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Mesoblast Reports Financial Results and Operational Update for Fiscal Year Ended June 30, 2024

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Mesoblast (Nasdaq:MESO; ASX:MSB) reported financial results and operational updates for the fiscal year ended June 30, 2024. Key highlights include:

1. FDA accepted the BLA resubmission for RYONCIL® in treating steroid-refractory acute graft versus host disease in children, with a PDUFA date of January 7, 2025.

2. Enrollment commenced for the confirmatory Phase 3 trial of rexlemestrocel-L for chronic low back pain.

3. FDA granted Rare Pediatric Disease Designation for REVASCOR® in children with congenital heart disease.

4. Cash balance at June 30, 2024, was US$63.3 million, with a 23% reduction in net cash usage for operating activities compared to FY2023.

5. Loss after tax for FY2024 was US$88.0 million, a 7% increase from FY2023.

Mesoblast (Nasdaq:MESO; ASX:MSB) ha riportato i risultati finanziari e gli aggiornamenti operativi per l'anno fiscale conclusosi il 30 giugno 2024. I punti salienti includono:

1. L'FDA ha accettato la riassegnazione della BLA per RYONCIL® nel trattamento della malattia da trapianto contro ospite acuta refrattaria agli steroidi nei bambini, con una data PDUFA fissata per il 7 gennaio 2025.

2. È iniziato il reclutamento per lo studio di fase 3 di conferma di rexlemestrocel-L per il dolore cronico della parte bassa della schiena.

3. L'FDA ha concesso la designazione di malattia pediatrica rara per REVASCOR® nei bambini con cardiopatia congenita.

4. Il saldo di cassa al 30 giugno 2024 era di 63,3 milioni di dollari, con una riduzione del 23% nell'uso netto di cassa per le attività operative rispetto all'anno fiscale 2023.

5. La perdita dopo le tasse per l'anno fiscale 2024 è stata di 88,0 milioni di dollari, con un aumento del 7% rispetto all'anno fiscale 2023.

Mesoblast (Nasdaq:MESO; ASX:MSB) informó sobre sus resultados financieros y actualizaciones operativas para el año fiscal que terminó el 30 de junio de 2024. Los puntos destacados incluyen:

1. La FDA aceptó la reenvío de la BLA para RYONCIL® en el tratamiento de la enfermedad injerto contra huésped aguda refractaria a esteroides en niños, con una fecha PDUFA del 7 de enero de 2025.

2. Se inició la inscripción para el ensayo de fase 3 confirmatorio de rexlemestrocel-L para el dolor lumbar crónico.

3. La FDA otorgó la designación de enfermedad pediátrica rara para REVASCOR® en niños con cardiopatía congénita.

4. El saldo de efectivo al 30 de junio de 2024 era de 63.3 millones de dólares, con una reducción del 23% en el uso neto de efectivo para actividades operativas en comparación con el año fiscal 2023.

5. La pérdida después de impuestos para el año fiscal 2024 fue de 88,0 millones de dólares, un aumento del 7% en comparación con el año fiscal 2023.

Mesoblast (Nasdaq:MESO; ASX:MSB)는 2024년 6월 30일 종료된 회계연도에 대한 재무 결과 및 운영 업데이트를 보고했습니다. 주요 하이라이트는 다음과 같습니다:

1. FDA는 어린이의 스테로이드 내성 급성 이식편 대 숙주 질환 치료를 위한 RYONCIL®의 BLA 재제출을 승인했으며, PDUFA 날짜는 2025년 1월 7일입니다.

2. 만성 요통에 대한 rexlemestrocel-L의 확인 시험 3상에 대한 등록이 시작되었습니다.

3. FDA는 선천성 심장병을 앓고 있는 어린이를 위한 REVASCOR®에 대해 희귀 아동 질환 지정을 부여했습니다.

4. 2024년 6월 30일 기준 현금 잔액은 6,330만 달러였으며, 2023 회계연도에 비해 운영 활동에 대한 순현금 사용량이 23% 감소했습니다.

5. 2024 회계연도 세후 손실은 8,800만 달러로, 2023 회계연도에 비해 7% 증가했습니다.

