Rani Therapeutics Q4 2024 Earnings Call Transcript

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Operator

Welcome to the Ronnie Fourth Quarter and Full Year twenty twenty four Financial Results and Corporate Update Conference Call. At this time, all participants are in a listen only mode. As a reminder, this call is being recorded today, 03/31/2025. I would now like to turn the conference over to Kiki Patel, at Gilmartin Group. Please go ahead.

Kiki Patel
Principal at Gilmartin Group

Thank you, operator. Please turn to Slide two. Joining us on the call today from Roni Therapeutics, are Chief Executive Officer, Talat Imran and Chief Financial Officer, Svei Sanford. During this conference call, management will make forward looking statements that are subject to risks, uncertainties and assumptions such as, but not limited to, those discussed in the Risk Factors section of the company's filings with the Securities and Exchange Commission, including its annual reports on Form 10 ks and quarterly reports on Form 10 Q, which identify specific risk factors that may cause actual results or events to differ materially from those described in these forward looking statements. These statements may include, without limitation, statements regarding product development and clinical trials, product potential, market sizes, platform progress, platform potential, certain business strategies, capital resources, financing plans or operating performance.

Kiki Patel
Principal at Gilmartin Group

Actual results and the timing of events could differ materially from those projected in such forward looking statements. With that, I turn the call over to Slide three and introduce to you Talat Imran, Chief Executive Officer of Roni Therapeutics. Talaat?

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

Thank you, Kiki. Good afternoon, everyone, and thank you for joining our earnings call for the fourth quarter and full year of 2024. Rani Therapeutics is a clinical stage biotech company that has developed a platform technology for the oral administration of biologics with proven bioavailability comparable to a subcutaneous injection. Our Rani Pill technology is currently being evaluated across several high value indications, including the obesity and immunology spaces. I will start the call by providing a brief overview of our Rani Pill capsule technology platform and highlight the important advancements that Roni has achieved in its pipeline over the past year.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

Then I will share how we are leveraging the Roni Pill technology to develop the next generation of obesity therapies, including our RT-one hundred and fourteen and semaglutide programs. And then finally, Savai Sanford, our CFO, will provide an update on our financial results for the fourth quarter and full year 2024. So let's begin. Please turn to Slide five. At Roni Therapeutics, our mission is to end painful injections for the millions of patients living with chronic conditions.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

With this mission in mind, we have made significant strides since Rani's inception more than ten years ago. The Rani pill capsule, which has been extensively tested and clinically validated, represents a breakthrough in oral biologics with its ability to match injectable bioavailability across multiple indications. The Rony Pill technology consists of an innovative robotic pill with a proprietary enteric coating that makes it easy to swallow and allows it to pass through the acidic environment of the stomach. Previous attempts at delivering biologics orally have struggled to pass through the stomach and as a result have been unsuccessful. Once in the small intestines, the higher pH level breaks down the entire coating and outer shell of the Ronico capsule, which exposes the delivery mechanism to intestinal fluid.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

In the small intestine, a self inflating balloon creates the pressure needed to inject the dissolvable micro needle and deliver the drug via trans enteric painless injection. Once delivered, the drug is quickly absorbed by the vascular system and the device deflates and is safely passed out. Our platform technology is intended to enable the oral administration of any biologic with bioavailability comparable to a subcutaneous injection, resulting in a potential for broad application across multiple indications. Our Rani Pill technology is currently being evaluated in several high value indications across the immunology and obesity spaces. Furthermore, Roni has a robust patent portfolio with over four fifty granted patents and pending applications.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

Please turn to Slide six. Today, our platform technology stands as a proven success demonstrating consistency across a wide range of preclinical and clinical trials. In preclinical studies, Neurani Pill has delivered high bioavailability compared to subcutaneous injection for 19 molecules, including antibodies, peptides and large proteins. In addition, we have conducted a sixty day repeat administration GLP study where the Ronny pill was well tolerated and there were no serious adverse events. Clinically, we have completed three Phase one studies.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

