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Turnstone Biologics Corp. Reports Fourth Quarter and Full Year 2023 Financial Results and Provides Recent Business Highlights

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Turnstone Biologics Corp. (Nasdaq: TSBX) reports financial results for Q4 and full year 2023, highlighting progress in the TIDAL-01 program with Phase 1 trials ongoing. The company aims to develop Selected TIL therapy for solid tumors, expecting initial clinical data by mid-2024. Recent business highlights include expanding TIDAL-01 trials to cover additional solid tumor types and presenting promising preclinical data at SITC 2023. Turnstone also strengthened its Scientific Advisory Board with the addition of Dr. Jeffrey S. Weber, enhancing expertise in cancer immunotherapy. Financially, the company ended 2023 with $94.8 million in cash, cash equivalents, and short-term investments, projecting funds to sustain operations until Q2 2025. R&D expenses decreased in Q4 2023 compared to the previous year, while net loss increased due to various factors.
Positive
  • Progress in TIDAL-01 program with Phase 1 trials ongoing
  • Expected initial clinical data for TIDAL-01 by mid-2024
  • Expansion of TIDAL-01 trials to include additional solid tumor types
  • Presentation of promising preclinical data at SITC 2023
  • Appointment of Dr. Jeffrey S. Weber to the Scientific Advisory Board
  • Financially ended 2023 with $94.8 million in cash, cash equivalents, and short-term investments
  • R&D expenses decreased in Q4 2023 compared to the previous year
  • Net loss increased in Q4 2023 due to various factors
Negative
  • Net loss increased in Q4 2023 compared to the same period in 2022
  • Decrease in R&D expenses in Q4 2023 due to termination of a collaboration agreement
  • G&A expenses remained stable for the full year 2023
  • Net loss for the full year 2023 increased compared to the prior year period

Insights

The advancement of Turnstone Biologics' lead program, TIDAL-01, into Phase 1 clinical trials is a significant milestone in the field of oncology, particularly for solid tumor therapies. TIDAL-01's unique approach to isolating and expanding tumor-reactive TILs could potentially offer a new treatment paradigm for solid tumors, which historically have been challenging to treat with first-generation TILs. The focus on a broader range of solid tumors, including colorectal cancer and head and neck squamous cell carcinoma, indicates an attempt to address areas of high unmet medical need. The preclinical data presented at SITC 2023 adds credibility to the therapeutic potential of TIDAL-01, suggesting a possible positive impact on Turnstone's valuation if the clinical data expected in mid-2024 is favorable.

From an R&D perspective, the reported decrease in expenses is noteworthy. This decrease is attributed to the termination of a collaboration with Takeda Oncology, which seems to have allowed for a reallocation of resources towards the TIDAL-01 program. The financial runway extending into the second quarter of 2025 provides a reasonable buffer for Turnstone to reach key milestones without immediate dilutive financing concerns.

Turnstone Biologics' financial results for the fourth quarter and full year of 2023 reflect a strategic shift in the company's operations. The reduction in R&D expenses year-over-year, despite the ramp-up of TIDAL-01 activities, could be seen as a positive indicator of management's ability to control costs effectively. However, investors should consider the increase in net loss for the full year when evaluating the company's performance. This increase in net loss may raise questions about the scalability of Turnstone's business model and the potential need for additional funding, especially as the company approaches the critical data release in mid-2024.

It is also important to monitor the company's cash burn rate in relation to the anticipated clinical trial milestones. While the current cash position is expected to last into Q2 2025, the outcome of the TIDAL-01 trials will likely influence future financing needs and partnership opportunities. Any delays or negative results could have a substantial impact on the company's financial health and stock price.

The landscape of cancer immunotherapy is highly competitive, with many companies vying for a share of a growing market. Turnstone's decision to diversify its trial indications to include additional solid tumor types suggests an attempt to capture a larger market segment. The company's strategic positioning, with a focus on solid tumors that have not responded well to first-generation TILs, could differentiate it from competitors if successful. This differentiation is critical as it may lead to partnerships, licensing deals, or even acquisition interest from larger pharmaceutical companies looking to expand their oncology portfolios.

