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 October, 2022.

 

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): ☐

 

 

 

 

 

 

 

On October 17, 2022, at the European College of Neuropsychopharmacology Conference 2022 (“ECNP 2022”), an investigator will present data related to a Phase 1/2 clinical trial of GH001 (GH001-TRD-102) conducted by GH Research PLC (the “Company”) in the form of a poster session and presentation. A copy of the poster is attached hereto as Exhibit 99.1 and a copy of the presentation is attached hereto as Exhibit 99.2.

 

Additionally, on October 17, 2022, at ECNP 2022, an investigator will present data related to a Phase 1 clinical trial of GH001 (GH001-HV-101) conducted by the Company in the form of a poster session and presentation. A copy of the poster is attached hereto as Exhibit 99.3 and a copy of the presentation is attached hereto as Exhibit 99.4.

 

The fact that these materials are being made available and furnished herewith should not be deemed an admission as to the materiality of any information contained in the materials. The information contained in these materials is being provided as of October 14, 2022 and the Company does not undertake any obligation to update these materials in the future or to update forward-looking statements to reflect subsequent actual results.

 

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EXHIBIT INDEX

 

Exhibit No. Description
99.1 Poster for a Phase 1/2 clinical trial of GH001 (GH001-TRD-102), for October 2022
99.2 Presentation for a Phase 1/2 clinical trial of GH001 (GH001-TRD-102), for October 2022
99.3 Poster for a Phase 1 clinical trial of GH001 (GH001-HV-101), for October 2022
99.4 Presentation for a Phase 1 clinical trial of GH001 (GH001-HV-101), for October 2022

 

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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: October 14, 2022  
   
  By: /s/ Julie Ryan
  Name: Julie Ryan
  Title: Vice President, Finance

 

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Exhibit 99.1

 