And in these studies, the Rani pill has been well tolerated with no serious adverse events reported with more than 200 pills administered to 146 subjects. Overall, we believe the Rani pill addresses the challenges faced by chemistry based oral delivery by having the potential to deliver drug with high bioavailability and dosing size and frequency similar to a subcutaneous injection. We believe this represents a distinct advantage that positions RANI programs for future success. Now on to Slide seven. Moving on to our pipeline, we are proud of all that we have accomplished in 2024 and thus far in 2025, especially the advancements we have made in our pipeline focus in the obesity space.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

A market projected to reach $100,000,000,000 by 02/1930 where oral alternatives could redefine the treatment paradigm. To date, Roni has successfully evaluated four incretin based molecules in preclinical studies. These studies underscore the potential of the RoniPill platform to enable the oral delivery of a diverse range of obesity treatments, including both single and tri agonist and creatinine therapies, as well as semaglutide and RT-one hundred and fourteen. We are confident that the significant advancements made in our pipeline over the past year position us to further expand our obesity portfolio and realize the transformative potential of Roni Pill technology. As a reminder, in June of twenty twenty four, Ronny announced that it entered into a definitive agreement for the co development and commercialization of RT-one hundred and fourteen with Progen Co Limited, a South Korean clinical stage biotech company developing next generation long acting multi specific fusion protein therapeutics.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

RT-one hundred and fourteen combines ProGen's FC fusion protein conjugated GLP-one GLP-two dual agonist PG-one hundred and two with the RANI pill. The rationale behind this strategic partnership is to combine a potential best in class GLP-one GLP-two asset with the convenience and dosing flexibility of the RANI pill to create a strongly differentiated singular product in the obesity market. Rani shared a preclinical update on RT114 last week and ProGen presented data on PG-one hundred and two at the Asian Association for the Study of Diabetes Conference. I will review the results and next steps for our RT-one hundred and fourteen program later on in the call. Beyond RT-one hundred and fourteen, one of the most significant advancements in our pipeline over the past year is the introduction of RT-one 16, an orally administered version of semaglutide.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

Semaglutide selectively binds to and activates the GLP-one receptor, mimicking its natural activity. GLP-one is an incretin hormone and enterogastrode that plays a crucial role in regulating appetite and food intake by stimulating insulin secretion, inhibiting glucagon secretion and delaying gastric emptying. Last month, we shared encouraging preclinical data demonstrating the successful delivery of semaglutide via the RANI pill and I will provide an overview of those results shortly. Overall, we are encouraged by the progress we have made with our obesity program, especially in the light of the tolerability challenges that limit the efficacy of first generation and creatinine based therapies, thus highlighting the need for more tolerable options. While our current focus is on the obesity space, we have additional assets in development in our pipeline in immunology and endocrinology.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

Overall, we are open to additional opportunities to partner with pharmaceutical companies using our drug agnostic platform to advance oral biologics for patients. Now I will review the data we shared this quarter on RT-one 14 and RT-one 16 as we leverage the Ronny pill technology to develop the next generation of obesity therapies. Please turn to Slide nine. In February 2025, RANNI announced preclinical data demonstrating the successful oral delivery of semaglutide or RT116 via the RANNI pill. On this slide, purple represents RT116 and the teal green represents subcutaneously delivered semaglutide.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

As you can see looking at the pharmacokinetic curve on the left, RT116 achieved comparable pharmacokinetics to subcutaneous administration. As for pharmacodynamics, both groups saw comparable weight loss, which appear to be driven by decreased food intake. Weight loss coincided with rises in plasma drug levels, thus indicating there is a pharmacodynamic effect to treatment. Both groups saw comparable decreases in serum triglycerides and cholesterol. As for biologic activity, the relative bioavailability of orally administered semaglutide versus subcutaneous administration was 107%.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

Furthermore, RT116 was well tolerated with no serious adverse events reported. Overall, we are pleased with this data. Currently semaglutide is available exclusively as a subcutaneous injection for the treatment of obesity, marketed in The U. S. Under the brand name Wegovy by Novo Nordisk.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