Turnstone's engagement and expansion of its Scientific Advisory Board with experts like Dr. Jeffrey S. Weber can also be seen as a move to bolster the company's scientific credibility and networking within the oncology community. This could potentially facilitate future collaborations and enhance the company's reputation in the eyes of investors and industry peers.

Lead program, TIDAL-01, advancing in Phase 1 trials with initial clinical data expected in mid-2024

Promising preclinical data highlighting Turnstone’s novel Selected TIL programs for solid tumors presented at SITC 2023

Further strengthened Scientific Advisory Board with appointment of internationally recognized cancer immunotherapy expert, Dr. Jeffrey S. Weber

SAN DIEGO, March 21, 2024 (GLOBE NEWSWIRE) -- Turnstone Biologics Corp. (“Turnstone” or the “Company”) (Nasdaq: TSBX), a clinical-stage biotechnology company developing a differentiated approach to treat and cure patients with solid tumors by pioneering selected tumor-infiltrating lymphocyte (Selected TIL) therapy, today reported financial results for the fourth quarter and full year ended December 31, 2023, and provided recent business highlights.

“2023 marked a transformative year for Turnstone Biologics in which we transitioned into a publicly traded company and continued to advance our pipeline through clinical development. We are encouraged by the increasing momentum in the TIL landscape that paves the way for next-generation approaches like our Selected TIL therapy, which is designed to create a TIL product with a significantly greater population of potent tumor-reactive T cells, which we believe is the key to extending their therapeutic potential to high unmet medical needs in solid tumors beyond melanoma,” said Sammy Farah, M.B.A., Ph.D., Turnstone’s President and Chief Executive Officer. “In 2024, we look forward to generating clinical data that potentially highlights the differentiation of our platform and supports further development of our lead asset, TIDAL-01, which is currently being evaluated in Phase 1 studies in patients with colorectal cancer, head and neck squamous cell carcinoma, breast cancer, uveal melanoma, and cutaneous melanoma. We remain on-track to share initial clinical data for TIDAL-01 in mid-2024 and we believe we are well-positioned for another year of meaningful progress for our organization.”

Fourth Quarter and Recent Business Highlights

Advancing TIDAL-01 in Multiple Phase 1 Clinical Trials and Expanding of Targeted Solid Tumor Indications. TIDAL-01 employs an unbiased identification and functional screening process to isolate and selectively expand the greatest breadth of tumor-reactive TILs from the patient’s tumor. Turnstone believes TIDAL-01 can expand the utility of TIL therapy to solid tumor types where first-generation TILs have not to date shown objective responses in clinical trials and is pursuing several indications with critical unmet need, potentially enabling meaningful therapeutic differentiation. Recently, Turnstone expanded their trials to evaluate additional solid tumor types in addition to the existing indications of breast cancer and uveal melanoma. The multi-site STARLING trial protocol has been amended to cover head and neck squamous cell carcinoma (HNSCC), and the H. Lee Moffitt Cancer Center and Research Institute sponsored trial has been expanded to include colorectal cancer (CRC) and HNSCC. Turnstone expects to provide an initial clinical update across these trials in mid-2024.

Preclinical Data Presentations at the 2023 Society for Immunotherapy of Cancer (SITC) Annual Meeting Support Ongoing Clinical and Preclinical Efforts. In November 2023, Turnstone presented preclinical data on its Selected TIL therapies, including the demonstration of the feasibility of selecting and expanding tumor-reactive TIL as further evidence for the potential of TIDAL-01 as a treatment option for patients with colorectal and gastric cancers. Turnstone also presented on its next Selected TIL program from its development pipeline, TIDAL-02, which seeks to utilize a novel direct selection method, genetically engineered to rapidly select for the greatest breadth of tumor-reactive T cells.

Strengthened Company’s Scientific Advisory Board. In October 2023, Turnstone appointed Jeffrey S. Weber, M.D., Ph.D., to its Scientific Advisory Board. Dr. Weber, a world-renowned thought leader with extensive experience in innovative immunotherapies for solid tumors, currently serves as Deputy Director of the Perlmutter Cancer Center and Co-Director of the Melanoma Research Program at the New York University-Langone Cancer Center.