INTRODUCTION Current established treatments for depression are slow - acting, often taking several weeks before potential effects appear, and about one third of patient do not reach remission even after 4 treatment steps 1 . 5 - Methoxy - N,N - dimethyltryptamine ( 5 - MeO - DMT) is a potent, fast - acting, naturally - occurring psychoactive tryptamine 2 . It acts on the 5 - HT 1 A and 5 - HT 2 A receptors and has a high propensity in eliciting so called peak experiences (PE) . These are s tates during an intense psychedelic experience that are defined by feelings of ego dissolution and experiences of oneness or unity . PEs can be very profound and meaningful experiences, which may correlate with therapeutic outcomes . The current study tested if 5 - MeO - DMT, in a proprietary vaporized formulation (GH 001 ), could function as a rapid treatment option for patients with treatment - resistant depression (TRD) . TRD was d efined as an inadequate response to at least two adequate courses of pharmacological therapy or one adequate course of pharmacological therapy and at least one adequate course of evidence - based psychotherapy . AIMS 1 . To investigate the safety and tolerability of GH 001 in patients with TRD (Phase 1 part) . 2 . To assess the therapeutic efficacy of GH 001 in patients with TRD (Phase 2 part) . METHODS The study was comprised of two single - arm parts, where the Phase 1 part (n= 8 ) consisted of two single dose levels ( 12 mg and 18 mg) and the Phase 2 part (n= 8 ) was comprised of an individualized dosing regimen (IDR) of up to three increasing doses on a single day ( 6 mg, 12 mg, 18 mg) . The Phase 2 part consecutive doses were only administered if the previous dose did not elicit a PE . This was assessed using a proprietary novel PE scale (PES), consisting of 3 visual analogue scales . Aside from a pre - screening, a thorough medical and psychiatric screening, and the single administration day, follow up visits were conducted on day 1 and day 7 after the dosing day . No specific psychotherapeutic interventions, besides interactions for the screening and outcome assessments, were included at any of the visits . A total of 16 patients with TRD ( 7 female, 9 male) aged 21 to 51 years ( Mdn = 29 . 5 ) participated in the study . To avoid expectancy effects, participants were not informed about the identity of the study drug until completion of the study . The primary endpoint of the Phase 1 part of the study was to assess the safety and tolerability of GH 001 administered via inhalation after vaporization . The primary endpoint of the Phase 2 part of the study was to assess the effect of GH 001 on the severity of depression, as evaluated by the proportion of patients in remission (MADRS≤ 10 ) at 7 days after dosing . For this primary endpoint the one - sided null hypothesis assumed a remission probability ≤ 0 · 01 and was tested by an exact binomial test with one - sided significance level α = 0 · 025 . The secondary endpoints of mean change in MADRS total score from baseline to 2 hours, 1 day, and 7 days after dosing were evaluated by a paired t - test comparing the mean MADRS total score at the respective time point with the mean MADRS total score at baseline, each time point being evaluated separately . RESULTS In the Phase 1 part, 2 out of 4 patients achieved a PE (i . e . , PES rating ≥ 75 ) in the 12 mg dose group, and 0 out of 4 patients achieved a PE in the 18 mg dose group . In the Phase 2 Part, applying the IDR, 7 out of 8 patients achieved a PE, whereby 6 patients achieved a PE after the second administration ( 6 mg + 12 mg), and one patient achieved a PE after the third administration ( 6 mg + 12 mg + 18 mg) . A Phase 1/2 Trial of GH001, a Vaporized 5 - Methoxy - N,N - Dimethyltryptamine Formulation, in Patients with Treatment - Resistant Depression (TRD) Reckweg JT 1 *, van Leeuwen C 1 , Henquet C 2 , van Amelsvoort T 2 , Mason NL 1 , Terwey TH 3 , Ramaekers JG 1 *presenting author 1 Department of Neuropsychology & Psychopharmacology, Faculty of Psychology & Neuroscience, Maastricht University, Maastricht, the Netherlands 2 School of Mental Health and Neuroscience, Maastricht University, Maastricht, the Netherlands 3 GH Research, Dublin, Ireland Correspondence to: J. G. Ramaekers or J. T. Reckweg j.ramaekers@maastrichtuniversity.nl johannes.reckweg@maastrichtuniversity.nl Department of Neuropsychology & Psychopharmacology T (JGR) +31 43 388 1951 T (JTR) +31 43 388 1530 Maastricht University P.O. Box 616 6200 MD Maastricht, the Netherlands Disclosure statement : The study was funded by GH Research, Dublin, Ireland Figure 1 . Mean (SE) and individual ratings of the PES per dose level . Average of ≥ 75 on PES indicated a PE . The proportion of patients with MADRS remission (MADRS≤ 10 ) at day 7 was 2 out of 4 ( 50 % ) and 1 out of 4 ( 25 % ) in the 12 mg and 18 mg groups in the Phase 1 part, respectively, and 7 out of 8 ( 87 . 5 % ) in the IDR group in the Phase 2 part, meeting its primary endpoint (remission probability= 0 . 875 ; 95 % CI= 0 . 473 - 0 . 997 ; Mid - p 95 % CI= 0 . 520 - 0 . 994 ; p< 0 . 0001 ) . The mean MADRS change from baseline to day 7 was - 21 . 0 ( - 65 % ) and - 12 . 5 ( - 40 % ) in the 12 and 18 mg groups, respectively, and - 24 . 4 ( - 76 % ) for the IDR . Paired t - tests revealed a significant decrease in MADRS ratings at 2 hours (t= - 4 . 71 ; p= . 0022 ), 1 day (t= - 8 . 08 ; p< . 0001 ) and 7 days (t= - 5 . 31 ; p= . 0011 ) after single dose administrations in the Phase 1 part, and at 2 hours (t= - 4 . 88 ; p= . 0018 ), 1 day (t= - 14 . 54 ; p< . 0001 ) and 7 days (t= - 9 . 98 ; p< . 0001 ) after administration of the IDR in Part B . Safety Safety measures, such as measures of cognitive function and psychiatric safety, did not show any clinically significant change at any post - dose assessment as compared to their values at baseline . Further, no clinically significant changes in vital parameters, ECG and safety laboratory analyses were observed . There were 3 adverse drug reactions of moderate intensity ( 2 x nausea, 1 x depressive symptom) with all other adverse drug reactions being mild, and all resolved spontaneously . There were no serious adverse events (SAE) . Psychopharmacology in Maastricht CONCLUSION • GH 001 allows rapid and individualized dosing optimization • GH 001 administered without specific structured psychotherapeutic interventions before, during and after dosing was well tolerated , and no SAE were reported • The GH 001 IDR administered on a single day achieved a rapid and sustained ( 7 days) full remission in 7 / 8 patients with TRD . References 1 Rush AJ, Trivedi MH, Wisniewski SR, et al . Acute and longer - term outcomes in depressed outpatients requiring one or several treatment steps : a STAR*D report . Am J Psychiatry . 2006 ; 163 ( 11 ) : 1905 - 1917 . 2 Reckweg JT, Uthaug MV, Szabo A, et al . The clinical pharmacology and potential therapeutic applications of 5 - methoxy - N,N - dimethyltryptamine ( 5 - MeO - DMT) . J Neurochem . 2022 ; 162 ( 1 ) : 128 - 146 . Figure 2. Panel A shows remission, response and improvement rates after single doses of GH001 and after an IDR of GH001. Panel B shows mean (SE) MADRS ratings at screening (S), at baseline (D0 - B) before dosing, at 2 hours after dosing of GH001 (D0 - H2), and at 1 (D1) and 7 (D7) days follow - up in the Phase 1 part (single dose) and phase 2 Part (IDR). Grey planes indicate remission as indicated by MADRS ≤ 10. Panel C shows mean (SE) MADRS change from baseline at D0 - H2, D1 and D7. Poster # P.0450

