Molecular Insight Pharmaceuticals, Inc. (NASDAQ: MIPI), a biopharmaceutical company discovering and developing targeted therapeutic and imaging radiopharmaceuticals for use in oncology, today announced the financial and operational results for the third quarter ended September 30, 2010.

Financial Highlights

Third Quarter Results For the third quarter 2010, the Company reported a net loss of $18.3 million, compared to a net loss of $21.4 million in the third quarter of 2009. The decrease in net loss is attributable to the decrease in operating expenses of $3.1 million and increase in grant revenues of $0.4 million, offset by an increase in other expenses of $0.4 million. Operating expenses were $13.3 million in the third quarter of 2010, a decrease of 19 percent from the third quarter of 2009, primarily due to a decrease in research and development expenses of $3.5 million, offset by an increase in general and administrative expenses of $0.3 million.

Research and development expenses were $5.5 million compared to $9.0 million for the same period last year. The decrease is primarily due to decreased payroll costs as a result of a reduction in headcount and decreased manufacturing and preclinical costs for our Azedra™ and Trofex™ programs, respectively.

General and administrative expenses were $7.7 million for the third quarter of 2010, compared to $7.4 million in the third quarter of 2009. This increase primarily reflects increased legal and consulting fees incurred in connection with ongoing discussions and negotiations with our Bond holders regarding the restructuring of our debt obligations. This increase was offset by decreases in compensation and personnel-related expenses due to a reduction in headcount and decreases in depreciation and facility costs.

Year-to-Date Results For the nine months ended September 30, 2010, Molecular Insight reported a net loss of $53.2 million, or $2.11 per share, compared to $53.3 million, or $2.12 per share, in 2009. The decrease in net loss is attributable to the increase in grant revenues of $0.9 million, offset by an increase in other expenses of $0.9 million. Operating expenses remained generally consistent period over period.

Research and development expenses were $19.7 million in 2010, compared to $22.1 million for 2009. The $2.4 million decrease is primarily attributable to reduced clinical activities and costs for Onalta™ and Trofex.

General and administrative expenses were $18.6 million in 2010, compared to $16.5 million in 2009. This increase primarily reflects increased legal and consulting fees incurred in connection with ongoing discussions and negotiations with our Bond holders regarding the restructuring of our debt obligations. This increase was offset by lower corporate marketing fees, decreases in compensation and personnel-related expenses due to a reduction in headcount and decreases in depreciation and facility costs.

As of September 30, 2010, the Company had approximately $23.2 million of cash and cash equivalents, and $198.6 million of Bonds and accrued and unpaid interest. As previously announced, the Company is in default of certain covenants under the Bond Indenture. Such defaults have been temporarily waived by the Bond holders under a waiver agreement that expires on 11:59 PM Eastern Standard Time on November 19, 2010, subject to earlier termination by the Bond holders upon certain circumstances.

Operational Update In October, Molecular Insight presented positive data from clinical and preclinical studies suggesting the utility of the Company's lead novel radiotherapeutic Trofex (123 I-MIP-1072) for diagnosing and monitoring prostate cancer, as well as for visualizing and monitoring disease treatment.

The Company presented data from Phase 1 clinical studies comparing Trofex to ProstaScint® (111 In-capromab pendetide), an imaging radiopharmaceutical now used to visualize metastatic prostate cancer. The data, presented at the Annual Congress of the European Association of Nuclear Medicine (EANM) in Vienna, demonstrated that Trofex rapidly detected prostate cancer localized in the prostate bed, soft tissues and bone within four hours post injection. In contrast, ProstaScint required five days before imaging and was unable to detect metastatic disease in bone. In a second EANM presentation, Molecular Insight reported new Trofex preclinical data. Company scientists have developed an analog of Trofex that carries the therapeutic iodine radionuclide I-131, creating a molecularly targeted radiotherapeutic that specifically binds prostate specific membrane antigen (PSMA) on prostate cancer cells and offers the potential for treatment of metastatic prostate cancer. PSMA is a protein highly expressed by prostate cancer with high affinity and specificity.

At the American Society of Clinical Oncology (ASCO) Annual Molecular Markers in Cancer Conference in Hollywood, Florida, Molecular Insight presented data from a preclinical study that indicate Trofex may be used to visualize changes in tumor volume in response to treatment of the disease. Molecular Insight reported that the uptake of Trofex in animal models of human prostate cancer was shown to be proportional to tumor mass, suggesting that Trofex may enable visualization of changes in tumor volume and therefore response to treatment or progression.

Molecular Insight has been awarded approximately $1.5 million in grants under the Qualifying Therapeutic Discovery Project Tax Credit Program. The Program is part of the government's Patient Protection and Affordable Care Act enacted on March 23, 2010. The grants seek to stimulate therapeutic discovery projects with a potential to prevent, detect or treat chronic or acute diseases; reduce long-term health care costs; or significantly advance the goal of curing cancer.

Conference Call The Company expects to host its next conference call upon the conclusion of debt restructuring discussions with its Bond holders.

