Realm Therapeutics Reports Top-line Data from Phase 2 Trial of PR022 in Atopic Dermatitis and First Half 2018 Financial Results

MALVERN, Pa., Aug. 14, 2018 /PRNewswire/ -- Realm Therapeutics plc (NASDAQ:RLM / AIM:RLM), a clinical stage biopharmaceutical company focused on developing novel therapeutics in immune-mediated diseases, today reports preliminary top-line data from its Phase 2 trial of PR022 in Atopic Dermatitis, as well as financial results for the six months ended June 30, 2018.

In a randomized, double-blind, vehicle controlled, Phase 2 clinical trial of 122 patients, PR022 showed no difference from vehicle in the primary endpoint of percent change in Eczema Area Severity Index (EASI) versus baseline.

"PR022 did not show the desired effect in this trial," said Alex Martin, CEO of Realm Therapeutics. "Having just received the data, we are working to better understand this outcome and to analyze all of the data collected in the study. We are conducting a full review to determine whether there is a path forward for our proprietary technology in Atopic Dermatitis, and to evaluate the implications for our Acne and Psoriasis programs. We will provide an update on our plans in September. I would like to thank the patients and investigators who participated in this trial."

CORPORATE AND FINANCIAL HIGHLIGHTS

    --  Cash, cash equivalents and short-term investments were $23.7 million at
        June 30, 2018 (at December 31, 2017: $33.9m).
    --  Investments in Research & Development increased to $7.4 million (H1
        2017: $3.0m) driven by increased investment in clinical development
        activities.
    --  General and Administrative expenses increased to $3.5 million (H1 2017:
        $1.6m) primarily due to Nasdaq listing costs.
    --  In July 2018, Realm listed American Depositary Shares (ADSs)
        representing the Company's ordinary shares on the Nasdaq Capital Market
        to facilitate the creation of a trading market in the US for the
        Company's securities and in satisfaction of obligations under a
        registration rights agreement entered into with investors who
        participated in the Company's October 2017 private placement.
    --  The US Patent and Trademark Office issued two new patents to Realm that
        expand the intellectual property portfolio around the Company's
        proprietary immunomodulatory technology in the treatment of inflammatory
        and autoimmune disorders.

Conference Call

The Company will host a conference call and audio webcast today at 9:00 a.m. ET / 2:00 p.m. BST to discuss the Atopic Dermatitis Phase 2 trial results and the financial results. To access the conference call, please use the dial in details below:

US Toll-Free: +1 855-857-0686
US Toll: +1 631-913-1422

UK Toll-Free: 08003589473
UK Toll: +44 3333000804

Conference call pin code: 51680194#

Please dial in at least 10 minutes prior to the start time. A live and archived audio webcast of the call will be available on the Events and Presentations page of the Company's website, www.realmtx.com.

Availability of Other Information

The Company has submitted a Form 6-K to the Securities and Exchange Commission (SEC) which includes as exhibits: Unaudited Financial Statements and Notes prepared on a US GAAP basis, Management's Discussion & Analysis, Risk Factors related to the business and a copy of this press release. These documents can be accessed from the Investor section of the Company's website at www.realmtx.com.

About Realm Therapeutics

Realm Therapeutics is a clinical-stage biopharmaceutical company developing novel therapeutics that target the interplay between innate and adaptive immunity. The Company's programs seek to influence immune signalling and change the course of immune-mediated diseases in adults and children. Realm's lead drug development program utilizes the Company's proprietary immunomodulatory technology for the treatment of Atopic Dermatitis, and the Company is exploring its efficacy in other dermatology indications which include Acne Vulgaris and Psoriasis, as well as other therapeutic areas. For more information on Realm Therapeutics please visit www.realmtx.com.

Pipeline

PR022 is a proprietary, non-alcohol based, topical gel formulation of high concentration hypochlorous acid (HOCl). Realm is evaluating PR022 for potential application in Atopic Dermatitis and Psoriasis. RLM023 is a topical formulation of HOCl that is being optimized and evaluated for Acne Vulgaris.

