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Soleno Therapeutics Provides Corporate Update and Reports First Quarter 2024 Financial Results

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Soleno Therapeutics provided a corporate update and reported its first-quarter financial results for 2024. The company closed a public offering, received Breakthrough Therapy Designation from the FDA for Diazoxide Choline Extended-Release for Prader-Willi syndrome, planned an NDA submission for mid-2024, published a peer-reviewed paper, and expanded its leadership team. Financially, Soleno had significant cash reserves, with increased research and development expenses, higher general and administrative expenses, and obligations for future commercial milestones. The net loss for the quarter was $21.4 million.

Positive
  • Soleno secured $158.7 million in a public offering to support its clinical development efforts for DCCR.

  • The company obtained Breakthrough Therapy Designation for DCCR from the FDA, showing recognition of its potential to address rare diseases effectively.

  • Soleno's NDA submission for DCCR in PWS is on track for mid-2024, indicating progress towards potential approval for a novel therapeutic.

  • The publication of a peer-reviewed paper highlighting positive results of DCCR in patients with PWS compared to natural history data showcases the drug's efficacy.

Negative
  • Soleno reported a net loss of $21.4 million for the quarter ended March 31, 2024, indicating financial challenges despite positive advancements.

  • The increase in research and development expenses and general administrative expenses signifies growing operational costs that could impact profitability.

  • Obligations for future cash payments related to commercial milestones may affect Soleno's financial flexibility in the coming years.

Insights

The public offering by Soleno Therapeutics and its current liquidity position is noteworthy, presenting a robust pro forma cash reserve of $307.2 million. This capital infusion is instrumental for the company's operational runway and could potentially mitigate dilution concerns in the near term. The strategic allocation of these funds towards the NDA submission and preparation for commercial launch of DCCR could be pivotal for Soleno’s growth trajectory.

The marked increase in research and development expenses, rising from $5.3 million to $14.6 million, underscores the company's commitment to advancing its lead product, DCCR. This focus, however, necessitates a scrutiny of burn rate and the sustenance of such increased expenditure over subsequent quarters. The company’s financial commitment of up to $21.2 million in milestone payments accentuates the need for DCCR's commercial success to offset these obligations.

Furthermore, the Breakthrough Therapy Designation by the FDA could streamline the review process for DCCR, offering both regulatory advantages and potentially expedited market entry. Nevertheless, investors should be aware of the inherent risks of drug development, with emphasis on the critical nature of the pending NDA submission and the subsequent FDA approval process.

Considering Soleno’s strengthened leadership in commercial operations, investor anticipation for a successful market entry of DCCR is high. The specialized nature of the rare disease market and the company's targeting of Prader-Willi syndrome (PWS) is a double-edged sword; it allows for a focused market strategy with less competition, but also a smaller patient pool.

Investors should appreciate the significance of peer-reviewed publications comparing DCCR to natural history studies, which could enhance credibility and adoption rates among healthcare providers. The commercial potential of DCCR, if approved, is contingent on effective market penetration and reimbursement strategies, particularly in a rare disease space where treatment costs can be substantial.

Commercial milestones tied to substantial revenue figures underscore the long-term commercial expectations set by Soleno. Notably, the stipulated milestones of $100 million and $200 million in sales revenues indicate optimism regarding DCCR's market potential but serve as high bars for the company to reach post-approval.

REDWOOD CITY, Calif., May 09, 2024 (GLOBE NEWSWIRE) -- Soleno Therapeutics, Inc. (Soleno) (NASDAQ: SLNO), a clinical-stage biopharmaceutical company developing novel therapeutics for the treatment of rare diseases, today provided a corporate update, and reported financial results for the first quarter ended March 31, 2024.

First Quarter 2024 and Recent Corporate Highlights

  • Closed on approximately $158.7 million underwritten public offering of 3,450,000 shares of common stock at a public offering price of $46.00 per share, which includes the exercise in full by the underwriters of their overallotment option to purchase additional shares.
  • Granted Breakthrough Therapy Designation by the U.S. Food and Drug Administration (FDA) for Diazoxide Choline Extended-Release (DCCR) for the treatment of adults and children ages four years and older with genetically confirmed Prader-Willi syndrome (PWS) who have hyperphagia.
  • Planned submission of a New Drug Application (NDA) for DCCR in PWS remains on track for mid-2024.
  • Published peer-reviewed paper featuring the comparison of results from the Company’s Phase 3 placebo-controlled study (C601) and open-label extension study (C602) evaluating DCCR in patients with PWS to data from the PATH for PWS (PATH) natural history study in the Journal of Neurodevelopmental Disorders. The article, entitled, Behavioral Changes in Patients with Prader-Willi Syndrome Receiving Diazoxide Choline Extended-Release Tablets Compared to the PATH for PWS Natural History Study showed there to be significant improvements in hyperphagia and other PWS-associated behaviors with DCCR compared with natural history, and can be found here.
  • Strengthened leadership team with appointments of Meredith Manning, M.B.A. as Chief Commercial Officer, Dairine Dempsey, Ph.D. as Vice President, Europe and Lauren Budesheim, M.S. as Vice President of Human Resources.