About Molecular Insight Pharmaceuticals, Inc. Molecular Insight Pharmaceuticals is a clinical-stage biopharmaceutical company and pioneer in molecular medicine. The Company is focused on the discovery and development of targeted therapeutic and imaging radiopharmaceuticals for use in oncology. Molecular Insight has five clinical-stage candidates in development. For further information on Molecular Insight Pharmaceuticals, please visit www.molecularinsight.com.

Forward-Looking Statements Statements in this release that are not strictly historical in nature are "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995. Such statements include, but are not limited to, statements about positive potential of Trofex for treatment of metastatic prostate cancer and visualization of changes in tumor volume and continuing discussions and negotiations with our Bond holders regarding the restructuring of our debt obligations. Such forward-looking statements involve known and unknown risks, uncertainties, and other factors that may cause the actual results of Molecular Insight to be materially different from historical results or from any results expressed or implied by such forward-looking statements. Such factors include, but are not limited to, risks and uncertainties related to the progress, timing, and results of our negotiations with the Bond holders regarding the debt restructuring, risks related to product development and clinical trial design, performance and completion, and the additional risks discussed in filings with the Securities and Exchange Commission (SEC). The Company's SEC filings are available through the SEC's Electronic Data Gathering Analysis and Retrieval system (EDGAR) at http://www.sec.gov. Press releases for Molecular Insight Pharmaceuticals, Inc. are available on our website: http://www.molecularinsight.com. If you would like to receive press releases via e-mail, please contact: investor@molecularinsight.com. All forward-looking statements are qualified in their entirety by this cautionary statement, and the Company undertakes no obligation to revise or update this release to reflect events or circumstances after the date hereof.

     CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED)
    (in thousands, except per share amounts and except weighted
                           average shares)




                              Three Months              Nine Months
                          Ended September 30,        Ended September 30,
                        ------------------------  ------------------------
                           2009         2010         2009         2010
                        -----------  -----------  -----------  -----------
Revenue:
   Research and
    development grants  $       101  $       457  $       450  $     1,353

Operating expenses:
   Cost of product
    revenue                       -          117            -          261
   Research and
    development               8,964        5,472       22,076       19,665
   General and
    administrative            7,454        7,730       16,545       18,618
                        -----------  -----------  -----------  -----------


        Total operating
         expenses            16,418       13,319       38,621       38,544
                        -----------  -----------  -----------  -----------


Loss from operations        (16,317)     (12,862)     (38,171)     (37,191)
Total other expenses,
 net                         (5,065)      (5,487)     (15,086)     (15,962)
                        -----------  -----------  -----------  -----------


Net loss                $   (21,382) $   (18,349) $   (53,257) $   (53,153)
                        ===========  ===========  ===========  ===========


Basic and diluted net
 loss per share         $     (0.85) $     (0.73) $     (2.12) $     (2.11)

Weighted average shares
 used to calculate
 basic and diluted net
 loss per share          25,199,097   25,235,420   25,159,153   25,235,420

Non-cash stock-based
 compensation included
 in:
   Research and
    development         $       526  $       132  $     1,269  $     1,033
   General and
    administrative            1,349          161        2,077          688
                        -----------  -----------  -----------  -----------


        Total
         stock-based
         compensation   $     1,875  $       293  $     3,346  $     1,721
                        ===========  ===========  ===========  ===========





            CONDENSED CONSOLIDATED BALANCE SHEETS (UNAUDITED)
                              (in thousands)




                                                As of           As of
                                              December 31,  September 30,
                                                 2009           2010
                                            --------------- --------------

Cash and cash equivalents                   $        15,467 $       23,154
Investments                                          48,515              -
Accounts receivable, prepaid expenses and
 other current assets                                 1,553          4,682
Debt issuance costs -- net                            4,527          3,435
Property and equipment -- net                         4,044          4,219
Restricted cash                                         500            963
                                            --------------- --------------

     Total assets                           $        74,606 $       36,453
                                            =============== ==============


Other current liabilities                   $         9,762 $        7,864
Other long-term liabilities                             478            663
Deferred revenue                                         25             25
Bond payable, net of discount                       174,838        189,829
                                            --------------- --------------

     Total liabilities                              185,103        198,381
Total stockholders' deficit                        (110,497)      (161,928)
                                            --------------- --------------

     Total liabilities and stockholders'
      deficit                               $        74,606 $       36,453
                                            =============== ==============




        CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)
                              (in thousands)




                                                  Nine Months Ended
                                                     September 30,
                                            ------------------------------
                                                 2009            2010
                                            --------------- --------------

Cash, cash equivalents and investments --
 beginning of period                        $       105,786 $       63,982
Net cash burn                                       (33,967)       (40,828)
                                            --------------- --------------

Cash, cash equivalents and investments --
 end of period                              $        71,819 $       23,154
                                            =============== ==============



Contact: Investors Chuck Abdalian Senior Vice President of Finance Chief Financial Officer (617) 871-6618 cabdalian@molecularinsight.com Media Martin A. Reynolds Manager Corporate Communications (617) 871-6734 mreynolds@molecularinsight.com Susan Pietropaolo BCC Partners (201) 923-2049 spietropaolo@bccpartners.com

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