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Regulus Therapeutics Inc. (RGLS)·Q1 2025 Earnings Summary

Executive Summary

  • Regulus reported Q1 2025 net loss of $9.6M (EPS -$0.15), driven by R&D of $6.8M and G&A of $3.7M; cash, cash equivalents and short-term investments were $65.4M, with runway into early 2026 .
  • Company advanced farabursen (RGLS8429) with full Cohort 4 topline data showing mechanistic biomarker response and mean halting of htTKV growth over 4 months; Phase 3 pivotal trial initiation targeted for Q3 2025 with FDA alignment on accelerated approval endpoint (12‑month htTKV) and full approval endpoint (24‑month eGFR) .
  • Regulus entered a definitive agreement to be acquired by Novartis for $7.00 per share upfront plus a $7.00 CVR tied to regulatory approval of farabursen (total potential equity value ≈$1.7B); closing expected in H2 2025, subject to conditions .
  • Wall Street consensus (S&P Global) for Q1 2025 was unavailable via our tool; therefore, estimate comparisons to SPGI consensus cannot be provided. Values retrieved from S&P Global were unavailable due to CIQ mapping limitations.

What Went Well and What Went Wrong

What Went Well

  • Positive Cohort 4 efficacy signals: biomarker response (PC1/PC2) similar to prior cohort and mean htTKV growth halted over 4 months; exploratory pool across high-dose cohorts showed htTKV reduction versus large historical placebo group (p=0.0056) .
  • FDA alignment on Phase 3 pivotal design including accelerated approval path via 12‑month htTKV and full approval via 24‑month eGFR; single active dose and 2:1 randomization confirmed .
  • Strategic outcome: signed merger agreement with Novartis, potentially providing scale and global capabilities to bring farabursen to ADPKD patients; boards of both companies unanimously approved .
    • “We’ve made important progress... results suggesting that kidney volume growth rate was halted after only a relatively short treatment period. We look forward to... Phase 3... in the third quarter of this year.” — CEO Jay Hagan .
    • “Results give us confidence that 300 mg provides optimal target exposure... repeated demonstration... growth of the kidney... is halted...” — President/Head of R&D Preston Klassen, M.D. .

What Went Wrong

  • Net loss increased year-over-year: Q1 2025 net loss $9.6M vs $8.5M in Q1 2024, reflecting higher R&D and G&A to advance programs .
  • Sequential cash burn: cash decreased to $65.4M at 3/31/2025 from $75.8M at 12/31/2024, though runway still extends into early 2026 .
  • Transaction and regulatory uncertainty: tender offer and merger subject to customary conditions and regulatory approvals; CVR milestone risk; potential operational disruption highlighted in forward-looking disclosures .

Financial Results

Key P&L, EPS, and Cash Metrics (Oldest → Newest)

MetricQ3 2024Q4 2024Q1 2025
Research & Development ($USD Millions)$11.347 $9.672 $6.819
General & Administrative ($USD Millions)$3.863 $4.074 $3.719
Total Operating Expenses ($USD Millions)$15.210 $13.746 $10.538
Net Loss ($USD Millions)$14.062 $12.791 $9.634
Diluted EPS ($USD)-$0.21 -$0.20 -$0.15
Weighted Avg Shares (Millions)65.471 65.500 66.175
Cash & ST Investments ($USD Millions)$87.309 $75.777 $65.368
Total Assets ($USD Millions)$93.763 $84.181 $74.826
Stockholders’ Equity ($USD Millions)$86.805 $76.408 $69.028

Notes:

  • Revenue not disclosed in press releases; company reports operating expenses and net loss. No product revenue indicated in Q1 materials .

Clinical KPIs (Cohort 4 and High-Dose Pool)

KPIQ3 2024Q4 2024Q1 2025
PC1 biomarker significance vs placeboPrior cohorts positive; ASN poster showed dose-responsive activity Interim Cohort 4 similar to Cohort 3 PC1 p=0.026 (Cohort 4)
PC2 biomarker significance vs placeboPrior cohorts positive Interim Cohort 4 similar to Cohort 3 PC2 p=0.014 (Cohort 4)
Mean htTKV growth (Cohort 4, 4 months)Exploratory reductions in prior cohorts Interim trend indicated reduction 0.05% vs placebo 2.58% (trial)
High-dose pooled htTKV vs historical placeboN/AN/A-0.14% vs +1.87% (p=0.0056)
Safety/tolerabilityFavorable safety profile in Phase 1b cohorts Well-tolerated across cohorts Favorable at 300 mg; consistent with earlier cohorts

