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NuCana Reports First Quarter 2024 Financial Results and Provides Business Update

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NuCana (NASDAQ: NCNA) has released its financial results for Q1 2024, ending March 31, 2024. The company reported a net loss of £6.8 million, an improvement from £7.9 million in Q1 2023. Cash and cash equivalents stood at £12.9 million, down from £17.2 million at the end of 2023. Loss per share was £0.13, reduced from £0.15 in the comparable period.

Key developments include the full enrollment of a Phase 2 study involving 182 colorectal cancer patients and encouraging results from NUC-7738 combined with pembrolizumab in patients resistant to PD-1 inhibitors. NuCana's clinical programs, including NUC-3373 and NUC-7738, are on track for significant data readouts in 2024. The company expects its cash runway to extend into Q1 2025.

NuCana aims to announce multiple clinical data points in 2024, focusing on metastatic colorectal cancer and melanoma treatments.

Positive
  • Net loss decreased to £6.8 million in Q1 2024 from £7.9 million in Q1 2023.
  • Loss per share improved to £0.13 from £0.15 year-over-year.
  • Full enrollment of 182 patients in Phase 2 colorectal cancer study.
  • Encouraging anti-cancer activity observed with NUC-7738 and pembrolizumab in PD-1 inhibitor-resistant patients.
  • Multiple key data readouts expected in 2024.
  • Cash runway anticipated to extend into Q1 2025.
Negative
  • Cash and cash equivalents decreased to £12.9 million, down from £17.2 million as of December 31, 2023.
  • Ongoing net losses, indicating financial challenges.
  • Dependency on successful trial outcomes for future growth and financial stability.

Insights

NuCana's first-quarter financial results show a decrease in net loss, from £7.9 million in Q1 2023 to £6.8 million in Q1 2024. This is a positive sign, indicating improved cost management or increased efficiency. However, the company's cash position has dropped significantly, from £17.2 million to £12.9 million. NuCana expects its cash runway to last until Q1 2025, which gives it just under a year to secure additional funding or generate revenue from its pipeline.

The key financial takeaway for investors is the reduction in net loss and its implications for future burn rates. While the cash runway is relatively short, the company’s ongoing clinical trials could potentially attract investor interest and funding if they yield positive results.

The reduction in basic and diluted loss per share further reflects operational improvement. Investors should keep an eye on future funding rounds or partnerships as the company approaches its cash runway limit.

The clinical updates provided are noteworthy. The completion of the Phase 2 enrollment for NUC-3373 in metastatic colorectal cancer is crucial. This trial compares a new regimen (NUFIRI + bev) against the standard care (FOLFIRI + bev). Given that NUC-3373 is a derivative of the widely used 5-FU, its success could signal a substantial improvement in colorectal cancer treatment.

Additionally, the combination of NUC-7738 with pembrolizumab in PD-1 resistant melanoma patients is intriguing. Pembrolizumab is a leading immunotherapy and demonstrating efficacy in resistant patients could make a significant impact. The reported anti-cancer activity, especially where other treatments have failed, provides optimistic prospects.

These clinical advancements are essential for both patient outcomes and investor confidence, as successful trials can lead to regulatory approvals and market entry.

From a market perspective, NuCana's updates are promising. The company’s focus on ProTide therapeutics, which are designed to enhance the efficacy and safety of existing chemotherapy drugs, positions it well in the oncology space. This technological advantage could make NuCana a compelling investment, particularly if clinical data continue to show positive outcomes.

NuCana’s business strategy of advancing multiple clinical programs simultaneously can diversify risk and increase the likelihood of hitting a breakthrough. However, this approach also requires substantial investment and cash flow, which, as indicated, is limited to Q1 2025.

Investors should consider the potential market size for successful therapies. For example, metastatic colorectal cancer and melanoma are significant markets. A successful transition from trials to market could result in substantial revenues and market share capture.