Fourth Quarter 2023 Financial Results

Cash, Cash Equivalents and Short-Term Investments: As of December 31, 2023, cash, cash equivalents and short-term investments were $94.8 million. The Company expects that the combined cash, cash equivalents and short-term investments will be sufficient to fund its operations into the second quarter of 2025.

Research and Development (R&D) Expenses: R&D expenses for the three months ended December 31, 2023, were $13.6 million, compared to $20.2 million for the same period in 2022. The decrease was due primarily to decreases in pre-clinical and regulatory costs, personnel-related costs, and manufacturing expenses due to the termination of the discovery, collaboration and license agreement entered into on November 7, 2019, with Takeda Oncology for certain viral immunotherapy candidates offset by an increase due to ramp up of TIDAL-01 activities.

General and Administrative (G&A) Expenses: G&A expenses for the three months ended December 31, 2023, were $4.4 million, compared to $4.4 million for the same period in 2022.

Net Loss: Net loss for the three months ended December 31, 2023, was $16.5 million, compared to net loss of $13.7 million for the same period in 2022.

Full Year 2023 Financial Results

Cash, Cash Equivalents and Short-Term Investments: For the full year ended December 31, 2023, cash, cash equivalents and short-term investments were $94.8 million.

Research and Development (R&D) Expenses: R&D expenses for the full year ended December 31, 2023, were $60.5 million, compared to $86.7 million for the prior year period. The decrease was due primarily to decreases in pre-clinical and regulatory and manufacturing expenses due to the termination of the discovery, collaboration and license agreement entered into on November 7, 2019, with Takeda Oncology for certain viral immunotherapy candidates offset by an increase in personnel-related costs and costs due to ramp up of TIDAL-01 activities.

General and Administrative (G&A) Expenses: G&A expenses for the full year ended December 31, 2023, were $17.8 million, compared to $18.2 million for the prior year period. We anticipate that G&A expenses will remain stable as we support public company operations.

Net Loss: Net loss for the full year ended December 31, 2023, was $55.2 million, compared to net loss of $30.8 million for the prior year period.

About Turnstone

Turnstone Biologics is a clinical-stage biotechnology company developing a differentiated approach to treat and cure patients with solid tumors by pioneering selected tumor-infiltrating lymphocyte (Selected TIL) therapy. Turnstone’s next-generation TIL therapy is based upon the identification, selection and expansion of the most potent tumor-reactive T cells, known as Selected TILs, and is designed to overcome the limitations of first-generation bulk TIL that have demonstrated objective responses only in limited tumor types. Turnstone’s most advanced program, TIDAL-01, is currently being evaluated in multiple Phase 1 studies in patients with colorectal cancer, breast cancer, head and neck cancer, uveal melanoma, and cutaneous melanoma. The Company is also actively advancing its preclinical pipeline programs including TIDAL-02, its next Selected TIL program, and its TIDAL-01 and viral immunotherapy combination program. For additional information about Turnstone, please visit www.turnstonebio.com, and follow us on LinkedIn.

