On August 14, 2024 Molecular Templates, Inc. (Nasdaq: MTEM, "Molecular Templates," or "MTEM"), a clinical-stage biopharmaceutical company focused on the discovery and development of proprietary targeted biologic therapeutics, engineered toxin bodies ("ETBs"), to create novel therapies with potent differentiated mechanisms of action, reported financial results and business updates for the second quarter of 2024 (Press release, Molecular Templates, AUG 14, 2024, View Source [SID1234645922]).

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"ETBs can eliminate immune cells that monoclonal antibodies cannot. Eliminating MDSCs with MT-6402 and Tregs with MT-8421 is a novel approach to immuno-oncology that is demonstrating durable responses in patients who have progressed or were refractory to checkpoint therapy. The elimination of immunosuppressive cells in patients with tumor microenvironments that promote immune evasion may drive long-lasting responses in patients who have exhausted other treatment options," said Eric Poma, PhD., Chief Executive and Chief Scientific Officer of MTEM. "Similarly, we believe MT-0169 can eliminate CD38+ immune cells that antibodies cannot, allowing for potentially greater potency in both hematologic malignancies and autoimmune diseases."

Recent Company Highlights

MT-6402: Continued monotherapy activity in patients who progressed or were refractory to checkpoint therapy
Nine patients (seven evaluable) with low PD-L1+ HNSCC were dosed in the MT-6402 phase I dose escalation study. Two patients remain in partial responses at cycle 23 and cycle 14 (one cycle is 4 weeks). Both patients had progressed after multiple lines of checkpoint therapy. In the high PD-L1+ dose expansion cohort, four NSCLC patients (three evaluable) have been enrolled. and one patient is in a partial response at cycle 11; the patient had progressed on chemotherapy, targeted therapy, and checkpoint therapy. All responding patients were heavily pretreated (3 or more lines of previous therapy including checkpoint) and have been on MT-6402 longer than any other previous therapy. MTEM continues to enroll HNSCC patients with low PD-L1 expression (1-49%) and patients with solid tumors with high PD-L1 expression (≥50%).
MT-8421: Enrollment in Phase 1 dose escalation ongoing with continued observation of unique pharmacodynamic profile (peripheral and TME Treg depletion) and signs of monotherapy activity
Five melanoma patients were evaluable in the first two dose cohorts (32 and 48 mcg/kg); no drug related adverse events > grade 2 were observed. One patient remains on study in cycle 11 with a 27% decrease in tumor volume and reduction in circulating tumor DNA from 3.13 to 0 MTM/mL. This patient had a >90% reduction in peripheral Tregs and a ~66% reduction of Tregs in the TME. The patient had progressed on pembrolizumab in the adjuvant setting and then progressed on ipilimumab (4 doses at 3mg/kg) and nivolumab in the metastatic setting.
MT-0169: Potential in severe autoimmune diseases being explored based on clinical demonstration of complete elimination of CD38+ immune cells at dose levels with no drug-related adverse events > grade 2.
The potent and unique mechanism of action of MT-0169 is not subject to resistance mechanisms associated with monoclonal antibodies like trogocytosis and can eliminate high-expressing CD38 immune cells like plasma cells as well as low-expressing CD38+ cells like HLA-DR CD38+ T-cells. This mechanism of action does not require conditioning therapy. MTEM will continue to develop MT-0169 in hematologic malignancies and is evaluating the potential of MT-0169 in severe immune-mediated diseases.
Upcoming Milestones for 2H 2024

Additional updates from the MT-6402 low PD-L1+ HNSCC and high PD-L1+ solid tumor expansions studies in 3Q24.
Additional updates from the MT-8421 dose escalation study in 3Q24.
MT-0169 Phase 1 study initiation in CD38+ hematological malignancies and continued evaluation in autoimmune disease.
Upcoming Conferences

MTEM will participate at the H.C. Wainwright 26th Annual Global Investment Conference taking place at the New York Lotte Palace Hotel, September 9 – 11, 2024. An on-demand presentation will be accessible virtually starting 7:00am ET September 9, 2024 via MTEM corporate website. One-on-one meetings may be scheduled by directly contacting MTEM.

