UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 6-K
REPORT OF FOREIGN PRIVATE ISSUER PURSUANT TO RULE 13a-16 OR 15d-16 UNDER THE SECURITIES EXCHANGE ACT OF 1934
For the month of September, 2021.
Commission File Number: 001-40530
GH Research PLC
(Exact name of registrant as specified in its charter)
28 Baggot Street Lower
Dublin 2
D02 NX43
Ireland
(Address of principal executive office)
Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F:
Form 20-F | ☒ |
Form 40-F |
Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(1): ☐
Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(7): ☐
SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
GH Research PLC | ||
Date: September 23, 2021 | ||
By: | /s/ Julie Ryan | |
Name: | Julie Ryan | |
Title: | Group Finance Director |
EXHIBIT INDEX
Exhibit No. | Description |
99.1 | Unaudited Condensed Consolidated Interim Financial Statements for the three and six months ended June 30, 2021 |
99.2 | Management’s Discussion and Analysis of Financial Condition and Results of Operations |
99.3 | Press release dated September 23, 2021 |
Exhibit 99.1
UNAUDITED CONDENSED
CONSOLIDATED INTERIM Financial statements for the THREE and SIX MONTHS ended
JUNE 30, 2021
GH RESEARCH PLC
Condensed consolidated interim statement of comprehensive income
Three months ended June 30, | Six months ended June 30, | |||||||||||||||||
2021 | 2020 | 2021 | 2020 | |||||||||||||||
Note | $’000 | $’000 | $’000 | $’000 | ||||||||||||||
Operating expenses | ||||||||||||||||||
Research and development | (1,954 | ) | (39 | ) | (2,646 | ) | (50 | ) | ||||||||||
General and administration | (719 | ) | (3 | ) | (1,167 | ) | (11 | ) | ||||||||||
Loss from operations | (2,673 | ) | (42 | ) | (3,813 | ) | (61 | ) | ||||||||||
Finance expense | (6 | ) | — | (6 | ) | — | ||||||||||||
Foreign currency translation differences | 554 | — | 544 | — | ||||||||||||||
Loss for the period | (2,125 | ) | (42 | ) | (3,275 | ) | (61 | ) | ||||||||||
Other comprehensive income/(expense) | ||||||||||||||||||
Items that may be reclassified to profit or loss | ||||||||||||||||||
Currency translation adjustment | (486 | ) | 6 | (688 | ) | — | ||||||||||||
Total comprehensive loss for the period | (2,611 | ) | (36 | ) | (3,963 | ) | (61 | ) | ||||||||||
Attributable to owners: | ||||||||||||||||||
Loss for the period | (2,125 | ) | (42 | ) | (3,275 | ) | (61 | ) | ||||||||||
Comprehensive loss for the period | (486 | ) | 6 | (688 | ) | — | ||||||||||||
Loss per share | ||||||||||||||||||
Basic and diluted loss per share (in USD) | 11 | (0.053 | ) | (0.002 | ) | (0.093 | ) | (0.002 | ) |
The accompanying notes are an integral part of these unaudited condensed consolidated interim financial statements. | 1 |
GH RESEARCH PLC
Condensed consolidated interim statement of financial position
At June 30, | At December 31, | |||||||||
2021 | 2020 | |||||||||
Note | $’000 | $’000 | ||||||||
ASSETS | ||||||||||
Current assets | ||||||||||
Cash | 292,625 | 5,895 | ||||||||
Other current assets | 5 | 164 | 17 | |||||||
Total current assets | 292,789 | 5,912 | ||||||||
Non-current assets | ||||||||||
Property, plant and equipment | 30 | — | ||||||||
Total non-current assets | 30 | — | ||||||||
Total assets | 292,819 | 5,912 | ||||||||
LIABILITIES AND EQUITY | ||||||||||
Current liabilities | ||||||||||
Trade payables | 6 | 1,002 | 1 | |||||||
Other current liabilities | 7 | 3,590 | 245 | |||||||
Total current liabilities | 4,592 | 246 | ||||||||
Total liabilities | 4,592 | 246 | ||||||||
Equity attributable to owners | ||||||||||
Share capital | 8 | 1,301 | 871 | |||||||
Share premium | 8 | 291,512 | 5,430 | |||||||
Other reserves | 12 | — | ||||||||
Foreign currency translation reserve | (488 | ) | 200 | |||||||
Accumulated deficit | (4,110 | ) | (835 | ) | ||||||
Total equity | 288,227 | 5,666 | ||||||||
Total liabilities and equity | 292,819 | 5,912 |
The accompanying notes are an integral part of these unaudited condensed consolidated interim financial statements. | 2 |
GH RESEARCH PLC
Condensed consolidated interim statement of changes in equity
Attributable to owners | ||||||||||||||||||||||||
Share capital | Share premium | Other reserves | Foreign currency translation reserve | Accumulated deficit | Total | |||||||||||||||||||
$’000 | $’000 | $’000 | $’000 | $’000 | $’000 | |||||||||||||||||||
Note 8 | ||||||||||||||||||||||||
At January 1, 2021 | 871 | 5,430 | — | 200 | (835 | ) | 5,666 | |||||||||||||||||
Loss for the period | — | — | — | — | (3,275 | ) | (3,275 | ) | ||||||||||||||||
Translation adjustment | — | — | — | (688 | ) | — | (688 | ) | ||||||||||||||||
Total comprehensive loss for the period | — | — | — | (688 | ) | (3,275 | ) | (3,963 | ) | |||||||||||||||
Share-based compensation expense | — | — | 12 | — | — | 12 | ||||||||||||||||||
Corporate reorganization | (112 | ) | 112 | — | — | — | — | |||||||||||||||||
Issue of share capital | 542 | 285,970 | — | — | — | 286,512 | ||||||||||||||||||
Total transactions with owners | 430 | 286,082 | 12 | — | — | 286,524 | ||||||||||||||||||
At June 30, 2021 | 1,301 | 291,512 | 12 | (488 | ) | (4,110 | ) | 288,227 | ||||||||||||||||
At January 1, 2020 | 801 | — | — | (12 | ) | (389 | ) | 400 | ||||||||||||||||
Loss for the period | — | — | — | — | (61 | ) | (61 | ) | ||||||||||||||||
Translation adjustment | — | — | — | — | — | — | ||||||||||||||||||
Total comprehensive loss for the period | — | — | — | — | (61 | ) | (61 | ) | ||||||||||||||||
At June 30, 2020 | 801 | — | — | (12 | ) | (450 | ) | 339 |
The accompanying notes are an integral part of these unaudited condensed consolidated interim financial statements. | 3 |
GH RESEARCH PLC
Condensed consolidated interim statement of cash flows
Six months ended June 30, | ||||||||
2021 | 2020 | |||||||
$’000 | $’000 | |||||||
Cash flows from operating activities | ||||||||
Loss for the period | (3,275 | ) | (61 | ) | ||||
Depreciation | 4 | — | ||||||
Share-based compensation expense | 12 | — | ||||||
Finance expense | 6 | — | ||||||
Movement in working capital | 1,491 | (43 | ) | |||||
Cash flows used in operating activities | (1,762 | ) | (104 | ) | ||||
Interest paid | (6 | ) | — | |||||
Net cash used in operating activities | (1,768 | ) | (104 | ) | ||||
Cash flows used in investing activities | ||||||||
Purchase of property, plant and equipment | (35 | ) | — | |||||
Cash flows from financing activities | ||||||||
Proceeds from capital contributions | 309,200 | — | ||||||
Transaction costs from capital contributions | (19,980 | ) | — | |||||
Net cash flows from financing activities | 289,220 | — | ||||||
Net increase/(decrease) in cash | 287,417 | (104 | ) | |||||
Cash at the beginning of the period | 5,895 | 498 | ||||||
Impact of foreign exchange on cash | (687 | ) | (10 | ) | ||||
Cash at the end of the period | 292,625 | 384 |
The accompanying notes are an integral part of these unaudited condensed consolidated interim financial statements. | 4 |
GH RESEARCH PLC
NOTES TO THE CONDENSED CONSOLIDATED INTERIM FINANCIAL STATEMENTS
1. | Corporate information |
GH Research PLC (the “Company”) was incorporated on March 29, 2021. The registered office of the Company is located at 28 Baggot Street Lower, Dublin 2, Ireland.