 

 

 

 

Exhibit 99.2

A Phase 1/2 Trial of GH001, a Vaporized 5 - Methoxy - N,N - Dimethyltryptamine Formulation, in Patients with Treatment - Resistant Depression (TRD) 1 Clinicaltrials.gov ID NCT04698603 Johannes Reckweg 1 , Cees van Leeuwen 1 , Cécile Henquet 2 , Thérèse van Amelsvoort 2 , Natasha Mason 1 , Riccardo Paci 1 , Theis Terwey 3 , Johannes G Ramaekers 1 1. Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, Netherlands 2. School Mental Health and Neuroscience, Maastricht University, Maastricht, Netherlands 3. GH Research, Dublin, Ireland GH001 - TRD - 102 ECNP 2022 – Poster P.0450

 

 

Grants The study was funded by GH Research Advisory Board/Consultant Johannes Reckweg and Jan Ramaekers work as consultants for GH Research 2 Disclosures GH001 - TRD - 102 ECNP 2022 – Poster P.0450

 

 

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 0 2 4 6 8 10 12 14 Cumulative Remission Rate (% Patients) Week ... Remission Rates in TRD < 15% Established Therapies are Slow - Acting 37% 31% 14% 13% 56% 62% 67% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 1 2 3 4 Cumulative Remission Rate (%) (line) Remission Rates (%) (bar) Treatment Step ~33% no remission despite 4 treatment steps Adapted from Trivedi et al . , Am J Psychiatry 2006 and Rush et al. , Am J Psychiatry 2006 Average time to remission is ~6 weeks (STAR*D study, Remission Rate Over Time, Treatment Step 1 = Citalopram) (STAR*D study , Remission Rates Treatment Steps 1 to 4) 3 2 or more prior therapies = TRD The Problem for Patients with Depression GH001 - TRD - 102 ECNP 2022 – Poster P.0450

 

 