Mesoblast (Nasdaq:MESO; ASX:MSB) a rapporté des résultats financiers et des mises à jour opérationnelles pour l'exercice fiscal clos le 30 juin 2024. Les points clés incluent :

1. La FDA a accepté la nouvelle soumission de la BLA pour RYONCIL® dans le traitement de la maladie du greffon contre l'hôte aiguë résistant aux stéroïdes chez les enfants, avec une date PDUFA fixée au 7 janvier 2025.

2. Le recrutement a commencé pour l'essai de phase 3 de confirmation de rexlemestrocel-L pour la douleur lombaire chronique.

3. La FDA a accordé la désignation de maladie pédiatrique rare pour REVASCOR® chez les enfants atteints de malformations cardiaques congénitales.

4. Le solde de trésorerie au 30 juin 2024 était de 63,3 millions de dollars, avec une réduction de 23 % de l'utilisation nette de trésorerie pour les activités opérationnelles par rapport à l'exercice 2023.

5. La perte après impôt pour l'exercice fiscal 2024 s'élevait à 88,0 millions de dollars, soit une augmentation de 7 % par rapport à l'exercice fiscal 2023.

Mesoblast (Nasdaq:MESO; ASX:MSB) berichtete über die Finanzresults und operativen Updates für das am 30. Juni 2024 endende Geschäftsjahr. Wesentliche Highlights umfassen:

1. Die FDA hat die Wiederanmeldung des BLA für RYONCIL® zur Behandlung der steroid-refraktären akuten Graft-versus-Host-Erkrankung bei Kindern akzeptiert, mit einem PDUFA-Datum vom 7. Januar 2025.

2. Die Rekrutierung für die bestätigende Phase-3-Studie von rexlemestrocel-L bei chronischen Rückenschmerzen hat begonnen.

3. Die FDA hat für REVASCOR® bei Kindern mit angeborener Herzkrankheit die seltene pädiatrische Krankheitsbezeichnung vergeben.

4. Der Kassenbestand zum 30. Juni 2024 betrug 63,3 Millionen USD, mit einer Reduzierung von 23% im Nettobargeldbedarf für betriebliche Aktivitäten im Vergleich zum Geschäftsjahr 2023.

5. Der Verlust nach Steuern für das Geschäftsjahr 2024 betrug 88,0 Millionen USD, ein Anstieg von 7% im Vergleich zum Geschäftsjahr 2023.

Positive
  • FDA accepted BLA resubmission for RYONCIL with PDUFA date of January 7, 2025
  • Enrollment started for Phase 3 trial of rexlemestrocel-L for chronic low back pain
  • FDA granted Rare Pediatric Disease Designation for REVASCOR in pediatric congenital heart disease
  • 23% reduction in net cash usage for operating activities compared to FY2023
  • 37% reduction in Q4 FY2024 cash usage compared to Q4 FY2023
Negative
  • Loss after tax increased by 7% to US$88.0 million in FY2024
  • Royalties from TEMCELL sales in Japan decreased by 17% compared to FY2023
  • Revaluation of Contingent Consideration resulted in a loss of US$9.7 million in FY2024
  • Cash balance decreased to US$63.3 million as of June 30, 2024

Insights

Mesoblast's FY2024 results show a mixed financial picture. The company's cash balance of $63.3 million provides some runway, but ongoing losses are concerning. The 23% reduction in net cash usage for operating activities is positive, indicating improved cost management. However, the $88 million loss after tax, up 7% from FY2023, highlights ongoing financial challenges.

Key positives include the 43% reduction in manufacturing expenses and 7% decrease in R&D costs. The potential FDA approval for RYONCIL by January 2025 could be a game-changer, potentially unlocking additional funding and revenue streams. Investors should closely monitor the upcoming PDUFA date and the company's ability to execute its commercial strategy if approved.

Mesoblast's pipeline shows promise, particularly with RYONCIL for acute graft versus host disease (aGVHD) in children. The FDA's acceptance of the BLA resubmission and the upcoming PDUFA date of January 7, 2025, are critical milestones. The potential label extension to adults with aGVHD could significantly expand the market opportunity.

