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PepGen's Clinical Programs Advance for DMD and DM1 Amidst Financial Scrutiny

  • PepGen's PGN-EDO51 Phase 2 study shows promising initial data with mean exon skipping in biceps tissue of 2.15% at week 13 for Duchenne muscular dystrophy.
  • FREEDOM-DM1 Phase 1 study data for myotonic dystrophy type 1 patients, assessing safety, tolerability, and splicing correction, is expected by the end of Q1 2025.
  • PepGen anticipates current funds will sustain operations into 2026, while acknowledging the necessity for additional capital through various financial avenues.
  • The company faces challenges including financial losses, clinical trial risks, and reliance on third parties, as detailed in its recent SEC 10-Q report.
PepGen Inc., a biotechnology firm in the clinical stage, is making strides in the development of oligonucleotide therapeutics for severe neuromuscular and neurological disorders. The company's recent SEC Form 10-Q report offers a detailed look into its financial health, operational progress, and strategic endeavors.

Clinical Development Programs

PepGen is currently focusing on two primary clinical programs: PGN-EDO51 for Duchenne muscular dystrophy (DMD) and PGN-EDODM1 for myotonic dystrophy type 1 (DM1). Both programs are in active clinical development, with Phase 2 studies underway for PGN-EDO51 and a Phase 1 study for PGN-EDODM1.
The CONNECT1-EDO51 study, conducted in Canada, has yielded encouraging initial data. The study demonstrated a mean exon skipping rate of 2.15% in biceps tissue at week 13. The CONNECT2-EDO51 study, a multinational, randomized, double-blind, placebo-controlled multiple ascending dose (MAD) study, is designed to potentially support an accelerated approval pathway.
For DM1, the FREEDOM-DM1 study is evaluating the safety, tolerability, splicing correction, and functional outcomes in patients. Initial data from the 5 mg/kg and 10 mg/kg dose cohorts are anticipated by the end of the first quarter of 2025.

Regulatory and Strategic Milestones

PGN-EDO51 has been granted orphan drug designation and rare pediatric disease designation by the FDA. Similarly, PGN-EDODM1 has received orphan drug designation and Fast Track designation from the FDA. PepGen intends to continue discussions with EU regulators and plans to submit an IND application and initiate the CONNECT2 study in the U.S. by the end of the year. Patient dosing in the FREEDOM2-DM1 Phase 2 study is slated to begin in the fourth quarter of 2024.

Financial Overview and Capital Management

In February 2024, PepGen secured $9.9 million through its at-the-market (ATM) program and an additional $76.4 million via a follow-on public offering. The company has filed two shelf registration statements on Form S-3, which allow for the potential issuance and sale of up to $550 million in aggregate of various securities. As of September 30, 2024, PepGen's cash, cash equivalents, and marketable securities totaled $138.9 million. The company projects that these funds will be sufficient to sustain operations into 2026. PepGen intends to continue exploring equity offerings, debt financings, and other capital sources, including potential collaborations and licensing agreements, to finance its ongoing operations.

Financial Performance

Key financial metrics from the third quarter of 2024 include:
  • Operating Loss: $(23.2) million, a decrease of $1.6 million year-over-year.
  • Net Loss: $(21.4) million, a decrease of $1.9 million year-over-year.
  • Net Loss Per Share (basic and diluted): $(0.66), an improvement from $(0.98) year-over-year.
For the first nine months of 2024:
  • Operating Loss: $(73.4) million, an increase of $9.4 million year-over-year.
  • Net Loss: $(67.7) million, an increase of $8.6 million year-over-year.
  • Net Loss Per Share (basic and diluted): $(2.17), an improvement from $(2.49) year-over-year.

Challenges and Risks

PepGen faces several challenges, including a history of significant losses and the expectation of continued losses. As of September 30, 2024, the company's accumulated deficit stood at $249.2 million. The company acknowledges the need to raise substantial additional funding to support its operations. Other risks include the company's limited operating history, potential delays in clinical trials, dependence on third parties, regulatory approval and compliance challenges, product liability and legal risks, and market and operational risks.
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Reference News

[1]
PepGen Inc. SEC 10-Q Report - TradingView
tradingview.com · Nov 7, 2024

PepGen Inc. reported a Q3 2023 operating loss of $(23.2) million, net loss of $(21.4) million, and net loss per share of...

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