While Rybelsys offers an oral version of semaglutide approved for improving glycemic control in adults with Type two diabetes, it requires daily administration at a significantly higher dose than its subcutaneous counterpart. In contrast, the target product profile of semaglutide in the Ranipo capsule would be a once weekly oral administration of semaglutide therapy at a dose similar to the injectable, which we believe may be more convenient for patients and could lead to improved adherence. Please turn to Slide 10, where I will share the exciting preclinical results of our RT114 data released last week. Rani released preclinical data evaluating a head to head comparison of orally administered PG-one hundred and two, Progen's GLP-one GLP-two molecule delivered via the Rani pill capsule, otherwise known as RT114 compared to PG-one hundred and two delivered subcutaneously in 16 healthy canines. As you can see when looking at the pharmacokinetic curve for both treatments, RT114 yielded a higher Cmax and earlier Tmax with a relative bioavailability of 111% compared to PG-one hundred and two delivered subcutaneously.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

Furthermore, these data confirm bioequivalence of RT-one hundred and fourteen to subcutaneously deliver PG-one hundred and two. The Ranipill capsule was well tolerated with no changes in drug related safety profile compared to subcutaneous delivery. On the bar graph on the right hand side, you will see the pharmacodynamics of RT114 measured by body weight. Both groups demonstrated an average peak weight loss of 6.7%. However, there was more variability in results with subcutaneous dosing.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

Please turn to Slide 11. Overall, we believe that Rani has the opportunity to create a truly differentiated product profile with RT114 combining the potential advantages of PG-one hundred and two with the convenience of oral delivery. Progen recently announced preliminary results of the repeat dose portion of its Phase one clinical study. In the trial, subcutaneous PG-one hundred and two demonstrated weight loss in obese subjects with an average reduction of 4.8% and up to 8.7% following five weeks of dosing. Subcutaneous PG-one hundred and two demonstrated tolerability while reaching the target dose of eighty milligrams within one month.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

Even with rapid dose escalation, there were no treatment discontinuations illustrating a potentially significant tolerability benefit of this molecule. Furthermore, PG-one hundred and two has demonstrated improved body composition fat versus lean mass loss compared to tirzepatide and dapaglutide in a diet induced obese mouse model. We believe this preservation of lean body mass could serve as a key differentiator for PG-one hundred and two, particularly due to the recent FDA guidance emphasizing the critical importance of body composition in the development of obesity treatments. As a result, we believe that RT-one hundred and fourteen has several potential key advantages in the competitive landscape. First and foremost, we believe RT-one hundred and fourteen has the potential to demonstrate comparable weight loss, a better tolerability profile and greater preservation of lean muscle mass compared to currently approved products.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

Also a shorter titration schedule may facilitate a quicker onset of effect. This could address a significant challenge with current GLP-one treatment options where many patients discontinue therapy before achieving clinically meaningful weight loss. And finally, the currently available oral therapies and those in clinical development for the treatment of obesity require daily dosing. In contrast, our target product profile for RT-one hundred and fourteen is for less frequent and potentially weekly oral dosing. Looking ahead, we intend to move rapidly to advance RT-one hundred and fourteen into the clinic in mid-twenty twenty five.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

Overall, we believe that RT-one hundred and fourteen has the potential to be a highly differentiated and desirable product in the obesity market due to its potential to have a favorable safety profile and to preserve lean body mass as an oral therapy. Please turn to Slide 12. Our target product profile for RT114 and RT116 is to be differentiated and competitive when compared with both subcutaneous and oral formulations of incretin therapy. Illustrated on this chart are approved obesity products and certain molecules in development. On the x axis is the frequency of administration and the y axis is the maximum API dose per week.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

As you can see in this two by two matrix, the oral therapies require daily or twice daily dosing with doses in the hundreds of milligrams. While for small molecules, this dose does not dramatically increase the cost of goods, for the orally available peptides, it has the potential to burden the supply chain and potentially increase COGS dramatically. Of the therapies listed on the chart, RT-one hundred and fourteen and RT-one hundred and sixteen are the only proposed orals in development that are expected to utilize similar API quantity and dosing frequency as an injectable product. Now, I would like to pass the call over to Slide thirteen and to Sabai Sanford, our Chief Financial Officer, to review our financial results.

