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Mesoblast Sets Ryoncil® Price Based on Economic Value of Treatment With Planned Product Availability This Quarter

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Mesoblast (NASDAQ:MESO) has announced the pricing and upcoming availability of its FDA-approved product Ryoncil® for treating steroid-refractory acute graft versus host disease (SR-aGvHD) in pediatric patients. The wholesale acquisition cost is set at US$194,000 per infusion.

The company reported that Ryoncil® demonstrated a 70% overall response rate in Phase 3 trials, with 49% survival through 4 years. The treatment's total benefits range from US$3.2-4.1 million per patient. Mesoblast has established MyMesoblast™ hub for patient services and partnered with Cencora for distribution.

Financial highlights include a cash balance of US$38 million as of December 31, 2024, with pro-forma cash of approximately US$200 million after completing a US$161 million global private placement. The company reported a net loss of US$47.9 million for H1 FY2025, with net operating cash spend reduced by 22% to US$20.7 million compared to H1 FY2024.

Mesoblast (NASDAQ:MESO) ha annunciato il prezzo e la prossima disponibilità del suo prodotto approvato dalla FDA Ryoncil® per il trattamento della malattia da trapianto contro l'ospite acuta refrattaria agli steroidi (SR-aGvHD) nei pazienti pediatrici. Il costo di acquisizione all'ingrosso è fissato a 194.000 dollari USA per infusione.

L'azienda ha riportato che Ryoncil® ha dimostrato un 70% di tasso di risposta complessivo negli studi di Fase 3, con il 49% di sopravvivenza dopo 4 anni. I benefici totali del trattamento variano da 3,2 a 4,1 milioni di dollari USA per paziente. Mesoblast ha istituito il hub MyMesoblast™ per i servizi ai pazienti e ha collaborato con Cencora per la distribuzione.

I punti salienti finanziari includono un saldo di cassa di 38 milioni di dollari USA al 31 dicembre 2024, con un cash pro-forma di circa 200 milioni di dollari USA dopo aver completato un collocamento privato globale di 161 milioni di dollari USA. L'azienda ha riportato una perdita netta di 47,9 milioni di dollari USA per il primo semestre dell'anno fiscale 2025, con una spesa operativa netta ridotta del 22% a 20,7 milioni di dollari USA rispetto al primo semestre dell'anno fiscale 2024.

Mesoblast (NASDAQ:MESO) ha anunciado el precio y la próxima disponibilidad de su producto aprobado por la FDA Ryoncil® para el tratamiento de la enfermedad injerto contra huésped aguda refractaria a esteroides (SR-aGvHD) en pacientes pediátricos. El costo de adquisición al por mayor se establece en 194,000 dólares EE. UU. por infusión.

La compañía informó que Ryoncil® demostró una tasa de respuesta global del 70% en ensayos de Fase 3, con un 49% de supervivencia a lo largo de 4 años. Los beneficios totales del tratamiento oscilan entre 3.2 y 4.1 millones de dólares EE. UU. por paciente. Mesoblast ha establecido el centro MyMesoblast™ para servicios a pacientes y se ha asociado con Cencora para la distribución.

Los aspectos financieros destacados incluyen un saldo de efectivo de 38 millones de dólares EE. UU. a 31 de diciembre de 2024, con un efectivo proforma de aproximadamente 200 millones de dólares EE. UU. tras completar una colocación privada global de 161 millones de dólares EE. UU. La compañía reportó una pérdida neta de 47.9 millones de dólares EE. UU. para el primer semestre del año fiscal 2025, con un gasto operativo neto reducido en un 22% a 20.7 millones de dólares EE. UU. en comparación con el primer semestre del año fiscal 2024.