• 5 - MeO - DMT (5 - Methoxy - N,N - Dimethyltryptamine) • Naturally - occurring psychoactive substance from tryptamine class • Highly potent agonist on 5 - HT1A and 5 - HT2A receptors • Psychoactive effects with ultra - rapid onset (within seconds) and short duration (5 to 30 min) • High propensity to induce peak experiences ; markers for therapeutic effect • GH001 ( 5 - MeO - DMT administration via a proprietary inhalation approach) • Intraday individualized dosing regimen (IDR) for maximization of ultra - rapid remissions • Single visit initial treatment, with no structured psychotherapy 5 - MeO - DMT and GH001 4 5 - MeO - DMT GH001 - TRD - 102 ECNP 2022 – Poster P.0450

 

 

Key Assessments MADRS 2 - hrs PE Scale Safety MADRS 1 - day Cognitive function Safety MADRS 7 - day Cognitive function Safety GH001 Administration Day 1 Day 7 Phase 1/2 Trial in TRD (GH001 - TRD - 102, n=16) 5 PE, Peak Experience; MADRS, Montgomery - Åsberg Depression Rating Scale; IDR, Individualized Dosing Regimen 1 D efined as inadequate response to at least two adequate courses of pharmacological therapy or one adequate course of pharmacological therapy and at least one adequate course of evidence - based psychotherapy Phase 1 (Single Dose) Phase 2 (IDR) GH001 12 mg (n=4) GH001 18 mg (n=4) TRD 1 (n=8) Primary Endpoint: • Safety until day 7 TRD 1 (n=8) Primary Endpoint: • MADRS remission day 7 (MADRS≤10) GH001 IDR 6, 12, 18 mg to achieve PE (up to 3 doses, 3h interval) GH001 - TRD - 102 ECNP 2022 – Poster P.0450

 

 

Phase 2 (IDR) – Efficacy (MADRS) 6 PE, Peak Experience; MADRS, Montgomery - Åsberg Depression Rating Scale; MADRS remission, MADRS of ≤10; MADRS response, Reduction of ≥50% from baseline in MADRS; S, Screening; D0 - B, Day 0 Baseline; D0 - H2, Day 0 2 hours; D1, Day 1; D7, Day 7. • Primary endpoint met: 7 of 8 patients (87.5%) had a MADRS remission at day 7, p<0.0001 • 7 of 8 patients had a PE and 6 of those had a MADRS remission at day 7 MADRS Remission, Response, Improvement Rate at Day 7 MADRS from Screening to Day 7 Remission ResponseImprovement 0 20 40 60 80 100 % IDR S D0-B D0-H2 D1 D7 0 10 20 30 40 M A D R S GH001 - TRD - 102 ECNP 2022 – Poster P.0450

 

 

Phase 1 (Single Dose) and Phase 2 (IDR) – Safety 7 ADR, Adverse Drug Reaction, an adverse event with a relationship code to the investigational product of definite, probable, o r p ossible, or where code is missing IDR, Individualized Dosing Regimen; C - SSRS, Columbia - Suicide Severity Rating Scale ADRs Phase 1 (Single Dose ) Phase 2 (IDR) 12 mg (N=4) 18 mg (N=4) IDR 1 (N=8) MedDRA Preferred Term n n n Abdominal discomfort 1 Anxiety 2 Depressive symptom 1* Dizziness 1 Feeling abnormal 1 1 Flashback 1 1 2 Headache 2 1 3 Muscle discomfort 1 Muscle spasms 1 Nausea 2* Paresthesia 1 Sensory disturbance 3 1 6 - 12 mg (N=6); 6 - 12 - 18 mg (N=2) Study Safety Group review • No SAEs • All ADRs mild, except three moderate* • All ADRs resolved spontaneously • Inhalation well - tolerated • No noteworthy changes in vital parameters, except for temporary, non - clinically relevant increase in heart rate and blood pressure shortly after administration of GH001 • No clinically significant changes in safety laboratory analyses, psychiatric safety assessments or measures of cognitive function • No safety signal relating to suicidal ideation or suicidal behavior, based on C - SSRS and MADRS subscore item “suicidal thoughts” GH001 - TRD - 102 ECNP 2022 – Poster P.0450

 

 

