Washington, D.C. 20549







Pursuant to Section 13 or 15(d)

of The Securities Exchange Act of 1934

Date of Report (Date of Earliest Event Reported): August 8, 2019



Chiasma, Inc.

(Exact name of registrant as specified in its charter)




DELAWARE   001-37500   76-0722250

(State or other jurisdiction

of incorporation)



File Number)


(I.R.S. Employer

Identification No.)

460 Totten Pond Road, Suite 530

Waltham, Massachusetts 02451

(Address of principal executive office) (Zip Code)

(617) 928-5300

(Registrant’s telephone number, including area code)

Not Applicable

(Former name or former address, if changed since last report)



Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:


Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)


Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)


Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))


Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:


Title of each class


Trading Symbol(s)


Name of each exchange on which registered

Common Stock, $0.01 par value   CHMA   NASDAQ Global Select Market

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

Emerging growth company  ☑

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.  ☑




Item 2.02

Results of Operations and Financial Condition.

On August 8, 2019, Chiasma, Inc. (the “Company”) issued a press release announcing its financial results for the quarter ended June 30, 2019 and providing a business update. The full text of the press release is furnished as Exhibit 99.1 hereto and incorporated herein by reference.

The information under this Item 2.02 is intended to be furnished and shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act, except as expressly set forth by specific reference in such filing.


Item 9.01

Financial Statements and Exhibits.








99.1    Press Release of Chiasma, Inc. dated August 8, 2019


Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.


Date: August 8, 2019     Chiasma, Inc.
    By:   /s/ Mark J. Fitzpatrick
      Mark J. Fitzpatrick

Exhibit 99.1



Chiasma Reports Second Quarter 2019 Results

Announces positive data from Phase 3 CHIASMA OPTIMAL trial; MYCAPSSA® NDA submission

expected by year-end 2019 with an expected six-month PDUFA review time period

MPOWERED enrollment complete; topline data expected in second half 2020

Completes common stock offering for net proceeds of $51.5 million

Waltham, MA – August 8, 2019 – Chiasma, Inc. (NASDAQ: CHMA), a clinical-stage biopharmaceutical company focused on improving the lives of patients with rare and serious chronic diseases, today reported financial results for the second quarter ended June 30, 2019 and provided a business update.

In July, Chiasma announced positive topline data from CHIASMA OPTIMAL, its international Phase 3 clinical trial of MYCAPSSA® for the maintenance treatment of adults with acromegaly. The trial, which was conducted under a Special Protocol Assessment (SPA) agreement with the FDA, met the primary and all secondary endpoints. The primary endpoint was the percentage of patients on octreotide capsules compared to placebo who maintained their IGF-1 response through the 36-week core trial period (58% of the patients on octreotide capsules compared to 19% of the patients on placebo, with a p-value of 0.008). In addition, the trial met all four of its secondary endpoints. Chiasma expects to submit an NDA by the end of the year, with an expected six-month PDUFA review time period.

“We are pleased with the CHIASMA OPTIMAL trial results as they are consistent with expectations from physicians based on treatment response rates demonstrated in prior acromegaly clinical trial results of somatostatin analogs. There is a significant momentum and a sense of urgency within the organization to get this novel innovative agent into the hands of patients that we expect could benefit from it,” noted Raj Kannan, Chief Executive Officer of Chiasma. “In the CHIASMA OPTIMAL trial, 75% of the patients randomized to the octreotide capsules treatment arm completed the 36-week trial on study drug, and 90% of those patients voluntarily elected to continue into the open label extension. We believe this speaks to the strong preference by patients for an oral option and the potential for Mycapssa, if approved, to be a positive disruptive agent in the market.”

During the second quarter, Chiasma announced that it had completed enrollment of 146 patients in its Phase 3 trial of MYCAPSSA®, known as MPOWERED, which is designed to support approval in the European Union. The trial is progressing as planned, and the company anticipates releasing topline data in the second half of 2020.

