ABOS Acumen Pharmaceuticals Inc

Acumen Pharmaceuticals, Inc. (NASDAQ: ABOS) (“Acumen” or the “Company”), a clinical-stage biopharmaceutical company developing a novel therapeutic that targets toxic soluble amyloid beta oligomers (AβOs) for the treatment of Alzheimer’s disease (AD), today reported financial results for the first quarter of 2024 and provided a business update.

“In the first quarter, our team remained laser-focused on the initiation of ALTITUDE-AD, our Phase 2 study investigating the efficacy and safety of sabirnetug for the treatment of early AD. We announced the first patient dosed in this study just last week. We are encouraged by the level of investigator interest in the potential of sabirnetug to offer a best-in-class therapeutic profile for patients, which is a testament to our strong Phase 1 data package and the relationships our team has built with clinical sites,” Daniel O’Connell, Chief Executive Officer of Acumen. “We continue to expect to initiate a Phase 1 study with a subcutaneous form of sabirnetug in mid-2024 in an effort to extend the product profile and offer administration optionality for patients. We remain committed to delivering on our strategic priority to advance the clinical development of sabirnetug efficiently and thoughtfully.”

Recent Highlights and Anticipated Milestones

Sabirnetug (ACU193) Clinical Development

• In May 2024, the Company announced the first patient dosed in ALTITUDE-AD, a Phase 2 study to investigate the clinical efficacy and safety of sabirnetug for the treatment of early AD.
• In April 2024, the Company presented biomarker, safety and target engagement analyses from the Phase 1 INTERCEPT-AD study in AD at the American Academy of Neurology Annual Meeting.
  • The results build upon Acumen’s prior presentations at the AD/PD™ 2024 Annual Meeting and positive topline data first announced in July 2023, highlighting sabirnetug as the first humanized monoclonal antibody to clinically demonstrate selective target engagement of synaptotoxic AβOs. Additional information can be found here.

• In April 2024, the Company announced a collaboration agreement with Lonza, a global partner to the pharmaceutical, biotech and nutraceutical markets.
  • The agreement covers the manufacture of sabirnetug for clinical development and commercialization, if approved. Acumen will leverage Lonza’s regulatory expertise, extensive experience in antibody manufacturing, and global manufacturing network from 2,000L to 20,000L.

• The Company expects to initiate a Phase 1 study to support a subcutaneous dosing option of sabirnetug in mid-2024.

First Quarter 2024 Financial Results

• Cash Balance. As of March 31, 2024, cash, cash equivalents and marketable securities totaled $296.6 million, compared to cash, cash equivalents and marketable securities of $306.1 million as of December 31, 2023. The decrease in cash is related to funding ongoing operations. Cash is expected to support current clinical and operational activities into the first half of 2027.
• Research and Development (R&D) Expenses. R&D expenses were $12.4 million for the three month period ended March 31, 2024, compared to $8.7 million for the three month period ended March 31, 2023. The increase in R&D expenses was primarily due to increased costs related to personnel, manufacturing and materials costs, consulting, and other costs.
• General and Administrative (G&A) Expenses. G&A were $5.3 million for the three month period ended March 31, 2024, compared to $4.4 million for the three month period ended March 31, 2023. The increase in G&A expenses was primarily due to increased costs related to personnel.
• Loss from Operations. Losses from operations were $17.8 million for the three month period ended March 31, 2024, compared to $13.1 million for the three month period ended March 31, 2023. This increase was due to the increased R&D and G&A expenses over the prior year period.
• Net Loss. Net loss was $14.9 million for the three-month period ended March 31, 2024, compared to $11.3 million for the three month period ended March 31, 2023.

Conference Call Details

Acumen will host a conference call and live audio webcast today, May 14, 2024, at 8:00 a.m. ET.

To participate in the live conference call, please register using this link. After registration, you will be informed of the dial-in numbers including PIN. Please register at least one day in advance. 

The webcast audio will be available via this link. 

An archived version of the webcast will be available for at least 30 days in the Investors section of the Company's website at www.acumenpharm.com.

About Sabirnetug (ACU193)

Sabirnetug (ACU193) is a humanized monoclonal antibody (mAb) discovered and developed based on its selectivity for soluble amyloid beta oligomers (AβOs), which are a highly toxic and pathogenic form of Aβ, relative to Aβ monomers and amyloid plaques. Soluble AβOs have been observed to be potent neurotoxins that bind to neurons, inhibit synaptic function and induce neurodegeneration. By selectively targeting toxic soluble AβOs, sabirnetug aims to address the hypothesis that soluble AβOs are an early and persistent underlying cause of the neurodegenerative process in Alzheimer’s disease (AD). Sabirnetug has been granted Fast Track designation for the treatment of early AD by the U.S. Food and Drug Administration and was previously evaluated in a Phase 1 study in patients with early AD.  