Second Quarter 2024 Financial Results

The net loss attributable to common shareholders for the second quarter of 2024 was $8.1 million, or $1.23 per basic and diluted share. This compares with a net loss attributable to common shareholders of $10.9 million, or $2.89 per basic and diluted share, for the same period in 2023.

Revenues for the second quarter of 2024 were $0.6 million, compared to $6.9 million for the same period in 2023.

Total research and development expenses for the second quarter of 2024 were $5.4 million, compared with $13.4 million for the same period in 2023. Total general and administrative expenses for the second quarter of 2024 were $3.5 million, compared with $5.2 million for the same period in 2023.

As of June 30, 2024, MTEM’s cash and cash equivalents totaled $9.7 million. The Company expects that its cash and cash equivalents for the quarter ended June 30, 2024 will support its ongoing operations into the fourth quarter of 2024.

Molecular Templates, Inc.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(in thousands, except share and per share data)
(unaudited)

Three Months Ended
June 30, Six Months Ended
June 30,
2024
2023
2024
2023
Research and development revenue $ 189 $ 6,627 $ 11,113 $ 40,254
Grant revenue 383 238 545 3,240
Total revenue 572 6,865 11,658 43,494
Operating expenses:
Research and development 5,402 13,413 12,807 32,455
General and administrative 3,466 5,195 7,197 10,997
Total operating expenses 8,868 18,608 20,004 43,452
Income/(loss) from operations (8,296 ) (11,743 ) (8,346 ) 42
Interest and other income, net 130 365 239 820
Interest and other expense, net (38 ) (1,189 ) (69 ) (2,584 )
Gain on extinguishment of debt — 1,795 — 1,795
Change in valuation of contingent value right 107 303 651 303
Loss on disposal of property and equipment — (399 ) — (399 )
Net loss attributable to common stockholders $ (8,097 ) $ (10,868 ) $ (7,525 ) $ (23 )
Net loss per share attributable to common stockholders:
Basic and diluted $ (1.23 ) $ (2.89 ) $ (1.26 ) $ (0.01 )
Weighted average number of shares used in net loss per share calculations:
Basic and diluted 6,557,295 3,756,711 5,965,781 3,756,711

Molecular Templates, Inc.
CONDENSED CONSOLIDATED BALANCE SHEETS
(in thousands, except share and per share data)

June 30,
2024
(unaudited) December 31,
2023
ASSETS
Current assets:
Cash and cash equivalents $ 9,657 $ 11,523
Prepaid expenses 787 2,195
Grants revenue receivable 795 250
Other current assets 777 2,804
Total current assets 12,016 16,772
Operating lease right-of-use assets 8,124 9,161
Property and equipment, net 5,238 7,393
Other assets 1,319 2,057
Total assets $ 26,697 $ 35,383
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Accounts payable $ 2,773 $ 1,523
Accrued liabilities 2,270 4,279
Deferred revenue, current — 9,031
Other current liabilities 2,637 2,488
Total current liabilities 7,680 17,321
Operating lease liabilities, long term portion 8,390 9,742
Contingent value right liability 2,051 2,702
Other liabilities 1,465 1,406
Total liabilities 19,586 31,171
Commitments and contingencies
Stockholders’ equity
Preferred stock, $0.001 par value per share:
Authorized: 2,000,000 shares as of June 30, 2024 and December 31, 2023; Issued and outstanding: 250 shares as of June 30, 2024 and December 31, 2023 — —
Common stock, $0.001 par value per share:
Authorized: 150,000,000 shares as of June 30, 2024 and December 31, 2023; Issued and outstanding: 6,583,880 and 5,374,268 shares as of June 30, 2024 and December 31, 2023, respectively 7 5
Additional paid-in capital 467,521 457,099
Accumulated deficit (460,417 ) (452,892 )
Total stockholders’ equity 7,111 4,212
Total liabilities and stockholders’ equity $ 26,697 $ 35,383

Second tranche of July 2023 Private Placement

We closed the second tranche of the July 2023 Private Placement on April 2, 2024 with gross proceeds of approximately $9.5M. The Company intends to use the net proceeds from the second tranche to fund its ongoing clinical studies, working capital and for general corporate purposes.