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As of the date of this Current Report, Structure Therapeutics Inc. (the "Company") updates and supplements the risk factors disclosed in its Annual Report on Form 10-K for the fiscal year ended

Key Takeaway: Structure Therapeutics Inc. has updated its risk factors in a Current Report, referencing its Annual Report for FY 2023 and Quarterly Report for Q1 2024. The company indicated that clinical and preclinical drug development poses significant uncertainties and risks, including the potential impact of a shortage of non-human primates on their research. Despite some positive interim data for their drug GSBR-1290, challenges related to timelines and regulatory approvals persist, making future success uncertain. The company plans to submit an IND for GSBR-1290's Phase 2b study in the third quarter of 2024.

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POSITIVE FACTORS

  • Reported positive interim data for GSBR-1290 showing safety and tolerability.
  • Demonstrated significant reduction in weight and hemoglobin A1c in preliminary results.
  • Planned IND submission for further clinical study indicates ongoing development.

CONCERNS & RISKS

  • Risks related to the lengthy and expensive drug development process.
  • Global shortage of non-human primates increasing costs and causing potential delays.
  • Clinical trials may not yield anticipated results, leading to financial and operational harm.

Full Press Release Details

of the date of this Current Report, Structure Therapeutics Inc. (the "Company") updates and supplements the risk factors disclosed
in its Annual Report on Form 10-K for the fiscal year ended December 31, 2023 filed with the SEC on March 8, 2024 ("Annual
Report"), as supplemented and updated by the risk factors disclosed in the Company's Quarterly Report on Form 10-Q for
the quarterly period ended March 31, 2024 filed with the SEC on May 9, 2024 ("Quarterly Report"), with the following
risk factors. If any of the risk factors disclosed in the Company's Annual Report or Quarterly Report actually occurs, its business,
prospects, operating results and financial condition could suffer materially, the trading price of its American Depositary Shares could
decline, and you could lose all or part of your investment. The risks and uncertainties described
in the Company's Annual Report and Quarterly Report are not the only ones we face. Additional risks and uncertainties not presently
known to us or that we currently believe to be immaterial also may materially and adversely affect our business, prospects, operating
results and financial condition. Capitalized terms used below which are not defined have the definitions as provided in the Annual Report
and Quarterly Report.
Risks Related to the Discovery, Development
and Regulatory Approval of Product Candidates
Clinical and preclinical drug development
involves a lengthy and expensive process with uncertain timelines and outcomes. The results of prior clinical trials and preclinical studies
are not necessarily predictive of future results, and may not be favorable, or receive regulatory approval on a timely basis, if at all.
Clinical drug development
is expensive and can take many years to complete, and its outcome is inherently uncertain. Our clinical trials may not be conducted as
planned or completed on schedule, if at all, and failure can occur at any time during the preclinical study or clinical trial process.
For example, we depend on the availability of non-human primates ("NHP") to conduct certain preclinical studies that we are
required to complete prior to submitting an investigational new drug application ("IND") and initiating clinical development.
There is currently a global shortage of NHPs available for drug development. This has caused the cost of obtaining NHPs for our preclinical
studies to increase dramatically and, if the shortage continues, could also result in delays to our development timelines. Despite promising
preclinical or clinical results, any product candidate can unexpectedly fail at any stage of preclinical or clinical development. The
historical failure rate for product candidates in our industry is high. Furthermore, the results from clinical trials or preclinical studies
of a product candidate may not predict the results of later clinical trials of the product candidate, and interim results of a clinical
trial are not necessarily indicative of final results. For example, in December 2023, we reported topline and interim data from our
12-week Phase 2a clinical trial, which focused on safety and tolerability of GSBR-1290 in a total of 94 participants, including 60 participants
randomized to GSBR-1290. The results showed GSBR-1290 was generally well-tolerated with no treatment-related SAEs, no adverse event-related
discontinuation in obesity and only one adverse event-related discontinuation in T2DM. Furthermore, GSBR-1290 demonstrated significant
reductions in hemoglobin A1c and weight at 12 weeks in T2DM. We further reported positive topline data from our Phase 2a obesity cohort
in June 2024, in which GSBR-1290 achieved a clinically meaningful and statistically significant placebo-adjusted mean decrease in
weight of 6.2% at 12 weeks and demonstrated generally favorable safety and tolerability results following repeated, daily dosing up to
120mg. Due to the preliminary, topline nature of these results and the length of the study and sample size, these results are not necessarily
indicative of the results for our future clinical trials for GSBR-1290 and may not be comparable to other weight loss products or product
candidates, including other oral selective GLP-1RAs. In addition, given the size of the Phase 2a obesity cohort, the primary efficacy
endpoint of weight loss was calculated using LSM and analyzed based on the primary efficacy estimand using a mixed model for repeated
measures. This means that we drew on all available data, including data from patients that did not follow-up at 12 weeks. The model estimates
how patients with missing data would have responded based on patients who continued the study and had similar baseline characteristics
(implicit imputation). Product candidates in later stages of clinical trials may fail to show the desired safety and efficacy characteristics
despite having progressed through preclinical studies and initial clinical trials. In particular, while we have conducted, or are conducting
certain preclinical studies of our product candidates, the predictive value of these studies with respect to future testing in humans
is limited, particularly in indications where animal models are less developed.
Even if our clinical trials
are completed, the results may not be sufficient to obtain marketing approval for our product candidates. In clinical trials that are
based on preclinical studies and early clinical trials, it is not uncommon to observe unexpected results, and many product candidates
