Acurx Pharmaceuticals, Inc. Reports Fourth Quarter and Full Year 2023 Results and Provides Business Update

STATEN ISLAND, N.Y., March 18, 2024 /PRNewswire/ -- Acurx Pharmaceuticals, Inc. (NASDAQ: ACXP) ("we" or "Acurx" or the "Company"), a clinical stage biopharmaceutical company developing a new class of antibiotics for difficult-to-treat bacterial infections, announced today certain financial and operational results for the fourth quarter and full year ended December 31, 2023.

Highlights of the fourth quarter ended December 31, 2023, or in some cases shortly thereafter, include:

    --  In October 2023, we ended enrollment in our Phase 2b clinical trial of
        ibezapolstat, our lead antibiotic candidate, for the treatment of
        patients with C. difficile infection, or CDI.
    --  In November 2023, we reported top-line data from the Phase 2b clinical
        trial, including overall results from the full Phase 2 study,
        demonstrating an ibezapolstat clinical cure rate at end of 10-days' oral
        treatment, or EOT, of 96% (25 of 26 patients) which included 100% cure
        in Phase 2a (10 of 10 patients) and 94% in Phase 2b (15 of 16 patients)
        compared with the vancomycin control arm of 100% (14 of 14 patients) at
        EOT. No safety concerns were reported in either arm of the Phase 2b
        clinical trial and ibezapolstat was well tolerated in all patients in
        both the Phase 2a open label trial and in the Phase 2b
        vancomycin-controlled segment. In consultation with its scientific
        advisors, the Company determined that based on review of aggregate
        blinded data the Phase 2b vancomycin-controlled trial segment was
        terminated early due to success showing high observed clinical cure
        rates with no emerging safety concerns. We also stated at that further
        data would be provided as they become available on secondary and
        exploratory endpoints from the Phase 2b trial segment, including
        sustained clinical cure data at 30 days after EOT, and Extended Clinical
        cure data up to 94 days as well as comparative data on the impact to the
        patient's microbiome.
    --  In December 2023, we announced the sustained clinical cure data. These
        data showed that in the Phase 2b clinical trial segment 100% or 15 out
        of 15 patients who were cured at EOT remained cured with no reinfection
        30 days later while vancomycin experienced a reinfection rate of 14.3%
        (2 of 14 patients).
    --  In January 2024, the Company announced positive comparative microbiology
        and microbiome data for ibezapolstat in CDI patients from the Phase 2b
        clinical trial segment. Ibezapolstat outperformed vancomycin showing
        eradication of fecal C. difficile at Day 3 of treatment in 15 of 16
        treated patients (94%), versus vancomycin which had eradication of C.
        difficile in 10 of 14 treated patients (71%). Additional data from this
        Phase 2b clinical trial showed ibezapolstat, but not vancomycin,
        consistently preserved and allowed regrowth of key gut bacterial species
        believed to confer health benefits including to prevent recurrence of
        CDI.
    --  The Company anticipates that additional data from the secondary and
        exploratory endpoints will provide further favorable separation between
        these two therapeutic options in our Phase 3 clinical trial program and
        ultimately in the marketplace, if approved. Additional analyses
        regarding other secondary and exploratory endpoints will be forthcoming
        as data become available.
    --  Having robust preclinical, clinical and manufacturing data-to-date, the
        Company submitted a formidable Information Package to FDA in February
        2024 along with a Request for an End of Phase 2 Meeting which was
        granted by the FDA and is scheduled to occur in April. We anticipate
        discussing our Phase 3 clinical trial mandate at this meeting and would
        anticipate documented meeting minutes from FDA in the second quarter of
        2024.
    --  The European Medicines Agency (or EMA) approved our application to be
        designated as a small to medium sized enterprise (or SME) in Europe in
        February 2024 which provides for certain benefits including fee
        reductions and other support from the EMA for seeking a Marketing
        Authorization for Europe.
    --  In October 2023, Dr. Kevin Garey presented on behalf of the Company at
        ID Week with selective spectrum of activity data from our Phase 2a
        clinical trial. Dr. Garey is Professor and Chair, University of Houston
        College of Pharmacy, and the Principal Investigator for microbiome
        aspects of our ibezapolstat clinical trial program. Also at ID Week, Bob
        DeLuccia, our Executive Chairman, presented our new class of novel DNA
        pol IIIC inhibitors in our pre-clinical pipeline at the symposium
        entitled, "New Antimicrobials in the Pipeline."
    --  In November 2023, the Company filed an amendment to its shelf
        registration statement with the SEC and launched a $17 million
        at-the-market equity offering program (or ATM), with Alliance Global
        Partners acting as sales agent to the Company. Proceeds from the ATM
        have been and, in the future, are expect to be used for general
        corporate purposes going forward including our planned Phase 3 clinical
        trial mandate.

