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APPENDIX 4C QUARTERLY ACTIVITY REPORT Mesoblast Operational and Financial Highlights for Quarter Ended

Key Takeaway: Mesoblast Limited, operational in cellular medicines, reported a 36% increase in revenue from royalties in its quarterly activity report for Q2 2022. Net cash usage for operating activities was reduced by 9% compared to the previous quarter, reflecting improved operational efficiency. The report also highlighted ongoing challenges in the commercial rollout of its products and the significant cash burn that the company continues to face as it advances its development programs.

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POSITIVE FACTORS

  • Revenue from royalties increased 36% to US$1.9 million compared to the previous quarter.
  • Net cash usage for operating activities decreased by 9% from the previous quarter.
  • The company is a leader in developing allogeneic cellular medicines for inflammatory conditions.

CONCERNS & RISKS

  • Despite revenue growth, the net cash usage remains high at US$16.5 million.
  • There are ongoing risks associated with the commercialization and approval of product candidates.

Full Press Release Details

4C QUARTERLY ACTIVITY REPORT
Operational and Financial Highlights for Quarter Ended December 31, 2022
Australia and New York, USA; January 31, 2023: Mesoblast Limited (ASX:MSB; Nasdaq:MESO), global leader in allogeneic cellular medicines
for inflammatory diseases, today provided an activity report for the second quarter ended December 31, 2022.
Revenue from royalties on sales of TEMCELL HS Inj. 1 sold in Japan by our licensee for the quarter increased 36% to US$1.9 million from US$1.4 million for the quarter ended September 30, 2022.
Net cash usage for operating activities in the quarter was US$16.5 million; this represented a reduction of US$1.7 million, or 9%, on the comparative quarter in FY2022, and a reduction of US$14.1 million, or 46%, on the comparative quarter in FY2021. 2
study was performed by the Center for International Blood and Marrow Transplant Research (CIBMTR) on 51 evaluable children with SR-aGVHD
who were enrolled in the phase 3 trial across 20 centers in the US.
survival in the remestemcel-L cohort was 63% at 1 year, 51% at 2 years, and 49% at 4 years, with median survival of 2 to 3 years. In
recently published studies of children or adults with SR-aGVHD who received best available therapy (BAT) or the only FDA-approved agent
for adults, ruxolitinib, 1 year survival was 40-49% and 2 year survival was 25%-38%.3,6-8
payments to full-time Executive Directors were US$324,678 and fees to Non-Executive Directors were US$192,164, detailed in Item 6 of
the Appendix 4C cash flow report for the quarter.9
copy of the Appendix 4C - Quarterly Cash Flow Report for the second quarter FY2023 is attached.
is a world leader in developing allogeneic (off-the-shelf) cellular medicines for the treatment of severe and life-threatening inflammatory
conditions. The Company has leveraged its proprietary mesenchymal lineage cell therapy technology platform to establish a broad portfolio
of late-stage product candidates which respond to severe inflammation by releasing anti-inflammatory factors that counter and modulate
multiple effector arms of the immune system, resulting in significant reduction of the damaging inflammatory process.
has a strong and extensive global intellectual property portfolio with protection extending through to at least 2041 in all major markets.
The Company's proprietary manufacturing processes yield industrial-scale, cryopreserved, off-the-shelf, cellular medicines. These
cell therapies, with defined pharmaceutical release criteria, are planned to be readily available to patients worldwide.
is developing product candidates for distinct indications based on its remestemcel-L and rexlemestrocel-L allogeneic stromal cell technology
platforms. Remestemcel-L is being developed for inflammatory diseases in children and adults including steroid refractory acute graft
versus host disease, biologic-resistant inflammatory bowel disease, and acute respiratory distress syndrome. Rexlemestrocel-L is in development
for advanced chronic heart failure and chronic low back pain. Two products have been commercialized in Japan and Europe by Mesoblast's
licensees, and the Company has established commercial partnerships in Europe and China for certain Phase 3 assets.