The progress in other indications, such as chronic low back pain and congenital heart disease, demonstrates a diverse pipeline. The Rare Pediatric Disease Designation for REVASCOR in hypoplastic left heart syndrome is particularly noteworthy, as it could lead to a valuable Priority Review Voucher upon approval. However, investors should remain cautious as clinical success doesn't guarantee commercial viability in the competitive biotech landscape.

Mesoblast's market strategy appears focused and pragmatic. The company's plan to target the 15 highest volume bone marrow transplant centers, which account for ~50% of patients, demonstrates a smart, resource-efficient approach. This targeted strategy could help maximize the impact of their financial resources.

The potential accelerated approval pathway for REVASCOR in end-stage heart failure patients with LVADs is another significant opportunity. With over 100,000 patients progressing to end-stage HFrEF annually in the US, this represents a substantial market. However, investors should be aware that the path from regulatory approval to commercial success can be challenging, especially for a company with commercial experience in the US market.

Potential first product approval and preparing for commercial launch

NEW YORK, Aug. 28, 2024 (GLOBE NEWSWIRE) -- Mesoblast Limited (Nasdaq:MESO; ASX:MSB), global leader in allogeneic cellular medicines for inflammatory diseases, today provided an operational update and reported financial results for the period ended June 30, 2024.

Mesoblast Chief Executive Silviu Itescu said: “During the past year we have built significant momentum in our interactions with the United States Food and Drug Administration (FDA) across each of our Phase 3 products.

I am very pleased that our Biologics License Application (BLA) resubmission for approval of Ryoncil® (remestemcel-L) in the treatment of children with steroid-refractory acute graft versus host disease (SR-aGVHD) was accepted by the FDA. We are in active discussions with the agency and anticipate a decision prior to or on the Prescription Drug User Fee Act (PDUFA) goal date of January 7, 2025. Concurrently we are implementing a go-to-market plan to bring RYONCIL to the many children suffering with this devastating disease, picking up the substantial amount of work completed last year.”

“We have commenced enrolling patients across multiple U.S. sites in our confirmatory Phase 3 trial for inflammatory back pain which is in alignment with FDA, we have received a Rare Pediatric Disease Designation from FDA for Revascor® (rexlemestrocel-L) in children with a congenital heart disease, and have additionally been notified that FDA supports a potential accelerated approval pathway for REVASCOR in end-stage heart failure patients.”

OPERATIONAL RESULTS FOR THE FULL-YEAR ENDED JUNE 30, 2024 (FY2024)

1. RYONCIL (REMESTEMCEL-L) FOR ACUTE GRAFT VERSUS HOST DISEASE IN CHILDREN

Potential FDA Approval

  • Mesoblast resubmitted its BLA for approval of RYONCIL on July 8, 2024, addressing remaining CMC (Chemistry, Manufacturing, and Controls) items in the August 2023 Complete Response Letter (CRL).
  • FDA previously informed Mesoblast that the available clinical data from its Phase 3 study appears sufficient to support resubmission of the BLA.
  • FDA accepted the BLA resubmission within two weeks, considering it to be a complete response.
  • Mesoblast and FDA are in ongoing interactions in relation to the active BLA review.
  • FDA has already conducted the Pre-License Inspection (PLI) of the manufacturing process for RYONCIL in May 2023 and this did not result in the issuance of any Form 483.
  • Mesoblast anticipates a decision prior to or on the FDA’s Prescription Drug User Fee Act (PDUFA) goal date of January 7, 2025.

Activities For Go to Market Strategy

  • Hiring of select senior positions to build targeted commercial team has commenced.
  • Key Pre-Launch Activities include:
    • Market Access initiates payer outreach
    • Medical provides education to payers
    • Corporate leadership initiates engagement with Top 15 centers
    • Regional sales directors lead center profiling
    • Ongoing KOL engagement with greatest experience using RYONCIL at highest volume centers
    • Non-promotional activities including profiling high-volume centers, education on disease awareness & unmet needs, and payer engagement
  • Post-launch - Staged approach based on centers with highest volume and experience with product.
  • Targeted sales force with experience in bone marrow transplant centers - 15 highest volume centers account for ~50% of patients.