The Company and its subsidiary, GH Research Ireland Limited, (together the “Group” or “GH Research”) are a clinical-stage biopharmaceutical company dedicated to transforming the treatment of psychiatric and neurological disorders. Its initial focus is on developing the novel and proprietary 5-MeO-DMT therapies for the treatment of patients with Treatment Resistant Depression, or TRD. Its portfolio currently includes GH001, a proprietary inhalable 5-MeO-DMT product candidate, and GH002, a proprietary injectable 5-MeO-DMT product candidate.
On April 8, 2021, GH Research Ireland Limited issued 25,379,047 Series B preferred shares (which were redesignated into 10,151,618 ordinary shares of GH Research PLC prior to the closing of the initial public offering). The net proceeds of this issuance were $118.8 million, after deducting directly attributable transaction costs of $6.4 million.
On June 29, 2021, the Company completed an initial public offering (“IPO”) on the Nasdaq Global Market (“Nasdaq”) in which it issued and sold an aggregate of 11,499,999 ordinary shares at $16.00 per share, which included 1,499,999 ordinary shares issued and sold pursuant to the underwriters’ exercise in full of their option to purchase additional ordinary shares. The net proceeds of the offering were $167.7 million, after deducting underwriting discounts and estimated directly attributable transaction costs of $16.3 million.
These unaudited condensed consolidated interim financial statements were presented to the board of directors and approved by them on September 23, 2021.
2. | Basis of preparation, significant judgments, and accounting policies |
Basis of preparation
Compliance with International Financial Reporting Standards
The unaudited condensed consolidated interim financial statements for the three and six months ended June 30, 2021 have been prepared in accordance with IAS 34 “Interim Financial Reporting”. The unaudited condensed consolidated interim financial statements do not include all of the information required for full annual financial statements and should be read in conjunction with the financial statements of GH Research Ireland Limited for the year ended December 31, 2020 which were prepared in accordance with International Financial Reporting Standards (“IFRS”). These unaudited condensed consolidated interim financial statements are presented in U.S. dollar (“USD” or “$”), which is the Company’s functional currency and the Group’s reporting currency.
The incorporation of GH Research PLC is accounted for as a capital reorganization and the comparatives are presented on that basis.
The financial information presented in this interim report does not represent full statutory accounts as defined by the Companies Act 2014. The statutory accounts of GH Research Ireland Limited for the year ended December 31, 2020, will be filed with the Companies Registration Office by September 30, 2021. GH Research Ireland Limited was exempt from a statutory audit for the year ended December 31, 2020.
New and amended IFRS standards
There are no new IFRS standards, amendments to standards or interpretations that are mandatory for the financial year beginning on January 1, 2021, that are relevant to the Group and that have had any impact in the interim period. New standards, amendments to standards and interpretations that are not yet effective, which have been deemed by the Company as currently not relevant, are not listed here.
5
GH RESEARCH PLC
NOTES TO THE CONDENSED CONSOLIDATED INTERIM FINANCIAL STATEMENTS (continued)
Going concern basis
GH Research is a clinical-stage biopharmaceutical company developing innovative therapeutics. The Group is exposed to all risks inherent in establishing and developing its business, including the substantial uncertainty that current projects will succeed. Research and development expenses have been incurred from the start of the Group’s activities, generating negative cash flows from operating activities since formation.
Since its incorporation, the Group has funded its growth through capital increases. The Group has never taken bank loans nor otherwise incurred debt on its balance sheet. As a result, the Group is not exposed to liquidity risk through requests for early repayment of loans.
As of June 30, 2021, the Group’s cash amounted to $292.6 million (December 31, 2020: $5.9 million).
The board of directors believes that the Group has sufficient financial resources available to cover its planned cash outflows for at least the next twelve months from the date of issuance of these unaudited condensed consolidated interim financial statements. The Group, therefore, continues to adopt the going concern basis in preparing its unaudited condensed consolidated interim financial statements.
Use of estimates and judgments
The preparation of the unaudited condensed consolidated interim financial statements requires management to make judgements, estimates and assumptions that affect the application of accounting policies and the reported amounts of assets and liabilities, income and expense. Actual results may differ from these estimates.
In preparing these unaudited condensed consolidated interim financial statements, the significant judgements made by management in applying the Group’s accounting policies and the key sources of estimation uncertainty included those that applied to the financial statements of GH Research Ireland Limited for the year ended December 31, 2020.
Accounting policies
The accounting policies, presentation and methods of computation followed in the unaudited condensed consolidated interim financial statements are consistent with those applied in the Group’s most recent annual financial statements and have been applied consistently to all periods presented in the unaudited condensed consolidated interim financial statements.
Consolidation |
The unaudited condensed consolidated interim financial statements incorporate the financial statements of the Company and its subsidiary, GH Research Ireland Limited. Subsidiaries are all entities over which the Company has control. Control is achieved when the Company has power over an entity, is exposed to or has rights to variable returns from its involvement with the entity and has the ability to affect returns through its power over the entity. Subsidiaries are fully consolidated from the date on which control is transferred to the Company. They are deconsolidated from the date that control ceases. All intercompany transactions have been eliminated.
Property, plant and equipment
Property, plant and equipment are recorded at cost and depreciated using the straight-line method over the estimated useful lives of the respective assets, which are as follows:
Estimated Useful Life | ||
IT equipment | 3 years | |
Medical equipment | 2 years |
6
GH RESEARCH PLC
NOTES TO THE CONDENSED CONSOLIDATED INTERIM FINANCIAL STATEMENTS (continued)
Share-based compensation expense
The fair value of options granted under the share option plan is recognized as an employee share-based compensation expense with a corresponding increase in equity. The total expense is recognized over the vesting period, which is the period over which all of the specified vesting conditions are to be satisfied.
Transaction costs
Incremental transaction costs are capitalized as incurred and are shown in equity as a deduction, net of tax, from the proceeds received from financing rounds and the initial public offering. If the equity instruments are not subsequently issued, the transaction costs would be expensed.
Cash |
Cash represents cash held on bank current accounts and is carried at amortized cost. The Company’s cash balance is maintained with well established, highly rated financial institutions. As of June 30, 2021, the cash balance is held at one bank that has S&P’s credit rating of BBB+. The majority of the cash balance is held in U.S. dollars with limited exposure to currency risk.
Fair value estimation
At June 30, 2021, the carrying amount is considered to be identical to the fair value for the following financial assets and liabilities:
- Cash
- Other current assets
- Trade payables and other current liabilities
3. | Segment information |
Management considers the Group to have only a single segment: Research and Development (“R&D”). This is consistent with the way that information is reported internally within the Group for the purpose of allocating resources and assessing performance.
4. | Research and development expense |
During the three and six months ended June 30, 2021 and 2020, the Company incurred research and development expenses as follows:
Three months ended June 30, | Six months ended June 30, | |||||||||||||||
2021 | 2020 | 2021 | 2020 | |||||||||||||
$’000 | $’000 | $’000 | $’000 | |||||||||||||
External costs | 1,727 | 39 | 2,314 | 50 | ||||||||||||
Employee expenses | 225 | — | 329 | — | ||||||||||||
Depreciation of property, plant and equipment | 2 | — | 3 | — | ||||||||||||
Total research and development expenses | 1,954 | 39 | 2,646 | 50 |
The increase in external costs relates to the increase in technical development and clinical trial activity. The increase in employee expenses relates to the hiring of personnel in the research and development team to support the requirements of the increased clinical activities.