Mesoblast (NASDAQ:MESO)는 FDA 승인을 받은 제품 Ryoncil®의 가격 및 향후 가용성을 발표했습니다. 이 제품은 소아 환자에서 스테로이드 불응성 급성 이식편 대 숙주 질환(SR-aGvHD)을 치료하는 데 사용됩니다. 도매 인수가는 194,000달러 미국 달러당 주입으로 설정되었습니다.

회사는 Ryoncil®이 3상 시험에서 70%의 전체 반응률을 나타냈으며, 4년 동안 생존율이 49%에 달한다고 보고했습니다. 치료의 총 이점은 환자당 320만에서 410만 달러 미국 달러 사이입니다. Mesoblast는 환자 서비스를 위한 MyMesoblast™ 허브를 설립하고 Cencora와 파트너십을 맺어 유통하고 있습니다.

재무 하이라이트에는 2024년 12월 31일 기준 3,800만 달러 미국 달러의 현금 잔고가 포함되며, 1억 6,100만 달러 규모의 글로벌 사모펀드 완료 후 약 2억 달러 미국 달러의 프로포르마 현금이 있습니다. 회사는 2025 회계연도 상반기에 4,790만 달러 미국 달러의 순손실을 기록했으며, 2024 회계연도 상반기와 비교하여 순 운영 현금 지출이 22% 감소하여 2,070만 달러 미국 달러에 이릅니다.

Mesoblast (NASDAQ:MESO) a annoncé le prix et la disponibilité prochaine de son produit approuvé par la FDA Ryoncil® pour le traitement de la maladie du greffon contre l'hôte aiguë réfractaire aux stéroïdes (SR-aGvHD) chez les patients pédiatriques. Le coût d'acquisition en gros est fixé à 194 000 dollars US par infusion.

La société a rapporté que Ryoncil® a démontré un taux de réponse global de 70% lors des essais de Phase 3, avec un taux de survie de 49% après 4 ans. Les bénéfices totaux du traitement varient de 3,2 à 4,1 millions de dollars US par patient. Mesoblast a établi le hub MyMesoblast™ pour les services aux patients et a conclu un partenariat avec Cencora pour la distribution.

Les points saillants financiers incluent un solde de trésorerie de 38 millions de dollars US au 31 décembre 2024, avec un cash pro forma d'environ 200 millions de dollars US après avoir complété un placement privé mondial de 161 millions de dollars US. La société a signalé une perte nette de 47,9 millions de dollars US pour le premier semestre de l'exercice 2025, avec des dépenses d'exploitation nettes réduites de 22% à 20,7 millions de dollars US par rapport au premier semestre de l'exercice 2024.

Mesoblast (NASDAQ:MESO) hat die Preisgestaltung und die bevorstehende Verfügbarkeit seines von der FDA genehmigten Produkts Ryoncil® zur Behandlung der steroid-refraktären akuten Graft-versus-Host-Erkrankung (SR-aGvHD) bei pädiatrischen Patienten bekannt gegeben. Die Großhandelsankaufkosten sind auf 194.000 US-Dollar pro Infusion festgelegt.

Das Unternehmen berichtete, dass Ryoncil® eine Gesamtansprechrate von 70% in Phase-3-Studien zeigte, mit einer Überlebensrate von 49% über 4 Jahre. Die Gesamtnutzen der Behandlung liegen zwischen 3,2 und 4,1 Millionen US-Dollar pro Patient. Mesoblast hat das MyMesoblast™-Zentrum für Patientenservices eingerichtet und eine Partnerschaft mit Cencora für die Distribution geschlossen.

Zu den finanziellen Höhepunkten gehören ein Barguthaben von 38 Millionen US-Dollar zum 31. Dezember 2024, mit einem pro forma Bargeld von etwa 200 Millionen US-Dollar nach Abschluss einer globalen Privatplatzierung über 161 Millionen US-Dollar. Das Unternehmen meldete einen Nettoverlust von 47,9 Millionen US-Dollar für das erste Halbjahr des Geschäftsjahres 2025, wobei die Nettobetriebskosten um 22% auf 20,7 Millionen US-Dollar im Vergleich zum ersten Halbjahr des Geschäftsjahres 2024 gesenkt wurden.

