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Astria Therapeutics(ATXS) - 2025 Q1 - Quarterly Report

Clinical Development - Navenibart is in clinical development for hereditary angioedema (HAE) and has received Fast Track and Orphan Drug designations from the FDA [80]. - The Phase 3 trial of navenibart, ALPHA-ORBIT, involves up to 135 adults and 10 adolescents, with top-line results expected in early 2027 [81]. - STAR-0310 is in early clinical development, with a Phase 1a trial initiated in January 2025, and early proof-of-concept results anticipated in Q3 2025 [87]. - Initial proof-of-concept data for navenibart from the ALPHA-STAR trial showed a 91% reduction in monthly attack rate and 50% of patients being attack-free at 3 months [86]. - The ongoing ALPHA-SOLAR trial will provide long-term safety and efficacy data for navenibart, with initial results expected in mid-2025 [84]. Financial Performance - The company reported net losses of $33.7 million for Q1 2025, compared to $19.9 million for Q1 2024, with an accumulated deficit of $708.5 million as of March 31, 2025 [90]. - Research and development expenses for navenibart were $11.8 million for Q1 2025, up from $7.1 million in Q1 2024, while STAR-0310 expenses were $7.4 million compared to $3.0 million in the same period [95]. - Research and development expenses increased by $12.1 million to $27.8 million for the three months ended March 31, 2025, representing a 77% increase compared to the same period in 2024 [106]. - General and administrative expenses rose by $0.8 million to $9.2 million for the three months ended March 31, 2025, an increase of 9% from the previous year [106]. - Net loss for the three months ended March 31, 2025, was $33.7 million, compared to a net loss of $19.9 million for the same period in 2024, reflecting an increase of $13.8 million [105]. - Net cash used in operating activities was $34.0 million for the three months ended March 31, 2025, compared to $19.1 million for the same period in 2024 [114]. - The company incurred an accumulated deficit of $708.5 million as of March 31, 2025, primarily due to ongoing research and development activities [119]. - Other income, net decreased by $0.9 million to $3.3 million for the three months ended March 31, 2025, a decrease of 22% from the previous year [107]. Funding and Capital Requirements - As of March 31, 2025, the company had $295.1 million in cash and equivalents, expected to fund operations into mid-2027 [91]. - The company plans to seek additional funding to support the development and commercialization of navenibart and STAR-0310 due to significant capital requirements [91]. - The company expects to need substantial additional funding to complete the development and commercialization of its product candidates, including navenibart and STAR-0310 [111]. - The company raised an aggregate of $839.2 million through equity financings since inception, including private placements and registered offerings [108]. - The company expects to finance its cash needs through equity offerings, debt financings, collaborations, strategic alliances, and licensing arrangements, with no committed external source of funds currently available [122]. - If the company raises funds through collaborations or licensing arrangements, it may have to relinquish valuable rights to its technologies or grant licenses on unfavorable terms [123]. Regulatory and Commercialization Risks - The company faces uncertainty regarding the outcome, timing, and costs of seeking regulatory approvals for its product candidates, which could impact commercialization activities [125]. - The company has potential obligations under its license agreement with Ichnos for STAR-0310, which includes milestone payments and tiered royalties contingent upon development and regulatory approval milestones [127]. - The company has incurred costs related to preparing, filing, and prosecuting patent applications, as well as maintaining and protecting its intellectual property rights [125]. - The company anticipates that its commercial revenues will not be generated for several years, if at all, necessitating reliance on additional financing [121]. - The company has no assurance that it will achieve commercial success with its product candidates, including navenibart and STAR-0310 [121]. Operational Considerations - The company anticipates an increase in general and administrative expenses as it continues to grow and develop its product pipeline [100]. - The company’s headcount growth and associated costs will be a factor in its future financial performance [125]. - The company’s agreements with CROs and third-party manufacturers are generally cancelable with prior notice, and its non-cancelable obligations under these agreements are not considered material [126]. - As of March 31, 2025, the company has material contractual obligations including a sublease requiring monthly payments of $0.1 million from September 1, 2024, until November 30, 2028, and milestone payments of $2.2 million and $2.0 million for clinical trials of navenibart and STAR-0310, respectively, which were met during the three months ended March 31, 2025 [124].