fail in clinical development despite very promising early results. Moreover, preclinical and clinical data may be susceptible to varying
interpretations and analyses. A number of companies in the biopharmaceutical industry have suffered significant setbacks in clinical development
even after achieving promising results in earlier studies. In addition, in some cases, external experts or regulatory authorities disagreed
with such companies' views and interpretations of the data and results from earlier preclinical studies or clinical trials. As we
investigate GSBR-1290 for T2DM and obesity and ANPA-0073 for IPF, we may encounter new and unforeseen difficulties. Similarly any future
product candidates we may develop may not be able to progress from preclinical to Phase 1 clinical development. For the foregoing reasons,
we cannot be certain that our ongoing and planned clinical trials and preclinical studies will be successful. Any of the foregoing occurrences
may harm our business, financial condition and prospects significantly.
Any difficulties or delays in the commencement
or completion, or termination or suspension, of our planned clinical trials could result in increased costs to us, delay or limit our
ability to generate revenue and adversely affect our commercial prospects.
In order to obtain FDA approval
to market our product candidates, we must demonstrate the safety and efficacy of our product candidates in humans to the satisfaction
of the FDA. To meet these requirements, we will have to conduct adequate and well-controlled clinical trials. In addition, before we can
initiate clinical trials for any product candidate, we must submit the results of preclinical studies to the FDA or comparable foreign
regulatory authorities along with other information, including information about product candidate chemistry, manufacturing and controls
and our proposed clinical trial protocol, as part of an IND or similar regulatory submission, and we are also required to submit comparable
applications to foreign regulatory authorities for clinical trials outside of the United States. We plan to submit an IND to the FDA for
our planned Phase 2b study of GSBR-1290 for chronic weight management in the third quarter of 2024 and will need to receive allowance
from the FDA to proceed before initiating this planned study.
Clinical testing is expensive,
time-consuming and subject to uncertainty. Conducting preclinical studies and clinical trials represents a lengthy, time-consuming and
expensive process. The length of time may vary substantially according to the type, complexity and novelty of the program, and often can
be several years or more per program. Delays associated with programs for which we are directly conducting preclinical studies may cause
us to incur additional operating expenses.
Clinical trials may not be
conducted as planned or completed on schedule, if at all. For example, in September 2023 we reported that a data collection omission
had occurred at a clinical site that impacted the obesity cohort (120 mg dose level) of the Phase 2a study for GSBR-1290, where weight
was not collected at the final (week 12) visit for 24 of the 40 enrolled participants. Other safety and laboratory assessments were measured
at all visits, including the week 12 visit as per protocol. We have completed the enrollment of additional participants in the Phase 2a
obesity cohort to replace those for whom 12-week weight data was not collected. The replacement participants will follow the same study
protocol, without changes in the titration schema or target dose (120 mg at once-daily dosing). However, as a result of this data collection
omission, we reported interim Phase 2a obesity cohort data in December 2023, and the full 12-week obesity data in June 2024.
Events that may prevent successful
or timely completion of clinical development include:
We could also encounter delays
if a clinical trial is suspended or terminated by us, by the IRBs of the institutions in which such trials are being conducted, by a Data
Safety Monitoring Board for such trial or by the FDA or applicable foreign authorities. Such authorities may impose such a suspension
or termination due to a number of factors, including failure to conduct the clinical trial in accordance with regulatory requirements
or our clinical protocols, inspection of the clinical trial operations or trial site by the FDA or applicable foreign authorities resulting
in the imposition of a clinical hold, unforeseen safety issues or adverse side effects, failure to demonstrate a benefit from using a
drug, changes in governmental regulations or administrative actions or lack of adequate funding to continue the clinical trial. In addition,
changes in regulatory requirements and policies may occur, and we may need to amend clinical trial protocols to comply with these changes.
Amendments may require us to resubmit our clinical trial protocols to IRBs for reexamination and approval, which may impact the costs,
timing or successful completion of a clinical trial.
Further, conducting clinical
trials in foreign countries, as we may do for our product candidates, presents additional risks that may delay completion of our clinical
trials. These risks include the failure of enrolled patients in foreign countries to adhere to clinical protocols as a result of differences
in healthcare services or cultural customs, managing additional administrative burdens associated with foreign regulatory requirements,
as well as political, currency exchange and other economic risks relevant to such foreign countries. Investigators and patients may not
be able to comply with clinical trial protocols if quarantines impede patient movement or interrupt healthcare services. Similarly, our
ability to recruit and retain patients and principal investigators and site staff which in turn could adversely impact our clinical trial
operations. Additionally, we may experience interruption of key clinical trial activities, such as clinical trial site monitoring, due
to limitations on travel, quarantines or social distancing protocols imposed or recommended by federal or state governments, employers

Frequently Asked Questions

What recent reports have Structure Therapeutics filed?

Structure Therapeutics updated risk factors in its 10-K and 10-Q reports filed with the SEC.

What challenges does drug development face?

Drug development is costly, lengthy, and has uncertain outcomes, often leading to failures.

How does the shortage of non-human primates affect research?

The NHP shortage raises costs and may delay preclinical studies, impacting development timelines.

What was the outcome of GSBR-1290's Phase 2a trial?

GSBR-1290 showed promise with weight reduction and safety, but results are preliminary.

What are the regulatory steps for clinical trials?

Before trials, preclinical results must be submitted to the FDA as part of an IND application.

Last updated: Jun 3, 2024