Forward Looking Statements

Certain statements made in this announcement are forward-looking statements, including with respect to the Company's clinical trials, results of clinical trials, pipeline of candidates and product candidate development plans including trial results, next steps in clinical development, regulatory strategy, costs and timelines. Words such as 'anticipates,' 'expects,' 'intends,' 'plans,' 'believes,' 'seeks,' 'estimates,' and similar expressions are intended to identify forward-looking statements. All statements contained in this press release that do not relate to matters of historical fact should be considered forward-looking statements. These statements are neither promises nor guarantees, but involve known and unknown risks, uncertainties and other important factors that may cause our actual results, performance or achievements to be materially different from our expectations expressed or implied by the forward-looking statements, including, but not limited to, the following: our history of operating losses; the recently announced results of the Phase 2 trial of PR022 in Atopic Dermatitis and the uncertainty around future plans for PR022 or any other product candidates; the impact of the PR022 Phase 2 results on our development plans for other potential product candidates or indications; uncertainty around our need for additional funding to advance development and commercialization of any current or future product candidates, which may not be available and which may force us to delay, reduce or eliminate our development or commercialization efforts; the reliance of our business on PR022 in Atopic Dermatitis; economic, regulatory and other risks; the lengthy and expensive process of drug development, which has an uncertain outcome; undesirable or unacceptable side effects associated with any of our pipeline candidate; the uncertainty of our ability to develop or acquire products not based on our active pharmaceutical ingredient (API) hypochlorous acid (HOCl) or outside of dermatology leading to a high concentration of risk in limited areas; certain risks associated with HOCl including its inherent instability and the fact that there are other companies which make HOCl-based products; the loss of any key personnel from our relatively small team; potential material differences between our reported top-line data and final data; our reliance on third parties, including clinical research organizations, investigators, manufacturers and other suppliers; and lawsuits related to patents covering HOCl, PR022 and our pipeline candidates and the potential for our patents to be found invalid or unenforceable. In addition, following the listing of ADSs representing our ordinary shares on Nasdaq, the Company is listed on two stock exchanges which results in higher operating costs and varied regulatory obligations both of which are impacted by the Company's status as a Foreign Private Issuer and Emerging Growth Company which could change over time; and the uncertainty with respect to an active market being established for the ADSs. These risks and uncertainties and other important factors are referred to in an exhibit to our Form 6-K filed with the Securities and Exchange Commission (SEC) on August 14, 2018, and our other reports filed with the SEC, could cause actual results to differ materially from those indicated by the forward-looking statements made in this press release. Any such forward-looking statements represent management's estimates as of the date of this press release. While we may elect to update such forward-looking statements at some point in the future, we disclaim any obligation to do so, even if subsequent events cause our views to change, except as required by law or by any appropriate regulatory authority. These forward-looking statements should not be relied upon as representing our views as of any date subsequent to the date of this press release.

G-RLM


                                                                                                  Realm Therapeutics plc

                                                                                                Consolidated Balance Sheets

                                                                                      (in thousands except share and per share data)

                                                                                                        (unaudited)


                                                                                                                                     June 30, 2018          December 31, 2017
                                                                                                                                     -------------          -----------------

    Assets

    Current assets:

    Cash and cash equivalents                                                                                                                       $16,236                    $9,508

    Marketable securities                                                                                                                             7,433                    24,345

    Royalty receivable                                                                                                                                  757                       444

    Prepaid expenses and other assets                                                                                                                   203                       245
                                                                                                                                                        ---                       ---

    Total current assets                                                                                                                             24,629                    34,542

    Property and equipment, net                                                                                                                         252                       246

    Royalty receivable, net of current portion                                                                                                        1,570                         -

    Other assets                                                                                                                                        280                       320

    Total assets                                                                                                                                    $26,731                   $35,108
                                                                                                                                                    =======                   =======

    Liabilities and Shareholders' Equity

    Current liabilities:

    Accounts payable                                                                                                                                 $1,233                    $1,009

    Accrued expenses                                                                                                                                  1,216                     1,902
                                                                                                                                                      -----                     -----

    Total liabilities                                                                                                                                 2,449                     2,911
                                                                                                                                                      -----                     -----


    Shareholders' equity:

    Ordinary shares, BPS0.10 nominal value: 154,897,265 ordinary shares authorized at                                                                24,259                    24,259
    June 30, 2018: 116,561,917 ordinary shares were issued and outstanding at
    June 30, 2018 and December 31, 2017

    Additional paid-in capital                                                                                                                      198,009                   197,722

    Accumulated other comprehensive loss                                                                                                               (27)                     (11)

    Accumulated deficit                                                                                                                           (197,959)                (189,773)
                                                                                                                                                   --------                  --------

    Total shareholders' equity                                                                                                                       24,282                    32,197

    Total liabilities and shareholders' equity                                                                                                      $26,731                   $35,108
                                                                                                                                                    =======                   =======


                             Realm Therapeutics plc

          Consolidated Statements of Operations and Comprehensive Loss

                 (in thousands except share and per share data)

                                   (unaudited)


                                                     Six Months Ended June 30,
                                                     -------------------------

                                                                2018                 2017
                                                                ----                 ----

    Revenues                                         $             -                $619

    Operating expenses:

    Research and development                                   7,376                2,968

    General and administrative                                 3,518                1,602

                                                              10,894                4,570

    Loss from operations                                    (10,894)             (3,951)

    Interest income                                              248                   18

    Net loss                                                (10,646)             (3,933)

    Other comprehensive loss:

    Unrealized loss on
     investments                                                (13)                   -

    Foreign exchange translation
     adjustment                                                  (3)                   9

    Total comprehensive loss                               $(10,662)            $(3,924)
                                                            ========              =======


    Net loss per ordinary share -
     basic and diluted                                       $(0.09)             $(0.08)
                                                              ======               ======


    Weighted average ordinary
     shares -basic and diluted                           116,561,917           50,165,432
                                                         ===========           ==========


                                          Realm Therapeutics plc

                                   Consolidated Statement of Cash Flows

                                              (in thousands)

                                               (unaudited)


                                                                               Six Months Ended June 30,
                                                                               -------------------------

                                                                                       2018                             2017
                                                                                       ----                             ----

    Cash flows from operating activities:

    Net loss                                                                      $(10,646)                        $(3,933)

    Adjustments to reconcile net loss to net cash used in operating activities

    Loss on disposal of property and equipment                                            -                               3

    Depreciation and amortization                                                        39                               39

    Noncash interest income                                                            (70)                               -

    Share-based compensation                                                            287                              141

    Changes in operating assets and liabilities:

    Royalty receivable                                                                  647                            (210)

    Prepaid expenses and other assets                                                    81                                3

    Accounts payable and accrued expenses                                             (462)                           (718)
                                                                                       ----                             ----

        Net cash used in operating activities                                      (10,124)                         (4,675)
                                                                                    -------                           ------


    Cash flows from investing activities:

    Purchase of marketable securities                                              (10,932)                               -

    Proceeds from sale of marketable
     securities                                                                      27,831                                -

    Purchases of property and equipment                                                (45)                           (108)
                                                                                        ---                             ----

       Net cash provided by (used in) continuing
        investing activities                                                         16,854                            (108)

       Net cash used in discontinued investing
        activities                                                                        -                         (1,093)
                                                                                        ---                          ------

       Net cash provided by (used in) investing
        activities                                                                   16,854                          (1,201)
                                                                                     ------                           ------

    Effect of exchange rate changes on cash                                             (2)                               9
                                                                                        ---                              ---


    Net increase (decrease) in cash and cash
     equivalents                                                                      6,728                          (5,867)

    Cash and cash equivalents, beginning of
     period                                                                           9,508                           21,430

    Cash and cash equivalents, end of period                                        $16,236                          $15,563
                                                                                    =======                          =======

    Supplemental cashflow information:

         Adjustment to royalty receivables upon
          adoption of ASC 606                                                      $(2,460)              $                -
                                                                                    =======               ==================

Contacts:
Realm Therapeutics plc
Alex Martin, Chief Executive Officer
Marella Thorell, Chief Financial Officer and Chief Operating Officer
Outside US: +44 (0) 20 3727 1000
US: +1 212 600 1902

Argot Partners
Laura Perry / Maghan Meyers
+1 212 600 1902

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SOURCE Realm Therapeutics