Svai Sanford
Svai Sanford
Chief Financial Officer at Rani Therapeutics Holdings

Thank you, Talad. Good afternoon, everyone, and thank you for joining the call. Earlier today, we issued a press release and filed a Form 10 K with the Securities and Exchange Commission, which contain our financial results for the full year ending 12/31/2024. I will briefly share some key financial highlights on this call. You can also find additional information in our Form 10 K for the year ended 12/31/2024.

Svai Sanford
Svai Sanford
Chief Financial Officer at Rani Therapeutics Holdings

Turning to our balance sheet. Cash, cash equivalents and marketable securities as of 12/31/2024, totaled $27,600,000 compared to $48,500,000 as of 12/31/2023. We expect the cash, cash equivalent and marketable securities to be sufficient to fund our operations into the third quarter of twenty twenty five without additional funding. For our operating results for the fourth quarter and year ended 12/31/2024, for the fourth quarter and full year 2024, we earned contract revenue of approximately $1,000,000 dollars related to a research evaluation service testing a prospective partner's drug in the Rani pill. We have performed this service from time to time and have demonstrated successful deliveries of several drugs using the Roni pill.

Svai Sanford
Svai Sanford
Chief Financial Officer at Rani Therapeutics Holdings

There was no contract revenue for the same period in 2023. Research and development expenses for the fourth quarter and full year 2024 were $6,800,000 and $26,700,000 respectively compared to $7,600,000 and $39,600,000 for the same period in 2023, respectively. The R and D expenses for the full year 2024 decreased by $12,900,000 compared to the prior year due to our cost containment measures. General and administrative expenses for the fourth quarter and full year 2024 were $5,500,000 and $23,900,000 respectively compared to $5,800,000 and $26,500,000 for the same period in 2023, respectively. The G and A expenses for the full year 2024 decreased by $2,500,000 compared to the prior year due to our cost containment measures.

Svai Sanford
Svai Sanford
Chief Financial Officer at Rani Therapeutics Holdings

In the fourth quarter and full year 2024, we recorded an impairment loss of $3,700,000 related to certain manufacturing property and equipment, which were previously reported as construction in progress assets. We consider a number of factors required by GAAP to assess whether the value of the property and equipment is recoverable. After a thorough assessment, it was determined that the carrying value of the property and equipment has exceeded the fair value, and therefore, it was written down to the salvage value. There were no such impairment losses in the comparable periods last year. Net loss for the fourth quarter and full year 2024 was $15,700,000 and $56,600,000 respectively compared to net losses of $14,100,000 and $67,900,000 for the same period in 2023, respectively.

Svai Sanford
Svai Sanford
Chief Financial Officer at Rani Therapeutics Holdings

The net losses for the fourth quarter and full year 2024 include non cash impairment loss of $3,700,000 and stock based compensation expense of $4,000,000 and $16,000,000 respectively, compared to non cash stock based compensation expense of $4,500,000 and $19,000,000 for the fourth quarter and full year 2023 respectively. That concludes the financial section and I will return the call back to Talad for closing comments. Talad?

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

Thank you, Subai. Please turn to Slide 14. In conclusion, we take immense pride in the substantial advancements made at Rani Therapeutics and the remarkable opportunity we have to leverage our technology across a diverse array of product candidates within the obesity sector. We believe the preclinical data we have generated with RT-one 14 and RT-one hundred and sixteen provide validation of the potential for the Ronnie pill oral delivery platform in the obesity space. We look forward to bringing RT-one hundred and fourteen into the clinic in mid-twenty twenty five.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

We are confident that the Ronny pill platform possesses the transformative potential to redefine the treatment paradigm for injectable large molecule therapeutics by converting them into accessible oral treatments. I would like to convey my sincere appreciation to our stakeholders for their unwavering support of Rani and commitment to our vision of making Oral Biologics a reality. With that, I will now open the call up for questions. Operator?