2. RYONCIL (REMESTEMCEL-L) FOR ACUTE GRAFT VERSUS HOST DISEASE IN ADULTS

  • Mesoblast strategy is to first gain pediatric approval for RYONCIL, followed by label extension in the larger adult population.
  • As part of its label extension strategy for RYONCIL, Mesoblast is planning to conduct a study in the larger adult population once it has gained pediatric approval.
  • Survival in adults with SR-aGVHD who have failed at least one additional agent, such as ruxolitinib, remains as low as 20-30% by 100 days.1,2 In contrast, 100-day survival was 67% after RYONCIL treatment was used under expanded access in 51 adults and children with SR-aGVHD who failed to respond to at least one additional agent, such as ruxolitinib.
  • Mesoblast is collaborating with Blood and Marrow Transplant Clinical Trials Network (BMT CTN) in the United States, a body that is funded by the National Institutes of Health (NIH) and is responsible for approximately 80% of all US allogeneic BMTs, to conduct a pivotal trial in adults with SR-aGVHD.

3. REXLEMESTROCEL-L FOR CHRONIC LOW BACK PAIN ASSOCIATED WITH DEGENERATIVE DISC DISEASE

  • The confirmatory Phase 3 trial of Mesoblast’s second generation allogeneic, STRO3-immunoselected, and industrially manufactured stromal cell product rexlemestrocel-L in patients with chronic low back pain (CLBP) due to inflammatory degenerative disc disease (DDD) of less than five years duration has commenced enrollment at multiple sites across the United States.
  • FDA has previously agreed on the design of this 300-patient randomized, placebo-controlled confirmatory Phase 3 trial, and the 12-month primary endpoint of pain reduction as an approvable indication.
  • This endpoint was successfully met in Mesoblast’s first Phase 3 trial.
  • Key secondary measures include improvement in quality of life and function.
  • A particular focus is on treatment of patients on opioids, since discogenic back pain accounts for approximately 50% of prescription opioid usage in the US.
  • Significant pain reduction and opioid cessation were observed in Mesoblast’s first Phase 3 trial.
  • FDA has designated rexlemestrocel-L a Regenerative Medicine Advanced Therapy (RMAT) for the treatment of chronic low back pain. RMAT designation provides all the benefits of Breakthrough and Fast Track designations, including rolling review and eligibility for priority review on filing of a BLA.

4. REVASCOR (REXLEMESTROCEL-L) FOR PEDIATRIC CONGENITAL HEART DISEASE: HYPOPLASTIC LEFT HEART SYNDROME (HLHS)

  • During the year FDA granted REVASCOR both Rare Pediatric Disease Designation (RPDD) and Orphan-Drug Designation (ODD). This followed submission of results from the randomized controlled trial in children with hypoplastic left heart syndrome (HLHS), a potentially life-threatening congenital heart condition.
  • Results from a blinded, randomized, placebo-controlled prospective trial of REVASCOR conducted in the United States in children with HLHS were published in the December 2023 issue of the peer reviewed The Journal of Thoracic and Cardiovascular Surgery Open (JTCVS Open).3
  • In the HLHS trial conducted in 19 children, a single intramyocardial administration of REVASCOR at the time of staged surgery resulted in the desired outcome of significantly larger increases in left ventricular (LV) end-systolic and end-diastolic volumes over 12 months compared with controls as measured by 3D echocardiography, (p=0.009 & p=0.020 respectively).
  • These changes are indicative of clinically important growth of the small left ventricle, facilitating the ability to have a successful surgical correction, known as full biventricular (BiV) conversion, which allows for a normal two ventricle circulation. Without full BiV conversion the right heart chamber is under excessive strain with increased risk of heart failure and death.
  • On FDA approval of a BLA for REVASCOR for the treatment of HLHS, Mesoblast may be eligible to receive a Priority Review Voucher (PRV) that can be redeemed for any subsequent marketing application or may be sold or transferred to a third party.