About ALTITUDE-AD (Phase 2) Initiated in 2024, ALTITUDE-AD is a Phase 2, multi-center, randomized, double-blind, placebo-controlled clinical trial designed to evaluate the efficacy and safety of sabirnetug (ACU193) infusions administered once every four weeks in slowing cognitive and functional decline as compared to placebo in participants with early Alzheimer's disease. The study will enroll approximately 540 individuals with early Alzheimer’s disease (mild cognitive impairment or mild dementia due to AD). The global study is currently enrolling at multiple investigative sites located in the United States and Canada with plans for additional sites in Europe and the UK. More information can be found on www.clinicaltrials.gov, NCT identifier NCT06335173.

About INTERCEPT-AD (Phase 1)

Completed in 2023, INTERCEPT-AD was a Phase 1, U.S.-based, multi-center, randomized, double-blind, placebo-controlled clinical trial evaluating the safety and tolerability, and establishing clinical proof of mechanism, of sabirnetug in patients with early Alzheimer’s disease (AD). Sixty-five individuals with early AD (mild cognitive impairment or mild dementia due to AD) enrolled in this first-in-human study of sabirnetug. The INTERCEPT-AD study consisted of single-ascending-dose (SAD) and multiple-ascending-dose (MAD) cohorts and was designed to evaluate the safety, tolerability, pharmacokinetics (PK), and target engagement of intravenous doses of sabirnetug. More information can be found on www.clinicaltrials.gov, NCT identifier NCT04931459.

About Acumen Pharmaceuticals, Inc.Acumen, headquartered in Charlottesville, VA, with additional offices in Indianapolis, IN and Newton, MA, is a clinical-stage biopharmaceutical company developing a novel therapeutic that targets toxic soluble amyloid beta oligomers (AβOs) for the treatment of Alzheimer’s disease (AD). Acumen’s scientific founders pioneered research on AβOs, which a growing body of evidence indicates are early and persistent triggers of Alzheimer’s disease pathology. Acumen is currently focused on advancing its investigational product candidate, sabirnetug (ACU193), a humanized monoclonal antibody that selectively targets toxic soluble AβOs, following positive results in INTERCEPT-AD, a Phase 1 clinical trial involving early Alzheimer’s disease patients. For more information, visit www.acumenpharm.com. 

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of The Private Securities Litigation Reform Act of 1995.  Any statement describing Acumen’s goals, expectations, financial or other projections, intentions or beliefs is a forward-looking statement and should be considered an at-risk statement. Words such as “believes,” “expects,” “anticipates,” “could,” “should,” “would,” “seeks,” “aims,” “plans,” “potential,” “will,” “milestone” and similar expressions are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words. Forward-looking statements include statements concerning Acumen’s business, and Acumen’s ability to achieve its strategic and financial goals, including its projected use of cash, cash equivalents and marketable securities and the expected sufficiency of its cash resources into the first half of 2027, the therapeutic potential of Acumen’s product candidate, sabirnetug (ACU193), including against other antibodies, the anticipated timeline for initiating a Phase 1 trial to support a subcutaneous dosing option of sabirnetug, and the expected use of proceeds from a credit facility. These statements are based upon the current beliefs and expectations of Acumen management, and are subject to certain factors, risks and uncertainties, particularly those inherent in the process of discovering, developing and commercializing safe and effective human therapeutics. Such risks may be amplified by the impacts of geopolitical events and macroeconomic conditions, such as rising inflation and interest rates, supply disruptions and uncertainty of credit and financial markets. These and other risks concerning Acumen’s programs are described in additional detail in Acumen’s filings with the Securities and Exchange Commission (“SEC”), including in Acumen’s most recent Annual Report on Form 10-K, and in subsequent filings with the SEC. Copies of these and other documents are available from Acumen.  Additional information will be made available in other filings that Acumen makes from time to time with the SEC. These forward-looking statements speak only as of the date hereof, and Acumen expressly disclaims any obligation to update or revise any forward-looking statement, except as otherwise required by law, whether, as a result of new information, future events or otherwise.