Operator

Our first question comes from Annabel Samimy with Stifel. Your line is open.

Annabel Samimy
Annabel Samimy
Managing Director at Stifel Financial Corp

Hi guys. Thanks for taking my questions. So, a few here. So first on the oral semaglutide, that's in development. Are you developing this individually or are you using it as a validation tool for the other incretin so you can the dual GLP-one GLP-two.

Annabel Samimy
Annabel Samimy
Managing Director at Stifel Financial Corp

So I just want to understand the rationale of doing of developing a GLP-one when, I guess by the time you could even potentially get on the market there's going to be a number of oral GLP-1s, whether it's daily or weekly. I just want to understand the rationale of doing that, given your capital constraints. What are the costs to conduct the next Phase one trial? Could you do that with the capital that you have? And I guess there is no real update on the other programs.

Annabel Samimy
Annabel Samimy
Managing Director at Stifel Financial Corp

So are those put aside for 114 prioritization? Thanks.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

Hi, Annabel. Thank you for the questions. I'll take the last one first. We are our primary focus is on RT114 for this year because of the capital constraints that you alluded to. We are still excited about those programs, the immunology programs in particular.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

And as more capital becomes available, we can advance those in the clinic. And I think on the RT-one 14 front that sort of alludes to your other question around RT-one 16, the semaglutide program. That is a discovery program. We are not planning to run a clinical study for that program at this time. We did do it, as you said, to validate the delivery of an incretin and be able to show PD effect as well, which we were able to do both of those successfully in that study, 107% bioavailability relative to subcu and equivalent weight loss in those canines.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

In terms of development, our primary focus is RT114. As I said, It is a GLP-one, GLP-two, a novel mechanism. The obesity data that ProGen put out last week for their clinical study is very promising. The only additional comment I'd make on RT116, the semaglutide program is you are correct that by the time you would be able to bring that onto the market in The U. S, there will be many other incretins that are better suited RT-one hundred and fourteen potentially included in that list for patients.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

Having said that, it is the semaglutide molecule is less than 40 amino acids. The composition of matter in many jurisdictions goes off patent next year. And so there is a potential to develop it in an accelerated fashion for those markets, thinking of places like the GCC, The Middle East, Brazil and the like where you can command a decent price and there's very large obese populations. And in that scenario, though we're not committing to it right now, there's a potential to launch that kind of product much sooner than you would with a novel NCE or NME.

Annabel Samimy
Annabel Samimy
Managing Director at Stifel Financial Corp

Okay. And if I can ask one more follow-up.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

Please.

Annabel Samimy
Annabel Samimy
Managing Director at Stifel Financial Corp

I

Annabel Samimy
Annabel Samimy
Managing Director at Stifel Financial Corp

guess, do you have the capital to conduct the Phase one trials? I guess that was one question that you missed answering. But secondly, can you tell us what would the expected cost of goods sold would be on a product like this in light of potential small molecules that might be out, would you potentially have cost advantages or any kind of flexibility in terms of your cost of goods here? Because it seems like this would be possibly difficult to manufacture, but maybe I'm wrong on that point.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

Yes. So apologize, when you asked about the Phase one, I thought you were referring to the RT116 Phase one. And as I said, we don't have plans to move that into the clinic at this point. The RT-one 14 Phase one, if that's what you were referring to, yes, we do have that in the budget as it's currently constituted. In terms of cost of goods, we look at this as compared to the biologics, because you're right, it's very cheap to make small molecules and to claim even just the API of a biologic to be competitive in pricing with a small molecule wouldn't be fair or justified.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

Having said that, the small molecules have their own issues, which are around tolerability. So what we're targeting here is developing a weekly oral with 114 that will be competitive on a cost of goods perspective with the injectables. We have invested in our manufacturing automation and scale and we're confident we'll be able to achieve a COGS target that will make the product competitive even as the price comes down in the market overall.

Annabel Samimy
Annabel Samimy
Managing Director at Stifel Financial Corp

Okay. Thank you.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

Yes, absolutely.

Operator

Thank you. Our next question comes from Andreas Arjoroz with Oppenheimer. Your line is open.

