Relmada Therapeutics Reports Third Quarter 2024 Financial Results and Provides Business Update

Pre-planned Phase 3 Reliance II interim analysis, anticipated by YE 2024, could represent an important de-risking event for REL-1017 and the Company

Phase 1 study for REL-P11 for metabolic disease expected to begin by YE 2024

Cash position of $54.1 million provides runway through key near-term milestones, into 2025

Management hosting conference call and webcast today at 4:30 PM ET

CORAL GABLES, Fla., Nov. 7, 2024 /PRNewswire/ -- Relmada Therapeutics, Inc. (Nasdaq: RLMD, "Relmada", "the Company"), a late-stage biotechnology company addressing diseases of the central nervous system (CNS), today provided a corporate update and announced preliminary and unaudited financial results for the third quarter ended September 30, 2024. The Company will host a conference call today, Thursday, November 7, at 4:30 PM ET.

"We believe that Relmada's clinical programs are poised to achieve meaningful, near-term value inflection points. Our lead product candidate, REL-1017, is in a registrational Phase 3 program as a potential adjunct treatment for major depressive disorder.  Two ongoing trials, Reliance II and Relight, have been designed to build on positive Phase 2 results, with enhanced site selection and more stringent patient enrollment criteria," said Sergio Traversa, Chief Executive Officer of Relmada. "The Reliance II study also incorporates a pre-planned interim analysis to evaluate futility and sample size. We believe that the outcome, expected by year-end represents an important de-risking event for the REL-1017 program and the Company."

Mr. Traversa continued, "In addition, we expect to initiate a Phase 1 safety study for REL-P11 for metabolic disease shortly. The low-dose, modified-release psilocybin formulation improved multiple metabolic parameters in preclinical models and could provide a valuable therapeutic option in the evolving obesity and metabolic syndrome space. The Phase 1 study is expected to be conducted in Canada and will define the pharmacokinetic, safety and tolerability profile of REL-P11 in obese subjects. A Phase 2a proof-of-concept study is expected to begin in H1 2025."

Upcoming Anticipated Milestones

• Reliance II Interim Analysis Expected by YE 2024
• Initiate Enrollment in the REL-P11 Program by YE 2024

Third Quarter 2024 Financial Results

• Research and development expense for the three months ended September 30, 2024, totaled $11.1 million, compared to $10.4 million for the three months ended September 30, 2023, an increase of $0.7 million. The increase was primarily driven by an increase in study costs associated with the ramp up of the Reliance II/302 and Relight/304 studies in 2024.
• General and administrative expense for the three months ended September 30, 2024, totaled $11.9 million compared to $12.2 million for the three months ended September 30, 2023, a decrease of approximately $0.4 million. The decrease was primarily driven by a decrease in stock-based compensation expense.
• The net loss for the three months ended June 30, 2024, was $21.7 million, or $0.72 per basic and diluted share, compared with a net loss of $22.0 million, or $0.73 per basic and diluted share, for the three months ended September 30, 2023.

Nine Month Ended September 30, 2024 Financial Results

• Research and development expense for the nine months ended September 30, 2024, totaled $35.2 million, compared to $40.1 million for the nine months ended September 30, 2023, a decrease of $4.9 million. The decrease was primarily driven by a decrease in study costs associated with the completion of two Phase 3 trials and the long-term, open-label, safety trial (Study 310) in 2023.
• General and administrative expense for the nine months ended September 30, 2024, totaled $29.6 million compared to $36.8 million for the nine months ended September 30, 2023, a decrease of approximately $7.2 million. The decrease was primarily driven by a decrease in stock-based compensation expense.
• Net cash used in operating activities for the nine months ended September 30, 2024, totaled $43.0 million compared to $41.4 million for the nine months ended September 30, 2023.
• The net loss for the nine months ended September 30, 2024, was $61.3 million, or $2.03 per basic and diluted share, compared with a net loss of $73.6 million, or $2.45 per basic and diluted share, for the nine months ended September 30, 2023.
• As of September 30, 2024, the Company had cash, cash equivalents, and short-term investments of approximately $54.1 million, compared to cash, cash equivalents, and short-term investments of approximately $96.3 million at December 31, 2023. The company believes its cash balance is adequate to support planned operations through key near-term milestones, into 2025.
• The Company had 30,174,202 common shares outstanding, as of November 4, 2024.