Key Data Readouts on Track for All Programs in 2024

Randomized Phase 2 Study of 182 Second-Line Colorectal Cancer Patients Fully Enrolled

NUC-7738 plus Pembrolizumab Demonstrated Encouraging Anti-Cancer Activity in Several Patients who were Resistant to PD-1 Inhibitors

Anticipated Cash Runway into Q1 2025

EDINBURGH, United Kingdom, May 16, 2024 (GLOBE NEWSWIRE) -- NuCana plc (NASDAQ: NCNA) announced financial results for the first quarter ended March 31, 2024 and provided an update on its broad clinical development program with its transformative ProTide therapeutics.

As of March 31, 2024, NuCana had cash and cash equivalents of £12.9 million compared to £17.2 million at December 31, 2023. NuCana continues to advance its numerous clinical programs and reported a net loss of £6.8 million for the quarter ended March 31, 2024, as compared to a net loss of £7.9 million for the quarter ended March 31, 2023. Basic and diluted loss per share was £0.13 for the quarter ended March 31, 2024, as compared to £0.15 per share for the comparable quarter ended March 31, 2023.

“Our focus remains on advancing our innovative ProTide pipeline to develop more efficacious and safer medicines for patients with cancer,” said Hugh S. Griffith, NuCana’s Founder and Chief Executive Officer. “NUC-3373, a transformation of 5-FU, is currently being investigated in three ongoing clinical studies. Our randomized Phase 2 study (NuTide:323) is now fully enrolled with 182 patients, and compares NUC-3373 in combination with irinotecan, leucovorin and bevacizumab (NUFIRI + bev) with the standard of care, 5-FU in combination with irinotecan, leucovorin and bevacizumab (FOLFIRI + bev) for the second-line treatment of patients with metastatic colorectal cancer. We look forward to announcing initial data from this study in 2024. We also plan to announce additional data from our ongoing Phase 1/2 study (NuTide:302) of NUFIRI + bev and NUFOX + bev in patients with metastatic colorectal cancer this year. Our Phase 1b/2 study (NuTide:303) of NUC-3373 in combination with pembrolizumab in patients with solid tumors and in combination with docetaxel in patients with lung cancer also remains on track with data readouts expected in 2024.”

Mr. Griffith continued: “Moving to NUC-7738, we recently presented exciting data at the American Association of Cancer Research (AACR) Annual Meeting. These data highlighted NUC-7738’s ability to disrupt RNA polyadenylation, leading to profound alterations in the tumor biology of the patients’ cancers. We believe that this finding provides a rationale as to why NUC-7738 plus pembrolizumab has achieved encouraging anti-cancer activity in several patients who were resistant to PD-1 inhibitors. We are evaluating NUC-7738 in an ongoing Phase 1/2 study (NuTide:701) as a monotherapy in patients with advanced solid tumors and in combination with pembrolizumab in PD-1 inhibitor-resistant patients with melanoma. We plan to announce additional data from this study in 2024.”

Mr. Griffith concluded, “We look forward to providing updates from all of our ongoing clinical studies this year as we continue working towards our mission of improving treatment outcomes for patients with cancer.”

2024 Anticipated Milestones

  • NUC-3373 (a ProTide transformation of 5-FU)

    In 2024, NuCana expects to:

    • Announce data from the randomized Phase 2 (NuTide:323) study of NUFIRI + bev compared to the standard of care FOLFIRI + bev for the second-line treatment of patients with metastatic colorectal cancer;
    • Announce data from the Phase 1b/2 (NuTide:302) study of NUFIRI + bev and NUFOX + bev for the second-line treatment of patients with metastatic colorectal cancer; and
    • Announce data from the Phase 1b/2 (NuTide:303) modular study of NUC-3373 in combination with pembrolizumab in patients with solid tumors and in combination with docetaxel in patients with lung cancer.
  • NUC-7738 (a ProTide transformation of 3’-deoxyadenosine)

    In 2024, NuCana expects to:

    • Announce data from the Phase 2 part of the Phase 1/2 study (NuTide:701) of NUC-7738 in combination with pembrolizumab in patients with melanoma.