Eka Gigauri
Biotech Equity Research Analyst at Oppenheimer & Co. Inc.

Thank you. Hi, everyone. This is Eka on for Andreas today. Thanks for taking our questions. I want to ask on the variability that you mentioned compared to FPG one hundred and two subcutaneous injection.

Eka Gigauri
Biotech Equity Research Analyst at Oppenheimer & Co. Inc.

RT114 had less variability in comparable weight loss. Can you talk about different reasons behind this in your opinion? And how do you see this translating into patients? And then I have one follow-up.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

Sure. So Ita, thank you for the question. The transentery route, we have tested 19 molecules now and several of them are larger proteins like monoclonal antibodies. And we've observed that it is a more efficient route than subcutaneous. It's where we evolved to take up nutrients and so you see rapid onset.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

And as you alluded to less variability than you see with subcutaneous typically that's what we've observed in our preclinical studies and RT114 is in line with those prior findings. Now what do we expect in the clinical study? I think the clinical study will tell us, but if attracts the way that prior work has like our Solaro biosimilar as an example that we tested, we're pretty excited about being able to show perhaps less variability in humans as well.

Eka Gigauri
Biotech Equity Research Analyst at Oppenheimer & Co. Inc.

Got it. Thank you. That's helpful. And for the Phase one study for RT1014 team, can you talk about the patients that you envision enrolling in the study? And then, what subsequent studies you plan to conduct?

Eka Gigauri
Biotech Equity Research Analyst at Oppenheimer & Co. Inc.

Thank you.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

Sure. Absolutely. So the Phase one is going to be a single ascending dose and then a multi ascending dose. We're considering running a two month MAD study in obese patients, so patients with a BMI above thirty. These will be non diabetics to start with and we're going to be looking at the tolerability of repeat dose and the overall weight loss.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

In terms of subsequent studies, after that, our expectation, we'll have to review the data, but most likely would be to do a Phase 2a twelve week study with a larger patient population and test perhaps two doses in the Rani pill versus a placebo.

Eka Gigauri
Biotech Equity Research Analyst at Oppenheimer & Co. Inc.

Thank you.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

Thank you.

Operator

Our next question comes from Julian Harrison with BTIG. Your line is open.

Julian Harrison
Managing Director at BTIG

Hi, thank you for taking my questions. I'm curious how much tolerability will guide early clinical development of RT114 and how much flexibility you expect to have in dosing to optimize tolerability?

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

Hey, Julien, and thank you for the question. You bring up a great point. Tolerability is really the key here. This is where we see the potential differentiation. If we look at the PG-one hundred and two clinical data, they showed excellent tolerability in their Phase one repeat dose study and that was with a very rapid titration to maximum dose.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

What we'll be looking at in our study is to match those results or come as close as possible. And in terms of flexibility, the beauty of an oral formulation is you can always take another pill. If one pill has greater tolerability issues, for instance, we could split it into two doses and bring the peak down, bring the trough up and potentially improve tolerability if that's necessary. So not only the vector that every injectable uses of titrating over a greater period of time, we can also spread out the dose. Just one anecdote on that.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

I was reading about the compounded semaglutide that a number of patients are on in The U. S. And some of these patients because of tolerability issues have started splitting their dose and taking a couple of injections a week, which you can do with a needle and syringe or a vial and syringe, I should say. And so we have that same flexibility built in to the fact that we have an oral formulation.

Julian Harrison
Managing Director at BTIG

Very helpful. Thank you.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

Yes. Thank you, Julian.

Operator

Thank you. Our next question comes from Mitchell Kapoor with H. C. Wainwright. Your line is open.

Mitchell Kapoor
Director, Senior Biotechnology Analyst at H.C. Wainwright & Co., LLC

Hey, everyone. Thanks for taking the questions. First one is I wanted to ask about the ARP concentration of 114 that you show versus subcutaneous. And just kind of the implications for that, I think we've seen with the Roni pill formulated drugs that they can get to this higher peak concentration initially. Is there something that we should be thinking about in terms of the implications there and what that means?