8 • GH001 was well tolerated, and no serious adverse events were reported • No clinically significant changes in vital signs, cognitive function, psychiatric safety assessment • GH001 allows rapid and individualized dosing optimization • A single dosing day with GH001 IDR achieved a rapid (within 24 hours) and sustained full remission (7 days) of symptoms of depression in 7/8 patients (87.5%) with TRD Contacts GH Research: info@ghres.com / clinicaltrials@ghres.com Maastricht University: johannes.reckweg@maastrichtuniversity.nl / j.ramaekers@maastrichtuniversity.nl Twitter: @PIMaastricht Conclusions GH001 - TRD - 102 ECNP 2022 – Poster P.0450

 

 

 

Exhibit 99.3

INTRODUCTION 5 - Methoxy - N,N - dimethyltryptamine ( 5 - MeO - DMT) is a potent, fast - acting, naturally - occurring psychoactive tryptamine 1 . It is predominantly found in the bufotoxin of the Sonoran Desert toad 2 and was first synthesized in 1936 3 . It acts on the 5 - HT 1 A and 5 - HT 2 A receptors , and it has been suggested that the 5 - HT 1 A subtype is functionally dominant 4 . 5 - MeO - DMT has been used in recreational or self - exploratory contexts 2 . 5 - MeO - DMT has been reported to be proficient in eliciting so called peak psychedelic experiences (PE) . These are s tates during an intense psychedelic experience that are defined by feelings of ego dissolution and experiences of oneness or unity . These can be very profound and meaningful experiences, which may correlate with therapeutic outcomes . In the current study, 5 - MeO - DMT was administered via inhalation as GH 001 , a novel vaporized 5 - MeO - DMT formulation . AIMS The primary aim of the study was to investigate safety, tolerability and dose - related psychoactive effects of GH 001 in healthy volunteers . Additional aims were to a ssess the impact of GH 001 on cognition, mood, and well - being, as well as to determine the best dosing regimen to reliably elicit a PE . METHODS The study was comprised of two single - arm parts, where Part A (n= 18 ) consisted of four single dose levels ( 2 mg, 6 mg, 12 mg, 18 mg) . Part B (n= 4 ) was comprised of an individualized dosing regimen (IDR), of up to three increasing doses on a single day ( 6 mg, 12 mg, 18 mg) . The part B consecutive doses were only administered if the previous dose did not elicit a PE . This was assessed using a proprietary novel PE scale (PES), consisting of 3 visual analogue scales . Aside from a (medical) screening and the single administration day, follow up visits were conducted on day 1 and day 7 after the dosing day . A total of 22 healthy volunteers ( 9 female, 13 male) aged 18 to 42 years ( M = 29 , SD = 6 . 08 ) with a history of prior psychedelic use participated in the study . To avoid expectancy effects, participants were not informed about the identity of the study drug until completion of the study . Measures of the psychedelic experience (PES, EDI, MEQ, CEQ, 5 D - ASC) were analyzed using ANOVAs with single factor Dose ( 5 levels : 2 , 6 , 12 , 18 mg and IDR) . The cognitive tests (DSST, PVT, PMT), measures of well - being (DASS - 21 , SWLS, FFMQ, CADSS, BPRS), and vital signs were analysed using GLM RM - ANOVAs with the factors Dose ( 5 levels) and Time ( 3 levels : Baseline, post - administration, 7 - day follow up) . RESULTS Psychedelic experience ANOVAs indicated a significant effect of 5 - MeO - DMT Dose on ratings of the PES (F 4 , 17 = 9 . 302 , p < . 001 , η p 2 = 0 . 686 ), EDI (F 4 , 17 = 6 . 925 , p = . 002 , η p 2 = 0 . 62 ), MEQ (F 4 , 17 = 8 . 026 , p = . 001 , η p 2 = 0 . 654 ), and Reduction of Vigilance as assessed with the 5 D - ASC (F 4 , 17 = 4 . 023 , p = . 018 , η p 2 = 0 . 486 ) . The effects of dose on ratings of Oceanic Boundlessness approached significance (F 4 , 17 = 2 . 901 , p = . 053 , η p 2 = 0 . 