Also, in July, Chiasma completed a follow-on public offering of 10,000,000 shares of its common stock that raised net proceeds of approximately $51.5 million, after deducting underwriting discounts, commissions and estimated offering expenses.

Second Quarter 2019 Financial Results



G&A Expenses: General and administrative expenses were $2.6 million for the second quarter ended June 30, 2019, compared with $2.6 million for the same period of 2018. The current period results include increased professional services fees which were primarily offset by a reduction in legal costs.



R&D Expenses: Research and development expenses were $5.5 million for the second quarter ended June 30, 2019, compared with $6.3 million for the same period of 2018. The decrease in clinical trial costs was partially offset by an increase in manufacturing costs.



Net Loss: For the quarter ended June 30, 2019, net loss was ($7.8) million, or ($0.25) per basic share, compared with ($8.7) million, or ($0.36) per basic share, in the same period of 2018.



Cash Position: Chiasma ended the second quarter with cash, cash equivalents and marketable securities of $58.1 million. In July, the Company completed a follow-on offering of common stock that raised net proceeds of approximately $51.5 million.


The CHIASMA OPTIMAL trial was a randomized, double-blind, placebo-controlled, nine-month clinical trial of octreotide capsules that was conducted under a special protocol assessment, or SPA, agreement with the FDA. The trial enrolled 56 adult acromegaly patients whose disease was biochemically controlled by injectable somatostatin analogs (average IGF-1 £ 1.0 × upper limit of normal (ULN)). The patients also had confirmed active acromegaly following their last surgical intervention based upon an elevated IGF-1 at that time of ³ 1.3 × ULN. Patients were randomized on a 1:1 basis, to octreotide capsules or placebo. Patients were dose titrated from 40 mg per day to up to a maximum of 80 mg per day, equaling two capsules in the morning and two capsules in the evening. Patients who met the predefined withdrawal criteria, or discontinued from oral treatment for any reason, in either treatment arm during the course of the trial were considered treatment failures and reverted to their original treatment of injections and monitored for the remainder of the trial. The primary endpoint of the trial was the proportion of patients who maintained their biochemical response at the end of the nine-month, double-blind, placebo-controlled period as measured using the average of the last two IGF-1 levels £ 1.0 × ULN (assessed at weeks 34 and 36). Hierarchical secondary endpoints that are expected to be considered by the FDA in evaluating the totality of evidence for octreotide capsules treatment include: proportion of patients who maintain GH response at week 36 compared to screening; time to loss of response: IGF-1 of 2 consecutive visits is > 1.0 × ULN; time to loss of response: IGF-1 of 2 consecutive visits is ³ 1.3 × ULN; and proportion of patients requiring rescue treatment.

MPOWERED Phase 3 Trial

Chiasma is also conducting an international Phase 3 clinical trial under a protocol accepted by the EMA for the Company’s octreotide capsules product candidate for the maintenance therapy of adult patients with acromegaly. The trial, referred to as MPOWERED, is a global, randomized, open-label and active-controlled, 15-month trial intended to support approval in the European Union. Chiasma completed enrollment of 146 adult acromegaly patients into the trial in June 2019, of which at least 80 patients who are responders to octreotide capsules per the protocol following a six-month run-in were randomized to either octreotide capsules or injectable somatostatin receptor ligands (octreotide LAR or lanreotide autogel), and then followed for an additional nine months. The trial is designed to evaluate the proportion of patients who maintain their biochemical response to octreotide capsules and patient-reported outcomes in patients treated with octreotide capsules, compared to patients treated with standard of care injectable somatostatin receptor ligands. Chiasma expects to release top-line data from the MPOWERED Phase 3 clinical trial during the second half of 2020.