5. | Other current assets |
Other current assets primarily represent VAT receivable and prepayments.
7
GH RESEARCH PLC
NOTES TO THE CONDENSED CONSOLIDATED INTERIM FINANCIAL STATEMENTS (continued)
6. | Trade payables |
Trade payables represents amounts incurred for transaction costs and the provision of manufacturing, research and consulting services which are outstanding at the end of the period.
7. | Other current liabilities |
Other current liabilities represent amounts accrued for transaction costs and the provision of manufacturing, research and consulting services.
8. | Share capital |
Issued and fully paid shares: | Number of outstanding shares | Share capital ($’000) | Share premium ($’000) | |||||||||
At December 31, 2020 | 75,923,079 | 871 | 5,430 | |||||||||
Corporate reorganization and share consolidation | (45,553,847 | ) | (112 | ) | 112 | |||||||
Issue of share capital | 21,651,617 | 542 | 285,970 | |||||||||
At June 30, 2021 | 52,020,849 | 1,301 | 291,512 |
The authorized share capital of GH Research PLC is 40,000,000,000 ordinary shares of nominal value $0.025 each.
(i) | Incorporation |
On March 29, 2021, GH Research PLC was incorporated with an authorized share capital of €25,000, divided into 25,000 A ordinary shares of nominal value €1.00 each. The sole subscriber to the incorporation constitution of GH Research PLC was Florian Schönharting who subscribed for 25,000 A ordinary shares of €1.00 each. The subscription amount of €25,000 was held by legal counsel on behalf of the Company and included in “Other current assets” at June 30, 2021. The issuance and subsequent redemption is shown net within the issue of share capital.
(ii) | Share issuance – Series B preferred shares |
On April 8, 2021, GH Research Ireland Limited issued 25,379,047 Series B preferred shares (which were redesignated into 10,151,618 ordinary shares of GH Research PLC prior to the closing of the initial public offering). The net proceeds of this issuance were $118.8 million, after deducting directly attributable transaction costs of $6.4 million.
(iii) | Share exchange |
On May 27, 2021, as part of the corporate reorganization, all shareholders of GH Research Ireland Limited exchanged each of the shares held by them in GH Research Ireland Limited for shares of GH Research PLC of the same share classes with the same shareholders rights as the shares held by them in GH Research Ireland Limited, and as a result, GH Research Ireland Limited became a wholly owned subsidiary of GH Research PLC.
GH Research PLC issued the following shares:
- | 70,000,000 ordinary shares, nominal value $0.01 each; |
- | 5,923,079 Series A preferred shares, nominal value $0.01 each; and |
- | 25,379,047 Series B preferred shares, nominal value $0.01 each. |
(iv) | Redemption of A Ordinary Shares |
8
GH RESEARCH PLC
NOTES TO THE CONDENSED CONSOLIDATED INTERIM FINANCIAL STATEMENTS (continued)
On June 24, 2021, GH Research PLC redeemed 25,000 A ordinary shares of €1.00 each at par and, following the redemption, cancelled the 25,000 A ordinary shares of €1.00 each. The redemption amount of €25,000 is included in “Other current liabilities” at June 30, 2021. The issuance and redemption is shown net within the issue of share capital.
(v) | Conversion and share consolidation |
On June 24, 2021, GH Research PLC (a) converted (i) 5,923,079 Series A preferred shares of nominal value $0.01 each into 5,923,079 ordinary shares of nominal value $0.01 each and (ii) 25,379,047 Series B preferred shares of nominal value $0.01 each into 25,379,047 ordinary shares of nominal value $0.01 each and (b) completed the 2.50-for-one share consolidation of the existing ordinary shares into an aggregate of 40,520,850 ordinary shares of nominal value $0.025 each.
(vi) | Share issuance – IPO |
On June 29, 2021, GH Research PLC closed its IPO of 11,499,999 ordinary shares on the Nasdaq Global Market at $16.00 per share. The net proceeds of the IPO were $167.7 million, after deducting underwriting discounts and estimated directly attributable transaction costs of $16.3 million.
9. | Contingent liabilities and commitments |
The Group has no contingent liabilities or material unavoidable commitments at the balance sheet date.
10. | Related party disclosures |
Parties are considered to be related if one party has the ability, directly or indirectly, to control the other party or exercise significant influence over the other party in making financial and operating decisions.
On April 8, 2021, GH Research Ireland Limited issued 5,270,400 Series B preferred shares to directors and entities affiliated with directors.
On June 4, 2021, GH Research PLC granted the option to purchase 126,218 ordinary shares (which were redesignated into 50,487 ordinary shares prior to the closing of the IPO) to key management.
On June 24, 2021, GH Research PLC redeemed 25,000 A ordinary shares of €1.00 each at par and, following the redemption, cancelled the 25,000 A ordinary shares of €1.00 each, see note 7, “Share capital” for details.
On June 29, 2021, GH Research PLC issued 625,000 ordinary shares from the initial public offering to entities affiliated with directors.
11. | Loss per share |
The basic loss per share is calculated by dividing the net loss attributable to shareholders by the weighted average number of shares in issue during the period as follows:
Three months ended June 30, | Six months ended June 30, | |||||||||||||||
2021 | 2020 | 2021 | 2020 | |||||||||||||
Loss attributable to shareholders (in $’000) | (2,125 | ) | (42 | ) | (3,275 | ) | (61 | ) | ||||||||
Weighted average number of shares in issue1 | 40,099,631 | 28,000,000 | 35,234,432 | 28,000,000 | ||||||||||||
Basic and diluted loss per share (in USD) | (0.053 | ) | (0.002 | ) | (0.093 | ) | (0.002 | ) |
1 Share data has been revised to give effect to the share conversion and share consolidation as explained in note 7, “Share capital”.
9
GH RESEARCH PLC
NOTES TO THE CONDENSED CONSOLIDATED INTERIM FINANCIAL STATEMENTS (continued)
For the three and six months ended June 30, 2021 and 2020, basic and diluted loss per share are calculated on the weighted average number of shares issued and outstanding and exclude shares to be issued under the Share Option Plan, as the effect of including those shares would be anti-dilutive.
12. | Events after the reporting date |
On September 23, 2021, the board of directors resolved to appoint Dermot Hanley and Dr. Duncan Moore to the board of directors of GH Research PLC effective September 24, 2021.
10
Exhibit 99.2
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
This management’s discussion and analysis is designed to provide you with a narrative explanation of our financial condition and results of operations. You should read this discussion and analysis in conjunction with our unaudited condensed consolidated interim financial statements, including the notes thereto, as of and for the three and six months ended June 30, 2021. You should also read this discussion and analysis in conjunction with our audited consolidated financial statements, including the notes thereto, and the section titled “Risk Factors” included in our Registration Statement on Form F-1, as amended (Registration Nos. 333-256796 and 333-257371) (the “Registration Statement”).
Our unaudited condensed consolidated interim financial statements were prepared in accordance with International Accounting Standard 34, Interim Financial Reporting. The terms “dollar,” “USD” or “$” refer to U.S. dollars. We have made rounding adjustments to some of the figures included in this discussion. Accordingly, any numerical discrepancies in any table between totals and sums of the amounts listed are due to rounding.
Unless otherwise indicated or the context otherwise requires, all references in this discussion and analysis to “GH Research” or “GH,” the “Company,” “we,” “our,” “ours,” “us” or similar terms refer to GH Research PLC and its consolidated subsidiary.
