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6-K 1 ny20042511x3_6k.htm FORM 6-K

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM 6-K

REPORT OF FOREIGN PRIVATE ISSUER PURSUANT TO RULE 13a-16 OR 15d-16 UNDER THE SECURITIES EXCHANGE ACT OF 1934

For the month of February, 2025.

Commission File Number: 001-40530

GH Research PLC
(Exact name of registrant as specified in its charter)

Joshua Dawson House
Dawson Street
Dublin 2
D02 RY95
Ireland
(Address of principal executive office)

Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F:

Form 20-F
Form 40-F
 


INFORMATION CONTAINED IN THIS REPORT ON FORM 6-K

On February 3, 2025, GH Research PLC (the “Company”) reported the primary endpoint was met in a randomized, double-blind, placebo-controlled Phase 2b clinical trial with GH001, an inhalable mebufotenin product candidate, in patients with treatment-resistant depression (TRD) (GH001-TRD-201), and will host a previously announced conference call to present this update. A copy of the press release is exhibited hereto as Exhibit 99.1 and a copy of the investor presentation to be used for the conference call is attached hereto as Exhibit 99.2.

The fact that this press release and investor presentation are being made available should not be deemed an admission as to the materiality of any information contained in the materials. The information contained in the press release and investor presentation is being provided as of February 3, 2025, and the Company does not undertake any obligation to update the presentation in the future or to update forward-looking statements to reflect subsequent actual results.
1

EXHIBIT INDEX

Exhibit No.
Description
Press release dated February 3, 2025
Clinical Data Presentation dated February 3, 2025
2
SIGNATURE

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, thereunto duly authorized.

 
GH Research PLC
Date: February 3, 2025
 
   
 
By:
/s/ Julie Ryan
 
Name:
Julie Ryan
 
Title:
Vice President, Finance

3

EX-99.1 2 ny20042511x3_ex99-1.htm EXHIBIT 99.1

Exhibit 99.1

GH Research Announces Primary Endpoint Met in Phase 2b Trial with GH001 in TRD Demonstrating -15.5 Point Placebo-adjusted MADRS Reduction


Primary endpoint met, GH001 led to an ultra-rapid anti-depressant effect with a significant placebo-adjusted MADRS reduction from baseline of -15.5 on Day 8 (p<0.0001)


The majority of the patients treated with GH001 achieved remission with a 57.5% remission rate on Day 8 compared with 0% in the placebo group (p<0.0001)


All other secondary endpoints were met with clinically and statistically significant improvements on Day 8, compared with placebo


During the double-blind part, GH001 was well tolerated and no serious adverse events (SAE) were reported. There was no evidence of treatment-emergent suicidal ideation or behavior. As of January 22, 2025, no SAEs have been reported throughout the open label extension (OLE)


As of January 22, 2025, 77.8% of the OLE completers were in remission at the 6-month visit, with infrequent treatments


Patients who had remission on Day 8 after their first active treatment had a 91.7% remission rate at 6 months

Dublin, Ireland, Feb. 3, 2025 – GH Research PLC (Nasdaq: GHRS), a clinical-stage biopharmaceutical company, today reported the primary endpoint was met in a randomized, double-blind, placebo-controlled Phase 2b clinical trial with GH001, an inhalable mebufotenin product candidate, in patients with treatment-resistant depression (TRD) (GH001-TRD-201). GH Research will host a conference call and live webcast today at 8.00 a.m. EST. To register for the event, please click here.

The trial recruited 81 patients with TRD. In the double-blind part, 40 patients received GH001 and 41 received placebo. Psychotherapeutic intervention was not a component of either part of this trial.

GH001 led to a significant reduction from baseline of -15.2 points in Montgomery-Åsberg Depression Rating Scale (MADRS) total score on Day 8, compared with +0.3 points in the placebo group (difference of -15.5 points, p<0.0001).

All secondary endpoints in the trial were met, with results consistent with the primary endpoint. Treatment with GH001 led to clinically and statistically significant improvements on the CGI-S and HAM-A scales and the Q-LES-Q-SF Questionnaire on Day 8, compared with placebo.

“Patients treated with GH001 experienced a difference of -15.5 points in MADRS score at Day 8 compared to placebo, which is truly remarkable,” said Professor Michael E. Thase, MD, Professor of Psychiatry, Perelman School of Medicine, University of Pennsylvania. “Most TRD patients have not benefited from a number of established treatment options and this illness frequently imposes years of insurmountable mental suffering and disabling effects on social and vocational functioning. A novel treatment with such a large and rapid effect, particularly one that may require only infrequent, short 1-3 hours clinic visits, has the potential to be a practice changing treatment.”