has locations in Australia, the United States and Singapore and is listed on the Australian Securities Exchange (MSB) and on the Nasdaq
(MESO). For more information, please see www.mesoblast.com, LinkedIn: Mesoblast Limited and Twitter: @Mesoblast
press release includes forward-looking statements that relate to future events or our future financial performance and involve known
and unknown risks, uncertainties and other factors that may cause our actual results, levels of activity, performance or achievements
to differ materially from any future results, levels of activity, performance or achievements expressed or implied by these forward-looking
statements. We make such forward-looking statements pursuant to the safe harbor provisions of the Private Securities Litigation Reform
Act of 1995 and other federal securities laws. Forward-looking statements should not be read as a guarantee of future performance or
results, and actual results may differ from the results anticipated in these forward-looking statements, and the differences may be material
and adverse. Forward-looking statements include, but are not limited to, statements about: the initiation, timing, progress and results
of Mesoblast's preclinical and clinical studies, and Mesoblast's research and development programs; Mesoblast's ability
to advance product candidates into, enroll and successfully complete, clinical studies, including multi-national clinical trials; Mesoblast's
ability to advance its manufacturing capabilities; the timing or likelihood of regulatory filings and approvals (including BLA resubmission),
manufacturing activities and product marketing activities, if any; the commercialization of Mesoblast's product candidates, if
approved; regulatory or public perceptions and market acceptance surrounding the use of stem-cell based therapies; the potential for
Mesoblast's product candidates, if any are approved, to be withdrawn from the market due to patient adverse events or deaths; the
potential benefits of strategic collaboration agreements and Mesoblast's ability to enter into and maintain established strategic
collaborations; Mesoblast's ability to establish and maintain intellectual property on its product candidates and Mesoblast's
ability to successfully defend these in cases of alleged infringement; the scope of protection Mesoblast is able to establish and maintain
for intellectual property rights covering its product candidates and technology; estimates of Mesoblast's expenses, future revenues,
capital requirements and its needs for additional financing; Mesoblast's financial performance; developments relating to Mesoblast's
competitors and industry; and the pricing and reimbursement of Mesoblast's product candidates, if approved. You should read this
press release together with our risk factors, in our most recently filed reports with the SEC or on our website. Uncertainties and risks
that may cause Mesoblast's actual results, performance or achievements to be materially different from those which may be expressed
or implied by such statements, and accordingly, you should not place undue reliance on these forward-looking statements. We do not undertake
any obligations to publicly update or revise any forward-looking statements, whether as a result of new information, future developments
authorized by the Chief Executive.
more information, please contact:
Corporate Communications / Investors Media
Paul Hughes BlueDot Media
T: +61 3 9639 6036 Steve Dabkowski
E: investors@mesoblast.com T: +61 419 880 486
E: steve@bluedot.net.au
Rubenstein
Tali Mackay
E: tmackay@rubenstein.com
Quarterly cash flow report
for entities subject to Listing Rule 4.7B
Name of entity
Mesoblast Limited
ABN Quarter ended ("current quarter")
68 109 431 870 31 December 2022
Consolidated statement of cash flows Current quarter $US'000 Year to date (6 months) $US'000
1. Cash flows from operating activities
1.1 Receipts from customers
- royalty receipts 1,448 3,667
1.2 Payments for
(a) research and development (5,487) (11,049)
(b) manufacturing commercialization (3,662) (7,679)
(c) product manufacturing and operating costs (1,670) (2,465)
(d) advertising and marketing (573) (1,006)
(e) leased assets - -
(f) staff costs (3,069) (5,205)
(g) other expenses from ordinary activities (3,131) (6,169)
(h) other:
- Intellectual property portfolio expenses (527) (1,112)
1.3 Dividends received (see note 3) - -
1.4 Interest received 147 207
