
PART I – FINANCIAL INFORMATION Financial Statements Unaudited interim financials for H1 2020 report a $22.7 million net loss, reduced cash, and a strategic pivot to MLE-301 development Consolidated Balance Sheets Total assets decreased to $57.1 million by June 30, 2020, primarily due to a reduction in cash and cash equivalents Consolidated Balance Sheet Highlights (in thousands) | Account | June 30, 2020 | December 31, 2019 | | :--- | :--- | :--- | | Cash and cash equivalents | $50,312 | $62,478 | | Total current assets | $54,072 | $71,132 | | Total assets | $57,132 | $74,970 | | Total current liabilities | $10,086 | $12,520 | | Total liabilities | $12,188 | $15,099 | | Total stockholders' equity | $44,944 | $59,871 | Consolidated Statements of Operations and Comprehensive Loss Net loss for Q2 2020 was $10.7 million, and $22.7 million for H1 2020, primarily due to increased R&D expenses Statement of Operations Summary (in thousands, except per share data) | Metric | Three Months Ended June 30, 2020 | Three Months Ended June 30, 2019 | Six Months Ended June 30, 2020 | Six Months Ended June 30, 2019 | | :--- | :--- | :--- | :--- | :--- | | Research and development | $6,466 | $5,981 | $14,006 | $12,185 | | General and administrative | $4,138 | $4,179 | $8,733 | $8,632 | | Loss from operations | $10,604 | $10,160 | $22,739 | $20,817 | | Net loss | $(10,672) | $(9,871) | $(22,670) | $(20,237) | | Net loss per share | $(0.56) | $(0.74) | $(1.21) | $(1.51) | Consolidated Statements of Cash Flows Net cash used in operations for H1 2020 was $18.0 million, with a $12.5 million decrease in total cash Cash Flow Summary for Six Months Ended June 30 (in thousands) | Activity | 2020 | 2019 | | :--- | :--- | :--- | | Net cash used in operating activities | $(18,030) | $(21,174) | | Net cash (used in) provided by investing activities | $(26) | $4,108 | | Net cash provided by (used in) financing activities | $5,513 | $(38) | | Net decrease in cash, cash equivalents and restricted cash | $(12,495) | $(17,139) | | Cash, cash equivalents and restricted cash at end of period | $51,017 | $56,631 | Notes to Unaudited Interim Consolidated Financial Statements Notes detail program discontinuations, associated $3.1 million closeout costs and $1.1 million termination benefits, and a $51.0 million cash position - The company discontinued the development of livoletide for PWS in April 2020, recording $3.1 million in associated costs in Q2 202022 - Following the PWS program discontinuation, the company eliminated approximately 30% of its workforce, resulting in $1.1 million in one-time termination benefits in Q2 202023 - In June 2020, the company ceased investing in the development of nevanimibe for CAH based on an interim data review24 - As of June 30, 2020, the company had $51.0 million in cash, cash equivalents, and restricted cash, which management believes is sufficient to fund operations for at least 12 months2731 - In March 2020, the company sold 719,400 shares of common stock under its "at-the-market" (ATM) equity distribution agreement for net proceeds of approximately $5.7 million30 Management's Discussion and Analysis of Financial Condition and Results of Operations Management discusses the strategic shift to MLE-301, increased R&D expenses, and a $51.0 million cash position projected to fund operations into 2022 Overview and COVID-19 Update The company refocused on MLE-301 development with a Phase 1 trial planned for Q3 2020, initiated a strategic review, and monitors COVID-19 impacts - The company's primary focus is now on developing MLE-301 for vasomotor symptoms (VMS) in menopausal women, with a Phase 1 trial expected to start in Q3 20207879 - Development of livoletide for PWS was discontinued in April 2020, and investment in nevanimibe for CAH ceased in June 20208082 - The company has engaged SVB Leerink to support a strategic review process to maximize stockholder value84 - The COVID-19 pandemic is being closely monitored, but the company expects to have an adequate supply of MLE-301 for its planned Phase 1 trial8687 Results of Operations R&D expenses increased to $6.5 million in Q2 2020 and $14.0 million in H1 2020, driven by MLE-301 and closeout costs Comparison of Operating Results (in thousands) | Metric | Three Months Ended June 30, 2020 | Three Months Ended June 30, 2019 | Six Months Ended June 30, 2020 | Six Months Ended June 30, 2019 | | :--- | :--- | :--- | :--- | :--- | | Research and development | $6,466 | $5,981 | $14,006 | $12,185 | | General and administrative | $4,138 | $4,179 | $8,733 | $8,632 | | Net loss | $(10,672) | $(9,871) | $(22,670) | $(20,237) | - The increase in Q2 2020 R&D expense was driven by a $0.5 million increase in preclinical/clinical costs (mainly for MLE-301) and a $0.3 million increase in compensation due to severance, partially offset by a $0.2 million decrease in stock-based compensation100101102 - The increase in H1 2020 R&D expense was primarily due to a $1.9 million rise in preclinical/clinical development costs related to MLE-301 and livoletide program closeout activities107110 Liquidity and Capital Resources The company holds $51.0 million in cash, projected to fund operations into 2022, after using $18.0 million in H1 2020 operations - The company had cash, cash equivalents, and restricted cash of $51.0 million as of June 30, 2020119 - Management projects the current cash position is sufficient to fund operations into 2022, based on current plans90119 - In March 2020, the company sold 719,400 shares under its ATM agreement for net proceeds of approximately $5.7 million118 - Net cash used in operating activities for the first six months of 2020 was $18.0 million, compared to $21.2 million for the same period in 2019111112 Quantitative and Qualitative Disclosures About Market Risk The company is exempt from market risk disclosures as it qualifies as a smaller reporting company - The company is not required to provide disclosures about market risk as it qualifies as a smaller reporting company127 Controls and Procedures Management concluded disclosure controls and procedures were effective as of June 30, 2020, with no material changes in internal controls - Management concluded that disclosure controls and procedures were effective at a reasonable assurance level as of June 30, 2020128 - No changes in internal control over financial reporting occurred during the quarter that have materially affected, or are reasonably likely to materially affect, internal controls129 PART II – OTHER INFORMATION Legal Proceedings The company is defending against shareholder derivative and class action lawsuits inherited from OvaScience, unable to estimate potential losses - The company is defending against a purported shareholder derivative action (Cima v. Dipp) and a shareholder class action lawsuit (Dahhan v. OvaScience, Inc.) related to the former operations of OvaScience132133 - A third shareholder derivative complaint (Chiu v. Dipp) is currently stayed pending the resolution of the Dahhan Action134 - The company believes the complaints are without merit but cannot estimate potential losses at this time132133134 Risk Factors Significant risks include operating losses, capital needs, dependence on MLE-301, COVID-19 impacts, intense competition, and reliance on third parties - The company has a history of significant operating losses ($231.3 million accumulated deficit as of June 30, 2020) and expects to incur substantial losses for the foreseeable future137 - Future success is highly dependent on the successful clinical development, regulatory approval, and commercialization of MLE-301, as previous lead candidates have been discontinued155156 - The COVID-19 pandemic poses a material risk to business operations, clinical trial timelines, and the ability to access capital305308 - The company relies on third-party CMOs for manufacturing and CROs for clinical trials, making it dependent on their performance and compliance with regulations like cGMP and GCP291300 - The company faces substantial competition from major pharmaceutical and biotech companies with greater resources, such as Astellas and KaNDy Therapeutics in the VMS space177179 Unregistered Sales of Equity Securities and Use of Proceeds No unregistered equity securities were sold, nor were any issuer purchases made during Q2 2020 - There were no sales of unregistered securities during the three months ended June 30, 2020346 Defaults Upon Senior Securities This item is not applicable as the company has no defaults upon senior securities to report - Not applicable348 Mine Safety Disclosures This item is not applicable to the company's operations - Not applicable349 Other Information No other information is reported for this period - Not applicable350 Exhibits Exhibits include amendments to equity incentive plans and CEO/CFO certifications required by Sarbanes-Oxley - The report includes amendments to the 2012 and 2019 Equity Incentive Plans352 - Certifications by the CEO and CFO pursuant to Sections 302 and 906 of the Sarbanes-Oxley Act are filed as exhibits352