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

So we didn't see statistic hey Mitchell, by the way, good to talk to you. We didn't see a statistical difference between the nausea or vomiting in the canines. I think in the clinical study, we will look at titration schedules, because there is a higher peak. And as you're alluding to there is a correlation across studies with higher peaks and incidence of nausea and vomiting. I think this is something that can first, we'll have to see if that's an issue because the route of administration is different.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

And then secondly, if there is, we can always just titrate a little bit slower given how quick the titration was with PG-one hundred and two in their injectable study or split it into two pills and that will bring the nausea and vomiting potentially under control. What was interesting, we didn't do this with the RONI pill, but in the subcutaneous when we were doing dose findings so that we could select the right dose for the runny pill for the RT-one hundred and fourteen preclinical study, we tested lower doses of PG-one hundred and two subcutaneous. And if you go down half a dose by half, I should say, there were no AEs whatsoever. So I think that would be potentially a really successful approach if there is some issue with the peak.

Mitchell Kapoor
Director, Senior Biotechnology Analyst at H.C. Wainwright & Co., LLC

Okay, perfect. Very helpful. And then on the BD front, can you just talk about any interest you're receiving or kind of the types of interest or anything that may have changed since the last time you updated The Street on that front? And then just the priorities you have for developing the Roni Pill as a platform and trying to get this across many indications versus just the product that it is that we're currently focused on?

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

Sure. So thank you for asking that. And partnering is still a primary focus for us as a company. We've done the development work we have in part to prove out the platform. I think with PG-one hundred and two that partnership with ProGen was to bring a really novel and potentially best in class GLP-one, GLP-two to the market.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

So that was a BDE deal that we did last year. As you heard from Sabai, we can't disclose the partner, but we have been doing some research collaboration with large pharma company. And then beyond that, there is a tremendous amount of interest in the Rani pill and that interest is in obesity, in immunology, and in rare disease and there's multiple potential partners in both of those in all of those categories, I should say.

Mitchell Kapoor
Director, Senior Biotechnology Analyst at H.C. Wainwright & Co., LLC

Great. Thank you very much. Still on the side.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

Thank you. Thank you, Mitchell.

Operator

Thank you. Our next question comes from Michael Okunovich with Maxim Group. Your line is open.

Chad Yahn
Senior Equity Research Associate Biotech at Maxim Group

Hi, this is Chad on for Michael. Thanks for taking the questions. We're just wondering how does ProGen's PG-one hundred and two weight loss and speed of titration compared to Zealand's GLP-one, GLP-two?

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

Yes. Good question, Chad. It's hard to compare across studies. I will caveat that. The in their Phase one multi dose there, meaning Zealand's, I think they showed similar, maybe slightly lower weight loss if my recollection serves me.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

But then it was a little bit more muted in the repeat dose study or the longer term repeat dose study that they ran. And then they tested higher doses, which led to better weight loss. What we saw in the preclinical or what Progen saw in their preclinical DIO work with both the Zealand peptide, they got a research grade version of that of dapaglutide versus the FC fusion protein version of the GLP-one GLP-two Progen's drug was that PG-one hundred and two had much more sustained weight loss over time and the dapaglutide product at those doses plateaued, which is what we ended up seeing in the clinical studies from Zealand, the sort of intermediate repeat dose study. So it's hard to draw a conclusion from that. But what I would say is that the looking at the preclinical data and the clinical data we now have from ProGen, we're very excited about this program.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

And then the final part that you alluded to as well was the titration. This is something that is incredibly attractive about this drug. It is an FC fusion protein, not a peptide. And so similar to Maritide from Amgen, which requires no titration, they were able to get to a maximum dose within a month and that bodes well for patients potentially.

Chad Yahn
Senior Equity Research Associate Biotech at Maxim Group

Great. Thanks for taking the questions, Paul.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

Thank you.

Operator

Thank you. Our next question comes from Shenwei On with Canaccord Genuity. Your line is open.