About NuCana

NuCana is a clinical-stage biopharmaceutical company focused on significantly improving treatment outcomes for patients with cancer by applying our ProTide technology to transform some of the most widely prescribed chemotherapy agents, nucleoside analogs, into more effective and safer medicines. While these conventional agents remain part of the standard of care for the treatment of many solid and hematological tumors, they have significant shortcomings that limit their efficacy and they are often poorly tolerated. Utilizing our proprietary technology, we are developing new medicines, ProTides, designed to overcome the key limitations of nucleoside analogs and generate much higher concentrations of anti-cancer metabolites in cancer cells. NuCana’s pipeline includes NUC-3373 and NUC-7738. NUC-3373 is a new chemical entity derived from the nucleoside analog 5-fluorouracil, a widely used chemotherapy agent. NUC-3373 is currently being evaluated in three ongoing clinical studies: a Phase 1b/2 study (NuTide:302) in combination with leucovorin, irinotecan or oxaliplatin, and bevacizumab in patients with metastatic colorectal cancer; a randomized Phase 2 study (NuTide:323) in combination with leucovorin, irinotecan, and bevacizumab for the second-line treatment of patients with metastatic colorectal cancer; and a Phase 1b/2 modular study (NuTide:303) of NUC-3373 in combination with the PD-1 inhibitor pembrolizumab for patients with advanced solid tumors and in combination with docetaxel for patients with lung cancer. NUC-7738 is a transformation of 3’-deoxyadenosine, a novel anti-cancer nucleoside analog. NUC-7738 is in the Phase 2 part of a Phase 1/2 study which is evaluating NUC-7738 as a monotherapy in patients with advanced solid tumors and in combination with pembrolizumab in patients with melanoma.

Forward-Looking Statements
This press release may contain “forward-looking” statements within the meaning of the Private Securities Litigation Reform Act of 1995 that are based on the beliefs and assumptions and on information currently available to management of NuCana plc (the “Company”). All statements other than statements of historical fact contained in this press release are forward-looking statements, including statements concerning the Company’s planned and ongoing clinical studies for the Company’s product candidates and the potential advantages of those product candidates, including NUC-3373 and NUC-7738; the initiation, enrollment, timing, progress, release of data from and results of those planned and ongoing clinical studies; the Company’s goals with respect to the development, regulatory pathway and potential use, if approved, of each of its product candidates; the utility of prior non-clinical and clinical data in determining future clinical results; and the sufficiency of the Company’s current cash, cash equivalents and marketable securities to fund its planned operations into Q1 2025. In some cases, you can identify forward-looking statements by terminology such as “may,” “will,” “should,” “expects,” “plans,” “anticipates,” “believes,” “estimates,” “predicts,” “potential” or “continue” or the negative of these terms or other comparable terminology. Forward-looking statements involve known and unknown risks, uncertainties and other factors that may cause the Company’s actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by the forward-looking statements. These risks and uncertainties include, but are not limited to, the timing of receipt of our U.K. research and development tax credit cash rebates expected to be received in 2024 and the other risks and uncertainties set forth in the “Risk Factors” section of the Company’s Annual Report on Form 20-F for the year ended December 31, 2023 filed with the Securities and Exchange Commission (“SEC”) on March 20, 2024, and subsequent reports that the Company files with the SEC. Forward-looking statements represent the Company’s beliefs and assumptions only as of the date of this press release. Although the Company believes that the expectations reflected in the forward-looking statements are reasonable, it cannot guarantee future results, levels of activity, performance or achievements. Except as required by law, the Company assumes no obligation to publicly update any forward-looking statements for any reason after the date of this press release to conform any of the forward-looking statements to actual results or to changes in its expectations.