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements expressed or implied in this press release include, but are not limited to, statements regarding: the potential for TIDAL-01 and other pipeline programs to achieve objective responses in solid tumors; the potential for Turnstone’s Selected TILs to efficiently select and expand tumor-reactive TIL to and to effectively apply current TIL therapies across a wider range of solid tumors; the potential of TIDAL-01 as a treatment option for patients with colorectal and gastric cancer; Turnstone’s projected cash runway into the second quarter of 2025; and Turnstone’s strategies and objectives. All statements, other than statements of historical fact, contained in this press release, including statements regarding future events, future financial performance, business strategy and plans, and objectives for future operations, are forward-looking statements and can be identifies by terminology such as “anticipate,” “believe,” “contemplate,” “continue,” “could,” “estimate,” “expect,” “intend,” “may,” “plan,” “potential,” “predict,” “project,” “should,” “target,” “will” or “would,” or the negative of these terms or other comparable terminology. These statements are based on the current plans, objectives, estimates, expectations and intentions, beliefs and assumptions of our management team, and on information currently available to such management team and are not guarantees of future performance and inherently involve numerous risks and uncertainties, many of which are beyond Turnstone’s control. We undertake no obligation to update or revise publicly any of the forward-looking statements after the date hereof to conform the statements to actual results or changed expectations except as required by law. The reader is cautioned not to place undue reliance on forward-looking statements. Actual results and the timing of events could differ materially from those anticipated in such forward-looking statements as a result of these risks and uncertainties, which include, but are not limited to, risks and uncertainties related to: macroeconomic conditions and the effects of global health concerns, such as global pandemics; Turnstone’s ability to initiate and execute clinical trials on the anticipated timelines, if at all; the potential for results from clinical trials to differ from preclinical, early clinical, preliminary or expected results; the significant uncertainty associated with Turnstone’s product candidates ever receiving any regulatory approvals; Turnstone’s ability to obtain, maintain or protect intellectual property rights related to its product candidates; the sufficiency of Turnstone’s capital resources and need for additional capital to achieve its goals; and other risks, including those described under the heading “Risk Factors” in Turnstone’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2023, filed with the SEC on November 13, 2023 and other documents Turnstone has filed, or will file, with the SEC, including the Annual Report on Form 10-K for the year ended December 31, 2023. This press release discusses product candidates that are under clinical study and which have not yet been approved for marketing by the U.S. Food and Drug Administration. No representation is made as to the safety or effectiveness of these product candidates for the uses for which they are being studied.

Contact:

Ahmed Aneizi
Investor Relations
Turnstone Biologics
(347) 897-5988
ahmed.aneizi@turnstonebio.com


Turnstone Biologics, Corp.
Condensed Consolidated Statement of Operations and Comprehensive Income (Loss)(unaudited)
(In thousands, except share and per share data)
         
 Three Months ended December 31, Twelve Months ended December 31, 
  2023   2022   2023   2022  
Collaboration revenue$-  $10,447  $19,306  $73,300  
Operating expenses        
Research and development 13,458   20,214   60,491   86,703  
General and administrative 4,398   4,353   17,847   18,223  
Total operating expenses 17,856   24,567   78,338   104,926  
Loss from operations (17,856)  (14,120)  (59,032)  (31,626) 
Other income, net 1,241   468   3,546   933  
Net loss before income taxes (16,615)  (13,652)  (55,486)  (30,693) 
Benefit (provision) for income taxes 165   (15)  286   (141) 
Net loss$(16,450) $(13,667) $(55,200) $(30,834) 
Other comprehensive income (loss) 122   72   294   (168) 
Total comprehensive income (loss)$(16,328) $(13,595) $(54,906) $(31,002) 
         
Net loss attributable to common stockholder, basic and diluted (16,773)  (13,688)  (55,239)  (31,024) 
Weighted-average shares of common stock outstanding, basic and diluted 22,934,594   2,484,569   11,562,910   2,484,569  
Net loss per share attributable to common stockholders, basic and diluted$(0.73) $(5.51) $(4.78) $(12.49) 
         


Turnstone Biologics, Corp.
Condensed Consolidated Balance Sheet (unaudited)
(amount in thousands)
 
 December 31, 2023December 31, 2022 
    
Cash and cash equivalents and short-term investments$94,777$82,061  
Total assets 112,815 114,938  
Total liabilities 14,148 44,461  
Total redeemable convertible preferred stock - 171,944  
Total stockholders' deficit 98,667 (101,467) 
    


FAQ

What is Turnstone Biologics Corp.'s ticker symbol?

Turnstone Biologics Corp.'s ticker symbol is TSBX.

When is the initial clinical data for TIDAL-01 expected?

The initial clinical data for TIDAL-01 is expected in mid-2024.

Who was appointed to Turnstone Biologics Corp.'s Scientific Advisory Board?

Dr. Jeffrey S. Weber was appointed to Turnstone Biologics Corp.'s Scientific Advisory Board.

How much cash, cash equivalents, and short-term investments did Turnstone Biologics Corp. have as of December 31, 2023?

Turnstone Biologics Corp. had $94.8 million in cash, cash equivalents, and short-term investments as of December 31, 2023.

What was the net loss for Turnstone Biologics Corp. for the full year ended December 31, 2023?

The net loss for Turnstone Biologics Corp. for the full year ended December 31, 2023, was $55.2 million.

Turnstone Biologics Corp.

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