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Aadi Bioscience Provides PRECISION1 Trial and Corporate Updates PRECISION1 tumor-agnostic trial unlikely to meet regulatory threshold to support an accelerated approval and will be halted Aadi will focus on FYARRO commer

Key Takeaway: Aadi Bioscience has announced that it will halt its PRECISION1 trial after an independent analysis indicated it is unlikely to meet regulatory approval thresholds. The company plans to shift its focus to its commercial product, FYARRO, which generated $6.2M in sales last quarter, and will conduct a strategic review to enhance shareholder value. Due to cash preservation measures, Aadi is reducing its R&D workforce by 80% and pausing new patient enrollment in two ongoing Phase 2 trials.

Market Sentiment Analysis

POSITIVE FACTORS

  • Aadi's marketed product, FYARRO, has shown sales of $6.2M.
  • The company is focusing on its commercial business for the approved indication.
  • Patients benefiting from nab-sirolimus will have the option for expanded access.

CONCERNS & RISKS

  • The PRECISION1 trial is being halted as it is unlikely to meet the regulatory threshold for accelerated approval.
  • Aadi is reducing its R&D workforce by 80%, indicating severe operational cuts.
  • Future trials for endometrioid-type endometrial cancer (EEC) and neuroendocrine tumors (NETs) are on hold for new enrollment.

BiopharmaWatch Analysis

From our catalyst data and publicly available data · not financial advice
Cash runway
~38 mo
Minimal dilution risk
Lead asset
HWK-016, MUCIN-16-targeted ADC
Phase 1 · PROC

Full Press Release Details

Aadi Bioscience Provides PRECISION1 Trial and Corporate Updates
PRECISION1 tumor-agnostic trial unlikely to meet regulatory threshold to support an accelerated approval and will be halted
Aadi will focus on FYARRO commercial business for its approved indication, PEComa,
and conduct a comprehensive strategic review to maximize shareholder value
To further preserve cash position, Aadi will adjust
ongoing Phase 2 trials and reduce R&D headcount by 80%, thereby extending cash runway into at least 2H 2026
LOS ANGELES, CA, August 20, 2024
Aadi Bioscience, Inc. (NASDAQ: AADI) today announced it will halt the registration-intended PRECISION1 trial of nab-sirolimus in patients with solid tumors harboring TSC1 or TSC2 inactivating alterations. An analysis by
the Independent Data Monitoring Committee demonstrated that the study was unlikely to exceed an efficacy threshold necessary to support an accelerated approval, the key goal of this Phase 2 study. The approximately 25 patients in PRECISION1 who are
still benefiting from nab-sirolimus will be eligible for transition to a planned expanded access protocol, and a complete analysis of the PRECISION1 trial will be provided at a later date.
Aadi will now focus on preserving cash while maximizing its commercial business. Aadi s marketed product, FYARRO , is the only preferred treatment for patients with advanced malignant PEComa, a rare and aggressive cancer. In the second quarter of this year, FYARRO delivered sales of $6.2M.
To further preserve cash runway, Aadi will pause new enrollment, but continue dosing previously enrolled patients, in two, ongoing Phase 2 trials of
nab-sirolimus for advanced or recurrent endometrioid-type endometrial cancer (EEC) and neuroendocrine tumors (NETs). Both studies have enrolled sufficient patients (n=20 and n=10 for EEC and NETs, respectively) to assess initial efficacy
signals later this year. Aligned to these pipeline adjustments, the Company is reducing its Research & Development workforce by 80%. Together these actions extend cash runway into at least 2H 2026.
We are humbled by the effort of the investigators, support staff, and most importantly, the patients and their families who took part in PRECISION1.
While nab-sirolimus showed monotherapy activity in the study population, the trial fell short of delivering what we believe would be required to support an accelerated approval in the broad TSC1/TSC2 inactivating mutations indication.
We look forward to providing the full trial analysis at a later date, said David Lennon, President and CEO of Aadi Bioscience. I want to thank the dedicated Aadi employees who worked tirelessly on this trial and are negatively impacted
by this outcome. Given the change in the development pipeline, we have taken the necessary steps to immediately preserve cash runway, and have hired an advisory firm to explore all options to maximize value for shareholders.
About Aadi Bioscience
Aadi is a precision oncology company focused on the commercialization of FYARRO for the treatment of
adult patients with locally advanced unresectable or metastatic malignant perivascular epithelioid cell tumor (PEComa). More information on the Company is available on the Aadi website at www.aadibio.com and connect with us on Twitter and LinkedIn.
Forward-Looking Statements
contains certain forward-looking statements regarding the business of Aadi Bioscience that are not a description of historical facts within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements are based on
the Company s current beliefs and expectations and may include, but are not limited to, statements relating to: the Company s cash runway extending into the second half of 2026; the Company s strategic review; the Company s
workforce reduction; the anticipated timing of data releases of the Company s clinical trials, including the analysis of the PRECISION1 trial and initial efficacy signals of the EEC and NETS trials; and the sufficiency of the Company s
existing capital resources and the expected timeframe to fund the Company s future operating expenses and capital expenditure requirements. Actual results could differ materially from those anticipated in such forward-looking statements as a
result of these risks and uncertainties, which include, without limitation, risks associated with the ability to successfully commercialize FYARRO; the risk that unforeseen adverse reactions or side effects may occur in the course of
commercializing, developing and testing FYARRO; uncertainties associated with the clinical development and regulatory approval of FYARRO in additional indications; failure to demonstrate the efficacy of FYARRO in clinical trials for additional
indications; and risks related to the Company s estimates regarding future expenses, capital requirements and need for additional financing.
Additional risks and uncertainties that could cause actual outcomes and results to differ materially from those contemplated by the forward-looking statements
are included in the Company s Annual Report on Form 10-K for the fiscal year ended December 31, 2023, including under the caption Item 1A. Risk Factors, and in Aadi s subsequent
Quarterly Reports on Form 10-Q, and elsewhere in Aadi s reports and other documents that Aadi has filed, or will file, with the SEC from time to time and available at www.sec.gov.
All forward-looking statements in this press release are current only as of the date hereof and, except as required by applicable law, Aadi undertakes no
obligation to revise or update any forward-looking statement, or to make any other forward-looking statements, whether as a result of new information, future events or otherwise. All forward-looking statements are qualified in their entirety by this
cautionary statement. This cautionary statement is made under the safe harbor provisions of the Private Securities Litigation Reform Act of 1995.

Frequently Asked Questions

What was the outcome of the PRECISION1 trial?

The PRECISION1 trial will be halted as it is unlikely to meet the efficacy threshold for accelerated approval.

What is Aadi Bioscience's focus moving forward?

Aadi will concentrate on the commercial business of FYARRO for treating PEComa.

How is Aadi preserving its cash position?

Aadi will reduce R&D staff by 80% and adjust ongoing Phase 2 trials to extend cash runway.

What will happen to current trial participants?

About 25 patients benefiting from nab-sirolimus will transition to an expanded access protocol.

What does FYARRO treat?

FYARRO is approved for patients with advanced malignant perivascular epithelioid cell tumor (PEComa).

Last updated: Aug 20, 2024