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Rocket Pharmaceuticals(RCKT) - 2025 Q1 - Quarterly Report

Clinical Programs and Trials - The company has two clinical-stage and one pre-clinical stage in vivo adeno-associated viral (AAV) programs, with the RP-A501 pivotal study for Danon disease (DD) completing enrollment in September 2024[105]. - The FDA accepted the BLA for RP-L201 for severe Leukocyte Adhesion Deficiency-I (LAD-I) and granted priority review, with a complete BLA submission anticipated in 2025[106]. - The RP-A501 Phase 1 clinical trial treated seven patients, with a low-dose cohort showing sustained LAMP2 protein expression and a reduction of left ventricular mass index by ≥10% at 12 months[120][123]. - The company aims to submit BLAs for its clinical programs and expand its gene therapy pipeline to target additional indications in the medium to long term[114]. - The company has received FDA clearance for an IND application for RP-A601 and initiated a Phase 1 study for this program[105]. - The RP-L102 program completed Phase 2 studies in 2023, with a rolling BLA submission initiated in September 2024 and EMA acceptance of the MAA in April 2024[106]. - The company is focusing resources on other programs and has not yet initiated enrollment in the Phase 2 RP-L301 study, despite having reached agreement with the FDA on the study design[106]. - All evaluable patients in the Phase 1 trial demonstrated improvements across tissue, laboratory, and imaging-based biomarkers, with a median improvement of 27 points in Kansas City Cardiomyopathy Questionnaire scores[130]. - The ongoing pivotal Phase 2 trial aims for a median reduction of 10% in left ventricular mass index and positive protein expression of Grade 1 or more as co-primary endpoints[133]. - RP-A501 received RMAT designation from the FDA in February 2023 and PRIME designation from the EMA in May 2023, with enrollment of 12 patients in the Phase 2 study completed in September 2024[137]. - The global Phase 2 pivotal trial will evaluate the efficacy and safety of RP-A501 in 12 patients with dilated cardiomyopathy, including a pediatric safety run-in of 2 patients[131]. - The ongoing Phase 2 study for RP-L102 has shown sustained genetic correction in 8 of 12 evaluable patients, with a favorable safety profile[154]. - The Phase 1/2 trial for RP-L201 has treated nine patients, with 100% survival without the need for allogeneic transplant[160]. - The company is conducting a global Phase 1 study for RP-L301, with positive updates showing sustained efficacy and no serious adverse events reported[166]. Market and Financial Overview - The prevalence of Danon disease is estimated to be between 15,000 to 30,000 patients in the U.S. and EU, with no specific therapies currently available[118]. - BAG3-associated dilated cardiomyopathy (BAG3-DCM) has a prevalence of approximately 30,000 individuals in the U.S., with a high unmet medical need for effective therapies[145]. - The addressable annual market opportunity for RP-L102 in the U.S. and EU is estimated to be 400 to 500 patients[151]. - The company has raised approximately 1.2billionfrominvestorsthroughequityandconvertibledebtfinancingsinceinception,fundingitsoperatingactivities[172].Thecompanyhasnotgeneratedanyrevenuefromproductsalestodateanddoesnotexpecttodosointhenearfuture[173].Thecompanyhadanaccumulateddeficitof1.2 billion from investors through equity and convertible debt financing since inception, funding its operating activities[172]. - The company has not generated any revenue from product sales to date and does not expect to do so in the near future[173]. - The company had an accumulated deficit of 1.28 billion as of March 31, 2025, compared to 1.22billionasofDecember31,2024[194].Cashusedinoperatingactivitieswas1.22 billion as of December 31, 2024[194]. - Cash used in operating activities was 55.8 million for the three months ended March 31, 2025, compared to 56.9millionforthesameperiodin2024[196].Netcashusedbyinvestingactivitieswas56.9 million for the same period in 2024[196]. - Net cash used by investing activities was 58.0 million for the three months ended March 31, 2025, compared to a net cash provided of 35.0 million in the same period of 2024[199][200]. - The company expects R&D expenses to increase for the foreseeable future as it continues to invest in product candidates and clinical trials[180]. - The company has 318.2 million in cash, cash equivalents, and investments as of March 31, 2025, which is expected to fund operations into the fourth quarter of 2026[194]. Research and Development Expenses - The company's direct R&D expenses are primarily external costs associated with preclinical research, process development, and clinical development activities[175]. - R&D expenses decreased by 9.3millionto9.3 million to 35.9 million for the three months ended March 31, 2025, compared to 45.2millioninthesameperiodof2024[189].Generalandadministrativeexpensesincreasedby45.2 million in the same period of 2024[189]. - General and administrative expenses increased by 6.3 million to 28.4millionforthethreemonthsendedMarch31,2025,comparedto28.4 million for the three months ended March 31, 2025, compared to 22.1 million in the same period of 2024[190]. - Total operating expenses decreased by 2.99millionto2.99 million to 64.4 million for the three months ended March 31, 2025, compared to 67.4millioninthesameperiodof2024[188].Thecompanybelievesitscash,cashequivalents,andmarketablesecuritiesdonotcontainexcessiverisk,butacknowledgespotentialfutureadversechangesinmarketvalue[205].ManufacturingandProductionThecompanyhassuccessfullyproducedmultiplecommercialgradeDanonAAVcGMPbatchessince2022,whichareexpectedtooptimizethesafetyprofileofRPA501[136].Thecompanyhasa103,720squarefootcGMPmanufacturingfacilityinCranbury,NewJersey,supportingitsgenetherapypipeline[170].ThecompanyisexploringpreclinicalresearchtoexpandapplicationsofitsproprietaryLVandAAVprogramplatformsforadditionalraregeneticdiseases[171].InvestmentandFinancialStrategyThecompanysinvestmentsareprimarilyinU.S.TreasurySecurities,indicatingaconservativeinvestmentstrategy[204].Interestandotherincomedecreasedby67.4 million in the same period of 2024[188]. - The company believes its cash, cash equivalents, and marketable securities do not contain excessive risk, but acknowledges potential future adverse changes in market value[205]. Manufacturing and Production - The company has successfully produced multiple commercial-grade Danon AAV cGMP batches since 2022, which are expected to optimize the safety profile of RP-A501[136]. - The company has a 103,720 square foot cGMP manufacturing facility in Cranbury, New Jersey, supporting its gene therapy pipeline[170]. - The company is exploring preclinical research to expand applications of its proprietary LV and AAV program platforms for additional rare genetic diseases[171]. Investment and Financial Strategy - The company's investments are primarily in U.S. Treasury Securities, indicating a conservative investment strategy[204]. - Interest and other income decreased by 1.7 million to 1.3millionforthethreemonthsendedMarch31,2025,comparedto1.3 million for the three months ended March 31, 2025, compared to 3.0 million in the same period of 2024[191]. - As of March 31, 2025, the company had cash, cash equivalents, and investments totaling 318.2million,downfrom318.2 million, down from 372.3 million as of December 31, 2024[204]. - A hypothetical increase in market interest rates by 100 basis points would result in a decline of $1.0 million in the net fair value of the company's investments[205]. - The company does not utilize interest rate hedging agreements or other interest rate derivative instruments, exposing it to interest rate sensitivity risk[204].