Recent Updates
Recently added Catalysts
RZLT Positive Sentiment Score: 75/100

Rezolute to Initiate a Pivotal Phase 3 Study of RZ358 in Participants 3 Months of Age and Older with Congenital Hyperinsulinism Study to be initiated in Europe and other ex-US geographies in Q4 2023, with topline results

Key Takeaway: Rezolute, Inc. plans to initiate a pivotal Phase 3 study for RZ358, targeting congenital hyperinsulinism in patients aged 3 months and older. The study, named sunRIZE, is set to begin in Q4 2023 in Europe and other regions outside the US, with topline results anticipated in the first half of 2025. While the company has secured alignment with European regulators, it faces challenges in the US due to FDA restrictions on age and dosing for the drug. Rezolute is exploring nonclinical studies to address these regulatory concerns as they advance the trial in other markets.

Market Sentiment Analysis

POSITIVE FACTORS

  • Initiation of a pivotal Phase 3 study for RZ358 indicates progress in the treatment of congenital hyperinsulinism.
  • The study is aligned with European authorities, showing regulatory support.
  • Previous studies indicate RZ358 is effective and well-tolerated in patients.

CONCERNS & RISKS

  • FDA maintains an age restriction of 12 years and older for RZ358 studies, limiting US participation.
  • Dose level restrictions based on historical toxicology findings complicate the inclusion of US pediatric patients.
  • The need for additional nonclinical studies to address FDA concerns could delay progress.

