cirrhotic MASH, ENLIGHTEN-Cirrhosis for MASH patients with compensated cirrhosis, and ENTRUST for severe hypertriglyceridemia (SHTG).

When does 89bio (ETNB) expect topline data from the ENTRUST trial?

89bio expects to report topline data from the ENTRUST trial for severe hypertriglyceridemia (SHTG) in 2025.

What was 89bio's (ETNB) cash position as of June 30, 2024?

As of June 30, 2024, 89bio had cash, cash equivalents, and marketable securities totaling $531.4 million.

How much did 89bio's (ETNB) net loss increase in Q2 2024 compared to Q2 2023?

89bio's net loss increased to $48.0 million in Q2 2024, up from $38.4 million in Q2 2023, primarily due to increased R&D and G&A expenses.