Unaudited Condensed Consolidated Statements of Operations

  For the Three Months Ended
March 31,
  2024
 2023
 
  (in thousands, except per share data)
  ££
Research and development expenses (6,783) (6,805) 
Administrative expenses (1,581) (1,648) 
Net foreign exchange gains (losses) 95 (695) 
Operating loss (8,269) (9,148) 
Finance income 126 287 
Loss before tax (8,143) (8,861) 
Income tax credit 1,305 994 
Loss for the period (6,838) (7,867) 
    
Basic and diluted loss per share (0.13) (0.15) 
      

Unaudited Condensed Consolidated Statements of Financial Position As At

  March 31,
2024
 December 31,
2023

  (in thousands)
  ££
Assets   
Non-current assets   
Intangible assets 2,165 2,128 
Property, plant and equipment 430 521 
Deferred tax asset 156 143 
  2,751 2,792 
Current assets   
Prepayments, accrued income and other receivables 2,766 2,671 
Current income tax receivable 6,416 5,123 
Cash and cash equivalents 12,868 17,225 
  22,050 25,019 
Total assets 24,801 27,811 
    
Equity and liabilities   
Capital and reserves   
Share capital and share premium 144,870 143,420 
Other reserves 79,633 79,173 
Accumulated deficit (214,374) (207,706) 
Total equity attributable to equity holders of the Company 10,129 14,887 
    
Non-current liabilities   
Provisions 58 58 
Lease liabilities 172 190 
  230 248 
Current liabilities   
Trade payables 5,764 3,375 
Payroll taxes and social security 214 155 
Accrued expenditure 8,297 8,940 
Lease liabilities 167 206 
  14,442 12,676 
    
Total liabilities 14,672 12,924 
Total equity and liabilities 24,801 27,811 
    

Unaudited Condensed Consolidated Statements of Cash Flows

 For the Three Months Ended
March 31,
 2024
 2023
 
 (in thousands)
 ££
Cash flows from operating activities  
Loss for the period(6,838) (7,867) 
Adjustments for:  
Income tax credit(1,305) (994) 
Amortization and depreciation136 143 
Movement in provisions- (55) 
Finance income(126) (287) 
Interest expense on lease liabilities5 8 
Share-based payments626 1,141 
Net foreign exchange (gains) losses(98) 726 
 (7,600) (7,185) 
Movements in working capital:  
Increase in prepayments, accrued income and other receivables(87) (463) 
Increase in trade payables2,390 888 
Decrease in payroll taxes, social security and accrued expenditure(586) (3,575) 
Movements in working capital1,717 (3,150) 
Cash used in operations(5,883) (10,335) 
Net income tax received- - 
Net cash used in operating activities(5,883) (10,335) 
Cash flows from investing activities  
Interest received124 322 
Payments for intangible assets(81) (159) 
Net cash from investing activities43 163 
Cash flows from financing activities  
Payments for lease liabilities(64) (42) 
Proceeds from issue of share capital – exercise of share options3 1 
Proceeds from issue of share capital1,492 - 
Share issue expenses(45) - 
Net cash from (used in) financing activities1,386 (41) 
Net decrease in cash and cash equivalents(4,454) (10,213) 
Cash and cash equivalents at beginning of period17,225 41,912 
Effect of exchange rate changes on cash and cash equivalents97 (698) 
Cash and cash equivalents at end of period12,868 31,001 
   

For more information, please contact:

NuCana plc
Hugh S. Griffith
Chief Executive Officer
+44 131-357-1111
info@nucana.com

ICR Westwicke
Chris Brinzey
+1 339-970-2843
chris.brinzey@westwicke.com


FAQ

What were NuCana's financial results for Q1 2024?

NuCana reported a net loss of £6.8 million for Q1 2024, with a loss per share of £0.13.

How much cash and cash equivalents did NuCana have at the end of Q1 2024?

NuCana had £12.9 million in cash and cash equivalents at the end of Q1 2024.

When is NuCana's cash runway expected to last?

NuCana's cash runway is anticipated to extend into Q1 2025.

What is the status of NuCana's Phase 2 study for colorectal cancer?

The Phase 2 study involving 182 second-line colorectal cancer patients is fully enrolled.

What are the key anticipated data readouts for NuCana in 2024?

NuCana expects to announce data from multiple studies, including Phase 2 colorectal cancer and melanoma treatments involving NUC-3373 and NUC-7738.

What results have been observed with NUC-7738?

NUC-7738 combined with pembrolizumab has shown encouraging anti-cancer activity in patients resistant to PD-1 inhibitors.

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