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Mesoblast Ltd (MESO)
NASDAQ:MESO
US Market

Mesoblast (MESO) AI Stock Analysis

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Mesoblast

(NASDAQ:MESO)

45Neutral
Mesoblast's overall stock score reflects significant financial challenges, with ongoing losses and liquidity issues. However, positive developments from the recent earnings call, including FDA approval of a key therapy and successful fundraising, provide some optimism. Technical analysis and valuation metrics remain mixed, with bearish tendencies and a negative P/E ratio indicating caution. Strategic improvements and continued clinical success are crucial for future performance.
Positive Factors
FDA Approval
Ryoncil gains approval in the US for pediatric steroid refractory acute graft vs host disease, marking a significant milestone for Mesoblast and validating FDA's supportive stance on cell therapy.
Financial Performance
Mesoblast announced a private placement raising A$260M, which should support commercialization of Ryoncil in the US while funding its development programs.
Market Opportunity
Ryoncil is positioned for a market opportunity of approximately $500 million due to the high pricing range similar to CAR-T and gene therapy, driven by the high unmet need in pediatric SR-aGvHD.
Negative Factors
Competition
Ryoncil's approval as the only drug for patients under 12 could provide a competitive advantage, especially in the 12-18 year-old segment where it overlaps with Jakafi.
Regulatory Risk
If Ryoncil is approved, it should help ameliorate much of the regulatory risk for cell therapy, unlocking further value from pipeline programs such as HF and CLBP.

Mesoblast (MESO) vs. S&P 500 (SPY)

Mesoblast Business Overview & Revenue Model

Company DescriptionMesoblast Limited, a biopharmaceutical company, develops and commercializes allogeneic cellular medicines in the United States, Australia, Singapore, the United Kingdom, and Switzerland. The company offers products in the areas of cardiovascular, spine orthopedic disorder, oncology, hematology, and immune-mediated and inflammatory diseases. Its proprietary regenerative medicine technology platform is based on specialized cells known as mesenchymal lineage cells. The company's products under the Phase III clinical trials include remestemcel-L for the treatment of steroid refractory acute graft versus host disease, as well as acute respiratory distress syndrome due to COVID-19 infection; Rexlemestrocel-L to treat advanced chronic heart failure; and MPC-06-ID for chronic low back pain due to degenerative disc disease. It is also developing MPC-300-IV for the treatment of biologic refractory rheumatoid arthritis diabetic nephropathy. The company has strategic partnerships with Tasly Pharmaceutical Group to offer MPC-150-IM for heart failure and MPC-25-IC for heart attacks in China; JCR Pharmaceuticals Co. Ltd. for the treatment of wound healing in patients with epidermolysis bullosa; and Grünenthal to develops and commercializes cell therapy for the treatment of chronic low back pain. Mesoblast Limited was incorporated in 2004 and is headquartered in Melbourne, Australia.
How the Company Makes MoneyMesoblast makes money primarily through the development and commercialization of its cell-based therapies. Revenue is generated through partnerships and licensing agreements with pharmaceutical companies, which can include upfront payments, milestone payments, and royalties on product sales. The company also aims to earn revenue from the direct sale of its proprietary therapies once they gain regulatory approval. Additionally, Mesoblast may receive government grants or funding for its research and development efforts, contributing to its revenue streams. Strategic collaborations and partnerships are significant factors that enhance Mesoblast's ability to commercialize its products and achieve market penetration.

Mesoblast Financial Statement Overview

Summary
Mesoblast faces substantial financial challenges, with consistent losses and negative cash flows across income, balance sheet, and cash flow statements. While the company maintains a reasonable equity ratio, the ongoing losses and liquidity issues pose significant risks to financial stability. Strategic improvements are necessary to enhance profitability and cash flow generation.
Income Statement
30
Negative
Mesoblast has faced declining revenues over the past years, with a revenue drop in TTM compared to previous periods. The gross profit margin and net profit margin are negative, indicating high costs relative to revenue and significant net losses. EBIT and EBITDA margins are also negative, showing ongoing operational challenges.
Balance Sheet
45
Neutral
The company's debt-to-equity ratio indicates moderate leverage, which is typical for the biotechnology sector. However, the return on equity is negative due to consistent net losses. The equity ratio suggests a good proportion of the company's assets are funded by equity, providing some financial stability.
Cash Flow
35
Negative
Cash flow analysis reveals negative operating cash flow and free cash flow, highlighting liquidity challenges. The company's free cash flow to net income ratio is not favorable, as both metrics are negative, indicating a need for improved cash management.
Breakdown
Jun 2024Jun 2023Jun 2022Jun 2021Jun 2020
Income StatementTotal Revenue
5.90M7.50M10.21M7.46M32.16M
Gross Profit
-35.17M-47.42M-53.36M-78.28M-49.34M
EBIT
-84.15M-69.29M-80.57M-109.10M-74.87M
EBITDA
-56.08M-58.55M-76.57M-107.60M-75.41M
Net Income Common Stockholders
-87.96M-81.89M-91.35M-98.81M-77.94M
Balance SheetCash, Cash Equivalents and Short-Term Investments
62.56M70.92M60.03M136.88M129.33M
Total Assets
669.15M669.41M662.14M744.72M733.60M
Total Debt
118.92M116.50M106.91M105.50M99.31M
Net Debt
56.36M45.58M46.87M-31.39M-30.01M
Total Liabilities
188.80M167.58M165.10M163.32M184.28M
Stockholders Equity
480.36M501.84M497.04M581.40M549.33M
Cash FlowFree Cash Flow
-48.79M-63.58M-66.01M-108.33M-58.61M
Operating Cash Flow
-48.46M-63.27M-65.78M-106.68M-56.37M
Investing Cash Flow
-97.00K-194.00K-232.00K-1.65M-3.27M
Financing Cash Flow
40.25M74.50M-9.87M114.47M137.04M