GH001 was well tolerated and no serious adverse events were reported in the double-blind part of the trial. All treatment emergent adverse events (TEAEs) were mild or moderate with no severe adverse events observed. There were no TEAEs of flashbacks reported. No clinically significant changes were observed in any of the vital parameters, including heart rate, blood pressure and ECG. No dissociative state symptoms or sedation were observed at discharge after treatment with GH001 and 97.4% of patients were discharge ready within 1 hour of the last dose. Patients were not required to observe any post-discharge restrictions. There was no evidence of treatment-emergent suicidal ideation or behavior after treatment with GH001.

As of January 22, 2025, 9 patients are ongoing, 54 patients have completed and 18 patients have discontinued early (with one discontinuation due to an adverse event). Of the OLE completers, 77.8% were in remission (MADRS≤10) at the 6-month visit. The majority of the OLE completers (63.0%) received 1-4 GH001 treatments for the duration of the 6 months. Safety analysis has not yet been completed for the OLE as it remains ongoing, but as of January 22, 2025, no serious adverse events have been reported throughout the OLE.

“Today, as we share our unprecedented positive Phase 2b data, we celebrate a significant milestone in our journey to interventional psychiatry and pave the way for our future commercial success with GH001 in treatment-resistant depression,” said Dr. Villy Valcheva, Chief Executive Officer of GH Research. “The ultra-rapid and profound reduction in depressive symptoms, coupled with sustained remission through infrequent, short treatment visits, positions us uniquely.”

Webcast Information

GH Research will host a conference call and live webcast today at 8:00 a.m. EST. A live question and answer session will follow the formal presentation. To register for the event, please click here.

A live webcast of the call will be available under “Events & Presentations” in the Investors section of GH Research’s website at ghres.com.

About GH Research PLC

GH Research PLC is a clinical-stage biopharmaceutical company dedicated to transforming the lives of patients by developing a practice-changing treatment in depression. GH Research PLC’s initial focus is on developing its novel and proprietary mebufotenin therapies for the treatment of patients with treatment-resistant depression (TRD).

About GH001

Our lead product candidate, GH001, is formulated for 5-MeO-DMT administration via a proprietary inhalation approach.

About Notation for Trial Timepoints

In relation to our clinical trials, we have previously referred to the day of dosing as Day 0 (D0), the day after dosing as Day 1 (D1), and the seventh day after dosing as Day 7 (D7). In this press release, and going forward, we shall refer to the day of dosing as Day 1 (D1), the day after dosing as Day 2 (D2) and the seventh day after dosing as Day 8 (D8).

Forward-Looking Statements

This press release contains statements that are, or may deemed to be, forward-looking statements. All statements other than statements of historical fact included in this press release, including statements regarding the ongoing OLE part of our Phase 2b trial with GH001 in TRD, our future results of operations and financial position, business strategy, product candidates, research pipeline, ongoing and currently planned preclinical studies and clinical trials, regulatory submissions and approvals, research and development costs, timing and likelihood of success, as well as plans and objectives of management for future operations are forward-looking statements. Forward-looking statements appear in a number of places in this press release and include, but are not limited to, statements regarding our intent, belief or current expectations. Forward-looking statements are based on our management’s beliefs and assumptions and on information currently available to our management. Such statements are subject to risks and uncertainties, and actual results may differ materially from those expressed or implied in the forward-looking statements due to various factors, including, but not limited to, those described in our filings with the U.S. Securities and Exchange Commission. No assurance can be given that such future results will be achieved. Such forward-looking statements contained in this document speak only as of the date of this press release. We expressly disclaim any obligation or undertaking to update these forward-looking statements contained in this press release to reflect any change in our expectations or any change in events, conditions, or circumstances on which such statements are based unless required to do so by applicable law. No representations or warranties (expressed or implied) are made about the accuracy of any such forward-looking statements.