Guidance Changes

MetricPeriodPrevious GuidanceCurrent GuidanceChange
Phase 3 trial initiation (farabursen)Q3 2025On track (post EoP1 alignment) Initiation planned Q3 2025 Maintained/affirmed
Accelerated Approval endpoint12‑month htTKVProposed; FDA alignment by Dec 2024 Confirmed alignment maintained Maintained
Full Approval endpoint24‑month eGFRProposed; FDA alignment by Dec 2024 Confirmed alignment maintained Maintained
Dose/regimen in Phase 3Single fixed dose; 2:1 randomizationSingle active dose + placebo Q2W 300 mg fixed dose confirmed via Cohort 4 efficacy/safety Refined/confirmed
Cash runwayThrough early 2026Early 2026 Early 2026 Maintained
M&A closing (Novartis)H2 2025N/AExpected H2 2025, subject to conditions New (transaction guidance)

Earnings Call Themes & Trends

TopicPrevious Mentions (Q3 2024)Previous Mentions (Q4 2024)Current Period (Q1 2025)Trend
FDA alignment on pivotal designOn track for EoP1 by year-end Achieved alignment on key elements Alignment reiterated; endpoints detailed Positive, de-risking
Biomarker/htTKV efficacyDose-responsive PC1/PC2; exploratory htTKV reductions Interim Cohort 4 similar to Cohort 3 Full Cohort 4 confirms mechanistic response; htTKV halted Strengthening
Safety/tolerabilityFavorable in Phase 1b Favorable across cohorts Favorable at 300 mg; consistent across cohorts Stable/positive
Cash runwayInto H1 2026 Early 2026 Early 2026 Maintained
Strategic/M&AN/AN/ANovartis acquisition announced New catalyst
Trial initiation timingEarly 2025 topline preview Pivotal single study planned Phase 3 initiation Q3 2025 Advancing

Note: No Q1 2025 earnings call transcript available in our document repository; themes from press releases and 8‑K filings .

Management Commentary

  • CEO Jay Hagan: “We’ve made important progress... evidence of a mechanistic dose response... results suggesting that kidney volume growth rate was halted... heading towards initiation of the pivotal Phase 3 trial in the third quarter of this year.”
  • President/Head of R&D Preston Klassen, M.D.: “Results... indicate maximal anti‑miR‑17 activity... repeated demonstration... kidney growth is halted... 300 mg... appropriate dose to take forward into Phase 3... htTKV effects... clinically meaningful...” .
  • Novartis CMO Shreeram Aradhye: Farabursen “represents a potential first‑in‑class medicine... enhanced efficacy, tolerability and safety versus standard of care... aim to bring a better treatment option to patients” .

Q&A Highlights

  • No Q1 2025 earnings call transcript found; Q&A themes and any guidance clarifications not available in our source set [Search attempt returned none].

Estimates Context

  • S&P Global/Capital IQ consensus for Q1 2025 EPS and revenue was unavailable due to SPGI mapping limitations for RGLS; as a result, we cannot provide SPGI-based comparisons. Values retrieved from S&P Global were unavailable due to CIQ mapping limitations.

Key Takeaways for Investors

  • Cohort 4 data strengthens the mechanistic and exploratory efficacy case for farabursen, with significant biomarker improvements and halted htTKV growth over a short period; supports dose selection and de-risks Phase 3 endpoints .
  • FDA alignment on accelerated approval (12‑month htTKV) and full approval (24‑month eGFR) reduces regulatory uncertainty around Phase 3 design and increases program visibility into H2 2025‑2026 milestones .
  • Cash runway into early 2026 provides operational flexibility through Phase 3 initiation; sequential cash usage is consistent with clinical advancement pace .
  • The Novartis transaction adds a strategic path to commercialization, subject to closing conditions and CVR milestone achievement; potential upside via CVR contingent on regulatory approval of farabursen .
  • Near-term catalysts: Phase 3 trial launch in Q3 2025 and ongoing regulatory interactions; potential tender offer and merger progress updates in H2 2025 .
  • Risk factors remain: tender offer completion, regulatory approvals, CVR achievement, and typical development risks per forward-looking statements; monitor for any negative data updates or timeline shifts .
  • With no product revenue and ongoing R&D investment, valuation hinges on clinical/regulatory milestones and the merger timeline; updates on Phase 3 enrollment and interim analyses will be stock drivers .