Overview
We are a clinical-stage biopharmaceutical company dedicated to transforming the treatment of psychiatric and neurological disorders. Our initial focus is on developing our novel and proprietary 5-Methoxy-N,N-Dimethyltryptamine, or 5-MeO-DMT, therapies for the treatment of patients with Treatment-Resistant Depression, or TRD. Our portfolio currently includes GH001, our proprietary inhalable 5-MeO-DMT product candidate which is delivered via a vaporization device produced by a third party, and GH002, our proprietary injectable 5-MeO-DMT product candidate. We have completed a Phase 1 healthy volunteer clinical trial, in which administration of GH001 via inhalation was observed to be well tolerated at the investigated single dose levels and in an individualized dosing regimen with intra-subject dose escalation within a single day. GH001 is currently being investigated in the Phase 2 part of an ongoing Phase 1/2 clinical trial in patients with TRD. Based on observed clinical activity, we believe that administration of a single dose of GH001 has the potential to induce ultra-rapid remissions as measured by the Montgomery-Åsberg Depression Rating Scale, or MADRS, in certain patients, driven by the ultra-rapid onset of psychoactive effects (commonly within seconds) and an intense and short-lived (commonly five to 30 minutes) initial psychoactive experience. The goal of the ongoing Phase 2 part of the trial is to assess whether an individualized dosing regimen with intra-subject dose escalation within a single day can further increase the MADRS remission rate as compared to a single dose of GH001.
We have incurred recurring operating losses since inception, including net losses of $3,275 thousand, $310 thousand and $446 thousand for the six months ended June 30, 2021 and the years ended December 31, 2019 and 2020, respectively. As of June 30, 2021, we had an accumulated deficit of $4.1 million. We expect to incur significant expenses and operating losses for the foreseeable future as we expand our research and development activities. In addition, our losses from operations may fluctuate significantly from quarter-to-quarter and year-to-year, depending on the timing of our clinical trials and our expenditures on other research and development activities. We anticipate that our expenses will increase significantly in connection with our ongoing activities, as we:
· | continue to develop and conduct clinical trials, including in expanded geographies such as the United States, for GH001, our inhalable 5-MeO-DMT product candidate, and GH002, our injectable 5-MeO-DMT product candidate, for our initial indications and additional potential indications; |
· | continue both the technical development and expansion of our external manufacturing capabilities for our current product candidates GH001 and GH002 and of the medical devices required to deliver these product candidates; |
· | initiate and continue research and development, including nonclinical, clinical, and discovery efforts for any future product candidates; |
· | seek to identify additional product candidates; |
· | seek regulatory approvals for our product candidates GH001 and GH002, including the medical devices required to deliver these product candidates, or any other product candidates that successfully complete clinical development; |
· | add operational, financial and management information systems and personnel, including personnel to support our product candidate and device development and help us comply with our obligations as a public company; |
· | hire and retain additional personnel, such as clinical, quality control, scientific, commercial, sales, marketing and administrative personnel; |
· | continue to prepare, file, prosecute, maintain, protect and enforce our intellectual property rights and claims; |
· | establish sales, marketing, distribution, manufacturing, supply chain and other commercial infrastructure in the future to commercialize various products for which we may obtain regulatory approval; |
· | comply with ongoing regulatory requirements for products approved for commercial sale, if ever; |
· | acquire or in-license other product candidates, medical devices to deliver our product candidates, and other technologies; and |
· | incur increased costs as a result of operating as a public company. |
In addition, as we progress toward marketing approval for any of our product candidates, we expect to incur significant commercialization expenses related to product manufacturing, marketing, sales, and distribution.
As a result, we will need substantial additional funding to support our continuing operations and pursue our growth strategy. Until such time as we can generate significant revenue from product sales, if ever, we expect to finance our operations through the sale of equity, debt financings or other capital sources, including potential collaborations with other companies or other strategic transactions. We cannot be certain that additional funding will be available on acceptable terms, or at all. If we fail to raise capital or enter into such agreements as, and when, needed, we may have to significantly delay, scale back, or discontinue the development and commercialization of one or more of our product candidates or other research and development initiatives, which could have a material adverse effect on our business, results of operations, and financial condition. We will need to generate significant revenue to achieve profitability, and we may never do so.
We are subject to a number of risks comparable to those of other similar companies, including dependence on key individuals; the need to develop product candidates with the required safety and efficacy profile and which support regulatory approval and are commercially viable; competition from other companies, many of which are larger and better capitalized; and the need to obtain adequate additional financing to fund the development of our product candidates.
Business Updates
Corporate Updates
In June 2021, we completed our initial public offering, in which we issued and sold an aggregate of 11,499,999 ordinary shares, including those issued and sold pursuant to the exercise in full of the underwriters’ option to purchase additional ordinary shares, at a price of $16.00 per share. The net proceeds of the offering were $167.7 million, after deducting underwriting discounts and offering expenses payable by us.
Today we announced that Dermot Hanley and Dr. Duncan Moore have been appointed to our Board of Directors as non-executive directors effective September 24, 2021, expanding the Board to five members. Mr. Hanley and Dr. Moore will also serve as members of the Audit Committee. Mr. Hanley is an experienced independent non-executive director and investment banker, having previously served as Co-Head of Coverage for Barclays Bank Ireland and having spent 16 years in international investment banking and capital markets roles with major global firms, including Claret Capital, JP Morgan, Deutsche Bank and Citibank. Dr. Moore is currently a partner at East West Capital Partners. Prior roles included 17 years as a top-ranked pharmaceutical analyst at Morgan Stanley, including 11 years as a Managing Director leading the firm's global healthcare equity research team.
Clinical Development Updates
GH001, our inhalable 5-Methoxy-N,N-Dimethyltryptamine (5-MeO-DMT) product candidate, is currently being investigated in the Phase 2 part of an ongoing open-label, single-arm Phase 1/2 clinical trial in patients with Treatment-Resistant Depression (TRD). Based on the observed clinical activity in the Phase 1 part of the trial, we believe that administration of a single dose of GH001 has the potential to induce ultra-rapid remissions as measured by the Montgomery–Åsberg Depression Rating Scale, or MADRS, in certain patients. The goal of the ongoing Phase 2 part, which we expect to complete in the fourth quarter of 2021, is to assess whether an individualized dosing regimen with intra-subject dose escalation within a single day can further increase the MADRS remission rate as compared to a single dose of GH001.
We have previously announced the plan to conduct a clinical pharmacology trial in healthy volunteers to further elucidate the pharmacokinetic profile of GH001. This trial has been initiated and is expected to be completed in the fourth quarter of 2021.
Pending completion of the aforementioned studies, we plan to request a pre-IND meeting with the FDA and a Scientific Advice meeting with the EMA and plan to initiate a multi-center, randomized, controlled Phase 2b trial in TRD.
Given GH001's mechanism of action, we believe that GH001 may confer beneficial effects as an earlier line of treatment in MDD, including potential to serve as a front-line treatment, as well as in other psychiatric and neurological disorders with unmet medical need. We plan to initiate proof-of-concept Phase 2a trials in two such disorders.
GH002, our injectable 5-MeO-DMT product candidate, is currently in preclinical development. We anticipate developing GH002 in indications within our focus area of psychiatric and neurological disorders.
COVID-19 Business Update
With the global spread of the ongoing COVID-19 pandemic in 2021, we have followed guidance issued by national and local governments to address and mitigate the impact of the COVID-19 pandemic on our employees and our business, including our nonclinical studies and clinical trials. We are focused on the health and safety of our employees, and have, among other things, implemented a work-from-home policy and eliminated nonessential business travel. While we are experiencing limited financial impacts at this time, the extent of the impact of the COVID-19 pandemic on our business, operations and development timelines and plans remains highly uncertain. The overall disruption of global healthcare systems and the other risks and uncertainties associated with the pandemic as well as any economic slowdown as a result of the COVID-19 pandemic, could materially and adversely affect our business, financial condition and results of operations. We continue to closely monitor the COVID-19 pandemic as we evolve our business continuity plans, clinical development plans and response strategy.
