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Outlook Therapeutics Reports Financial Results for Fiscal Year 2023 and Reiterates ONS-5010 Clinical and Regulatory Path Forward in the U.S. and EU Commencement of ONS-5010 NORSE EIGHT clinical trial targeted for first c

Key Takeaway: Outlook Therapeutics has reported its financial results for fiscal year 2023, highlighting a net loss of $59 million and an anticipated FDA response on its NORSE EIGHT trial protocol by February 2024. The company reiterated its commitment to ONS-5010, an investigational ophthalmic formulation of bevacizumab. Significant milestones include the expected commencement of the NORSE EIGHT clinical trial and a decision regarding its European Marketing Authorization Application in the first half of 2024. Outlook also aims to resubmit the Biologics License Application by the end of 2024.

Market Sentiment Analysis

POSITIVE FACTORS

  • Clinical trial commencement for ONS-5010 expected in early 2024.
  • Potential for European approval anticipated in the first half of 2024.
  • Net loss decreased compared to the previous fiscal year.

CONCERNS & RISKS

  • Net loss attributable to common stockholders was $59.0 million.
  • FDA did not approve the BLA during the previous review cycle.

Full Press Release Details

Outlook Therapeutics Reports Financial Results for Fiscal Year 2023 and Reiterates ONS-5010 Clinical and
Regulatory Path Forward in the U.S. and EU
Commencement of ONS-5010 NORSE EIGHT clinical trial targeted for first calendar quarter of 2024
Company reaffirms potential for European approval for ONS-5010 with Marketing Authorization Application (MAA) decision date anticipated in the first half of 2024
Resubmission of the ONS-5010 Biologics License Application (BLA) expected by the end of calendar year 2024
N.J., December 22, 2023 - Outlook Therapeutics, Inc. (Nasdaq: OTLK), a
biopharmaceutical company working to achieve U.S. Food and Drug Administration (FDA) approval for the first ophthalmic formulation of
bevacizumab for the treatment of retinal diseases, today announced recent corporate highlights and financial results for its fiscal year
ended September 30, 2023.
"We remain committed to working with the
FDA to design and undertake the additional clinical study for ONS-5010 that, if successful, will satisfy the FDA's requirements
for approval," commented Russell Trenary, President and Chief Executive Officer of Outlook Therapeutics. "The patient need
for an ophthalmic approved bevacizumab remains and we are steadfast in our mission to meet this need."
Upcoming Anticipated Milestones
FDA response on NORSE EIGHT Special Protocol Assessment (SPA) in early February 2024;
Commencement of NORSE EIGHT expected in first calendar quarter of 2024;
MAA decision date in the EU for ONS-5010 expected targeted for first half of 2024;
Completion of NORSE EIGHT in the U.S. anticipated in 2024; and
Resubmission of the ONS-5010 BLA expected by the end of calendar year 2024.
ONS-5010 / LYTENAVA (bevacizumab-vikg)
announced, following a Type A meeting with the FDA held in
October 2023, the FDA informed Outlook Therapeutics that it can conduct a non-inferiority study evaluating ONS-5010 versus
ranibizumab in a 3-month study of treatment na ve patients with a primary efficacy endpoint at 2 months. Subsequently, as
discussed with and recommended by the FDA, Outlook Therapeutics submitted a clinical trial protocol and requested a Type A meeting
with the FDA for feedback. The FDA has already provided written feedback on the protocol, which Outlook Therapeutics has
incorporated. The revised protocol is the subject of the SPA request, in which Outlook Therapeutics is seeking further confirmation
from the FDA that NORSE EIGHT, if successful, addresses the FDA's requirement for a second adequate and well-controlled
clinical trial to support the resubmission of the ONS-5010 BLA for wet AMD. The FDA is expected to provide a response to the SPA by
early February 2024.
NORSE EIGHT will be a randomized, controlled,
parallel-group, masked study of neovascular age-related macular degeneration subjects randomized in a 1:1 ratio to receive 1.25 mg ONS-5010
or 0.5 mg ranibizumab intravitreal injections. Subjects will receive injections at Day 0 (randomization), Week 4, and Week 8 visits. Approximately
400 patients are expected to be enrolled in the study.
the Company previously announced that it submitted an MAA in Europe, which was validated for review in December 2022. The formal review
