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Following Guidance from U.S. Food & Drug Administration in Type-C Meeting Lipella Pharmaceuticals to Advance Lead Product Candidate to Phase 2b

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Lipella Pharmaceuticals (NASDAQ: LIPO) announced FDA guidance for its lead product, LP-10, in a Type-C meeting. LP-10, intended for moderate to severe hemorrhagic cystitis, will enter Phase 2b trials in the second half of 2024. The trial will include around 36 patients and will focus on objectives, safety, control group monitoring, dosing, efficacy endpoints, and sample size. Previous Phase 2a studies showed positive results with improved urinary symptoms in 13 patients. This FDA feedback allows Lipella to proceed confidently with their next trial phase, enhancing their value proposition.

Positive
  • FDA guidance received for Phase 2b clinical trial.
  • Phase 2b trial set for 2H 2024 with approximately 36 patients.
  • Previous Phase 2a study showed positive results on urinary symptoms.
  • FDA preliminary agreement on trial design, objectives, safety monitoring, and sample size.
Negative
  • Only 13 patients were treated in the Phase 2a study, which may be considered a small sample size.
  • Potential delay risks as Phase 2b trial is scheduled for the second half of 2024.

Insights

The progression of Lipella Pharmaceuticals' LP-10 to a Phase 2b clinical trial represents a significant milestone for the company. The FDA's agreement on the trial's design and its various components implies that LP-10 has demonstrated potential in previous studies, which is promising for investors.

The focus on hemorrhagic cystitis—a condition with limited treatment options—means that LP-10 could address an important unmet medical need. This will likely provide a strong competitive edge if the drug is approved. The preliminary safety and efficacy results from Phase 2a are encouraging, particularly the reduction in urinary symptoms and minimal systemic uptake, which are critical for patient safety and drug efficacy.

In the short term, this news boosts the company’s credibility and visibility, potentially increasing investor interest and stock price. In the long term, successful Phase 2b results could lead to further trials and eventual FDA approval, significantly impacting Lipella's market position and financial health.

However, investors should be aware that clinical trials are inherently risky with no guaranteed success. The small sample size of the Phase 2a study (13 patients) might not fully represent the larger population, necessitating careful scrutiny of Phase 2b results.

The announcement to advance LP-10 to Phase 2b following FDA guidance likely enhances Lipella Pharmaceuticals' market perception. The biotech market often responds positively to regulatory milestones, especially those concerning FDA guidance, which is seen as a de-risking event.

From a financial perspective, moving to a Phase 2b trial can attract increased funding opportunities, both through direct investment and potential partnerships or acquisitions. The clear regulatory pathway and defined trial parameters lower the uncertainty for investors, making Lipella a more attractive investment in the biotech space.

It's important to note, however, that clinical trials are expensive. The company will need sufficient capital to complete the Phase 2b study, which may lead to future equity dilution if additional funding is required. Investors should monitor the company's financial health, cash runway and any potential fundraising activities closely.

Furthermore, the market size for hemorrhagic cystitis treatments should be evaluated. While the need is present, the commercial success of LP-10 will depend on market penetration, pricing strategy and competition.

Company to initiate Phase 2b clinical trial in lead asset, LP-10 in 2H 2024

PITTSBURGH, May 21, 2024 (GLOBE NEWSWIRE) -- Lipella Pharmaceuticals Inc. (NASDAQ: LIPO) (“Lipella” or the “Company”), a clinical-stage biotechnology company, announced today the receipt of U.S. Food & Drug Administration (“FDA”) Type-C meeting guidance regarding the LP-10 (liposomal tacrolimus) clinical program. Lipella expects to initiate a Phase 2b clinical trial evaluating LP-10 as a treatment for hemorrhagic cystitis in approximately 36 patients in the second half of 2024.

The FDA provided preliminary agreement on Lipella’s overall trial design, including objectives, safety monitoring, control group monitoring, the dosing protocol, the primary efficacy endpoint, and sample size considerations.

Lipella’s Chief Medical Officer, Dr. Michael Chancellor, stated, “We can now proceed with the confidence that our Phase 2b study design can successfully meet its regulatory objectives. This clarity significantly advances our value proposition.”