In addition, our planned clinical trials have been and may continue to be affected by the COVID-19 pandemic, including (i) delays or difficulties in enrolling and retaining patients in our planned clinical trials, including patients that may not be able or willing to comply with clinical trial protocols if quarantines impede patient movement or interrupt healthcare services; (ii) delays or difficulties in clinical site initiation, including difficulties in recruiting and retaining clinical site investigators and clinical site staff as well as closures of trial sites; (iii) diversion or prioritization of healthcare resources away from the conduct of clinical trials and towards the COVID-19 pandemic, including the diversion of hospitals serving as our clinical trial sites and hospital staff supporting the conduct of our clinical trials, and because, who, as healthcare providers, may have heightened exposure to COVID-19 and adversely impact our clinical trial operations; (iv) interruption of our future clinical supply chain or key clinical trial activities, such as clinical trial site monitoring, due to limitations on travel imposed or recommended by federal, state/provincial or municipal governments, employers and others; and (v) limitations in outsourced third-party resources that would otherwise be focused on the conduct of our planned clinical trials, including because of sickness of third-party personnel or their families, or the desire of third-party personnel to avoid contact with large groups of people.
Results of Operations
Comparison of the Three Months Ended June 30, 2021 and 2020
The following table summarizes our results of operations for the three months ended June 30, 2021 and 2020 (in thousands):
Three Months Ended June 30, | Change | |||||||||||
2021 | 2020 | |||||||||||
Operating Expenses: | ||||||||||||
Research and development | $ | (1,954 | ) | $ | (39 | ) | $ | (1,915 | ) | |||
General and administrative | (719 | ) | (3 | ) | (716 | ) | ||||||
Loss from operations | (2,673 | ) | (42 | ) | (2,631 | ) | ||||||
Finance expense | (6 | ) | — | (6 | ) | |||||||
Foreign currency translation differences | 554 | — | 554 | |||||||||
Loss for the period | $ | (2,125 | ) | $ | (42 | ) | $ | (2,083 | ) |
Research and Development Expenses
The following table summarizes our research and development expenses for the three months ended June 30, 2021 and 2020 (in thousands):
Three Months Ended June 30, | Change | |||||||||||
2021 | 2020 | |||||||||||
External costs | $ | (1,727 | ) | $ | (39 | ) | $ | (1,688 | ) | |||
Employee expenses | (225 | ) | — | (225 | ) | |||||||
Depreciation of property, plant and equipment | (2 | ) | — | (2 | ) | |||||||
Research and development | $ | (1,954 | ) | $ | (39 | ) | $ | (1,915 | ) |
Research and development expenses increased by $1,915 thousand from $39 thousand for the three months ended June 30, 2020, to $1,954 thousand for the three months ended June 30, 2021. The increase was primarily due to increased external costs relating to our technical developments and clinical trials and employee expenses relating to the hiring of personnel in our research and development team to support the requirements of increased clinical activities.
General and Administrative Expenses
The following table summarizes our general and administrative expenses for the three months ended June 30, 2021 and 2020 (in thousands):
Three Months Ended June 30, | Change | |||||||||||
2021 | 2020 | |||||||||||
General and administrative | $ | (719 | ) | $ | (3 | ) | $ | (716 | ) |
General and administrative expenses increased by $716 thousand from $3 thousand for the three months ended June 30, 2020, to $719 thousand for the three months ended June 30, 2021. The increase was primarily due to costs incurred in preparation for our initial public offering, including increased costs associated with compliance with exchange listing and SEC requirements as a public company, and the hiring of personnel in our general and administrative functions to support our growth initiatives.
Finance expense
Our financial expense increased to $6 thousand for the three months ended June 30, 2021 from $nil for the three months ended June 30, 2020.
Foreign currency translation differences
Foreign currency translation gains increased to $554 thousand for the three months ended June 30, 2021, from $nil for the three months ended June 30, 2020.
Comparison of the Six Months Ended June 30, 2021 and 2020
The following table summarizes our results of operations for the six months ended June 30, 2021 and 2020 (in thousands):
Six Months Ended June 30, | Change | |||||||||||
2021 | 2020 | |||||||||||
Operating Expenses: | ||||||||||||
Research and development | $ | (2,646 | ) | $ | (50 | ) | $ | (2,596 | ) | |||
General and administrative | (1,167 | ) | (11 | ) | (1,156 | ) | ||||||
Loss from operations | (3,813 | ) | (61 | ) | (3,752 | ) | ||||||
Finance expense | (6 | ) | — | (6 | ) | |||||||
Foreign currency translation differences | 544 | — | 544 | |||||||||
Loss for the period | $ | (3,275 | ) | $ | (61 | ) | $ | (3,214 | ) |
Research and Development Expenses
The following table summarizes our research and development expenses for the six months ended June 30, 2021 and 2020 (in thousands):
Six Months Ended June 30, | Change | |||||||||||
2021 | 2020 | |||||||||||
External costs | $ | (2,314 | ) | $ | (50 | ) | $ | (2,264 | ) | |||
Employee expenses | (329 | ) | — | (329 | ) | |||||||
Depreciation of property, plant and equipment | (3 | ) | — | (3 | ) | |||||||
Research and development | $ | (2,646 | ) | $ | (50 | ) | $ | (2,596 | ) |
Research and development expenses increased by $2,596 thousand from $50 thousand for the six months ended June 30, 2020, to $2,646 thousand for the six months ended June 30, 2021. The increase was primarily due to increased external costs relating to our technical developments and clinical trials and employee expenses relating to the hiring of personnel in our research and development team to support the requirements of increased clinical activities.
General and Administrative Expenses
The following table summarizes our general and administrative expenses for the six months ended June 30, 2021 and 2020 (in thousands):
Six Months Ended June 30, | Change | |||||||||||
2021 | 2020 | |||||||||||
General and administrative | (1,167 | ) | (11 | ) | (1,156 | ) |
General and administrative expenses increased by $1,156 thousand from $11 thousand for the six months ended June 30, 2020, to $1,167 thousand for the six months ended June 30, 2021. The increase was primarily due to costs incurred in preparation for our initial public offering, including increased costs associated with compliance with exchange listing and SEC requirements as a public company, and the hiring of personnel in our general and administrative functions to support our growth initiatives.
Finance expense
Our financial expense increased to $6 thousand for the six months ended June 30, 2021 from $nil for the six months ended June 30, 2020.
Foreign currency translation differences
Foreign currency translation gains increased to $544 thousand for the six months ended June 30, 2021, from $nil for the six months ended June 30, 2020.
Liquidity and Capital Resources
Sources of Liquidity
We have incurred operating losses since inception, and we have not generated any revenue from any product sales or any other sources. We have not yet commercialized any of our product candidates, which are in various phases of technical and clinical development, and we do not expect to generate revenue from sales of any products for several years, if at all. Until such time as we can generate significant revenue from product sales, if ever, we expect to finance our operations through the sale of equity, debt financings or other capital sources, including potential collaborations with other companies or other strategic transactions. We have funded our operations to date primarily through equity financings, including our initial public offering. As of June 30, 2021, we had cash of $292.6 million.
In June 2021, we completed our initial public offering, in which we issued and sold an aggregate of 11,499,999 ordinary shares, including those issued and sold pursuant to the exercise in full of the underwriters’ option to purchase additional ordinary shares. The net proceeds of the offering were $167.7 million, after deducting underwriting discounts and offering expenses payable by us.
In April 2021, we issued 25,379,047 Series B preferred shares (which were redesignated into 10,151,618 ordinary shares prior to the closing of the initial public offering). The net proceeds of this issuance were $118.8 million, after deducting estimated directly attributable transaction costs payable by us.