Full Press Release Details

Rezolute to Initiate a Pivotal Phase 3 Study of
RZ358 in Participants 3 Months of Age and Older with Congenital Hyperinsulinism
Study to be initiated
in Europe and other ex-US geographies in Q4 2023, with topline results expected 1H 2025
Conference call scheduled
today at 4:30 p.m. ET
CITY, Calif., June 27, 2023 (GLOBE NEWSWIRE) -- Rezolute, Inc. (Nasdaq:
RZLT), a clinical-stage biopharmaceutical company dedicated to developing transformative therapies with the potential to disrupt current
treatment paradigms for devastating metabolic diseases, today provided an update on its clinical development plans for RZ358, the Company's
product candidate for congenital hyperinsulinism (congenital HI). Rezolute plans to initiate sunRIZE, a pivotal Phase 3 clinical
study of RZ358 in Europe and other geographies outside the US in Q4 2023, with topline results anticipated in the first half of 2025.
The sunRIZE study is a randomized, double-blind, placebo-controlled, parallel arm evaluation of RZ358 in participants with congenital
HI who are not adequately responding to standard of care medical therapies. The Phase 3 study follows the Company's successful Phase
2b RIZE study which demonstrated that RZ358 was generally safe and well-tolerated, as well as highly effective in improving hypoglycemia
in participants who were failing available medical therapies.
The Company has concluded its pre-Phase 3 regulatory
and scientific advice meetings with European health authorities and has reached agreement on the sunRIZE study design, that will include
participants 3 months of age and older. In the US, the Company has had similar interactions with the US Food and Drug Administration (FDA),
culminating in a meeting held with the agency on May 24, 2023, and FDA has maintained an existing age restriction of 12 years and older
on RZ358 clinical studies and implemented dose level restrictions for RZ358 based on historical rat toxicology findings. The FDA restrictions
make it infeasible to include the US in the sunRIZE study at this time, particularly given that the pediatric population with congenital
HI has the greatest therapeutic need. The Company is evaluating potential nonclinical studies to address FDA's concerns in parallel
with the initiation and advancement of sunRIZE outside of the US.
Charles Elam, Rezolute's Founder and Chief Executive Officer, stated, "We believe that RZ358 has tremendous
potential to fulfill a significant unmet need for patients and families living with congenital HI around the world and we are
delighted to have alignment for sunRIZE with regulators outside of the US. We believe that there may be a path forward to address
FDA's nonclinical concerns and ensure that patients in the US have access to RZ358 should the therapy continue to demonstrate
good safety and efficacy and be eligible for regulatory approval."
More information on sunRIZE and related regulatory
interactions can be found in a filing made today on Form 8-K filed with the US Securities and Exchange Commission.
Conference Call Information
will host a conference call today, June 27, 2023, at 4:30 p.m. EDT. To access the
conference call, dial 1-877-270-2148 from the U.S. and Canada or 1-412-902-6510 internationally and ask to be joined into the Rezolute
call. The live audio webcast of the call will be available under " Events" in the Investor section of the Company's website
About Congenital Hyperinsulinism (HI)
Congenital HI is the
most common cause of recurrent and persistent hypoglycemia in children. Patients with congenital HI typically present with with signs
or symptoms of hypoglycemia within the first month of life. These episodes can result in significant brain injury and death if not recognized
and managed appropriately. Additionally, recurrent, or cumulative, hypoglycemia can lead to progressive and irreversible damage over time,
including serious and devastating brain injury, seizures, neuro-developmental problems, feeding difficulties, and significant impact on
patient and family quality of life. The two most-commonly used long-term medications, diazoxide and somatostatin analogs, are not Food
and Drug Administration (FDA) approved for all forms of this condition and often are ineffective or have intolerable side effects. In
cases of congenital HI that are unresponsive to medical management, surgical removal of the pancreas may be required. In those with diffuse
congenital HI where the whole pancreas is affected, a near-total pancreatectomy can be undertaken, although about half of these children
will continue to have hypoglycemia and require medical treatment for congenital HI.
RZ358 is a human monoclonal antibody that
binds to a unique allosteric site on insulin receptors in the liver, fat, and muscle. The antibody counteracts the effects of elevated
insulin in the body by modifying insulin's binding, signaling, and activity to maintain glucose levels in a normal range. Rezolute believes
that RZ358 is ideally suited as a potential therapy for congenital hyperinsulinism (HI) and other conditions characterized by excessive
insulin levels. As RZ358 acts downstream from the beta cells, it has the potential to be universally effective at treating congenital
HI, regardless of the causative genetic defect.
RZ358 received Orphan Drug Designation in
the United States and European Union as well as Pediatric Rare Disease Designation in the US.
strives to disrupt current treatment paradigms by developing transformative therapies for devastating rare and chronic metabolic diseases.
Its novel therapies hold the potential to both significantly improve outcomes and reduce the treatment burden for patients, the treating
physician, and the healthcare system. Patient, clinician, and advocate voices are integrated in the Company's drug development process,
enabling Rezolute to boldly address a range of severe conditions. Rezolute is steadfast in its mission to create profound, positive, and
lasting impact on patients' lives. The Company's lead clinical asset, RZ358, is in late-stage development for the treatment
of congenital hyperinsulinism, a rare pediatric endocrine disorder. Rezolute is also developing RZ402, an orally available plasma kallikrein
inhibitor, for the treatment of diabetic macular edema. For more information, visit www.rezolutebio.com or
release, like many written and oral communications presented by Rezolute and our authorized officers, may contain certain forward-looking
statements regarding our prospective performance and strategies within the meaning of Section 27A of the Securities Act and Section 21E
of the Securities Exchange Act of 1934, as amended. We intend such forward-looking statements to be covered by the safe harbor provisions
for forward-looking statements contained in the Private Securities Litigation Reform Act of 1995 and are including this statement for
purposes of said safe harbor provisions. Forward-looking statements, which are based on certain assumptions and describe future plans,
strategies, and expectations of Rezolute, are generally identified by use of words such as "anticipate," "believe,"
"estimate," "expect," "intend," "plan," "project," "seek," "strive,"
"try," or future or conditional verbs such as "could," "may," "should," "will," "would,"
or similar expressions. These forward-looking statements include, but are not limited to, statements regarding
future events and results, clinical trial plans and the locations of such clinical trials, the timing of the release of Phase 3 clinical
trial results, our ability to address FDA's concerns through additional nonclinical studies, our ability to conduct the Phase 3
study in Europe and throughout the world, the effectiveness or future effectiveness of RZ358. Our ability to predict results or the actual
effects of our plans or strategies is inherently uncertain. Accordingly, actual results may differ materially from anticipated results.
Readers are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date of this release.
Except as required by applicable law or regulation, Rezolute undertakes no obligation to update these forward-looking statements to reflect
events or circumstances that occur after the date on which such statements were made. Important factors that may cause such a difference
include any other factors discussed in Rezolute's filings with the SEC, including the Risk Factors contained in the Rezolute's
Annual Report on Form 10-K and Quarterly Reports on Form 10-Q, which are available at the SEC's website at www.sec.gov.
You are urged to consider these factors carefully in evaluating the forward-looking statements in this release and are cautioned not
to place undue reliance on such forward-looking statements, which are qualified in their entirety by this cautionary statement.
Canale Communications, Inc.

Frequently Asked Questions

What is the sunRIZE study?

The sunRIZE study is a pivotal Phase 3 clinical trial evaluating RZ358 for congenital hyperinsulinism.

When will the sunRIZE study begin?

The sunRIZE study is set to begin in Q4 2023.

Who will participate in the sunRIZE study?

Participants aged 3 months and older with congenital hyperinsulinism will be included.

What are the expected results timeline?

Topline results from the sunRIZE study are expected in the first half of 2025.

Where will the sunRIZE study be conducted?

The study will take place in Europe and other geographies outside the US.

Last updated: Jun 27, 2023