“Soleno’s top priority remains NDA submission for DCCR in PWS,” said Anish Bhatnagar, M.D., Chief Executive Officer of Soleno Therapeutics. “Receiving Breakthrough Therapy Designation from the FDA for DCCR was a significant milestone, and we are working diligently to ensure a timely NDA submission. In parallel, our commercial team has begun preparations for a potential commercial launch of DCCR. We believe DCCR has the potential to significantly improve the lives of people living with PWS, and, if approved, could be a foundational therapy in the treatment of PWS.”

Financial Results

Soleno’s current research and development efforts are primarily focused on advancing its lead product candidate, DCCR, for the treatment of PWS, through late-stage clinical development.

First Quarter Ended March 31, 2024 Financial Results

As of March 31, 2024, Soleno had $42.8 million of cash and cash equivalents, $106.8 million of short-term investments, and $8.8 million of long-term investments. In addition, in May 2024, the Company received $148.8 million in net proceeds from the Closing of a public offering, bringing pro forma cash reserves to a total of $307.2 million.

Research and development expense was $14.6 million for the three months ended March 31, 2024, compared to $5.3 million in the same period of 2023. The increase was primarily due to increased headcount cost, expenditures in support of our NDA submission and CMC project investment in preparation for commercial launch.

General and administrative expense was $8.5 million for the three months ended March 31, 2024, compared to $2.9 million in the same period of 2023. The increase was primarily related to higher stock-based compensation expense, higher costs because of an increase in headcount and higher professional and consulting expenses.

Soleno is obligated to make cash payments of up to a maximum of $21.2 million to the former Essentialis stockholders upon the achievement of certain commercial milestones associated with the future sales of DCCR in accordance with the terms of Soleno’s 2016 merger agreement with Essentialis. The fair value of the liability for the contingent consideration payable by the Company upon achieving two commercial sales milestones of $100 million and $200 million in revenue in future years was estimated to be $12.0 million as of March 31, 2024, a $0.4 million increase from the estimate as of December 31, 2023.

Total other income, net, was $2.1 million for the three months ended March 31, 2024, and $0.1 million in the same period of 2023. The increase was primarily due to an increase in interest income driven by higher cash and cash equivalents, short-term and long-term investments during the three months ended March 31, 2024, compared to the three months ended March 31, 2023.

Net loss was approximately $21.4 million, or $0.59 per basic and diluted share, for the quarter ended March 31, 2024, and $8.4 million, or $0.88 per basic and diluted share, in the same period of 2023.

About PWS
The Prader-Willi Syndrome Association USA estimates that PWS occurs in one in every 15,000 live births. The hallmark symptom of this disorder is hyperphagia, a chronic and life-threatening feeling of intense, persistent hunger, food pre-occupation, extreme drive to food seek and consume food that severely diminish the quality of life for patients with PWS and their families. Additional characteristics of PWS include behavioral problems, cognitive disabilities, low muscle tone, short stature (when not treated with growth hormone), the accumulation of excess body fat, developmental delays, and incomplete sexual development. Hyperphagia can lead to significant morbidities (e.g., obesity, diabetes, cardiovascular disease) and mortality (e.g., stomach rupture, choking, accidental death due to food seeking behavior). In a global survey conducted by the Foundation for Prader-Willi Research, 96.5% of respondents (parent and caregivers) rated hyperphagia and 92.9% rated body composition as either the most important or a very important symptom to be relieved by a new medicine. There are currently no approved therapies to treat the hyperphagia/appetite, metabolic, cognitive function, or behavioral aspects of the disorder.

About DCCR (Diazoxide Choline) Extended-Release Tablets
DCCR is a novel, proprietary extended-release dosage form containing the crystalline salt of diazoxide and is administered once-daily. The parent molecule, diazoxide, has been used for decades in thousands of patients in a few rare diseases in neonates, infants, children and adults, but has not been approved for use in PWS. Soleno conceived of and established extensive patent protection for the therapeutic use of diazoxide, diazoxide choline and DCCR in patients with PWS. The DCCR development program is supported by data from five completed Phase 1 clinical studies in healthy volunteers and three completed Phase 2 clinical studies, one of which was in patients with PWS. In the PWS Phase 3 clinical development program, DCCR showed promise in addressing hyperphagia, the hallmark symptom of PWS, as well as several other symptoms such as aggressive/destructive behaviors, fat mass and other metabolic parameters. Diazoxide choline has received Orphan Drug Designation for the treatment of PWS in the U.S. and E.U., and Fast Track and Breakthrough Designations in the U.S.

About Soleno Therapeutics, Inc.
Soleno is focused on the development and commercialization of novel therapeutics for the treatment of rare diseases. The company’s lead candidate, DCCR extended-release tablets, a once-daily oral tablet for the treatment of PWS, recently completed its Phase 3 development program to support a planned NDA submission. For more information, please visit www.soleno.life.