Positive
  • FDA approval of Ryoncil® as first MSC therapy for pediatric SR-aGvHD
  • Strong Phase 3 trial results: 70% response rate, 49% 4-year survival
  • Successful US$161M capital raise strengthening cash position
  • 22% reduction in operating cash spend vs H1 FY2024
  • Reversal of US$23M inventory provision post-FDA approval
Negative
  • Net loss increased to US$47.9M from US$32.5M in previous period
  • R&D expenses increased to US$20.6M from US$12.6M year-over-year
  • Management expenses increased to US$17.2M from US$11.5M year-over-year
  • Royalty revenue declined to US$3.2M from US$3.4M

Insights

Mesoblast's FDA approval and pricing announcement for Ryoncil® represents a pivotal inflection point, transforming the company from clinical-stage to commercial. With a wholesale acquisition cost of $194,000 per infusion and standard treatment requiring 8 infusions over 4 weeks, the full treatment cost approaches $1.55 million per patient. This pricing appears strategically calibrated against the reported $2.5 million cost of treating children who die from SR-aGvHD and the $3.2-4.1 million in calculated economic benefits from successful treatment.

The addressable market of approximately 375 pediatric patients annually creates a theoretical maximum revenue opportunity of $580 million, though realistic market penetration will likely build gradually over several quarters as the company engages with the 45 centers representing 80% of pediatric transplants. The establishment of MyMesoblast™ patient services hub and partnership with Cencora for distribution demonstrates necessary infrastructure for commercialization.

Financially, Mesoblast has significantly strengthened its position through a $161 million private placement, bringing pro-forma cash to approximately $200 million. With quarterly cash burn of approximately $10 million (reduced by 22% year-over-year), this provides a substantial runway to navigate the commercial launch phase before Ryoncil revenue scales. The FDA approval triggered a $23 million reversal of previously expensed inventory, now recognized as an asset.

Beyond Ryoncil, Mesoblast's pipeline expansion strategy could significantly amplify the revenue potential. The company is pursuing Ryoncil lifecycle extensions in inflammatory bowel disease, additional SR-aGvHD indications, and advancing Revascor for heart failure conditions. The Rare Pediatric Disease Designation for hypoplastic left heart syndrome could yield a Priority Review Voucher upon approval, potentially worth $100-200 million based on recent market transactions.

The H1 FY2025 loss of $47.9 million was impacted by non-cash items including share-based payments and warrant remeasurements. Investors should focus on the 22% reduction in operating cash burn as a positive indicator of financial discipline during this transition to commercialization.

Mesoblast's Ryoncil® pricing strategy exemplifies the complex economic considerations in ultra-rare disease treatments. At $194,000 per infusion ($1.55 million for complete treatment), the price is calibrated against the $2.5 million cost of treating non-survivors and $3.2-4.1 million in calculated economic benefits. This value-based approach aligns with emerging frameworks for cell therapies, though still presents significant reimbursement challenges.

For the approximately 375 pediatric SR-aGvHD patients annually, access will likely involve complex prior authorization processes and potential step therapy requirements despite the lack of effective alternatives. The MyMesoblast™ patient services hub will be critical in navigating these barriers, particularly for Medicaid patients where state-by-state coverage variations could create geographic disparities in access.

The 70% overall response rate and 49% four-year survival represent meaningful outcomes in this high-mortality condition, potentially justifying the price point through quality-adjusted life year (QALY) calculations, especially considering these are pediatric patients with decades of potential life ahead. However, the upfront cost creates tension with annual budget constraints faced by payers, suggesting potential for outcomes-based agreements where partial reimbursement could be tied to clinical response at day 28.