5. REVASCOR (REXLEMESTROCEL-L) FOR CHRONIC HEART FAILURE WITH REDUCED EJECTION FRACTION (HFrEF) AND PERSISTENT INFLAMMATION

  • Heart failure with low ejection fraction (HFrEF) occurs in approximately 50% of all heart failure patients and is associated with high mortality.
  • Over 60% of HFrEF patients have underlying ischemia and these are at highest risk of recurrent major adverse cardiac events involving large vessels (heart attacks / strokes).
  • REVASCOR has reduced major adverse cardiac events (MACE) (cardiovascular death, heart attacks and strokes) in a completed randomized controlled Phase 3 trial in ischemic HFrEF patients with NYHA class II /III disease and inflammation.
  • Over 100,000 patients in the US progress annually to end-stage HFrEF and more than 2,500 life prolonging LVADs are implanted annually in these patients.
  • Resistance to functional recovery in ischemic HFrEF patients with LVADs is thought to be due to excessive inflammation and microvascular insufficiency in the ischemic myocardium.4
  • In a randomized controlled trial, a single administration of REVASCOR reduced inflammation, strengthened left ventricular function, reduced right ventricular failure, and reduced hospitalizations in end-stage ischemic HFrEF patients with a left ventricular assist device (LVAD).
  • In March FDA informed Mesoblast that it supports an accelerated approval pathway for its second generation allogeneic, STRO3-immunoselected, and industrially manufactured stromal cell product rexlemestrocel-L (Revascor®), for patients with end-stage ischemic HFrEF and an LVAD.
  • Mesoblast has received RMAT designation for rexlemestrocel-L in the treatment of end-stage heart failure in LVAD patients and intends to meet with FDA to discuss data presentation, timing and FDA expectations for an accelerated approval filing in these patients.

FINANCIAL RESULTS FOR THE FULL-YEAR ENDED JUNE 30, 2024 (FY2024)

  • Cash balance at June 30, 2024 was US$63.3 million (A$95.0 million),5 with additional US$10.0 million available from an existing facility on FDA approval of RYONCIL.
  • Reduction in net cash usage for operating activities:
    • 23% reduction (US$14.8 million) for FY2024 compared with FY2023 (US$48.5 million vs US$63.3 million).
    • 37% reduction (US$6.1 million) for Q4 FY2024 compared with Q4 FY2023 (US$10.2 million vs US$16.3 million).
    • Reduction in cash usage predominantly driven by reduced manufacturing activities and lowered payroll.

Continued focus on prudent cash management for operational activities as we undertake targeted commercial rollout and supply chain activities for RYONCIL (remestemcel-L).

COST CONTAINMENT TARGETS ACHIEVED FOR FY2024 AND CONTINUING IN FY2025

  • Achievement of 23% reduction (US$14.8 million) in net cash usage for operating activities in FY2024 was due in large part to successful execution of our payroll reduction strategy.
  • Continued focus on cost containment of headcount and payroll to be maintained in FY2025.
  • Alignment of management salaries and incentives with shareholders as outlined below.

COST CONTAINMENT TARGETS ACHIEVED FOR FY2024 AND CONTINUING IN FY2025

DETAILS OF FINANCIAL RESULTS FOR THE TWELVE MONTHS ENDED JUNE 30, 2024 (FY2024)

  • Royalties primarily on sales of TEMCELL® HS Inj.6 sold in Japan by our licensee for the FY2024 were US$5.9 million and US$6.3 million on a constant currency basis, down 17% compared with US$7.1 million for the comparative period in FY2023.7
  • Research & Development expenses reduced by US$1.8 million (7%), down to US$25.4 million for FY2024 compared with US$27.2 million for the comparative period in FY2023. R&D expenses primarily supported preparations for the remestemcel-L BLA re-submission and preparations for pivotal studies for CLBP associated with DDD and adult SR-aGVHD.
  • Manufacturing reduced by US$12.0 million (43%), down from US$27.7 million to US$15.7 million due to decreased inventory build and one-off FY2023 spend on FDA Pre-License Inspection (PLI).
  • Management and Administration expenses reduced by US$1.7 million (7%), to US$23.6 million for FY2024.
  • Revaluation of Contingent Consideration recognized in FY2024 reflects a greater probability of approval of remestemcel-L for the treatment of SR-aGVHD as compared to FY2023 which reflected the 2023 CRL. In FY2024 we recognized a loss of US$9.7 million compared to a gain of US$8.8 million in FY2023.
  • Fair value movement of warrants recognized a gain of US$0.8 million in FY2024 on a revaluation of warrants to market value compared to a loss of US$2.2 million in FY2023.
  • Other operating income in FY2024 was US$2.6 million compared with US$4.2 million in FY2023 due to a reduction tax incentives.
  • Finance Costs for borrowing arrangements include US$17.2 million of non-cash expenditure for FY2024 comprising accruing interest and borrowing costs.