We plan to continue to fund our operating and capital funding needs through the net proceeds of our public offerings, additional equity financings and/or other forms of financing. We may also consider pursuing strategic partnerships for clinical development and commercialization of our product candidates.
Cash Flows
The following table provides information regarding our cash flows for the six months ended June 30, 2021 and 2020 (in thousands):
Six Months Ended June 30, | Change | |||||||||||
2021 | 2020 | |||||||||||
Net cash flows used in operating activities | $ | (1,768 | ) | $ | (104 | ) | $ | (1,664 | ) | |||
Net cash flows used in investing activities | (35 | ) | — | (35 | ) | |||||||
Net cash flows from financing activities | 289,220 | — | 289,220 | |||||||||
Net increase/(decrease) in cash | $ | 287,417 | $ | (104 | ) | $ | 287,521 |
Net Cash Flows Used in Operating Activities
Net cash flows used in operating activities increased to $1,768 thousand for the six months ended June 30, 2021 from $104 thousand for the six months ended June 30, 2020, an increase of $1,031 thousand. The increase was
primarily due to a $3.2 million increase in loss from operations, offset by an increase in changes to working capital of $1.5 million.
Net Cash Flows Used in Investing Activities
Net cash flows used in investing activities increased to $35 thousand for the six months ended June, 2021 from $nil for the six months ended June 30, 2020. The increase was due to purchase of property, plant and equipment.
Net Cash Flows from Financing Activities
Net cash flows from financing activities increased to $289.2 million for the six months ended June 30, 2021 from $nil for the six months ended June 30, 2020. The increase was due to the proceeds from the issuance of Series B preferred shares and our initial public offering.
Funding Requirements
We expect our expenses to increase substantially in connection with our ongoing research and development activities, particularly as we advance the technical development work, nonclinical studies and clinical trials of our product candidates and the medical devices required to deliver such product candidates. In addition, if we obtain regulatory approval for any of our product candidates, we expect to incur significant commercialization expenses related to sales, marketing, manufacturing and distribution. Accordingly, we expect to finance our cash needs through a combination of equity offerings, debt financings, convertible debt financings, strategic collaborations and licensing arrangements. If we are unable to raise additional funds through equity or debt financings when needed, we may be required to delay, limit, reduce or terminate our product development or future commercialization efforts or grant rights to develop and market product candidates that we would otherwise prefer to develop and market ourselves. Our future capital requirements will depend on many factors, which are outlined in our Registration Statement and this discussion and analysis.
Critical Accounting Policies and Significant Judgments and Estimates
There have been no material changes to the significant accounting policies and significant judgments and estimates from those described in the section in the Registration Statement titled “Management’s Discussion and Analysis of Financial Condition and Results of Operations—Critical Accounting Policies and Significant Judgments and Estimates” with the exception of the accounting for the share-based compensation expense as described in note 2, “Basis of preparation, significant judgments, and accounting policies” in the notes to our unaudited condensed consolidated interim financial statements.
Emerging Growth Company Status
On April 5, 2012, the JOBS Act was enacted. As an emerging growth company, or EGC, under the JOBS Act, we may delay the adoption of certain accounting standards until such time as those standards apply to private companies. Other exemptions and reduced reporting requirements under the JOBS Act for EGCs include presentation of only two years of audited financial statements in a registration statement for an initial public offering, an exemption from the requirement to provide an auditor’s report on internal controls over financial reporting pursuant to Section 404(b) of the Sarbanes-Oxley Act of 2002. Additionally, the JOBS Act provides that an EGC can take advantage of an extended transition period for complying with new or revised accounting standards. This transition period is only applicable under U.S. GAAP. As a result, we will adopt new or revised accounting standards on the relevant dates on which adoption of such standards is required or permitted by the International Accounting Standards Board. This allows an EGC to delay the adoption of certain accounting standards until those standards would otherwise apply to private companies. We are in the process of evaluating the benefits of relying on other exemptions and reduced reporting requirements under the JOBS Act. Subject to certain conditions, as an emerging growth company, we intend to rely on certain of these exemptions, including without limitation, (i) providing an auditor’s attestation report on our system of internal controls over financial reporting pursuant to Section 404(b) of the Sarbanes-Oxley Act and (ii) complying with any requirement that may be adopted by the Public Company Accounting Oversight Board, regarding mandatory audit firm rotation or a supplement to the auditor’s report providing additional information about the audit and the financial statements, known as the auditor discussion and analysis.
We will remain classified as an EGC until the earlier of (1) the last day of the fiscal year (i) in which we have total annual gross revenue of $1.07 billion; (ii) following the fifth anniversary of the date of the completion of the
offering; or (iii) in which we are deemed to be a “large accelerated filer,” which requires the market value of our ordinary shares that is held by non-affiliates to exceed $700 million as of the prior June 30th, and (2) the date on which we have issued more than $1 billion in nonconvertible debt during the previous three-year period.
Recently Issued Accounting Pronouncements
As disclosed in note 2 to our unaudited condensed consolidated interim financial statements, there are no standards issued but not yet adopted which will have an impact on our unaudited condensed consolidated interim financial statements.
Cautionary Statement Regarding Forward-Looking Statements
This discussion contains statements that are, or may deemed to be, forward-looking statements. All statements other than statements of historical fact included in this discussion, including statements regarding our future results of operations and financial position, business strategy, product candidates, research pipeline, ongoing and currently planned preclinical studies and clinical trials, regulatory submissions and approvals, research and development costs, timing and likelihood of success, as well as plans and objectives of management for future operations are forward-looking statements. Many of the forward-looking statements contained in this discussion can be identified by the use of forward-looking words such as ‘‘may,’’ ‘‘anticipate,’’ ‘‘believe,’’ ‘‘could,’’ ‘‘expect,’’ ‘‘should,’’ ‘‘plan,’’ ‘‘intend,’’ ‘‘estimate,’’ ‘‘will,’’ ‘‘potential’’ and ‘‘ongoing,’’ among others.