Mesoblast's focused commercial strategy targeting the top 45 transplant centers (80% of pediatric transplants) indicates a recognition of the specialized nature of both the treatment and the care setting. This concentrated market approach allows for efficient deployment of educational resources and reimbursement support.

The planned expansion into inflammatory bowel disease represents a strategic pivot from ultra-rare to rare disease economics. With 60,000-80,000 pediatric IBD patients and 7,000 new cases annually, this larger population would likely necessitate different pricing models, particularly given the 60% anti-TNF failure rate creating a substantial potential market. The endoscopic delivery method being explored could also create different procedural reimbursement considerations compared to the intravenous administration in SR-aGvHD.

Ryoncil's approval establishes an important regulatory precedent for mesenchymal stromal cell therapies, potentially streamlining pathways for Mesoblast's pipeline including Revascor for heart failure conditions, where the economics would shift toward more prevalent conditions with different value assessment considerations.

Financial Results and Operational Update for Half-Year Ended December 31, 2024

NEW YORK, Feb. 26, 2025 (GLOBE NEWSWIRE) -- Mesoblast Limited (Nasdaq:MESO; ASX:MSB), global leader in allogeneic cellular medicines for inflammatory diseases, today provided financial results and an operational update for the period ended December 31, 2024,

“Our FDA approved product Ryoncil® will be available in the coming weeks to the children with SR-aGvHD in need of life-saving therapy,” said Dr. Silviu Itescu, Chief Executive of Mesoblast. “The treatment has delivered long-term survival outcomes in these very high-risk patients and we are pleased with the benefits and value that this treatment brings to patients and their healthcare providers at specialized transplant centers across the U.S.”

Ryoncil® (remestemcel-L) U.S. Launch for Steroid-Refractory Acute Graft Versus Host Disease

On December 18, 2024, Ryoncil® (remestemcel-L) became the first mesenchymal stromal cell (MSC) therapy approved by U.S. FDA for any indication.

FDA approved Ryoncil® as the first and only therapy for pediatric patients 2 months and older, including adolescents and teenagers, with steroid-refractory acute graft versus host disease (SR-aGvHD), a life-threatening condition with high mortality rates.

Each year, approximately 375 pediatric patients in the U.S. are diagnosed with SR-aGvHD. The cost of treating a child who dies of SR-aGvHD within 12 months of transplant is approximately US$2.5 million and is US$1.8M higher than for those with SR aGvHD who remain alive.1

In the Phase 3 trial of 54 children with SR aGvHD (89% grades C/D), treatment with Ryoncil® resulted in a 70% overall response rate (ORR) at day 28. Survival through 4 years was 49%, with only 14% of patients dying due to aGvHD.

Based on health economic models for lifetime ultra rare disease and high-impact short-term therapies, including Quality of Life Years (QALYs) gained, total benefits of patient outcomes using Ryoncil® ranged from US$3.2 million to US$4.1 million (comprising long-term survival benefit, cost-offset, and cost-savings).

The recommended dosage of Ryoncil® for treatment of pediatric SR-aGvHD is 2×106 MSC/kg body weight per intravenous infusion given twice per week for 4 consecutive weeks. The wholesale acquisition cost (WAC) of Ryoncil® is US$194,000 per intravenous infusion, irrespective of body weights. To assist patients and institutions with insurance coverage, financial assistance, and access programs, ensuring that no patient is left behind in receiving this potentially life-saving therapy, Mesoblast has established MyMesoblast™, a comprehensive patient services hub where Ryoncil® will be available for ordering.

Our commercial execution is well underway engaging with the top 45 centers which represent 80% of pediatric transplants in the U.S. Ryoncil will be distributed by Cencora, leveraging its cryogenic logistics capabilities and state-of-the art cryogenic storage infrastructure to enable the efficient and secure delivery of cryopreserved product to U.S. treatment centers.