1.5 Interest and other costs of finance paid - -
1.6 Income taxes paid - -
1.7 Government grants and tax incentives 18 18
1.8 Other (provide details if material) - -
1.9 Net cash from / (used in) operating activities (16,506) (30,793)
Quarterly cash flow report for entities subject to Listing Rule 4.7B
Consolidated statement of cash flows Current quarter $US'000 Year to date (6 months) $US'000
2. Cash flows from investing activities
2.1 Payments to acquire or for:
(i) entities - -
(j) businesses - -
(k) property, plant and equipment (34) (187)
(l) investments - -
(m) intellectual property - (50)
(n) other non-current assets - -
2.2 Proceeds from disposal of:
(o) entities - -
(p) businesses - -
(q) property, plant and equipment - -
(r) investments - -
(s) intellectual property - -
(t) other non-current assets - -
2.3 Cash flows from loans to other entities - -
2.4 Dividends received (see note 3) - -
2.5 Other - -
2.6 Net cash from / (used in) investing activities (34) (237)
3. Cash flows from financing activities
3.1 Proceeds from issues of equity securities (excluding convertible debt securities) - 45,065
3.2 Proceeds from issue of convertible debt securities - -
3.3 Proceeds from exercise of options - -
3.4 Transaction costs related to issues of equity securities or convertible debt securities (81) (2,646)
3.5 Proceeds from borrowings - -
Proceeds from issue of warrants - -
3.6 Repayment of borrowings - -
3.7 Transaction costs related to loans and borrowings (65) (216)
Interest and other costs of finance paid (1,375) (2,756)
3.8 Dividends paid - -
3.9 Other (payment of lease liability) (439) (1,109)
3.10 Net cash from / (used in) financing activities (1,960) 38,338
Quarterly cash flow report for entities subject to Listing Rule 4.7B
Consolidated statement of cash flows Current quarter $US'000 Year to date (6 months) $US'000
4. Net increase / (decrease) in cash and cash equivalents for the period
4.1 Cash and cash equivalents at beginning of quarter (October 1, 2022)/beginning of year (July 1, 2022) 85,502 60,447
4.2 Net cash from / (used in) operating activities (item 1.9 above) (16,506) (30,793)
4.3 Net cash from / (used in) investing activities (item 2.6 above) (34) (237)
4.4 Net cash from / (used in) financing activities (item 3.10 above) (1,960) 38,338
4.5 Effect of movement in exchange rates on cash held 617 (136)
4.6 Cash and cash equivalents at end of period 67,619 67,619
Quarterly cash flow report for entities subject to Listing Rule 4.7B
5. Reconciliation of cash and cash equivalents at the end of the quarter (as shown in the consolidated statement of cash flows) to the related items in the accounts Current quarter $US'000 Previous quarter $US'000
5.1 Bank balances 67,213 85,112
5.2 Call deposits - -
5.3 Bank overdrafts - -
5.4 Other (Term deposits) 406 390
5.5 Cash and cash equivalents at end of quarter (should equal item 4.6 above) 67,619 85,502
6. Payments to related parties of the entity and their associates Current quarter $US'000
6.1 Aggregate amount of payments to related parties and their associates included in item 1 517
6.2 Aggregate amount of payments to related parties and their associates included in item 2 -
Note: if any amounts are shown in items 6.1 or 6.2, your quarterly activity report must include a description of, and an explanation for, such payments.
Quarterly cash flow report for entities subject to Listing Rule 4.7B
7. Financing facilities Note: the term "facility' includes all forms of financing arrangements available to the entity. Add notes as necessary for an understanding of the sources of finance available to the entity. Total facility amount at quarter end $US'000 Amount drawn at quarter end $US'000
7.1 Loan facilities 130,000* 90,000*
7.2 Credit standby arrangements - -
7.3 Other (please specify) - -
7.4 Total financing facilities 130,000* 90,000*
7.5 Unused financing facilities available at quarter end 40,000*
7.6 Include in the box below a description of each facility above, including the lender, interest rate, maturity date and whether it is secured or unsecured. If any additional financing facilities have been entered into or are proposed to be entered into after quarter end, include a note providing details of those facilities as well.