process of the MAA by the European Medicines Agency (EMA) Committee for
Medicinal Products for Human Use (CHMP) is underway with an estimated decision date expected in the first half of 2024. In addition to
pursuing potential strategic partnering opportunities in the EU and other regions, such as the current partnership with Syntone Biopharma
JV in China, Outlook Therapeutics is also exploring potential expanded relationships with Cencora (formerly AmerisourceBergen) to support
the launch of ONS-5010 in international markets.
If approved, ONS-5010 / LYTENAVA (bevacizumab-vikg)
will be the first FDA approved ophthalmic formulation of bevacizumab.
Financial Highlights for the 2023 Fiscal Year
Ended September 30, 2023
For the fiscal year ended September 30, 2023,
Outlook Therapeutics reported a net loss attributable to common stockholders of $59.0 million, or $0.24 per basic and diluted share, compared
to a net loss attributable to common stockholders of $66.1 million, or $0.31 per basic and diluted share, for the prior fiscal year.
As of September 30, 2023, Outlook Therapeutics had cash and cash equivalents of $23.4 million. On December 21, 2023, Outlook Therapeutics
reached an agreement with the holder of its outstanding convertible promissory note to extend the maturity until April 1, 2024.
About ONS-5010 / LYTENAVA (bevacizumab-vikg)
ONS-5010 is an investigational ophthalmic formulation of bevacizumab under development as an intravitreal injection for the treatment
of wet AMD and other retinal diseases. Because no FDA-approved ophthalmic formulations of bevacizumab are available currently, clinicians
wishing to treat retinal patients with bevacizumab have had to use unapproved repackaged IV bevacizumab provided by compounding pharmacies-products
that have known risks of contamination and inconsistent potency and availability. If approved, ONS-5010 would provide an FDA-approved
option for physicians that currently prescribe unapproved repackaged oncologic IV bevacizumab from compounding pharmacies for the treatment
Bevacizumab-vikg is a recombinant humanized monoclonal
antibody (mAb) that selectively binds with high affinity to all isoforms of human vascular endothelial growth factor (VEGF) and neutralizes
VEGF's biologic activity through a steric blocking of the binding of VEGF to its receptors Flt-1 (VEGFR-1) and KDR (VEGFR-2) on
the surface of endothelial cells. Following intravitreal injection, the binding of bevacizumab-vikg to VEGF prevents the interaction of
VEGF with its receptors on the surface of endothelial cells, reducing endothelial cell proliferation, vascular leakage, and new blood
vessel formation in the retina.
About Outlook Therapeutics, Inc.
Outlook Therapeutics
is a biopharmaceutical company working to achieve FDA approval for the launch of ONS-5010/ LYTENAVA (bevacizumab-vikg) as the
first FDA-approved ophthalmic formulation of bevacizumab for use in retinal indications, including wet AMD, DME and BRVO. The FDA accepted
Outlook Therapeutics' BLA submission for ONS-5010 to treat wet AMD with an initial PDUFA goal date of August 29, 2023; the FDA
did not approve the BLA during this review cycle and the Company is working with the FDA to address the issues that have been raised
so that the BLA may be re-submitted. If ONS-5010 ophthalmic bevacizumab is approved, Outlook Therapeutics expects to commercialize it
as the first and only FDA-approved ophthalmic formulation of bevacizumab for use in treating retinal diseases in the United States, United
Kingdom, Europe, Japan, and other markets. As part of the Company's multi-year commercial planning process, Outlook Therapeutics
and Cencora entered into a strategic commercialization agreement to expand the Company's reach for connecting to retina specialists
and their patients. Cencora will provide third-party logistics (3PL) services and distribution, as well as pharmacovigilance services
and other services in the United States. For more information, please visit www.outlooktherapeutics.com.
Forward-Looking Statements
This press release contains forward-looking statements. All statements other than statements of historical facts are "forward-looking
statements," including those relating to future events. In some cases, you can identify forward-looking statements by terminology
such as "anticipate," "believe," "continue," "estimate," "expect," "intend,"
"may," "optimistic," "plan," "potential," "target," "will," or