Fourth Quarter and Full Year 2023 Financial Results

    --  Cash Position:The Company ended the year with cash totaling $7.5
        million, compared to $9.1 million as of December 31, 2022. Subsequent to
        year-end, the Company sold an additional 1,121,793 shares under its ATM
        financing program, with gross proceeds of approximately $4.5 million.
    --  R&D Expenses:Research and development expenses for the three months
        ended December 31, 2023 were $1.9 million compared to $1.4 million for
        the three months ended December 31, 2022. The increase was due to the
        timing of Phase 2b trial related costs and an increase in consulting
        costs. For the year ended December 31, 2023, research and development
        expenses were $6.0 million versus $4.8 million for the year ended
        December 31, 2022. The increase is due primarily to Phase 2b
        trial-related costs and an increase in consulting costs.
    --  G&A Expenses:General and administrative expenses for the three months
        ended December 31, 2023 were $3.2 million compared to $1.8 million for
        the three months ended December 31, 2022. The increase was due primarily
        to a $0.8 million increase in professional fees, a $0.1 million increase
        in share-based compensation, and a $0.3 million increase in employee
        compensation costs. For the year ended December 31, 2023, general and
        administrative expenses were $8.5 million versus $7.3 million for the
        year ended December 31, 2022. The amounts reflect an increase in
        professional fees of $0.5 million, an increase of $0.3 million in
        share-based compensation, and an increase of $0.3 million in employee
        compensation costs.
    --  Net Income/Loss:The Company reported a net loss of $5.1 million or $0.37
        per diluted share for the three months ended December 31, 2023 compared
        to a net loss of $3.3 million or $0.28 per diluted share for the three
        months ended December 31, 2022, and a net loss of $14.6 million or $1.15
        per share for the year ended December 31, 2023, compared to a net loss
        of $12.1 million or $1.12 per diluted share for the year ended December
        31, 2022 for the reasons previously mentioned.

The Company had 14,468,229 shares outstanding as of December 31, 2023.

Conference Call

As previously announced, David P. Luci, President and Chief Executive Officer, and Robert G. Shawah, Chief Financial Officer, will host a conference call to discuss the results and provide a business update as follows:



     Date:                               Monday, March 18,
                                           2024



     Time:                               8:00 a.m. ET



     Toll free (U.S. and International): 877-790-1503



     Conference ID:                               13744881

About Ibezapolstat

Ibezapolstat is the Company's lead antibiotic candidate advancing to international Phase 3 clinical trials to treat patients with C. difficile Infection (CDI). Ibezapolstat is a novel, orally administered antibiotic being developed as a Gram-Positive Selective Spectrum (GPSS(®)) antibacterial. It is the first of a new class of DNA polymerase IIIC inhibitors under development by Acurx to treat bacterial infections. Ibezapolstat's unique spectrum of activity, which includes C. difficile but spares other Firmicutes and the important Actinobacteria phyla, appears to contribute to the maintenance of a healthy gut microbiome.

In June 2018, ibezapolstat was designated by the U.S. Food and Drug Administration (FDA) as a Qualified Infectious Disease Product (QIDP) for the treatment of patients with CDI and will be eligible to benefit from the incentives for the development of new antibiotics established under the Generating New Antibiotic Incentives Now (GAIN) Act. In January 2019, FDA granted "Fast Track" designation to ibezapolstat for the treatment of patients with CDI. The CDC has designated C. difficile as an urgent threat highlighting the need for new antibiotics to treat CDI.

About Acurx Pharmaceuticals, Inc.