Loss after tax for FY2024 was US$88.0 million, a 7% increase compared to US$81.9 million for FY2023. The net loss attributable to ordinary shareholders was 8.91 US cents per share for FY2024, compared with 10.53 US cents per share for FY2023.

Conference Call
There will be a webcast today, beginning at 6.30pm EDT (Wednesday, August 28); 8.30am AEST (Thursday, August 29). It can be accessed via: https://webcast.openbriefing.com/msb-fyr-2024/

The archived webcast will be available on the Investor page of the Company’s website: www.mesoblast.com

About Mesoblast
Mesoblast (the Company) is a world leader in developing allogeneic (off-the-shelf) cellular medicines for the treatment of severe and life-threatening inflammatory conditions. The Company has leveraged its proprietary mesenchymal lineage cell therapy technology platform to establish a broad portfolio of late-stage product candidates which respond to severe inflammation by releasing anti-inflammatory factors that counter and modulate multiple effector arms of the immune system, resulting in significant reduction of the damaging inflammatory process.

Mesoblast has a strong and extensive global intellectual property portfolio with protection extending through to at least 2041 in all major markets. The Company’s proprietary manufacturing processes yield industrial-scale, cryopreserved, off-the-shelf, cellular medicines. These cell therapies, with defined pharmaceutical release criteria, are planned to be readily available to patients worldwide.

Mesoblast is developing product candidates for distinct indications based on its remestemcel-L and rexlemestrocel-L allogeneic stromal cell technology platforms. Remestemcel-L is being developed for inflammatory diseases in children and adults including steroid refractory acute graft versus host disease, biologic-resistant inflammatory bowel disease, and acute respiratory distress syndrome. Rexlemestrocel-L is in development for advanced chronic heart failure and chronic low back pain. Two products have been commercialized in Japan and Europe by Mesoblast’s licensees, and the Company has established commercial partnerships in Europe and China for certain Phase 3 assets.

Mesoblast has locations in Australia, the United States and Singapore and is listed on the Australian Securities Exchange (MSB) and on the Nasdaq (MESO). For more information, please see www.mesoblast.com, LinkedIn: Mesoblast Limited and Twitter: @Mesoblast

References / Footnotes

  1. Jagasia M et al. Ruxolitinib for the treatment of steroid-refractory acute GVHD (REACH1): a multicenter, open-label phase 2 trial. Blood. 2020 May 14; 135(20): 1739–1749
  2. Abedin S, et al. Ruxolitinib resistance or intolerance in steroid-refractory acute graft versus-host disease — a real-world outcomes analysis. British Journal of Haematology, 2021;195:429–43.
  3. Wittenberg RE, Gauvreau K, Leighton J, Moleon-Shea M, Borow KM, Marx GR, Emani SM, Prospective randomized controlled trial of the safety and feasibility of a novel mesenchymal precursor cell therapy in hypoplastic left heart syndrome, JTCVS Open Volume 16, Dec 2023, doi: https://doi.org/10.1016/j.xjon.2023.09.031
  4. Symons JD, Deeter L, Deeter N, et al. Effect of continuous-flow left ventricular assist device support on coronary artery endothelial function in ischemic and nonischemic cardiomyopathy. Cir Heart Fail 2019; 12:e006085. DOI: 10.1161/CIRCHEARTFAILURE.119.006085.
  5. Using Reserve Bank of Australia (RBA) published exchange rate from June 30, 2024 of 1A$:0.6624US$.
  6. TEMCELL® HS Inj. is a registered trademark of JCR Pharmaceuticals Co. Ltd.
  7. TEMCELL sales by our Licensee are recorded in Japanese Yen before being translated into USD for the purposes of calculating the royalty paid to Mesoblast. Results have been adjusted for the movement of the USD to Japanese Yen exchange rate from 1USD:140.01 Yen for the twelve months ended June 30, 2023 to 1USD:151.75 Yen for the twelve months ended June 30, 2024.