Investor Relations
Julie Ryan
GH Research PLC
investors@ghres.com

EX-99.2 3 ny20042511x3_ex99-2.htm EXHIBIT 99.2

Exhibit 99.2

 A Randomized, Double-Blind, Placebo-Controlled, Phase 2b Trial with an Open-Label Extension to Determine the Safety and Efficacy of GH001 in Patients with Treatment-Resistant DepressionGH001-TRD-201  Clinicaltrials.gov ID: NCT05800860 
 
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 This presentation has been prepared by GH Research PLC (“GH Research”) for informational purposes only and not for any other purpose. Nothing contained in this presentation is, or should be construed as, a recommendation, promise or representation by the presenter or GH Research or any director, employee, agent, or adviser of GH Research. This presentation does not purport to be all-inclusive or to contain all of the information you may desire.  This presentation does not constitute an offer to sell or the solicitation of an offer to buy securities, nor shall there be any sale of securities in any state or jurisdiction in which such offer, solicitation or sale would be unlawful prior to registration or qualification under the securities laws of any such state or jurisdiction.  This presentation contains forward-looking statements, all of which are qualified in their entirety by this cautionary statement. Many of the forward-looking statements contained herein can be identified by the use of forward-looking words such as “may”, “anticipate”, “believe”, “could”, “expect”, “should”, “plan”, “intend”, “estimate”, “will”, “potential” and “ongoing”, among others, although not all forward-looking statements contain these identifying words.  Any statements contained herein that do not describe historical facts are forward-looking statements that are based on management’s expectations and are subject to certain factors, risks and uncertainties that may cause actual results, outcomes, timing and performance to differ materially from those expressed or implied by such statements. These factors, risks and uncertainties include, but are not limited to: the preliminary nature of our data related to the open-label extension phase of our GH001-TRD-201 clinical trial, the costs and uncertainties associated with GH Research’s research and development efforts; the inherent uncertainties associated with the conduct, timing and results of nonclinical and clinical studies of GH Research’s product candidates; GH Research’s expectations related to the clinical hold on the GH001 IND, including plans and expectations for progressing any nonclinical programs and any other work to lift the clinical hold and the timing required to lift such clinical hold; GH Research’s ability to obtain, maintain, enforce and defend issued patents; the adequacy of GH Research’s capital resources, the availability of additional funding and GH Research’s cash runway; and other factors, risks and uncertainties described in GH Research’s filings with the U.S. Securities and Exchange Commission.   Except as otherwise noted, these forward-looking statements speak only as of the date of this presentation, and GH Research undertakes no obligation to update or revise any of such statements to reflect events or circumstances occurring after this presentation. Because forward-looking statements are inherently subject to risks and uncertainties, some of which cannot be predicted or quantified and some of which are beyond GH Research’s control, you should not rely on these forward-looking statements as predictions of future events. The events and circumstances reflected in any such forward-looking statements may not be achieved or occur and actual results could differ materially from those projected in the forward-looking statements. GH Research cautions you not to place undue reliance on the forward-looking statements contained in this presentation.  Disclaimer Regarding Forward-Looking Statements  2 
 
2
 Phase 2b Trial of GH001 in Patients with TRD: Design (GH001-TRD-201)  3  1Re-treatment criteria include the severity of depression and the effectiveness, tolerability, and number of previous IDRs. The patient meets one of the following criteria: i. has MADRS >18; or ii. has MADRS >10 and ≤18 and MADRS ≤10 has not been observed at D8 of the prior treatment or at any visit since then; or iii. has MADRS >10 and ≤18 and MADRS >18 has been observed since the most recent observation of MADRS ≤10  2Patients also attended assessment visits on Day 2 and Day 8 after each re-treatment  As in previously completed trials, the GH001-TRD-201 trial is conducted under the supervision of a healthcare provider, but without any planned psychotherapeutic interventions before, during, or after dosing.   Sources: 1) NCT05800860. (2024). A Trial of GH001 in Patients With Treatment-Resistant Depression. ClinicalTrials.gov. Accessed August 23, 2024.   Abbreviations: BL = Baseline; D = Day; h = Hour; IDR = Individualized dosing regimen; MADRS = Montgomery–Åsberg Depression Rating Scale; OLE = Open-label extension; TRD = Treatment-resistant depression.  n=80  Randomization 1:1  GH001 IDR  Placebo IDR   Up to 5 GH001 IDRs based on specific re-treatment criteria1  BL  2h  Open-label Extension (OLE)  Day 1  Primary Endpoint   ΔMADRS  Day 8  During the OLE, patients attend scheduled assessment visits at Day 15,   month 1,2,3,4,5 & 62  Additional clinic visits can be scheduled if required for medical reasons  MADRS  assessment  Month 6  D2  Day 2  Double-Blind Part 
 