406 ) . Planned contrasts indicated higher mean ratings of the psychedelic experience at higher doses compared to the lowest dose of 2 mg . A Phase 1, Dose - Ranging Trial to Assess the Safety and Psychoactive Effects of a Vaporized 5 - Methoxy - N,N - Dimethyltryptamine Formulation (GH001) in Healthy Volunteers Reckweg JT 1 *, Mason NL 1 , van Leeuwen C 1 , Toennes SW 2 , Terwey TH 3 , Ramaekers JG 1 *presenting author 1 Department of Neuropsychology & Psychopharmacology, Faculty of Psychology & Neuroscience, Maastricht University, Maastricht, the Netherlands 2 Institute of Legal Medicine, University of Frankfurt, Frankfurt, Germany 3 GH Research, Dublin, Ireland Correspondence to: J. G. Ramaekers or J. T. Reckweg j.ramaekers@maastrichtuniversity.nl johannes.reckweg@maastrichtuniversity.nl Department of Neuropsychology & Psychopharmacology T (JGR) +31 43 388 1951 T (JTR) +31 43 388 1530 Maastricht University P.O. Box 616 6200 MD Maastricht, the Netherlands Disclosure statement : The study was funded by GH Research, Dublin, Ireland Figure 1 Mean (SE) and individual retrospective ratings of the acute psychedelic experience (PES, EDI, MEQ, CEQ) per dose level . Average of ≥ 75 on PES indicated a PE . In part A, four participants reported a peak experience (i . e . , PES rating ≥ 75 % ) : one participant at the 6 mg dose, two participants at the 12 mg dose, one participant at the 18 mg dose . In part B, all four participants in the IDR group reached a PE ; one participant after first dose ( 6 mg), two after second dose ( 6 mg + 12 mg), and one participant after three doses ( 6 mg + 12 mg + 18 mg) . Cognition and well - being For the measures on cognition and well - being, no clinically relevant effects of Dose or TimexDose were observed . The factor Time reached significance for the SLWS, BPRS , and the Amnesia and Derealization subscales of the CADSS . Safety and tolerability All doses were considered safe and well - tolerated . There were no dropouts and no serious adverse events (AEs) reported . There were two AEs of moderate severity (fatigue, heart rate increase) with all other AEs being mild (e . g . nausea, headache, anxiety), and all AEs resolved spontaneously . There were no significant effects of Dose on measures of systolic/diastolic blood pressure or heart rate and only a non - clinically significant effect of Time ( p = . 003 ), reflecting a mild decrease in heart rate from baseline to 3 hours post - administration (heart rate remained within normal range) . Plasma concentrations Plasma concentrations of 5 - MeO - DMT were very low at 1 hour post - administration and barely measureable at 3 hours post - administration . Bufotenin concentrations were below limit of detection ( 0 . 006 ng/ml) at all time points . Psychopharmacology in Maastricht F igure 2 Mean (SE) and individual CADSS and DASS ratings per dose level. CONCLUSION • Administration of GH 001 was well tolerated • Short duration of effects support safety profile • Individual variability for dose - related effects  IDR may be preferable for clinical applications that aim to optimize therapeutic response References 1 Shulgin, A . , and Shulgin, A . ( 1997 ) . Tryptamines I Have Known and Loved : The Chemistry Continues . Berkeley, CA : Transform Press . 2 Weil, A . T . , & Davis, W . ( 1994 ) . Bufo alvarius : A potent hallucinogen of animal origin . Journal of Ethnopharmacology , 41 , 1 – 8 . 3 Hoshino, T . , and Shimodaira , K . ( 1936 ) . Über Die Synthese Des Bufotenin - Methyl - Äthers ( 5 - Methoxy - N - Dimethyl - Tryptamin) Und Bufotenins ( Synthesen in Der Indol - Gruppe . Xv ) . Bull . Chem . Soc . Jpn . 11 , 221 – 224 . doi : 10 . 1246 /bcsj . 11 . 221 4 Krebs - Thomson, K . , Ruiz, E . M . , Masten, V . , Buell, M . , and Geyer, M . A . ( 2006 ) . The Roles of 5 - HT 1 A and 5 - HT 2 Receptors in the Effects of 5 - MeO - DMT on Locomotor Activity and Prepulse Inhibition in Rats . Psychopharmacology (Berl) . 189 , 319 – 329 . doi : 10 . 1007 /s 00213 - 006 - 0566 - 1 Poster # P.0665