Forward-Looking Statements
This press release includes forward-looking statements that relate to future events or our future financial performance and involve known and unknown risks, uncertainties and other factors that may cause our actual results, levels of activity, performance or achievements to differ materially from any future results, levels of activity, performance or achievements expressed or implied by these forward-looking statements. We make such forward-looking statements pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995 and other federal securities laws. Forward-looking statements should not be read as a guarantee of future performance or results, and actual results may differ from the results anticipated in these forward-looking statements, and the differences may be material and adverse. Forward-looking statements include, but are not limited to, statements about: the initiation, timing, progress and results of Mesoblast’s preclinical and clinical studies, and Mesoblast’s research and development programs; Mesoblast’s ability to advance product candidates into, enroll and successfully complete, clinical studies, including multi-national clinical trials; Mesoblast’s ability to advance its manufacturing capabilities; the timing or likelihood of regulatory filings and approvals (including any future decision that the FDA may make on the BLA for remestemcel-L for pediatric patients with SR-aGVHD), manufacturing activities and product marketing activities, if any; the commercialization of Mesoblast’s product candidates, if approved; regulatory or public perceptions and market acceptance surrounding the use of stem-cell based therapies; the potential for Mesoblast’s product candidates, if any are approved, to be withdrawn from the market due to patient adverse events or deaths; the potential benefits of strategic collaboration agreements and Mesoblast’s ability to enter into and maintain established strategic collaborations; Mesoblast’s ability to establish and maintain intellectual property on its product candidates and Mesoblast’s ability to successfully defend these in cases of alleged infringement; the scope of protection Mesoblast is able to establish and maintain for intellectual property rights covering its product candidates and technology; estimates of Mesoblast’s expenses, future revenues, capital requirements and its needs for additional financing; Mesoblast’s financial performance; developments relating to Mesoblast’s competitors and industry; and the pricing and reimbursement of Mesoblast’s product candidates, if approved. You should read this press release together with our risk factors, in our most recently filed reports with the SEC or on our website. Uncertainties and risks that may cause Mesoblast’s actual results, performance or achievements to be materially different from those which may be expressed or implied by such statements, and accordingly, you should not place undue reliance on these forward-looking statements. We do not undertake any obligations to publicly update or revise any forward-looking statements, whether as a result of new information, future developments or otherwise.

Release authorized by the Chief Executive.

For more information, please contact:

Corporate Communications / InvestorsMedia
Paul HughesBlueDot Media
T: +61 3 9639 6036Steve Dabkowski
E: investors@mesoblast.comT: +61 419 880 486
 E: steve@bluedot.net.au
  

Consolidated Income Statement

 Year Ended June 30,
(in U.S. dollars, in thousands, except per share amount)2024 2023
Revenue5,902  7,501 
Research & development(25,353) (27,189)
Manufacturing commercialization(15,717) (27,733)
Management and administration(23,626) (25,374)
Fair value remeasurement of contingent consideration(9,693) 8,771 
Fair value remeasurement of warrant liability779  (2,205)
Other operating income and expenses2,570  4,250 
Finance costs(23,009) (20,122)
Loss before income tax(88,147) (82,101)
Income tax benefit/(expense)191  212 
Loss attributable to the owners of Mesoblast Limited(87,956) (81,889)
    
Losses per share from continuing operations attributable to the ordinary equity holders of the Group:Cents  Cents
Basic - losses per share(8.91) (10.53)
Diluted - losses per share(8.91) (10.53)


Consolidated Statement of Comprehensive Income

 Year Ended June 30,
(in U.S. dollars, in thousands)2024 2023
Loss for the period(87,956) (81,889)
Other comprehensive (loss)/income   
Items that may be reclassified to profit and loss   
Exchange differences on translation of foreign operations51  (573)
Items that will not be reclassified to profit and loss   
Financial assets at fair value through other comprehensive income(743) (1)
Other comprehensive (loss)/income for the period, net of tax(692) (574)
Total comprehensive losses attributable to the owners of Mesoblast Limited(88,648) (82,463)


