
| • |
NAVIGATE Phase 2b/3 trial (NCT04365868) is a
global, randomized, double-blind, placebo-controlled study evaluating belapectin administered intravenously at 2 mg/kg or 4 mg/kg of lean body mass (LBM) versus placebo every two weeks for 18 months for the prevention of esophageal varices in
patients with MASH cirrhosis.
|
| • |
The NAVIGATE trial demonstrated:
|
| o |
In the intent-to-treat population (n=355), the incidence of varices at 18 months was 43.2% lower in patients treated with belapectin 2 mg/kg compared with placebo, although the
composite endpoint did not reach statistical significance.
|
| o |
In the per-protocol population (n=287), belapectin 2 mg/kg reduced the incidence of varices by 49.3% versus placebo (nominal p = 0.04).
|
| o |
In U.S. patients within the per-protocol population (n=186), belapectin 2 mg/kg reduced the incidence of varices by 68.1% compared with placebo (p = 0.02).
|
| o |
Safety results showed a similar proportion of treatment-emergent adverse events, serious adverse events, and discontinuations across treatment groups, with no drug-related serious
adverse events observed.
|
| o |
Additional 18-month NAVIGATE biomarker analyses presented in 2025 demonstrated consistent effects across multiple non-invasive markers of fibrosis and disease progression, including
FibroScan® liver stiffness measurement, ELF score, and PRO-C3, further supporting belapectin’s potential antifibrotic and disease-modifying activity in patients with compensated MASH cirrhosis and portal hypertension.
|
| o |
Additional mechanistic analyses, including YKL-40 and PRO-C4, further supported belapectin’s biological activity, with findings consistent with reduced inflammation
and fibrogenesis.
|
| o |
Analyses using validated Baveno VII criteria suggested belapectin treatment was associated with improvements in portal hypertension risk categories and a reduced risk
of hepatic decompensation compared with placebo.
|
| • |
In March 2026, the Company hosted a virtual KOL event featuring leading hepatology experts who reviewed additional NAVIGATE biomarker findings and discussed their
implications for disease progression and portal hypertension risk in MASH cirrhosis.
|
| • |
The Company will present new NAVIGATE trial analyses at EASL 2026 (May 27–30, 2026), including an oral presentation on reduced varices based on favorable changes in markers of
fibrosis formation and resolution (PRO-C3/CTX-III), and a poster presentation on risk reduction in clinically significant portal hypertension in advanced MASH cirrhosis.
|
| • |
As of December 31, 2025, the Company had $17.7 million of unrestricted cash and cash equivalents in addition to $10 million available under a line of credit provided
by our chairman to fund future operations. The Company believes it has sufficient cash to fund currently planned operations and research and development activities through April 2027.
|
| • |
Research and development expenses for the year ended December 31, 2025 were $14.3 million compared with $36.6 million for the year ended December 31, 2024. The
decrease was primarily due to costs related to our NAVIGATE clinical trial and other supportive activities.
|
| • |
General and administrative expenses for the year ended December 31, 2025 were $5.8 million, compared to $5.9 million for the year ended December 31, 2024.
|
| • |
For the year ended December 31, 2025, the Company reported a net loss applicable to common stockholders of $31.0 million, or ($0.48) per share, compared to a net loss
applicable to common stockholders of $47.2 million, or ($0.76) per share, for the year ended December 31, 2024. The decrease is largely due to a decrease in research and development costs due to the conclusion of the NAVIGATE trial.
|
| • |
These results are included in the Company's Annual Report on Form 10-K, which has
been filed with the U.S. Securities and Exchange Commission and is available at www.sec.gov.
|
|
Year Ended
December 31,
|
||||||||
|
2025
|
2024
|
|||||||
|
Operating expenses:
|
||||||||
|
Research and development
|
$
|
14,290
|
$
|
36,571
|
||||
|
General and administrative
|
5,795
|
5,862
|
||||||
|
Total operating expenses
|
20,085
|
42,433
|
||||||
|
Total operating loss
|
(20,085
|
)
|
(42,433
|
)
|
||||
|
Other income (expense):
|
||||||||
|
Interest income
|
126
|
336
|
||||||
|
Interest expense
|
(7,329
|
)
|
(5,540
|
)
|
||||
|
Change in fair value of derivatives
|
(3,548
|
)
|
590
|
|||||
|
Total other income
|
(10,751
|
)
|
(4,614
|
)
|
||||
|
Net loss
|
$
|
(30,836
|
)
|
$
|
(47,047
|
)
|
||
|
Preferred stock dividends
|
(138
|
)
|
(153
|
)
|
||||
|
Warrant modification
|
||||||||
|
Net loss applicable to common stock
|
$
|
(30,974
|
)
|
$
|
(47,200
|
)
|
||
|
Basic and diluted net loss per share
|
$
|
(0.48
|
)
|
$
|
(0.76
|
)
|
||
|
Shares used in computing basic and diluted net loss per share
|
63,903
|
62,309
|
||||||
|
December 31, 2025
|
December 31, 2024
|
|||||||
|
(in thousands)
|
||||||||
|
Cash and cash equivalents
|
$
|
17,720
|
$
|
15,120
|
||||
|
Total assets
|
19,532
|
17,495
|
||||||
|
Total current liabilities
|
8,030
|
35,409
|
||||||
|
Total liabilities
|
145,727
|
120,565
|
||||||
|
Total redeemable, convertible preferred stock
|
1,723
|
1,723
|
||||||
|
Total stockholders’ equity (deficit)
|
$
|
(127,918
|
)
|
$
|
(104,793
|
)
|
||