3
 Recurrent or single MDD episode (per DSM-5 criteria) without psychotic features, with current episode of ≤2 years (MINI*).   Current major depressive episode (MDE) “valid” based upon the MGH‑SAFER criteria interview.   SAFER is independent interview conducted by an experienced clinician from Massachusetts General Hospital with the aim of confirming the diagnosis, treatment history, and severity of illness  HAM-D-17 total score ≥20 (moderate to severe depression) at Screening and at Baseline.  Nonresponse (≤25% improvement) to ≥2 and ≤5 oral antidepressant treatments started during the current episode, as assessed using the MGH‑ATRQ (evaluates the adequacy of prior and current antidepressant treatments).   Antidepressant treatments taken at least at the minimum dose, and for the minimum duration (≥6 weeks).   Psychotherapy was not considered a treatment for the purposes of defining TRD.  *Current MDD episode confirmed by the MINI - MINI is a short structured diagnostic interview designed to confirm current MDE and ensures consistency.  Abbreviations: BPRS+ = Brief Psychiatric Rating Scale positive symptoms; DSM-5 = Diagnostic and Statistical Manual of Mental Disorders HAM-D-17 = Hamilton Rating Scale for Depression; MDD = Major depressive disorder; MDE = Major depressive episode; MGH-ATRQ = Massachusetts General Hospital Antidepressant Treatment Response Questionnaire; MGH-SAFER = Massachusetts General Hospital State versus trait Assessibility Face and Ecological validity Rule of 3Ps; MINI = Mini-International Neuropsychiatric Interview; TRD = Treatment-resistant depression.  Patients included in this trial were required to meet the trial criteria for TRD as assessed by a study psychiatrist:  Key Inclusion Criteria 
 
4
 Measures to enrol true TRD patients and minimise placebo effect  MGH-SAFER* (including remote assessment of HAM-D-17) performed by remote, trained independent raters   Patient-facing Clinical Trial Team – blinded  Patient – blinded  Study drug (GH001 or placebo) was in a blinding bag  Efficacy assessments MADRS, HAM-A and CGI-S were performed by blinded, trained, independent raters  Independent raters (eligibility assessment)  Blinding at sites  Blinded independent raters (efficacy assessments)  *MGH-SAFER is an independent interview conducted by an experienced clinician from Massachusetts General Hospital with the aims of confirming diagnosis, treatment history, and severity of illness  Abbreviations: CGI-S = Clinical Global Impression Severity; HAM-A = Hamilton Rating Scale for Anxiety; HAM-D-17 = Hamilton Rating Scale for Depression; MADRS = Montgomery-Åsberg Depression Rating Scale; MGH-SAFER = Massachusetts General Hospital State versus trait Assessability Face and Ecological validity Rule of 3Ps 
 
5
 Patient Disposition & Characteristics  GH001 (N=40)  Placebo (N=41)  Patient Disposition  Completed double-blind part, n (%)  40 (100)  41 (100)  Discontinued double-blind part, n (%)  0 (0)  0 (0)  Age, years, mean (SD)  41.6 (11.4)  43.9 (10.9)  Female, n (%)  24 (60)  22 (53.7)  Race, white, n (%)  40 (100)  41 (100)  BMI, kg/m2, mean (SD)   24.8 (4.3)  27.5 (6.3)  Previously used any psychedelic (lifetime)  4 (10)  5 (12.2)  Baseline Disease Characteristics  HAM-D-17 Total Score, mean (SD)  24.9 (2.7)  24.6 (2.3)  MADRS Total Score, mean (SD)  29 (5.4)  28.2 (4.6)  Major Depressive Episode (MDE) History at Baseline  Number of MDEs  Mean (SD)  2.1 (1.4)  2.0 (1.1)  ≥3, n (%)  14 (35.0)  13 (31.7)  Time since first depressive episode, years, mean (SD)  11.3 (9.7)  12.2 (8.4)  Duration of current MDE, weeks, mean (SD)  50.8 (28.3)  63.3 (106.9)  GH001 IDR Dose Received and Duration  Total IDR dose received1, n (%)  6 mg  9 (22.5)  0 (0)  6, 12 mg  21 (52.5)  0 (0)  6,12,18 mg  10 (25)  41 (100)  Duration of psychoactive effects, minutes,   mean (SD)  6 mg (or PBO first dose)2  12.8 (9.1)  0.4 (2.3)  12 mg (or PBO second dose)2  15.1 (9.8)  0.1 (0.8)  18 mg (or PBO third dose)2  18.0 (15.2)  0.2 (1.1)  1 For patients in the GH001/placebo groups, up to 3 doses of GH001 or placebo were administered;2 Includes all patients who received respective dose of GH001/placebo, irrespective of total dose   Abbreviations: BMI = Body mass index; HAM-D-17 = Hamilton Rating Scale for Depression; MADRS = Montgomery-Åsberg Depression Rating Scale; MDE = Major Depressive Episode; IDR = Individualized dosing regimen; SD = Standard deviation’ PBO = Placebo 
 