About Chiasma

Chiasma is focused on improving the lives of patients who face challenges associated with their existing treatments for rare and serious chronic diseases. Employing its Transient Permeability Enhancer (TPE®) technology platform, Chiasma seeks to develop oral medications that are currently available only as injections. In July 2019, the Company reported positive topline data from its CHIASMA OPTIMAL Phase 3 clinical trial for its octreotide capsules product candidate, conditionally trade named Mycapssa, for the maintenance therapy of adult patients with acromegaly in whom prior treatment with somatostatin analogs has been shown to be effective and tolerated. Prior to trial initiation, The Company reached agreement with the FDA on the design of the trial through a special protocol assessment. Chiasma is headquartered in Waltham, MA with a wholly-owned subsidiary in Israel. Mycapssa, TPE and CHIASMA are registered trademarks of Chiasma. For more information, please visit the Company’s website at www.chiasma.com.

Forward-Looking Statements

This release contains “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995, including, but not limited to, statements regarding the Company’s development of octreotide capsules, conditionally named MYCAPSSA, for the treatment of acromegaly, the data from the CHIASMA OPTIMAL trial and whether the data will support the submission of an NDA for octreotide capsules and ultimately regulatory approval, statements regarding the timing of NDA submission and regulatory review, including the company’s anticipated eligibility for a six-month PDUFA review cycle, statements concerning the nature of the FDA’s review of any such NDA submission and whether the data submission will be sufficient to support regulatory approval, the Company’s efforts to potentially obtain regulatory approval in the European Union by conducting the ongoing MPOWERED Phase 3 clinical trial, the timing of receipt and announcement of top-line and other clinical data and submission of regulatory filings, and the Company’s ability to release top-line data from the MPOWERED trial during the second half of 2020. Any forward-looking statements in this press release are based on management’s current expectations of future events and are subject to a number of risks and uncertainties that could cause actual results to differ materially and adversely from those set forth in or implied by such forward-looking statements. For a discussion of these and other risks and uncertainties, and other important factors, any of which could cause our actual results to differ from those contained in the forward-looking statements, see the section entitled “Risk Factors” in Chiasma’s Annual Report on Form 10-K for the year ended December 31, 2018, and in subsequent filings with the Securities and Exchange Commission. All information in this press release is as of the date of the release, and Chiasma undertakes no duty to update this information unless required by law.


Ashley R. Robinson

LifeSci Advisors, LLC



Chiasma, Inc.

Condensed Consolidated Statements of Operations

(amounts in thousands except share and per share data)



     For the three months ended     For the six months ended  
     June 30, 2019     June 30, 2018     June 30, 2019     June 30, 2018  

Operating expenses:


General and administrative

   $ 2,644     $ 2,627     $ 5,094     $ 5,061  

Research and development

     5,522       6,305       11,993       11,168  













Total operating expenses

     8,166       8,932       17,087       16,229  













Loss from operations

     (8,166     (8,932     (17,087     (16,229

Other income, net

     (341     (280     (525     (510













Loss before income taxes

     (7,825     (8,652     (16,562     (15,719

Provision (benefit) for income taxes

     15       21       28       (3













Net loss

   $ (7,840   $ (8,673   $ (16,590   $ (15,716













Earnings per share of common stock:



   $ (0.25   $ (0.36   $ (0.59   $ (0.64














   $ (0.25   $ (0.36   $ (0.59   $ (0.64













Weighted-average shares outstanding:



     31,597,698       24,384,283       28,051,856       24,383,123  














     31,597,698       24,384,283       28,051,856       24,383,123  













Chiasma, Inc.

Condensed Consolidated Balance Sheets Information

(amounts in thousands)



     June 30, 2019      December 31, 2018  

Cash and cash equivalents

   $ 20,568      $ 13,060  

Marketable securities

     37,580        28,602  

Insurance recovery

     —          18,288  

Prepaid expenses and other current assets

     1,144        2,237  

Property and equipment, net

     96        111  

Other assets

     1,258        958  







Total assets

   $ 60,646      $ 63,256  







Accounts payable

   $ 3,256      $ 2,029  

Estimated settlement liability

     —          18,750  

Accrued expenses

     5,385        7,848  

Other current liabilities

     200        —    

Long-term liabilities

     676        505  







Total liabilities

     9,517        29,132  

Total stockholders' equity

     51,129        34,124  







Total liabilities and stockholders' equity

   $ 60,646      $ 63,256