Acurx Pharmaceuticals is a late-stage biopharmaceutical company focused on developing a new class of small molecule antibiotics for difficult-to-treat bacterial infections. The Company's approach is to develop antibiotic candidates with a Gram-positive selective spectrum (GPSS®) that blocks the active site of the Gram+ specific bacterial enzyme DNA polymerase IIIC (pol IIIC), inhibiting DNA replication and leading to Gram-positive bacterial cell death. Its R&D pipeline includes antibiotic product candidates that target Gram-positive bacteria, including Clostridioides difficile, methicillin-resistant Staphylococcus aureus (MRSA), vancomycin resistant Enterococcus (VRE) and drug-resistant Streptococcus pneumoniae (DRSP).

To learn more about Acurx Pharmaceuticals and its product pipeline, please visit www.acurxpharma.com.

Forward-Looking Statements

Any statements in this press release about our future expectations, plans and prospects, including statements regarding our strategy, future operations, prospects, plans and objectives, and other statements containing the words "believes," "anticipates," "plans," "expects," and similar expressions, constitute forward-looking statements within the meaning of The Private Securities Litigation Reform Act of 1995. Actual results may differ materially from those indicated by such forward-looking statements as a result of various important factors, including: whether ibezapolstat will benefit from the QIDP designation; whether ibezapolstat will advance through the clinical trial process on a timely basis; whether the results of the clinical trials of ibezapolstat will warrant the submission of applications for marketing approval, and if so, whether ibezapolstat will receive approval from the FDA or equivalent foreign regulatory agencies where approval is sought; whether, if ibezapolstat obtains approval, it will be successfully distributed and marketed; and other risks and uncertainties described in the Company's annual report filed with the Securities and Exchange Commission on Form 10-K for the year ended December 31, 2023, and in the Company's subsequent filings with the Securities and Exchange Commission. Such forward-looking statements speak only as of the date of this press release, and Acurx disclaims any intent or obligation to update these forward-looking statements to reflect events or circumstances after the date of such statements, except as may be required by law.

Investor Contact:
Acurx Pharmaceuticals, Inc.
David P. Luci, President & Chief Executive Officer
Tel: 917-533-1469
Email: davidluci@acurxpharma.com



              
                ACURX PHARMACEUTICALS, INC.

                BALANCE SHEETS

                AS OF DECEMBER 31, 2023 and 2022




                                                                                                December 31,          December 31,


                                                                                         2023                2022





              
                
                  ASSETS

    ---




              CURRENT ASSETS



              Cash                                                             $
        7,474,188 $
              9,111,751



              Other Receivable                                                         129,159



              Prepaid Expenses                                                         105,776               264,955



              TOTAL ASSETS                                                     $
        7,709,123 $
              9,376,706





              
                
                  LIABILITIES AND SHAREHOLDERS' EQUITY

    ---




              CURRENT LIABILITIES



              Accounts Payable and Accrued Expenses                            $
        3,042,438 $
              2,061,685



              TOTAL CURRENT LIABILITIES                                              3,042,438             2,061,685





              TOTAL LIABILITIES                                                      3,042,438             2,061,685





              COMMITMENTS AND CONTINGENCIES





              SHAREHOLDERS' EQUITY



              Common Stock; $.001 par value, 200,000,000 shares authorized,             14,468                11,628
    14,468,229 and 11,627,609 shares issued and outstanding at
    December 31, 2023 and December 31, 2022, respectively



              Additional Paid-In Capital                                            57,871,070            45,944,478



              Accumulated Deficit                                                 (53,218,853)         (38,641,085)





              TOTAL SHAREHOLDERS' EQUITY                                             4,666,685             7,315,021





              TOTAL LIABILITIES AND SHAREHOLDERS' EQUITY                       $
        7,709,123 $
              9,376,706



     
                ACURX PHARMACEUTICALS, INC.

       STATEMENTS OF OPERATIONS

       YEARS ENDED DECEMBER 31, 2023 AND 2022






                                                                                          Years Ended


                                                                                          December 31,


                                                                                   2023                       2022





     OPERATING EXPENSES



     Research and Development                                         $
           6,043,597           $
           4,754,271



     General and Administrative                                                8,534,171                    7,338,505





     TOTAL OPERATING EXPENSES                                                 14,577,768                   12,092,776





     NET LOSS                                                      $
           (14,577,768)       $
           (12,092,776)





     LOSS PER SHARE



     Basic and diluted net loss per common share                         $
           (1.15)             $
           (1.12)





     Weighted average common shares outstanding, basic and diluted            12,671,572                   10,816,412

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SOURCE Acurx Pharmaceuticals, Inc.