Corporate and Financial Highlights

Cash balance at December 31, 2024 was US$38 million (A$61 million)2 with pro-forma cash of approximately US$200 million (A$322 million) after successful completion of a global private placement which raised US$161 million (A$260 million). Net operating cash spend was US$20.7 million for the first half FY2025, a 22% reduction on the first half FY2024.

This month Dr. Gregory George MD PhD, Mesoblast’s largest shareholder, was appointed to its Board of Directors. Dr. George founded and managed the largest privately owned ambulatory surgical center company in the United States, SurgCenter Development. Dr. George brings to the Board his background as a medical scientist with unique operational experience having built a start-up company in the medical field and turning it into a highly-efficient multi-billion-dollar commercial organization. Dr. George will not be accepting any Director’s fees as a board member, instead leaving these funds in the Company to contribute to the operational success of the business.

Ryoncil® Lifecycle Extension in Pediatric & Adult Inflammatory Diseases

Inflammatory bowel disease (IBD), including Crohn’s disease (CD) remains a major unmet need across the adult and pediatric population where early and durable remission remains especially challenging. The age of onset is bimodal with a major first peak between 15 to 30 years (20-30 % patients diagnosed before age 20 years) and a smaller second peak between the ages of 60 and 70 years. In the U.S. pediatric prevalence is approximately 60,000-80,000 and the annual pediatric incidence of the disease is approximately 7,000 children. More than 60% of adult and pediatric CD patients are unable to achieve remission on anti-TNF agents, the only approved class of biologics in children.3-6

A recent pilot study in adults demonstrated positive outcomes (rapid mucosal healing and disease remission) in biologic refractory patients receiving remestemcel-L by direct endoscopic injection to areas of inflammation. This extends , Mesoblast data showing that intravenously delivered remestemcel-L can induce early remission in CD adults who have failed a single anti-TNF agent.

Given the effectiveness of Ryoncil® in treating children with GI-related SR-aGvHD, and the existing data on adult CD, Mesoblast plans to further evaluate the immunomodulatory effects of Ryoncil on GI inflammation in treating medically-refractory pediatric CD patients.

For adult patients with SR-aGvHD, 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.

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.7,8 In contrast, 100-day survival was 73% after Ryoncil® treatment was used under expanded access in 25 adults with SR-aGvHD who failed to respond to at least one additional agent, such as ruxolitinib.

Revascor® (rexlemestrocel-L) for Chronic Heart Failure with Reduced Ejection Fraction (HFrEF) and Persistent Inflammation

In 2024 FDA informed Mesoblast that it supports an accelerated approval pathway for REVASCOR, Mesoblast’s second generation allogeneic, STRO3-immunoselected, and industrially manufactured stromal cell therapy, in patients with end-stage ischemic HFrEF kept alive with a left ventricular assist device (LVAD).

Accelerated approval to market REVASCOR, if received, will require Mesoblast to commit to a post-approval confirmatory study in NYHA Class II/III HFrEF patients which could result in full approval in the broader HFrEF population.

In November 2024 a publication in the prestigious peer-reviewed European Journal of Heart Failure (EJHF) reported that a single intramyocardial injection of REVASCOR results in improved survival in high-risk NYHA Class II/III patients with ischemic heart failure and inflammation.9 This identifies the HFrEF population that is responsive to REVASCOR and will be the target of a confirmatory trial after accelerated approval, if received.

Under its Regenerative Medicine Advanced Therapy (RMAT) designation Mesoblast intends to meet with FDA to discuss data presentation, timing and FDA expectations for an accelerated approval filing in these patients.

Revascor® for Pediatric Congenital Heart Disease - Hypoplastic Left Heart Syndrome

U.S. FDA granted REVASCOR a RMAT designation following submission of results from the randomized controlled trial in children with hypoplastic left heart syndrome (HLHS), a potentially life-threatening congenital heart condition.