Forward-looking statements appear in a number of places in this discussion and include, but are not limited to, statements regarding our intent, belief or current expectations. Forward-looking statements are based on our management’s beliefs and assumptions and on information currently available to our management. Such statements are subject to risks and uncertainties, and actual results may differ materially from those expressed or implied in the forward-looking statements due to various factors, including, but not limited to, those identified under the section in the Registration Statement titled ‘‘Risk Factors’’. These risks and uncertainties include, among others, factors relating to:
· | the timing, progress and results of developing and conducting clinical trials for our GH001 and GH002 product candidates and the medical devices required to deliver these product candidates for our initial and potential additional indications; |
· | our efforts to expand into other jurisdictions such as the United States and in the European Union; |
· | our expectations related to the technical development and expansion of our external manufacturing capabilities for our GH001 and GH002 product candidates as well as the medical devices required to deliver these product candidates; |
· | our reliance on the success of our GH001 and GH002 product candidates; |
· | the timing, scope or likelihood of regulatory filings and approvals by the FDA, EMA or other comparable foreign regulatory authorities, for our GH001 and GH002 product candidates and our initial and potential additional indications; |
· | our expectations regarding the size of the eligible patient populations for our GH001 and GH002 product candidates, if approved for commercial use; |
· | our ability to identify third-party clinical sites to conduct trials and our ability to identify and train appropriately qualified therapists to administer our investigational therapy; |
· | the effect of the COVID-19 pandemic on aspects of our business or operations, including delays in the regulatory approval process, contracting with clinical sites and engaging in clinical trials; |
· | our ability to implement our business model and our strategic plans for our business and GH001 and GH002 product candidates; |
· | our ability to identify, develop or acquire and obtain approval by the FDA, EMA or other comparable foreign regulatory authorities of medical devices required to deliver our GH001 and GH002 product candidates; |
· | our commercialization and marketing capabilities and strategy; |
· | the effects of undesirable clinical trial outcomes and potential adverse public perception regarding the use of 5-MeO-DMT and psychedelics generally on the regulatory approval process and future development of our product; |
· | the pricing, coverage and reimbursement of our GH001 and GH002 product candidates, if approved; |
· | the scalability and commercial viability of our manufacturing methods and processes; |
· | the rate and degree of market acceptance and clinical utility of our GH001 and GH002 product candidates; |
· | our reliance on third-party suppliers for our nonclinical study and clinical trial drug substance and product candidate supplies, as well as key raw materials used in our manufacturing processes; |
· | our ability to establish or maintain collaborations or strategic relationships or obtain additional funding; |
· | our expectations regarding potential benefits of our GH001 and GH002 product candidates and our approach generally; |
· | our expectations around regulatory development paths and with respect to Controlled Substances Act designation; |
· | the scope of protection we and any current or future licensors or collaboration partners are able to establish and maintain for intellectual property rights covering our GH001 and GH002 product candidates; |
· | our ability to operate our business without infringing, misappropriating, or otherwise violating the intellectual property rights and proprietary technology of third parties; |
· | our ability to protect our intellectual property rights, including enforcing and defending intellectual property-related claims; |
· | regulatory developments in the United States, under the laws and regulations of the European Union and other jurisdictions; |
· | developments and projections relating to our competitors and our industry; |
· | our ability to remediate our material weaknesses in our internal control over financial reporting, as described in our Registration Statement; |
· | our expectations related to the use of proceeds from our initial public offering and the amount of time that our existing cash, together with the net proceeds from our initial public offering, will be sufficient to fund our operations and capital expenditures; |
· | our estimates regarding expenses, capital requirements and needs for additional financing; |
· | our ability to effectively manage our anticipated growth; |
· | our ability to attract and retain qualified employees and key personnel; |
· | whether we are classified as a Passive Foreign Investment Company for current and future periods; |
· | our expectations regarding the time during which we will be an emerging growth company under the JOBS Act and as a foreign private issuer; |
· | the future trading price of the ordinary shares and impact of securities analysts’ reports on these prices; and |
· | other risks and uncertainties, including those listed under the caption titled ‘‘Risk Factors’’ in the Registration Statement. |
These forward-looking statements speak only as of the date of this discussion and are subject to a number of risks, uncertainties and assumptions described under the section in the Registration Statement titled ‘‘Risk Factors’’ and elsewhere in this discussion. Because forward-looking statements are inherently subject to risks and uncertainties, some of which cannot be predicted or quantified and some of which are beyond our control, you should not rely on these forward-looking statements as predictions of future events. The events and circumstances reflected in our forward-looking statements may not be achieved or occur and actual results could differ materially from those projected in the forward-looking statements. Moreover, we operate in an evolving environment. New risk factors and uncertainties may emerge from time to time, and it is not possible for management to predict all risk factors and uncertainties. Except as required by applicable law, we do not plan to publicly update or revise any forward-looking statements contained herein, whether as a result of any new information, future events, changed circumstances or otherwise.
In addition, statements that ‘‘we believe’’ and similar statements reflect our beliefs and opinions on the relevant subject. These statements are based upon information available to us as of the date of this discussion, and while we believe such information forms a reasonable basis for such statements, such information may be limited or incomplete, and our statements should not be read to indicate that we have conducted an exhaustive inquiry into, or review of, all potentially available relevant information. These statements are inherently uncertain and investors are cautioned not to unduly rely upon these statements.
Exhibit 99.3
GH Research PLC Provides Business Updates and Reports Second Quarter 2021 Financial Results
Dublin, Ireland, September 23, 2021 – GH Research PLC (NASDAQ: GHRS), a clinical-stage biopharmaceutical company dedicated to transforming the treatment of psychiatric and neurological disorders, today provided business updates and reported financial results for the second quarter ended June 30, 2021.
Business Updates
Corporate Updates
In June 2021, we completed our initial public offering, in which we issued and sold an aggregate of 11,499,999 ordinary shares, including those issued and sold pursuant to the exercise in full of the underwriters’ option to purchase additional ordinary shares, at a price of $16.00 per share. The net proceeds of the offering were $167.7 million, after deducting underwriting discounts and offering expenses payable by us.
Today we announced that Dermot Hanley and Dr. Duncan Moore have been appointed to our Board of Directors as non-executive directors effective September 24, 2021, expanding the Board to five members. Mr. Hanley and Dr. Moore will also serve as members of the Audit Committee. Mr. Hanley is an experienced independent non-executive director and investment banker, having previously served as Co-Head of Coverage for Barclays Bank Ireland and having spent 16 years in international investment banking and capital markets roles with major global firms, including Claret Capital, JP Morgan, Deutsche Bank and Citibank. Dr. Moore is currently a partner at East West Capital Partners. Prior roles included 17 years as a top-ranked pharmaceutical analyst at Morgan Stanley, including 11 years as a Managing Director leading the firm's global healthcare equity research team.
Clinical Development Updates
GH001, our inhalable 5-Methoxy-N,N-Dimethyltryptamine (5-MeO-DMT) product candidate, is currently being investigated in the Phase 2 part of an ongoing open-label, single-arm Phase 1/2 clinical trial in patients with Treatment-Resistant Depression (TRD). Based on the observed clinical activity in the Phase 1 part of the trial, we believe that administration of a single dose of GH001 has the potential to induce ultra-rapid remissions as measured by the Montgomery–Åsberg Depression Rating Scale, or MADRS, in certain patients. The goal of the ongoing Phase 2 part, which we expect to complete in the fourth quarter of 2021, is to assess whether an individualized dosing regimen with intra-subject dose escalation within a single day can further increase the MADRS remission rate as compared to a single dose of GH001.
We have previously announced the plan to conduct a clinical pharmacology trial in healthy volunteers to further elucidate the pharmacokinetic profile of GH001. This trial has been initiated and is expected to be completed in the fourth quarter of 2021.
Pending completion of the aforementioned studies, we plan to request a pre-IND meeting with the FDA and a Scientific Advice meeting with the EMA and plan to initiate a multi-center, randomized, controlled Phase 2b trial in TRD.
Given GH001's mechanism of action, we believe that GH001 may confer beneficial effects as an earlier line of treatment in MDD, including potential to serve as a front-line treatment, as well as in other psychiatric and neurological disorders with unmet medical need. We plan to initiate proof-of-concept Phase 2a trials in two such disorders.
GH002, our injectable 5-MeO-DMT product candidate, is currently in preclinical development. We anticipate developing GH002 in indications within our focus area of psychiatric and neurological disorders.
Second Quarter 2021 Financial Results
Cash position
Cash was $292.6 million as of June 30, 2021, compared to $5.9 million as of December 31, 2020.
Research and development expenses
R&D expenses were $2 million for the quarter ended June 30, 2021, compared to $39 thousand for the same quarter in 2020. The increase was primarily due to increased activities relating to our technical developments and clinical trials and increases in employee expenses to support these activities.
General and administrative expenses
G&A expenses were $719 thousand for the quarter ended June 30, 2021, compared to $3 thousand for the same quarter in 2020. The increase was primarily due to costs incurred in preparation for our initial public offering and increased employee expenses.
Net loss
Net loss was $2.1 million, or $0.053 loss per share, for the quarter ended June 30, 2021, compared to $42 thousand, or $0.002 loss per share, for the same quarter in 2020.
About GH Research PLC
GH Research PLC is a clinical-stage biopharmaceutical company dedicated to transforming the treatment of psychiatric and neurological disorders. GH Research PLC's initial focus is on developing its novel and proprietary 5-MeO-DMT therapies for the treatment of patients with Treatment-Resistant Depression.
