Clinical Development - Barzolvolimab (CDX-0159) achieved primary efficacy endpoints in Phase 2 studies for chronic spontaneous urticaria (CSU) and chronic inducible urticaria (CIndU), with statistically significant mean changes from baseline to week 12 compared to placebo [335]. - In the Phase 1b study for CSU, barzolvolimab demonstrated an 82% mean reduction in baseline UAS7 at week 12 for the 4.5 mg/kg dose group, indicating significant symptom improvement [352]. - The ongoing Phase 2 studies for eosinophilic esophagitis (EoE), prurigo nodularis (PN), and atopic dermatitis (AD) are part of the expanded development of barzolvolimab into additional indications [348]. - The company initiated Phase 3 studies in CSU in July 2024, following successful Phase 2 results that showed sustained efficacy and a well-tolerated long-term safety profile [335]. - The first bispecific candidate, CDX-622, targeting chronic inflammation pathways, entered a Phase 1a dose-escalation study in November 2024, with enrollment ongoing [335]. - The Phase 2 study in chronic inducible urticaria (CIndU) achieved its primary efficacy endpoint, with a statistically significant difference in the percentage of patients with a negative provocation test compared to placebo at week 12 [335]. - The company plans to present follow-up data from the CSU study through week 76 in 2025, indicating ongoing commitment to data transparency and patient outcomes [347]. - The Phase 1b trial for chronic inducible urticaria (CIndU) showed a complete response in 95% of patients treated with a single dose of 3 mg/kg of barzolvolimab [369]. - Patients on barzolvolimab experienced rapid responses, with 100% achieving well-controlled disease (UCT>12) by week 4 post-treatment in the ColdU cohort [369]. - The Phase 2 study for EoE will enroll approximately 75 patients, with a primary endpoint of reducing esophageal intraepithelial mast cell count, and data is expected to be presented in the second half of 2025 [386]. - A Phase 2 study for atopic dermatitis (AD) was initiated in December 2024, with approximately 120 patients enrolled to evaluate the efficacy of barzolvolimab at doses of 150 mg and 300 mg [387]. - The primary endpoint for the AD study is the Peak Pruritus Numerical Rating Scale (PP-NRS) at Week 16, with secondary endpoints including various patient-reported outcomes [387]. Financial Performance - The total research and development expenses incurred over the past five years amounted to 163.6 million spent in 2024, up from 137,000, or 2%, to 6,883,000 in 2023 [409]. - Product development and licensing agreements revenue decreased by 13,000 in 2024, while contracts and grants revenue increased by 7,007,000 [409]. - The net loss for the year ended December 31, 2024, was 16,434,000, or 12%, compared to the net loss of 24,102,000, or 184%, to 7,634,000, or 25%, to 157.9 million for the year ended December 31, 2024, with net cash used in operations amounting to 107.3 million in 2023 [437][439]. - Total revenues for the year ended December 31, 2024, were 6.88 million in 2023 [473]. - The net loss for the year ended December 31, 2024, was 141.43 million in 2023, representing an increase of 11.6% [473]. Research and Development Expenses - Research and development expenses rose by 163,550,000 in 2024, driven by increased personnel and product development costs [409]. - Personnel expenses within research and development increased by 51,906,000 in 2024, due to higher stock-based compensation and increased headcount [413]. - Product development expenses surged by 90,604,000 in 2024, mainly due to barzolvolimab clinical trial expenses [416]. - Total research and development (R&D) expenses for the year ended December 31, 2024, were 118,011,000 in 2023 [488]. - The Barzolvolimab/Anti-KIT Program accounted for 123,750,000 of the total R&D expenses in 2024, up from 79,913,000 in 2023, representing a 54.8% increase [488]. Capital and Liquidity - As of December 31, 2024, the company's liquidity sources included cash, cash equivalents, and marketable securities totaling 216.2 million, and 9,798,000 shares in March 2024, yielding net proceeds of $432.3 million [448][450]. - The company maintains that its cash, cash equivalents, and marketable securities are sufficient to meet working capital requirements through 2027, barring any significant changes [437]. - The company believes its cash and marketable securities will be sufficient to meet working capital requirements for at least the next twelve months [482]. Manufacturing and Operations - In 2023, the company successfully scaled up the barzolvolimab manufacturing process to produce larger cGMP batches in support of late-stage trials [388]. - The Company relies on contract development and manufacturing organizations (CDMOs) for the manufacturing of drug substances and products, as well as for future commercial supplies [498]. - The Company operates a cGMP manufacturing facility in Fall River, Massachusetts, to produce drug substance for clinical trials, utilizing excess capacity through contract manufacturing and research arrangements [511]. - Research and development expenses include clinical trial costs, manufacturing of clinical material, and personnel costs, with expenses recognized as incurred [514].
Celldex Therapeutics(CLDX) - 2024 Q4 - Annual Report