Earlier in 2024, FDA granted REVASCOR both Rare Pediatric Disease Designation (RPDD) and Orphan-Drug Designation (ODD) for treatment of children with HLHS. On FDA approval of a BLA for REVASCOR for the treatment of HLHS, if received, 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.

Rexlemestrocel-L for Chronic Low Back Pain associated with Degenerative Disc Disease – Phase 3 Program

The confirmatory Phase 3 trial of Mesoblast’s second generation allogeneic, STRO3-immunoselected, and industrially manufactured stromal cell product candidate 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 and treatment at multiple sites across the U.S.

The capital raise concluded last month will facilitate expansion of sites enrolling in the trial and acceleration of patient accrual.

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.

Rexlemestrocel-L has received RMAT designation from FDA for the treatment of chronic low back pain.

Details of Financial Results for Half-Year Ended December 31, 2024 (H1 FY2025)

  • Royalties from sales by our licensees for H1 FY2025 were US$3.2 million compared with US$3.4 million for the comparative period in FY2024.
  • Research & Development expenses were US$20.6 million in H1 FY2025, of which US$8.2 million was due to non-cash share-based payments primarily for STI in lieu of cash-based payments. This compares with US$12.6 million for the comparative period H1 FY2024, of which US$1.1 million was non-cash share-based payments.
  • Manufacturing: As a result of FDA approval of RYONCIL in December 2024, the US$23.0 million provision against the value of inventory manufactured and expensed in prior periods was reversed and is now recognized as an inventory asset on the balance sheet. This resulted in a gain in manufacturing of US$14.7 million for H1 FY2025.
  • Management and Administration expenses were US$17.2 million for H1 FY2025 of which US$6.3 million was due to non-cash share-based payment expenses primarily for STI in lieu of cash-based payments. This compares with US$11.5 million for the comparative period H1 FY2024, of which US$1.0 million was non-cash share-based payments.
  • Contingent Consideration: As a result of FDA approval of RYONCIL in December 2024, the probability of success of pediatric GVHD increased to 100% and resulted in an increase in non-cash remeasurement increased by US$4.0 million to US$4.3 million for H1 FY2025 compared to US$0.3 million for H1 FY2024.
  • Fair value movement of warrants: As a result of FDA approval of RYONCIL in December 2024 and the consequential share price appreciation, our warrant remeasurement increased by US$16.4 million to US$12.0 million for H1 FY2025 compared to a gain of US$4.4 million for H1 FY2024.
  • Other operating income & expenses for H1 FY2025 was an expense of US$0.7 million compared with a US$1.1 million gain in H1 FY2024 due increased FX losses and withholding tax.
  • Finance Costs of US$10.8 million for H1 FY2025 for borrowing arrangements include US$7.8 million of non-cash expenditure comprising accruing interest and other borrowing costs.

Operating Cash Flow: Net Cash Outflow was US$20.7 million for H1 FY2025, a reduction of US$5.9 million versus US$26.6 million in H1 FY2024.

Loss after tax for H1 FY2025 was US$47.9 million compared to US$32.5 million for H1 FY2024. The net loss attributable to ordinary shareholders was 4.20 US cents per share for H1 FY2025, compared with 3.72 US cents per share for H1 FY2024.

Conference Call
There will be a webcast today, beginning at 9.00am AEDT (Thursday, February 27); 5.00pm EST (Wednesday, February 26). It can be accessed via: https://webcast.openbriefing.com/msb-hyr-2025/

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 therapies from the Company’s proprietary mesenchymal lineage cell therapy technology platform 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’s RYONCIL® (remestemcel-L) for the treatment of steroid-refractory acute graft versus host disease (SR-aGvHD) in pediatric patients 2 months and older is the first FDA-approved mesenchymal stromal cell (MSC) therapy. Please see the full Prescribing Information at www.ryoncil.com.