Conference Call and Webcast Information:
Relmada will host a conference call and webcast today at 4:30 PM ET to discuss recent business progress and financial results. To access the call, please dial: 1-800-717-1738 (United States) or 1-646-307-1865 (International) and reference conference ID: 60579 or to access the webcast, please Click Here. Participants can also use the "Call me™" feature by clicking the link https://emportal.ink/3N1UIlu, which will be made active 15 minutes prior to scheduled start time.

A replay of the webcast will be available in the "Investors" section of the Relmada website at https://www.relmada.com/investors/ir-calendar.

About REL-1017 and the Phase 3 Program
REL-1017 is a new chemical entity (NCE) and novel NMDA receptor (NMDAR) channel blocker that preferentially targets hyperactive channels while maintaining physiological glutamatergic neurotransmission. Relmada is developing REL-1017 as a rapid-acting, oral, once-daily adjunctive treatment for major depressive disorder (MDD). The clinical program includes two Phase 3 randomized, double-blind, placebo-controlled studies, Reliance II (Study 302, NCT04855747) and Relight (Study 304, NCT06011577). The studies are designed to evaluate the safety and efficacy of REL-1017. The primary endpoint of each study is the change in the Montgomery-Asberg Depression Rating Scale (MADRS10) at Day 28.

About REL-P11
Relmada acquired the development and commercial rights to a novel psilocybin and derivatives program in July of 2021. Psilocybin has neuroplastogen™ effects that have the potential to ameliorate neurodegenerative conditions. Relmada identified the potential to use low dose psilocybin as a treatment for metabolic diseases and published the data at the American Society for the Study of Liver Disease (AASLD 2023). Relmada intends to initiate a Phase 1 study of its proprietary low-dose, modified-release formulation of psilocybin, REL-P11.

About Relmada Therapeutics, Inc.
Relmada Therapeutics is a late-stage biotechnology company addressing diseases of the central nervous system (CNS), with a focus on major depressive disorder (MDD). Relmada's experienced and dedicated team is committed to making a difference in the lives of patients and their families. Relmada's lead program, REL-1017, is a new chemical entity (NCE) and novel NMDA receptor (NMDAR) channel blocker that preferentially targets hyperactive channels while maintaining physiological glutamatergic neurotransmission. REL-1017 is in late-stage development as an adjunctive treatment for MDD in adults. Learn more at www.relmada.com.

Forward-Looking Statements
The Private Securities Litigation Reform Act of 1995 provides a safe harbor for forward-looking statements made by us or on our behalf. This press release contains statements which constitute "forward-looking statements" within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. Any statement that is not historical in nature is a forward-looking statement and may be identified by the use of words and phrases such as "expects", "anticipates", "believes", "will", "will likely result", "will continue", "plans to", "potential", "promising", and similar expressions. These statements are based on management's current expectations and beliefs and are subject to a number of risks, uncertainties and assumptions that could cause actual results to differ materially from those described in the forward-looking statements, including potential failure of clinical trial results to demonstrate statistically and/or clinically significant evidence of efficacy and/or safety, failure of top-line results to accurately reflect the complete results of the trial, failure of the Reliance-OLS (study 310) to accurately reflect the results of the ongoing Reliance II (study 302) and Relight (study 304) blinded, randomized and controlled studies of REL-1017, failure of the planned Phase 1 and Phase 2a trials for REL-P11, the Company's low-dose, modified release formulation of psilocybin, to be successfully carried out, failure to obtain regulatory approval of REL-1017 for the treatment of major depressive disorder, and the other risk factors described under the heading "Risk Factors" set forth in the Company's reports filed with the SEC from time to time. No forward-looking statement can be guaranteed, and actual results may differ materially from those projected. Relmada undertakes no obligation to publicly update any forward-looking statement, whether as a result of new information, future events, or otherwise. Readers are cautioned that it is not possible to predict or identify all the risks, uncertainties and other factors that may affect future results and that the risks described herein should not be a complete list.

Investor Contact:
Tim McCarthy
LifeSci Advisors
[email protected]

Media Inquiries:
Corporate Communications
[email protected]

SOURCE Relmada Therapeutics, Inc.