Forward-Looking Statements
This press release contains forward-looking statements within the meaning of Section 21E of the Securities Exchange Act of 1934, as amended. All statements other than statements of historical facts contained in this press release are forward-looking statements, including statements regarding the timing of any regulatory process, filing of an NDA, or ultimate approvals and determining a path forward for DCCR for the treatment of PWS. In some cases, you can identify forward-looking statements by terms such as "may," "will," "should," "expect," "plan," "anticipate," "could," "intend," "target," "project," "contemplates," "believes," "estimates," "predicts," "potential" or "continue" or the negative of these terms or other similar expressions. These forward-looking statements speak only as of the date of this press release and are subject to a number of risks, uncertainties and assumptions, including the risks and uncertainties associated with the projected timeline of our NDA submission, whether FDA will agree with our interpretation of the data or the adequacy of data to support an NDA, the FDA’s review of our NDA, market conditions, as well as risks and uncertainties inherent in Soleno’s business, including those described in the company's prior press releases and in the periodic reports it files with the SEC. The events and circumstances reflected in the company's forward-looking statements may not be achieved or occur and actual results could differ materially from those projected in the forward-looking statements. Except as required by applicable law, the company does not plan to publicly update or revise any forward-looking statements contained herein, whether as a result of any new information, future events, changed circumstances or otherwise.

Corporate Contact:
Brian Ritchie
LifeSci Advisors, LLC
212-915-2578

 
Soleno Therapeutics, Inc.
Condensed Consolidated Balance Sheets
(In thousands except share and per share data)
       
  March 31,
2024
  December 31,
2023
 
Assets (Unaudited)    
Current assets      
Cash and cash equivalents $42,847  $169,681 
Short-term investments  106,780   - 
Prepaid expenses and other current assets  1,596   1,677 
Total current assets  151,223   171,358 
Long-term assets      
Property and equipment, net  27   12 
Operating lease right-of-use assets  338   407 
Intangible assets, net  8,263   8,749 
Long-term investments  8,821   - 
Other long-term assets  165   165 
Total assets $168,837  $180,691 
Liabilities and stockholders’ equity      
Current liabilities      
Accounts payable $8,022  $3,149 
Accrued compensation  1,226   3,135 
Accrued clinical trial site costs  2,395   3,393 
Operating lease liabilities  310   273 
Other current liabilities  1,511   1,555 
Total current liabilities  13,464   11,505 
Long-term liabilities      
Contingent liability for Essentialis purchase price  11,950   11,549 
Long-term lease liabilities  37   130 
Total liabilities  25,451   23,184 
Commitments and contingencies (Note 6)      
Stockholders’ equity      
Preferred stock, $0.001 par value; 10,000,000 shares authorized, no shares issued and outstanding  -   - 
Common stock, $0.001 par value, 100,000,000 shares authorized, 33,337,079 and 31,678,159 shares issued and outstanding at March 31, 2024 and December 31, 2023, respectively  33   32 
Additional paid-in-capital  441,267   433,885 
Accumulated other comprehensive loss  (106)  - 
Accumulated deficit  (297,808)  (276,410)
Total stockholders’ equity  143,386   157,507 
Total liabilities and stockholders’ equity $168,837  $180,691 
         


 
Soleno Therapeutics, Inc.
Condensed Consolidated Statements of Operations and Comprehensive Loss
(unaudited)
(In thousands except share and per share data)
   
 Three Months Ended
March 31,
 
 2024  2023 
Operating expenses     
Research and development$14,602  $5,316 
General and administrative 8,472   2,854 
Change in fair value of contingent consideration 401   299 
Total operating expenses 23,475   8,469 
Operating loss (23,475)  (8,469)
Other income, net     
Interest income, net 2,077   113 
Total other income, net 2,077   113 
Net loss$(21,398) $(8,356)
      
Other comprehensive income (loss)     
Net unrealized loss on marketable securities (105)   
Foreign currency translation adjustment (1)  16 
Total comprehensive loss$(21,504) $(8,340)
      
Net loss per common share, basic and diluted$(0.59) $(0.88)
Weighted-average common shares outstanding used to calculate basic and diluted net loss per common share 36,208,371   9,447,350 
      


FAQ

What was the public offering amount raised by Soleno Therapeutics?

Soleno raised approximately $158.7 million in a public offering of common stock.

What therapy received Breakthrough Designation from the FDA for Soleno Therapeutics?

Diazoxide Choline Extended-Release (DCCR) received Breakthrough Therapy Designation for the treatment of Prader-Willi syndrome.

What is the timeline for Soleno Therapeutics' NDA submission for DCCR in PWS?

Soleno plans to submit the New Drug Application (NDA) for DCCR in PWS by mid-2024.

How did Soleno Therapeutics strengthen its leadership team?

Soleno appointed Meredith Manning as Chief Commercial Officer, Dairine Dempsey as Vice President, Europe, and Lauren Budesheim as Vice President of Human Resources.

What was the net loss reported by Soleno Therapeutics for the quarter ended March 31, 2024?

Soleno reported a net loss of approximately $21.4 million, or $0.59 per basic and diluted share, for the quarter ended March 31, 2024.

Soleno Therapeutics, Inc.

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Biotechnology
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