Mesoblast is committed to developing additional cell therapies for distinct indications based on its remestemcel-L and rexlemestrocel-L allogeneic stromal cell technology platforms. RYONCIL is being developed for additional inflammatory diseases including SR-aGvHD in adults and biologic-resistant inflammatory bowel disease. Rexlemestrocel-L is being developed for heart failure and chronic low back pain. The Company has established commercial partnerships in Japan, Europe and China.

About Mesoblast intellectual property: Mesoblast has a strong and extensive global intellectual property portfolio, with over 1,000 granted patents or patent applications covering mesenchymal stromal cell compositions of matter, methods of manufacturing and indications. These granted patents and patent applications are expected to provide commercial protection extending through to at least 2041 in major markets.

About Mesoblast manufacturing: 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 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. Grabner M, et al. Economic burden of acute steroid-refractory graft-versus-host disease in commercially insured pediatric patients. J Manag Care Spec Pharm.2021;27(5):607-14
  2. Using A$:US$ FX rate of 1:0.62
  3. Kelsen J, Baldassano RN. Inflammatory bowel disease: the difference between children and adults. Inflamm Bowel Dis. 2008;14 (Suppl 2):S9–S11.
  4. Nakajo K, et al. Trends in the prevalence and incidence of Crohn’s disease in Japan and the United States. International Journal of Colorectal Disease (2024) 39:61
  5. Ye Y, et al. Prevalence of Inflammatory Bowel Disease in Pediatric and Adult Populations: Recent Estimates From Large National Databases in the United States, 2007–2016. Inflamm Bowel Dis. Volume 26, Number 4, April 2020
  6. Hyams JS, et al. Safety and efficacy of adalimumab for moderate to severe Crohn's disease in children. Gastroenterology. 2012 Aug;143(2):365-74.e2.
  7. 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
  8. 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.
  9. Perin EC. Et al. Mesenchymal precursor cells reduce mortality and major morbidity in ischaemic heart failure with inflammation: DREAM-HF. Eur J Heart Fail 2024. https://doi.org/10.1002/ejhf.3522

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, manufacturing activities and product marketing activities, if any; the commercialization of Mesoblast’s RYONCIL for pediatric SR-aGVHD and any other 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 – Global
Paul HughesAllison Worldwide
T: +61 3 9639 6036Emma Neal
E: investors@mesoblast.comT: +1 603 545 4843
 E: emma.neal@allisonworldwide.com
  
 Media – Australia
 BlueDot Media
 Steve Dabkowski
 T: +61 419 880 486
 E: steve@bluedot.net.au


Consolidated Income Statement

  Six Months Ended
December 31,
(in U.S. dollars, in thousands, except per share amount) 2024 2023
Revenue 3,156  3,388 
Research & development (20,649) (12,647)
Manufacturing commercialization 14,740  (6,746)
Management and administration (17,188) (11,482)
Fair value remeasurement of contingent consideration (4,303) (337)
Fair value remeasurement of warrant liability (11,978) 4,434 
Other operating income and expenses (673) 1,068 
Finance costs (10,827) (10,319)
Loss before income tax (47,722) (32,641)
Income tax benefit/(expense) (212) 102 
Loss attributable to the owners of Mesoblast Limited (47,934) (32,539)
     
Losses per share from continuing operations attributable to the ordinary equity holders of the Group: Cents Cents
Basic – losses per share (4.20) (3.72)
Diluted – losses per share (4.20) (3.72)


Consolidated Statement of Comprehensive Income

  Six Months Ended
December 31,
(in U.S. dollars, in thousands) 2024 2023
Loss for the period (47,934) (32,539)
Other comprehensive (loss)/income    
Items that may be reclassified to profit and loss    
Exchange differences on translation of foreign operations (113) 1,164 
Items that will not be reclassified to profit and loss    
Financial assets at fair value through other comprehensive income 194  (931)
Other comprehensive (loss)/income for the period, net of tax 81  233 
Total comprehensive losses attributable to the owners of Mesoblast Limited (47,853) (32,306)