Xinwei An
Vice President - Biotech Equity Research at Canaccord Genuity - Global Capital Markets

Hey, congrats on the progress and thank you for taking my questions. I have two regarding the 114 program. The first one is, do you plan to conduct any additional animal studies before you go into the clinic? And then how confident you are that we will see the human data mimicking what we have seen so far? Thank you.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

Hi, Xin Wei. So on the first question that's easy, no, we don't plan to do any more preclinical work in order to get into the clinic. On the second one, it's hard to speculate. What I will say is we have this will be our fourth Phase one study and we have shown very good bioavailability in those prior studies. And with the preclinical data that we've put out showing similar weight loss and similar PK as compared to the subcu, we have a lot of confidence going into it.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

But the clinical study will ultimately tell the story.

Operator

Thank you. Our next question comes from John VanderMoozin with Zacks. Your line is open.

John Vandermosten
Senior Analyst at Zacks Small Cap Research

Thank you, and hello, Talaat and Sabai. So regarding PG-one hundred and two, do we expect to see the standard Phase I, Phase II and pivotal studies before that goes in front of the regulatory agencies or is there some twist to that at all?

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

Hi, John. So you're asking about the subcutaneous version of Right. Yes.

John Vandermosten
Senior Analyst at Zacks Small Cap Research

Exactly. Yes. What ProGen is going to do.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

Got it. Got it. Yes. So I just want to make sure I was catching that right. So what they have said publicly, and what I can speak to is they have completed their Phase one, right.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

They put out the data last week. They are in a Phase 2a, and they plan on filing an IND, I believe, for their sub Q in The U. S. And I want to say it's the next year. We can come back to you on the exact public guidance that they've given, but they do plan to move that forward.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

And that's one of the attractive things about the RT 114 program is we get to as we do with biosimilars, though this is a novel molecule, we get to sort of tread in their wake. We can look at the doses that they have tested. We can observe the titration schedules and any improvements, challenges that they have and we can apply those, which should make our clinical studies faster and more efficient.

John Vandermosten
Senior Analyst at Zacks Small Cap Research

Okay. And then I guess you'll be trailing behind them by just a certain fixed margin, I guess in terms of timing. So as soon as they complete their pivotal studies then and submit, you would submit following that or how would that look when we

John Vandermosten
Senior Analyst at Zacks Small Cap Research

get that?

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

Yes, another good question. That is very likely the case since the molecule is the same. We could get some advantages from them having submitted already. Again, time will tell as we go through development, which one gets prioritized more by ProGen as well. I think the differentiation as speaking from Rani's perspective of RT114 is tremendous as compared to an injectable GLP-one GLP-two against the backdrop of the broader market.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

They'll have to make that determination, but it does confer some advantages if they do submit to the Rani ProGen partnership. Okay. Thanks a lot. Yes, absolutely.

Operator

Thank you. I'm showing no further questions at this time. I would now like to turn it back to Talat Emaran for closing remarks.

Talat Imran
Talat Imran
CEO at Rani Therapeutics Holdings

Thank you, operator. This concludes our fourth quarter and full year twenty twenty four financial results and corporate update conference call. Thank you again everyone for joining us this afternoon.

Operator

This concludes today's conference call. Thank you for participating. You may now disconnect.

Executives
    • Talat Imran
      Talat Imran
      CEO
    • Svai Sanford
      Svai Sanford
      Chief Financial Officer
Analysts
    • Kiki Patel
      Principal at Gilmartin Group
    • Annabel Samimy
      Managing Director at Stifel Financial Corp
    • Eka Gigauri
      Biotech Equity Research Analyst at Oppenheimer & Co. Inc.
    • Julian Harrison
      Managing Director at BTIG
    • Mitchell Kapoor
      Director, Senior Biotechnology Analyst at H.C. Wainwright & Co., LLC
    • Chad Yahn
      Senior Equity Research Associate Biotech at Maxim Group
    • Xinwei An
      Vice President - Biotech Equity Research at Canaccord Genuity - Global Capital Markets
    • John Vandermosten
      Senior Analyst at Zacks Small Cap Research
Earnings Conference Call
Rani Therapeutics Q4 2024
00:00 / 00:00

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