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Imunon(IMNN) - 2025 Q3 - Quarterly Report

Clinical Trials and Efficacy - IMNN-001, a DNA-based immunotherapy for advanced ovarian cancer, has shown a median progression-free survival (PFS) of 21 months in treated patients, compared to an average of 12 months under current standard care[102]. - The OVATION 2 Study has enrolled 113 patients, with interim data indicating a 9-month improvement in overall survival (OS) for the treatment arm compared to the control arm[107]. - Patients receiving IMNN-001 in combination with PARP inhibitors showed a median PFS of 23.7 months, compared to 15.7 months for those receiving only neoadjuvant chemotherapy (NACT)[110]. - The overall response rate for second-line therapies in platinum-resistant ovarian cancer is only 10% to 20%, highlighting the need for more effective treatments[95]. - The updated results from the Phase 2 OVATION 2 Study showed a median overall survival (OS) increase from 11.1 to 13 months with IMNN-001 treatment compared to standard-of-care (SoC) alone, resulting in a hazard ratio (HR) of 0.70[113]. - Among trial participants, 62% of those in the IMNN-001 treatment arm survived more than 36 months, while over 10% reached 48 months or beyond[113]. - The IMNN-001 treatment arm demonstrated a median 3-month increase in progression-free survival (PFS) compared to SoC, with all patients treated with IMNN-001 remaining progression-free during the treatment period[115]. - The hazard ratio for the IMNN-001 treatment arm was 0.64 among patients who received at least 20% of specified treatments, indicating a 56% improvement in survival[115]. - The Phase 3 OVATION 3 trial will assess the safety and efficacy of IMNN-001 plus neoadjuvant and adjuvant chemotherapy in women with newly diagnosed advanced ovarian cancer, with a primary endpoint of overall survival[118]. - The FDA has aligned with the protocol for the Phase 3 OVATION 3 pivotal trial, which is currently enrolling patients at four trial sites[120]. - The Company is collaborating with Break Through Cancer to evaluate IMNN-001 in combination with bevacizumab in patients with advanced ovarian cancer[122]. Financial Performance and Concerns - As of September 30, 2025, the Company had $5.3 million in cash and cash equivalents, primarily from the issuance of common stock[151]. - The Company has not generated revenue from product sales and does not expect to do so in the next several years, raising concerns about its ability to continue as a going concern[149][152]. - The Company reported a net loss of $3.4 million for the three months ended September 30, 2025, compared to a net loss of $4.8 million for the same period in 2024, representing a 29.9% improvement[162]. - Research and development expenses decreased to $1.9 million in Q3 2025 from $3.3 million in Q3 2024, a reduction of 42.3%[166]. - Total operating expenses for the nine months ended September 30, 2025, were $10.4 million, down 30.7% from $15.0 million in the same period of 2024[171]. - The Company had cash and cash equivalents of $5.3 million as of September 30, 2025, raising substantial doubts about its ability to continue as a going concern[163]. - The accumulated deficit reached $419 million as of September 30, 2025, indicating significant ongoing financial challenges[174]. - The Company plans to seek partnerships and collaborations to advance the development of its drug candidates and may consider strategic alternatives, including acquisitions[150][153]. - The Company plans to raise additional funds through the issuance and sale of common stock via its ATM program and other funding transactions[164]. - The Company plans to seek additional capital through public or private equity offerings, debt financing, and strategic alliances, which may dilute existing stockholders' ownership[177]. - If adequate funds are not available, the Company may need to delay or reduce the scope of its research, development, and commercialization efforts[178]. - Management's plan includes raising funds through the issuance and sale of common stock via its ATM program, but there is no assurance that such funding will be available on favorable terms[179]. - The Company's financial statements do not include adjustments related to the recoverability and classification of assets or liabilities if it cannot continue as a going concern[179]. - There are no off-balance sheet arrangements or contractual obligations reported[180]. - The Company is classified as a smaller reporting company and is not required to provide certain market risk disclosures[181]. Research and Development Initiatives - The delivery system for IMNN-001 is designed to enhance gene transfer activity while minimizing toxicity, positioning the company favorably in the gene delivery market[93]. - The OVATION 1 Study demonstrated a significant increase in CD8+ T-cells in approximately 75% of patients, suggesting a shift towards a more pro-immune tumor microenvironment[101]. - The company aims to leverage its non-viral DNA technology to develop innovative treatments for various human diseases, differentiating itself from conventional therapies[91]. - The Company has developed the PLACCINE DNA vaccine platform, which targets multiple antigens on a single plasmid vector, potentially offering broad-spectrum protection against viral mutations[134]. - In preclinical studies, the PLACCINE vaccine demonstrated the ability to produce antibodies and cytotoxic T-cell responses specific to the SARS-CoV-2 spike antigen, indicating potential protection against the virus[135]. - The dual antigen vaccine in mouse studies inhibited viral load by 90-95% against both the D614G and Delta variants, showcasing a favorable safety profile[139]. - The Company initiated a Phase I clinical trial for the IMNN-101 seasonal COVID-19 booster vaccine, targeting the Omicron XBB1.5 variant, with 24 subjects enrolled to evaluate safety and immunogenicity[142]. - IMNN-101 induced a persistent 2- to 4-fold increase in serum neutralizing antibody titers from baseline through Week 4, demonstrating strong immunogenicity[143]. - Six months post-vaccination, IMNN-101 showed up to a 3-fold median increase in serum neutralizing antibody titers, with the highest observed increase being 8-fold from baseline[144]. Shareholder and Stock Activity - The Company issued 0.4 million shares of common stock during 2025 and 2024, resulting in approximately $19.0 million in net proceeds[155]. - The Company sold 551,265 shares of common stock under the ATM Agreement for net proceeds of $3.6 million through September 2025[156]. - The Company raised approximately $3.3 million from a private placement of 185,186 shares of common stock and warrants in May 2025[157]. - Clinical costs associated with the OVATION 2 and MRD trials decreased by 70.3% to $0.1 million in Q3 2025 compared to $0.4 million in Q3 2024[165]. - The OVATION Program's R&D costs increased by 263.8% to $0.7 million in Q3 2025, reflecting a strategic focus on this area[166].