"would" the negative of terms like these or other comparable terminology, and other words or terms of similar meaning. These
include, among others, statements about ONS-5010's potential as the first FDA-approved ophthalmic formulation of bevacizumab-vikg,
expectations concerning our ability to remediate or otherwise resolve deficiencies identified in the CRL issued by the FDA, including
with respect to an additional clinical trial and CMC issues, expectations concerning the NORSE EIGHT trial design, the timing for initiation
and completion of NORSE EIGHT and resubmission of the BLA for ONS-5010, expectations concerning decisions of regulatory bodies, including
the FDA and EMA, and the timing thereof, plans for potential commercial launch of ONS-5010, expectations concerning the relationship with
Cencora and the benefits and potential expansion thereof, and other statements that are not historical fact. Although Outlook Therapeutics
believes that it has a reasonable basis for the forward-looking statements contained herein, they are based on current expectations about
future events affecting Outlook Therapeutics and are subject to risks, uncertainties and factors relating to its operations and business
environment, all of which are difficult to predict and many of which are beyond its control. These risk factors include those risks associated
with developing pharmaceutical product candidates, risks of conducting clinical trials and risks in obtaining necessary regulatory approvals,
the content and timing of decisions by the FDA, as well as those risks detailed in Outlook Therapeutics' filings with the Securities
and Exchange Commission (the "SEC"), including the Annual Report on Form 10-K for the fiscal year ended September 30, 2023,
to be filed with the SEC, and future quarterly reports we file with the SEC, which include uncertainty of future impacts related to macroeconomic
factors, including as a result of the ongoing overseas conflict, high interest rates, inflation and potential future bank failures on
the global business environment. These risks may cause actual results to differ materially from those expressed or implied by forward-looking
statements in this press release. All forward-looking statements included in this press release are expressly qualified in their entirety
by the foregoing cautionary statements. You are cautioned not to place undue reliance on these forward-looking statements, which speak
only as of the date hereof. Outlook Therapeutics does not undertake any obligation to update, amend or clarify these forward-looking statements
whether as a result of new information, future events or otherwise, except as may be required under applicable securities law.
Chief Executive Officer
Outlook Therapeutics, Inc.
Consolidated Statements of Operations
(Amounts in thousands, except
Year ended September 30,
2023 2022
Operating expenses:
Research and development $ 26,453 $ 42,331
General and administrative 26,673 20,740
53,126 63,071
Loss from operations (53,126 ) (63,071 )
Loss on equity method investment 11 49
Interest expense, net 1,560 1,487
Loss on extinguishment of debt 578 1,025
Change in fair value of promissory notes 3,756 883
Change in fair value of warrant liability (51 ) (466 )
Loss before income taxes (58,980 ) (66,049 )
Income tax expense 3 3
Net loss attributable to common stockholders $ (58,983 ) $ (66,052 )
Per share information:
Net loss per share of common stock, basic and diluted $ (0.24 ) $ (0.31 )
Weighted average shares outstanding, basic and diluted 250,177 212,079
Consolidated Balance Sheet Data
(Amounts in thousands)
September 30,
2023 2022
Cash and cash equivalents $ 23,392 $ 17,397
Total assets $ 32,301 $ 28,528
Current liabilities $ 46,732 $ 19,730
Total stockholders' (deficit) equity $ (14,438 ) $ 8,737

Frequently Asked Questions

What is ONS-5010?

ONS-5010 is an investigational ophthalmic formulation of bevacizumab for treating retinal diseases.

When will the NORSE EIGHT trial start?

The NORSE EIGHT trial is expected to commence in the first quarter of 2024.

What is the status of the MAA for ONS-5010 in Europe?

The MAA for ONS-5010 is under formal review in Europe, with a decision expected in 2024.

What is the financial status of Outlook Therapeutics?

For FY 2023, Outlook Therapeutics reported a net loss of $59.0 million.

What is the significance of ONS-5010 if approved?

If approved, ONS-5010 will be the first FDA-approved ophthalmic formulation of bevacizumab.

Last updated: Dec 22, 2023