 

 

 

 

Exhibit 99.4

 

A Phase 1, Dose - Ranging Study to Assess Safety and Psychoactive Effects of a Vaporized 5 - Methoxy - N, N - Dimethyltryptamine Formulation (GH001) in Healthy Volunteers 1 Clinicaltrials.gov ID NCT04698603 Johannes Reckweg 1 , Natasha Mason 1 , Cees van Leeuwen 1 , Stefan Toennes 2 , Theis Terwey 3 , Johannes G Ramaekers 1 1. Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, Netherlands 2. Institute of Legal Medicine, University of Frankfurt, Frankfurt, Germany 3. GH Research, Dublin, Ireland GH001 - TRD - 102 ECNP 2022 – Poster P.0665

 

 

Grants The study was funded by GH Research Advisory Board/Consultant Johannes Reckweg and Jan Ramaekers work as consultants for GH Research 2 Disclosures GH001 - TRD - 102 ECNP 2022 – Poster P.0665

 

 

• 5 - MeO - DMT (5 - Methoxy - N,N - Dimethyltryptamine) • Naturally - occurring psychoactive substance from tryptamine class • Highly potent agonist on 5 - HT1A and 5 - HT2A receptors • Psychoactive effects with ultra - rapid onset (within seconds) and short duration (5 to 30 min) • GH001 ( 5 - MeO - DMT administration via a proprietary inhalation approach) • Intraday individualized dosing regimen (IDR) for maximization of ultra - rapid remissions 5 - MeO - DMT and GH001 3 5 - MeO - DMT GH001 - TRD - 102 ECNP 2022 – Poster P.0665

 

 

5 - MeO - DMT and Peak Experiences • High propensity to induce peak experiences (PE) • Feelings of ego dissolution • Experience of unity or oneness • Profound and meaningful • May be a surrogate marker for therapeutic effects • Assessed through proprietary Peak Experience Scale • Three visual analogue scales (0 – 100): • Intensity • Loss of control • Profoundness • PE defined as total average of ≥ 75 4 GH001 - TRD - 102 ECNP 2022 – Poster P.0665

 

 

Phase 1 Trial in Healthy Volunteers (GH001 - HV - 101, n=22) • GH001 single doses of 2 mg, 6 mg, 12 mg, 18 mg and GH001 IDR (6, 12, 18 mg intra - subject dose escalation) • No SAEs, all ADRs mild (except two moderate), all ADRs resolved spontaneously, inhalation well - tolerated • GH001 single dose with psychoactive effect dose response but high inter - subject variability • GH001 IDR controls inter - subject variability achieving a PE in all healthy volunteers 5 Clinicaltrials.gov ID NCT04640831; Reckweg et al, 2021 IDR, Individualized Dosing Regimen; SAE, Serious Adverse Event; ADR, Adverse Drug Reaction (an adverse event with a relations hip code to the investigational product of definite, probable, or possible, or where code is missing). PE Scale PE Threshold GH001 - TRD - 102 ECNP 2022 – Poster P.0665

 

 

6 • GH001 has promising safety profile • GH001 allows rapid and individualized dosing optimization • IDR could be used in clinical applications Contacts GH Research: info@ghres.com / clinicaltrials@ghres.com Maastricht University: johannes.reckweg@maastrichtuniversity.nl / j.ramaekers@maastrichtuniversity.nl Twitter: @PIMaastricht Conclusions IDR, Individualized Dosing Regimen GH001 - TRD - 102 ECNP 2022 – Poster P.0665