CONTACTS:

Investors: Alex Braunabraun@acumenpharm.com

Media: AcumenPR@westwicke.com

	Acumen Pharmaceuticals, Inc.
	Condensed Balance Sheets
	(in thousands, except share and per share data)
		March 31,				December 31,
			2024				2023
		(unaudited)
	ASSETS
	Current assets
	Cash and cash equivalents	$	46,930			$	66,886
	Marketable securities, short-term		205,582				176,636
	Prepaid expenses and other current assets		3,319				3,093
	Total current assets		255,831				246,615
	Marketable securities, long-term		44,108				62,553
	Right-of-use asset		353				381
	Restricted cash		234				233
	Property and equipment, net		117				122
	Other assets		324				221
	Total assets	$	300,967			$	310,125
	LIABILITIES AND STOCKHOLDERS' EQUITY
	Current liabilities
	Accounts payable	$	3,079			$	1,379
	Accrued clinical trial expenses		2,367				4,387
	Accrued expenses and other current liabilities		2,905				6,339
	Finance lease liability, short-term		-				756
	Operating lease liability, short-term		121				110
	Total current liabilities		8,472				12,971
	Operating lease liability, long-term		252				284
	Debt, long-term		30,209				29,897
	Total liabilities		38,933				43,152
	Commitments and contingencies
	Stockholders' equity
	Preferred stock, $0.0001 par value; 10,000,000 shares authorized and no shares issued and outstanding as of March 31, 2024 and December 31, 2023		-				-
	Common stock, $0.0001 par value; 300,000,000 shares authorized as of March 31, 2024 and December 31, 2023; 60,079,778 and 57,910,461 shares issued and outstanding as of March 31, 2024 and December 31, 2023, respectively		6				6
	Additional paid-in capital		499,843				489,453
	Accumulated deficit		(237,671	)			(222,798	)
	Accumulated other comprehensive income (loss)		(144	)			312
	Total stockholders' equity		262,034				266,973
	Total liabilities and stockholders' equity	$	300,967			$	310,125
	Condensed Statements of Operations and Comprehensive Loss
	(in thousands, except share and per share data)
	(unaudited)
		Three Months Ended March 31,
			2024				2023
	Operating expenses
	Research and development	$	12,449			$	8,713
	General and administrative		5,325				4,422
	Total operating expenses		17,774				13,135
	Loss from operations		(17,774	)			(13,135	)
	Other income (expense)
	Interest income		4,005				1,832
	Interest expense		(1,000	)			-
	Change in fair value of embedded derivatives		(50	)			-
	Other expense, net		(54	)			(4	)
	Total other income		2,901				1,828
	Net loss		(14,873	)			(11,307	)
	Other comprehensive gain (loss)
	Unrealized gain (loss) on marketable securities		(456	)			227
	Comprehensive loss	$	(15,329	)		$	(11,080	)
	Net loss per common share, basic and diluted	$	(0.25	)		$	(0.28	)
	Weighted-average shares outstanding, basic and diluted		59,812,000				41,025,062
	Condensed Statements of Cash Flows
	(in thousands)
	(unaudited)
		Three Months Ended March 31,
			2024				2023
	Cash flows from operating activities
	Net loss	$	(14,873	)		$	(11,307	)
	Adjustments to reconcile net loss to net cash used in operating activities:
	Depreciation		16				14
	Stock-based compensation expense		2,484				1,390
	Amortization of premiums and accretion of discounts on marketable securities, net		(1,763	)			(334	)
	Change in fair value of embedded derivatives		50				-
	Amortization of right-of-use asset		28				38
	Realized gain on marketable securities		(2	)			-
	Non-cash interest expense		268				-
	Changes in operating assets and liabilities:
	Prepaid expenses and other current assets		(226	)			(899	)
	Other assets		35				(44	)
	Accounts payable		1,700				(878	)
	Accrued clinical trial expenses		(2,020	)			2,486
	Accrued expenses and other current liabilities		(3,512	)			(38	)
	Finance lease liability		(23	)			-
	Operating lease liability		(21	)			(603	)
	Net cash used in operating activities		(17,859	)			(10,175	)
	Cash flows from investing activities
	Purchases of marketable securities		(45,292	)			(52,131	)
	Proceeds from maturities and sales of marketable securities		36,100				10,204
	Purchases of property and equipment		(11	)			-
	Net cash used in investing activities		(9,203	)			(41,927	)
	Cash flows from financing activities
	Proceeds from issuance of common stock, net of issuance costs		7,938				-
	Payment for financing lease		(739	)			-
	Payments for deferred offering costs		(60	)			-
	Repurchase of common shares to pay employee withholding taxes		(32	)			-
	Net cash provided by financing activities		7,107				-
	Net change in cash and cash equivalents and restricted cash		(19,955	)			(52,102	)
	Cash and cash equivalents and restricted cash at the beginning of the period		67,119				130,101
	Cash and cash equivalents and restricted cash at the end of the period	$	47,164			$	77,999