Consolidated Balance Sheet

  As of
December 31,
2024
 As of
June 30,
2024
(in U.S. dollars, in thousands)
Assets    
Current Assets    
Cash & cash equivalents 38,029  62,960 
Trade & other receivables 2,996  20,952 
Prepayments 4,460  2,551 
Inventory 24,194   
Total Current Assets 69,679  86,463 
     
Non-Current Assets    
Property, plant and equipment 1,004  1,106 
Right-of-use assets 5,215  2,732 
Financial assets at fair value through other comprehensive income 1,208  1,014 
Other non-current assets 1,333  2,102 
Intangible assets 574,879  575,736 
Total Non-Current Assets 583,639  582,690 
Total Assets 653,318  669,153 
     
Liabilities    
Current Liabilities    
Trade and other payables 11,860  7,070 
Provisions 27,567  45,038 
Borrowings 17,505  13,862 
Lease liabilities 2,381  2,626 
Warrant liability 13,437  4,647 
Total Current Liabilities 72,750  73,243 
     
Non-Current Liabilities    
Provisions 10,581  10,620 
Borrowings 101,475  100,483 
Lease liabilities 4,750  1,952 
Deferred consideration 2,500  2,500 
Total Non-Current Liabilities 119,306  115,555 
Total Liabilities 192,056  188,798 
Net Assets 461,262  480,355 
     
Equity    
Issued Capital 1,320,207  1,310,813 
Reserves 97,750  78,303 
(Accumulated losses) (956,695) (908,761)
Total Equity 461,262  480,355 


Consolidated Statement of Cash Flow

  Six Months Ended
December 31,
(in U.S. dollars, in thousands) 2024 2023
Cash flows from operating activities    
Commercialization revenue received 3,063  3,971 
Government grants and tax incentives and credits received 2  2,565 
Payments to suppliers and employees (inclusive of goods and services tax) (24,159) (33,994)
Interest received 441  887 
Income taxes paid (2) (1)
Net cash (outflows) in operating activities (20,655) (26,572)
     
Cash flows from investing activities    
Payments for property, plant and equipment (106) (194)
Receipts from investment in sublease 124  116 
Payments for intellectual property   (10)
Receipt of security deposits 609   
Net cash inflows/(outflows) in investing activities 627  (88)
     
Cash flows from financing activities    
Repayment of borrowings (2,608)  
Payment of transaction costs from borrowings (644) (540)
Interest and other costs of finance paid (2,720) (2,845)
Proceeds from exercise of options 1,341   
Proceeds from exercise of warrants 1,362   
Proceeds from issue of shares   39,708 
Payments for share issue costs (24) (2,578)
Payments for lease liabilities (971) (2,145)
Net cash (outflows)/inflows by financing activities (4,264) 31,600 
     
Net (decrease)/increase in cash and cash equivalents (24,292) 4,940 
Cash and cash equivalents at beginning of period 62,960  71,318 
Foreign exchange (losses)/gains on the translation of foreign bank accounts (639) 1,296 
Cash and cash equivalents at end of period 38,029  77,554 

FAQ

What is the price of Mesoblast's Ryoncil treatment for SR-aGvHD (MESO)?

Ryoncil's wholesale acquisition cost (WAC) is US$194,000 per intravenous infusion, regardless of patient body weight.

What were the clinical results for Ryoncil in treating pediatric SR-aGvHD (MESO)?

In Phase 3 trials with 54 children, Ryoncil achieved a 70% overall response rate at day 28, with 49% survival through 4 years.

How much did Mesoblast (MESO) raise in their recent private placement?

Mesoblast raised US$161 million (A$260 million) through a global private placement, bringing pro-forma cash to approximately US$200 million.

What was Mesoblast's (MESO) net loss for H1 FY2025?

Mesoblast reported a net loss of US$47.9 million for the half-year ended December 31, 2024.

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