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Acumen Pharmaceuticals(ABOS) - 2024 Q3 - Earnings Call Transcript

Financial Data and Key Metrics Changes - As of September 30, the company had approximately $259 million in cash and marketable securities, with an expected cash runway lasting into the first half of 2027 [18] - R&D expenses for Q3 2024 were $27.2 million, primarily due to increased spending for the ALTITUDE-AD trial, representing an increase compared to the prior year [18] - The company reported a loss from operations of $32.3 million and a net loss of $29.8 million for the quarter, with a net cash burn of approximately $23 million [19] Business Line Data and Key Metrics Changes - The ALTITUDE-AD Phase II study is currently enrolling over 540 patients with mild cognitive impairment or mild dementia due to Alzheimer’s, with more than 75 sites active across North America, the U.K., and the EU [7][8] - Enrollment in the ALTITUDE-AD trial has progressed faster than expected, with completion anticipated in the first half of 2025 [8] Market Data and Key Metrics Changes - The company is positioned to capitalize on advancements in the Alzheimer’s field, particularly with anti-A-beta disease-modifying treatments [10] - Blood-based biomarkers are becoming increasingly important in clinical research and drug development, with the company utilizing a plasma phospho-tau 217 assay for participant screening in the ALTITUDE-AD trial [11] Company Strategy and Development Direction - The company aims to advance the clinical development of sabirnetug efficiently, with a focus on its mechanism of action targeting toxic A-beta oligomers [17] - The appointment of Dr. Amy Schacterle as Chief Regulatory Officer is expected to enhance the company’s regulatory strategy and product development efforts [15] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the ongoing execution of clinical trials and the potential of sabirnetug as a next-generation treatment option for Alzheimer’s [19] - The company is committed to exploring subcutaneous formulations of sabirnetug to provide a more convenient treatment option [27] Other Important Information - The company reported a significant reduction in the incidence of negative amyloid PET scans by about 50% compared to the Phase I study, contributing to rapid enrollment in the ALTITUDE-AD trial [12] - The company hosted a virtual R&D Day to discuss the scientific rationale supporting sabirnetug and its clinical plans [14] Q&A Session Summary Question: What kind of data can be expected from the subcutaneous study? - The Phase I study is evaluating pharmacokinetics and bioavailability of subcutaneous sabirnetug compared to IV, with specific next steps to be determined after data analysis [21] Question: Thoughts on taking an interim look at 6 months for ALTITUDE-AD? - Management clarified that there are no plans for interim results; the study is designed to preserve statistical power and integrity [23][24] Question: Confidence in having enough data for pivotal studies with subcutaneous formulation? - Management indicated that they need to see Phase I data before predicting the next steps for subcutaneous formulation [26] Question: What indicators will suggest that ALTITUDE-AD remains on track? - The rapid enrollment rate in the ALTITUDE-AD trial is a positive indicator, with expectations to complete enrollment in the first half of 2025 [30] Question: How is the patient population for ALTITUDE-AD being targeted? - The study targets patients with mild cognitive impairment or mild dementia, focusing on those with demonstrated Alzheimer’s pathology [35] Question: Why has ARIA burden been less with sabirnetug? - The company anticipated lower ARIA rates due to sabirnetug's specific targeting of oligomers, and the Phase I study confirmed this expectation [41]