LP-10 is an intravesical liposomal formulation of tacrolimus, intended for the treatment of moderate to severe hemorrhagic cystitis. Lipella has demonstrated preliminary safety and efficacy of LP-10 in a Phase 2a study, which treated 13 patients with up to two courses of LP-10 intravesical bladder instillations, and resulted in improved urinary symptoms, including decreased hematuria, decreased cystoscopic bleeding, and a reduced number of ulceration sites. Pharmacokinetic analysis demonstrated LP-10’s very short duration of systemic uptake.

About Hemorrhagic Cystitis
Hemorrhagic cystitis is a chronic condition involving significant urinary blood loss associated with certain cancer therapies. There are currently no FDA approved treatments for moderate to severe hemorrhagic cystitis, a highly morbid and sometimes fatal condition. Lipella is targeting a patient population of approximately 60,000 annually.

About Lipella Pharmaceuticals
Lipella is a clinical-stage biotechnology company focused on developing new drugs by reformulating the active agents in existing generic drugs and optimizing these reformulations for new applications. Additionally, the company maintains a therapeutic focus on diseases with significant, unaddressed morbidity and mortality where no approved drug therapy currently exists. Lipella recently completed an initial public offering in December 2022. For more information, visit www.lipella.com or LinkedIn for updates.

Forward-Looking Statements
This press release includes certain "forward-looking statements." All statements, other than statements of historical fact, included in this press release regarding, among other things, our strategy, future operations, financial position, prospects, clinical trials, regulatory approvals, pipeline and opportunities, sources of growth, successful implementation of our proprietary technology, plans and objectives are forward-looking statements. Forward-looking statements can be identified by words such as "may," "will," "could," "continue," "would," "should," "potential," "target," "goal," "anticipates," "intends," "plans," "seeks," "believes," "estimates," "predicts," "expects," "projects" and similar references to future periods. Forward-looking statements are based on our current expectations and assumptions regarding future events and financial trends that we believe may affect among other things, market and other conditions, our financial condition, results of operations, business strategy, short- and long-term business operations and objectives, and financial needs. Because forward-looking statements relate to the future, they are subject to inherent uncertainties, risks and changes in circumstances that are difficult to predict. Our actual results may differ materially from those contemplated by the forward-looking statements. We caution you, therefore, against relying on any of these forward-looking statements. They are neither statements of historical fact nor guarantees or assurances of future performance. There are risks, uncertainties and other factors, both known and unknown, that could cause actual results to differ materially from those in the forward-looking statements which include, but are not limited to, risks related to the effective application of the use of proceeds from the private placement, general capital market risks, regional, national or global political, economic, business, competitive, market and regulatory conditions, and other factors. Any forward-looking statement made by us is based upon the reasonable judgment of our management at the time such statement is made and speaks only as of the date on which it is made. Factors or events that could cause our actual results to differ may emerge from time to time, and it is not possible for us to predict all of them. We undertake no obligation to update any forward-looking statement, whether as a result of new information, future developments or otherwise, except as may be required by applicable law. Nothing contained herein is, or shall be relied upon as, a promise or representation as to the past or future. In addition, the information contained in this press release is as of the date hereof, and the Company has no obligation to update such information, including in the event that such information becomes inaccurate. You should not construe the contents of this press release as legal, tax and financial advisors as to legal and related matters concerning the matters described herein.

Contact
Jonathan Kaufman
Chief Executive Officer
Lipella Pharmaceuticals Inc.
ir@lipella.com
1-412-894-1853

PCG Advisory
Jeff Ramson
jramson@pcgadvisory.com   


FAQ

What is the target condition for Lipella Pharmaceuticals' LP-10?

LP-10 is intended for the treatment of moderate to severe hemorrhagic cystitis.

When will Lipella Pharmaceuticals initiate the Phase 2b trial for LP-10?

Lipella Pharmaceuticals plans to initiate the Phase 2b trial in the second half of 2024.

What was the outcome of the Phase 2a study for LP-10?

The Phase 2a study showed improved urinary symptoms, decreased hematuria, reduced cystoscopic bleeding, and fewer ulceration sites in 13 patients.

How many patients will be involved in the Phase 2b trial of LP-10?

The Phase 2b trial will involve approximately 36 patients.

What guidance did the FDA provide for Lipella Pharmaceuticals' LP-10?

The FDA provided preliminary agreement on Lipella's trial design, objectives, safety monitoring, control group monitoring, dosing protocol, primary efficacy endpoint, and sample size.

Lipella Pharmaceuticals Inc.

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