* Loan facility with Oaktree Capital Management, Inc. On November 19, 2021, Mesoblast refinanced its senior debt facility with a new US$90.0 million secured five-year credit facility provided by funds managed by Oaktree Capital Management, L.P. ("Oaktree"). Mesoblast drew the first tranche of US$60.0 million on closing, the remaining US$30.0 million is available subject to achieving certain milestones on or before September 30, 2023. The loan has an initial interest only period of three years, at a fixed rate of 9.75% per annum, after which time 40% of the principal is payable over two years and a final payment due no later than November 2026. The loan interest rate is fixed and as at December 31, 2022 the interest rate was 9.75%. In the year to date at December 31, 2022, 8% interest was paid in cash, while 1.75% interest was not paid in cash, instead it was paid in kind (PIK) and accrued onto the loan balance outstanding. *Loan facility with NovaQuest Capital Management, L.L.C. On June 29, 2018, Mesoblast entered into a Loan and Security Agreement with NovaQuest Capital Management, L.L.C. ("NovaQuest") for a non-dilutive US$40.0 million secured eight-year term loan. Mesoblast drew the first tranche of US$30.0 million of the loan on closing. An additional US$10.0 million from the loan will be drawn on marketing approval of remestemcel-L for the treatment in pediatric patients with steroid-refractory acute graft versus host disease ("SR-aGVHD") by the United States Food and Drug Administration (FDA). The loan term includes an interest only period of approximately four years through until July 8, 2022, then a four-year amortization period through until maturity. All interest and principal payments will be deferred until after the first commercial sale of remestemcel-L in the treatment of pediatric patients with SR-aGVHD. Principal is repayable in equal quarterly instalments over the amortization period of the loan based on a percentage of net sales and are limited by a payment cap. The loan has a fixed interest rate of 15% per annum. The financing is subordinated to the senior creditor, Oaktree.
Quarterly cash flow report for entities subject to Listing Rule 4.7B
8. Estimated cash available for future operating activities $US'000
8.1 Net cash from / (used in) operating activities (item 1.9) (16,506)
8.2 Cash and cash equivalents at quarter end (item 4.6) 67,619
8.3 Unused finance facilities available at quarter end (item 7.5) 40,000*
8.4 Total available funding (item 8.2 + item 8.3) 107,617
8.5 Estimated quarters of funding available (item 8.4 divided by item 8.1) 6.5
Note: if the entity has reported positive net operating cash flows in item 1.9, answer item 8.5 as "N/A". Otherwise, a figure for the estimated quarters of funding available must be included in item 8.5. * Under the Oaktree senior debt facility US$30.0 million is available subject to achieving certain milestones on or before September 30, 2023. Under the NovaQuest loan facility, an additional US$10.0 million from the loan will be drawn on marketing approval of RYONCIL by the United States Food and Drug Administration (FDA).
8.6 If item 8.5 is less than 2 quarters, please provide answers to the following questions:
8.6.1 Does the entity expect that it will continue to have the current level of net operating cash flows for the time being and, if not, why not?
Answer: Not applicable
8.6.2 Has the entity taken any steps, or does it propose to take any steps, to raise further cash to fund its operations and, if so, what are those steps and how likely does it believe that they will be successful?
Answer: Not applicable
8.6.3 Does the entity expect to be able to continue its operations and to meet its business objectives and, if so, on what basis?
Answer: Not applicable
Note: where item 8.5 is less than 2 quarters, all of questions 8.6.1, 8.6.2 and 8.6.3 above must be answered.
Authorised by: Chief Executive
(Name of body or officer authorising release - see note 4)
Quarterly cash flow report for entities subject to Listing Rule 4.7B

Frequently Asked Questions

What was Mesoblast's Q2 2023 revenue?

Mesoblast reported a Q2 2023 revenue increase to US$1.9 million.

How much did Mesoblast reduce cash usage in Q2 FY2023?

Cash usage decreased by US$1.7 million, or 9%, compared to Q2 FY2022.

What is remestemcel-L used for?

Remestemcel-L is developed for severe inflammatory diseases, including SR-aGVHD.

Where does Mesoblast operate?

Mesoblast has locations in Australia, the US, and Singapore.

What is Mesoblast's financial performance focus?

The focus is on advancing product candidates and ensuring regulatory approvals.

Last updated: Feb 1, 2023