Consolidated Balance Sheet

 As of June 30,
(in U.S. dollars, in thousands)2024 2023
Assets   
Current Assets   
Cash & cash equivalents62,960  71,318 
Trade & other receivables20,952  6,998 
Prepayments2,551  3,342 
Total Current Assets86,463  81,658 
    
Non-Current Assets   
Property, plant and equipment1,106  1,357 
Right-of-use assets2,732  5,134 
Financial assets at fair value through other comprehensive income1,014  1,757 
Other non-current assets2,102  2,326 
Intangible assets575,736  577,183 
Total Non-Current Assets582,690  587,757 
Total Assets669,153  669,415 
    
Liabilities   
Current Liabilities   
Trade and other payables7,070  20,145 
Provisions45,038  6,399 
Borrowings13,862  5,952 
Lease liabilities2,626  4,060 
Warrant liability4,647  5,426 
Total Current Liabilities73,243  41,982 
    
Non-Current Liabilities   
Provisions10,620  16,612 
Borrowings100,483  102,811 
Lease liabilities1,952  3,672 
Deferred consideration2,500  2,500 
Total Non-Current Liabilities115,555  125,595 
Total Liabilities188,798  167,577 
Net Assets480,355  501,838 
    
Equity   
Issued Capital1,310,813  1,249,123 
Reserves78,303  73,520 
Accumulated losses(908,761) (820,805)
Total Equity480,355  501,838 


Consolidated Statement of Cash Flow

 Year Ended June 30,
(in U.S. dollars, in thousands)2024 2023
Cash flows from operating activities   
Commercialization revenue received6,776  7,480 
Government grants and tax incentives and credits received3,819  1,118 
Payments to suppliers and employees (inclusive of goods and services tax)(60,835) (72,683)
Interest received1,778  796 
Income taxes received /(paid)4  20 
Net cash (outflows) in operating activities(48,458) (63,269)
    
Cash flows from investing activities   
Investment in fixed assets(271) (264)
Receipts from investment in sublease234  120 
Payments for licenses(60) (50)
Net cash (outflows) in investing activities(97) (194)
    
Cash flows from financing activities   
Proceeds from borrowings   
Repayment of borrowings(10,000)  
Payment of transaction costs from borrowings(1,559) (574)
Interest and other costs of finance paid(5,717) (6,014)
Proceeds from issue of shares65,406  88,635 
Proceeds from issue of warrants   
Payments for share issue costs(4,356) (4,889)
Payments for lease liabilities(3,522) (2,656)
Net cash inflows/(outflows) by financing activities40,252  74,502 
    
Net increase/(decrease) in cash and cash equivalents(8,303) 11,039 
Cash and cash equivalents at beginning of period71,318  60,447 
FX (loss)/gain on the translation of foreign bank accounts(55) (168)
Cash and cash equivalents at end of period62,960  71,318 


A photo accompanying this announcement is available at https://www.globenewswire.com/NewsRoom/AttachmentNg/e713c6e7-f56f-48e2-bdb9-d8f82d7718d6


FAQ

What is the PDUFA date for Mesoblast's RYONCIL BLA resubmission?

The PDUFA date for Mesoblast's RYONCIL BLA resubmission is January 7, 2025.

What was Mesoblast's (MESO) cash balance as of June 30, 2024?

Mesoblast's cash balance as of June 30, 2024, was US$63.3 million (A$95.0 million).

How much did Mesoblast's (MESO) net loss increase in FY2024 compared to FY2023?

Mesoblast's net loss increased by 7% in FY2024, reaching US$88.0 million compared to US$81.9 million in FY2023.

What designation did the FDA grant REVASCOR for pediatric congenital heart disease in FY2024?

The FDA granted REVASCOR both Rare Pediatric Disease Designation (RPDD) and Orphan-Drug Designation (ODD) for pediatric congenital heart disease in FY2024.

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