About GH001
Our lead product candidate, GH001, is formulated for 5-MeO-DMT administration via a proprietary inhalation approach. We are currently investigating administration of GH001 as a single-dose induction regimen and in an individualized dosing regimen where up to three escalating doses of GH001 are given on the same day. With GH001, we have completed a Phase 1 healthy volunteer clinical trial, in which administration of GH001 via inhalation was observed to be well tolerated at the investigated single dose levels and in the individualized dosing regimen. GH001 is currently being investigated in the Phase 2 part of an ongoing Phase 1/2 clinical trial in patients with TRD. In the completed Phase 1 part of this ongoing trial, no serious adverse events were observed and all adverse drug reactions were mild and resolved spontaneously. Based on observed clinical activity, we believe that administration of a single dose of GH001 has the potential to induce ultra-rapid remissions as measured by the Montgomery-Åsberg Depression Rating Scale, or MADRS, in certain patients. The goal of the ongoing Phase 2 part of the trial is to assess whether an individualized
dosing regimen with intra-subject dose escalation within a single day can further increase the MADRS remission rate as compared to a single dose of GH001.
About GH002
GH002 is our 5-MeO-DMT product candidate formulated for administration via a proprietary injectable approach. GH002 is currently in preclinical development, and we anticipate developing GH002 in indications within our focus area of psychiatric and neurological disorders.
About Dermot Hanley
Mr. Hanley is an experienced independent non-executive director and investment banker. He is currently a non-executive board member of numerous private equity backed companies and regulated financial investment funds. These include Killiney Maritime since September 2018, Larix Opportunities Master ICAV since February 2020, Varagon Capital Credit Strategies ICAV since October 2020. Additionally, he has served as Chairperson of RTW Investments ICAV since January 2021 and CVP Credit Value Fund (Europe) V GP Limited since May 2021. He founded Nusli in 2012. Previously, Mr. Hanley was Co-Head of Coverage for Barclays Bank Ireland and spent 16 years in international investment banking and capital markets roles with major global firms, including Claret Capital, JP Morgan, Deutsche Bank and Citibank. He is a member of the Governance Advisory Council for The Corporate Governance Institute and is also a longstanding member of the Finance and Economics Committee (Ecotax) at The Irish Business and Employers Confederation. He is a graduate of University College Dublin (BSc) and The Queens University of Belfast (MBA) and holds a diploma in corporate governance from The Governance Institute/Glasgow Caledonia University.
About Duncan Moore
Dr. Moore is a partner at East West Capital Partners since May 2008. Previously, Dr. Moore was a top-ranked pharmaceutical analyst at Morgan Stanley from 1991 to 2008 and was a Managing Director from 1997 to 2008 leading the firm's global healthcare equity research team. Whilst at the University of Cambridge, he co-founded a medical diagnostics company, Ultra Clone, with two colleagues which led to the beginnings of a 20-year career in healthcare capital markets analysis. In 1986, he was involved in establishing the BankInvest biotechnology funds and was on their scientific advisory board. Dr. Moore was educated in Edinburgh and attended the University of Leeds where he studied Biochemistry and Microbiology. He has a M.Phil. and Ph.D. from the University of Cambridge where he was also a post-doctoral research fellow. Currently, he is an active investor in biomedical companies as Chairman of Lamellar Biomedical and Allarity Therapeutics A/S (previously Oncology Venture A/S). In addition, he has a board position at Forward Pharma A/S and Cycle Pharma. He is also the Chairman of the Scottish Life Sciences Association and serves on the Board of Governors of Merchiston Castle School in Edinburgh and the International School in Shenzhen in the Peoples Republic of China.
Forward-Looking Statements
This press release contains statements that are, or may deemed to be, forward-looking statements. All statements other than statements of historical fact included in this press release, including statements regarding our future results of operations and financial position, business strategy, product candidates, research pipeline, ongoing and currently planned preclinical studies and clinical trials, regulatory submissions and approvals, research and development costs, timing and likelihood
of success, as well as plans and objectives of management for future operations are forward-looking statements. Forward-looking statements appear in a number of places in this press release and include, but are not limited to, statements regarding our intent, belief or current expectations. Forward-looking statements are based on our management’s beliefs and assumptions and on information currently available to our management. Such statements are subject to risks and uncertainties, and actual results may differ materially from those expressed or implied in the forward-looking statements due to various factors, including, but not limited to, those described in our filings with the U.S. Securities and Exchange Commission. No assurance can be given that such future results will be achieved. Such forward-looking statements contained in this document speak only as of the date of this press release. We expressly disclaim any obligation or undertaking to update these forward-looking statements contained in this press release to reflect any change in our expectations or any change in events, conditions, or circumstances on which such statements are based unless required to do so by applicable law. No representations or warranties (expressed or implied) are made about the accuracy of any such forward-looking statements.
Investor Relations:
Julie Ryan
GH Research PLC
investors@ghres.com
GH RESEARCH PLC
Condensed Consolidated Interim Statement of Comprehensive Income (Unaudited)
(in thousands, except share and per share amounts)
Three months ended June 30, | Six months ended June 30, | |||||||||||||||
2021 | 2020 | 2021 | 2020 | |||||||||||||
$’000 | $’000 | $’000 | $’000 | |||||||||||||
Operating expenses | ||||||||||||||||
Research and development | (1,954 | ) | (39 | ) | (2,646 | ) | (50 | ) | ||||||||
General and administration | (719 | ) | (3 | ) | (1,167 | ) | (11 | ) | ||||||||
Loss from operations | (2,673 | ) | (42 | ) | (3,813 | ) | (61 | ) | ||||||||
Finance expense | (6 | ) | — | (6 | ) | — | ||||||||||
Foreign currency translation differences | 554 | — | 544 | — | ||||||||||||
Loss for the period | (2,125 | ) | (42 | ) | (3,275 | ) | (61 | ) | ||||||||
Other comprehensive income/(expense) | ||||||||||||||||
Items that may be reclassified to profit or loss | ||||||||||||||||
Currency translation adjustment | (486 | ) | 6 | (688 | ) | — | ||||||||||
Total comprehensive loss for the period | (2,611 | ) | (36 | ) | (3,963 | ) | (61 | ) | ||||||||
Attributable to owners: | ||||||||||||||||
Loss for the period | (2,125 | ) | (42 | ) | (3,275 | ) | (61 | ) | ||||||||
Comprehensive loss for the period | (486 | ) | 6 | (688 | ) | — | ||||||||||
Loss per share | ||||||||||||||||
Basic and diluted loss per share (in USD) | (0.053 | ) | (0.002 | ) | (0.093 | ) | (0.002 | ) |
GH RESEARCH PLC
Condensed Consolidated Interim Balance Sheet (Unaudited)
(in thousands)
At June 30, | At December 31, | |||||||
2021 | 2020 | |||||||
$’000 | $’000 | |||||||
ASSETS | ||||||||
Current assets | ||||||||
Cash | 292,625 | 5,895 | ||||||
Other current assets | 164 | 17 | ||||||
Total current assets | 292,789 | 5,912 | ||||||
Non-current assets | ||||||||
Property, plant and equipment | 30 | — | ||||||
Total non-current assets | 30 | — | ||||||
Total assets | 292,819 | 5,912 | ||||||
LIABILITIES AND EQUITY | ||||||||
Current liabilities | ||||||||
Trade payables | 1,002 | 1 | ||||||
Other current liabilities | 3,590 | 245 | ||||||
Total current liabilities | 4,592 | 246 | ||||||
Total liabilities | 4,592 | 246 | ||||||
Equity attributable to owners | ||||||||
Share capital | 1,301 | 871 | ||||||
Share premium | 291,512 | 5,430 | ||||||
Other reserves | 12 | — | ||||||
Foreign currency translation reserve | (488 | ) | 200 | |||||
Accumulated deficit | (4,110 | ) | (835 | ) | ||||
Total equity | 288,227 | 5,666 | ||||||
Total liabilities and equity | 292,819 | 5,912 |