Mesoblast Technical Analysis

Technical Analysis Sentiment
Negative
Last Price11.30
Price Trends
50DMA
12.67
Negative
100DMA
14.90
Negative
200DMA
11.55
Negative
Market Momentum
MACD
-0.25
Negative
RSI
45.98
Neutral
STOCH
68.88
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For MESO, the sentiment is Negative. The current price of 11.3 is above the 20-day moving average (MA) of 11.03, below the 50-day MA of 12.67, and below the 200-day MA of 11.55, indicating a neutral trend. The MACD of -0.25 indicates Negative momentum. The RSI at 45.98 is Neutral, neither overbought nor oversold. The STOCH value of 68.88 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for MESO.

Mesoblast Risk Analysis

Mesoblast disclosed 81 risk factors in its most recent earnings report. Mesoblast reported the most risks in the “Finance & Corporate” category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Mesoblast Peers Comparison

Overall Rating
UnderperformOutperform
Sector (52)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
64
Neutral
$2.29B-36.38%-40.11%-17.79%
62
Neutral
$1.52B-13.92%24.19%10.51%
58
Neutral
$1.88B-422.66%49.29%44.52%
52
Neutral
$5.35B3.83-41.61%2.85%17.10%1.22%
45
Neutral
$1.52B-21.26%
43
Neutral
$1.71B-27.73%-14.19%
39
Underperform
$1.61B-44.83%-20.03%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
MESO
Mesoblast
11.30
3.34
41.96%
TVTX
Travere Therapeutics
21.41
14.66
217.19%
IRON
Disc Medicine
48.60
18.56
61.78%
KYMR
Kymera Therapeutics
33.58
-4.86
-12.64%
IMCR
Immunocore Holdings
30.63
-30.41
-49.82%
VERA
Vera Therapeutics
25.53
-19.47
-43.27%

Mesoblast Earnings Call Summary

Earnings Call Date:Feb 26, 2025
(Q2-2025)
|
% Change Since: -28.12%|
Next Earnings Date:May 28, 2025
Earnings Call Sentiment Positive
The earnings call reflects a positive outlook with significant advancements including the FDA approval of RYONCIL, successful fundraising, and promising clinical trial results. However, the company faces some challenges such as non-cash balance sheet impacts and ongoing trial enrollments.
Q2-2025 Updates
Positive Updates
FDA Approval and Launch of RYONCIL
RYONCIL, a mesenchymal stromal cell therapy, has been FDA approved as the first off-the-shelf therapy for children aged two months and older with steroid-refractory acute GVHD. The product is set to be made available in March.
Successful Private Placement
The company successfully completed a global private placement, raising USD 161 million, increasing the pro forma cash balance to approximately USD 200 million.
Reduction in Operating Cash Spend
Net operating cash spend was USD 20.7 million for the first half of FY 2025, a 22% reduction from the first half of FY 2024.
High Response Rates in Clinical Trials
In Phase 3 trials, RYONCIL delivered high overall response rates of 70% at day 28 for children with severe disease, significantly higher than other therapies.
Potential for Label Expansion
Strategies are in place to expand RYONCIL’s use to include inflammatory bowel disease and adult GVHD, with ongoing trials showing promise.
Negative Updates
Non-Cash Adjustments Leading to Loss
Non-cash balance sheet adjustments drove a loss after tax of USD 47.9 million for the half year.
Challenges in Enrollment for Phase III Trials
The company is actively working to increase enrollment rates for the Phase III trial for chronic low back pain, indicating current challenges in participant recruitment.
Dependency on FDA Guidance
The approval pathway for Revascor in ischemic heart failure depends on further FDA meetings to clarify study designs and confirmatory trial requirements.
Company Guidance
In the recent call, Mesoblast provided comprehensive guidance on multiple financial and operational metrics. For the fiscal period ended December 31, 2024, the company reported a cash balance of USD 38 million, with a pro forma cash of approximately USD 200 million following a successful USD 161 million global private placement. Net operating cash spend was USD 20.7 million, marking a 22% reduction from the previous year. The FDA's approval of RYONCIL resulted in a USD 23 million provision reversal, now recognized as inventory on the balance sheet. The company's loss after tax stood at USD 47.9 million, influenced by non-cash balance sheet adjustments post-FDA approval. RYONCIL's wholesale acquisition cost is USD 194,000 per infusion, with a potential addressable market in the U.S. of 375 new pediatric patients annually for steroid-refractory acute GVHD. The launch strategy includes targeting high-volume transplant centers, with a sales force of nine key account managers. For the chronic low back pain trial, the company plans to expand site numbers from 15 to 40, anticipating ramped-up enrollment and a potential U.S. partnership for distribution.
Glossary
OutperformA stock rated as "Outperform" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests that the stock is likely to deliver higher returns compared to the average returns of other stocks in the same sector or market index. Investors might consider this stock a good buying opportunity.
NeutralA stock rated as "Neutral" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly attractive nor unattractive for investment. Investors may consider holding onto the stock, as it is not expected to either significantly outperform or underperform the market.
UnderperformA stock rated as "Underperform" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests that the stock may deliver lower returns compared to the average returns of other stocks in the same sector or market index. Investors might consider selling the stock or avoiding it as an investment.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.