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 Abbreviations: LS = Least Squares; MADRS = Montgomery-Åsberg Depression Rating Scale; SE = Standard error  Primary endpoint: GH001 led to -15.5 mean MADRS reduction from baseline on Day 8 compared with placebo (p<0.00001)  Baseline  2 hours  Day 2  Day 8  LS mean difference -15.5  P<0.00001  LS Mean (±SE) of Change from Baseline in MADRS Total Score 
 
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 1 Remission defined as a patient with a MADRS total score ≤10  2 Response defined as a patient with ≥50% reduction from baseline in total MADRS score  Abbreviations: D = Day; MADRS = Montgomery-Åsberg Depression Rating Scale; PBO = Placebo   Secondary endpoints: GH001 Led to 57.5% Remission Rate1 at Day 8 vs 0% in Placebo  ****  ****  ****  ****  ****  ****  ****P<0.0001 
 
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 Abbreviations: BL = Baseline; CGI-S = Clinical Global Impression – Severity Scale Score; LS = Least squares; SD = Standard deviation; SE = Standard error.  Secondary endpoints: GH001 led to CGI-S total score difference   of -2.5 on Day 8 compared with placebo (p<0.0001)  CGI-S Results  GH001   (N=40)  Placebo  (N=41)  P value  BL total score, mean (SD)  4.8 (0.7)  5.0 (0.6)  -  Day 8 total score, mean (SD)  2.4 (1.6)  5.0 (0.6)  -  LS mean (SE) change from BL to Day 8  -2.4 (0.2)  0.1 (0.2)  -  LS mean difference GH001 vs placebo  -2.5 (0.3)  -  <0.0001  P<0.0001  CGI-S reflects the severity of the patient’s illness as perceived by the clinician 
 
9
 HAM-A results  GH001   (N=40)  Placebo  (N=41)  P value  BL total score, mean (SD)  21.1 (6.5)  21.2 (6.1)  -  Day 8 total score, mean (SD)  10.0 (8.6)  20.1 (5.8)  -  LS mean (SE) change from BL to Day 8  -11.1 (1.0)  -1.0 (1.0)  LS mean difference GH001 vs placebo  -10.0 (1.4)  -  <0.0001  Abbreviations: BL= Baseline; HAM-A = Hamilton Anxiety Rating Scale; LS = Least squares; SD = Standard deviation; SE = Standard error.  Secondary endpoints: GH001 led to HAM-A total score difference   of -10.0 on Day 8 compared with placebo (p<0.0001)  P<0.0001  HAM-A assesses severity of anxiety symptoms 
 
10
 Secondary endpoints: GH001 led to Q-LES-Q-SF total score difference of 21.5 on Day 8 compared with placebo (p<0.0001)  Q-LES-Q-SF Results  GH001   (N=40)  Placebo  (N=41)  P value  BL total score, mean (SD)  27.9 (9.0)  25.2 (8.2)  -  Day 8 total score, mean (SD)  47.2 (12.5)  25.5 (8.8)  -  LS mean (SE) change from BL to Day 8  20.6 (1.8)  -0.9 (1.7)  -  LS mean difference GH001 vs placebo  21.5 (2.5)  -  <0.0001  Abbreviations: BL = Baseline; LS = Least squares; Q-LES-Q-SF = Quality of Life Enjoyment and Satisfaction Questionnaire – Short Form; QoL = Quality of Life; SD = Standard deviation; SE = Standard error.  P<0.0001  Q-LES-Q-SF measures QoL domains such as physical health, mood, work, household duties, schoolwork, leisure time activities, social and family relations, and overall well-being 
 
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 Spravato  Mono  MADRS Total Score Change from Baseline: GH001 and Spravato at D2 and Primary Endpoint (difference from comparator arm)  Note: To-date, no head-to-head comparisons of any other products to any of our product candidates in any clinical trial have been completed; results have been obtained from different trials with different designs, endpoints and patient populations; results may not be comparable.  Sources: 1Spravato + AD data from TRANSFORM-2, Popova et al., 2019; 2Spravato monotherapy data for 84mg dose from TRD4005 trial, presented at ECNP 2024;  Spravato 56mg MADRS total score change from baseline difference of LS means from PBO was -5.1 at Day 28 and -3.8 at Day 2  Abbreviations: AD = Antidepressant; BL = Baseline; D = Day; MADRS = Montgomery-Åsberg Depression Rating Scale; Mono = Monotherapy; LS = Least Squares; vs = Versus  Spravato  +AD  Spravato  Mono  GH001 vs Placebo  Spravato + AD vs Placebo + AD from TRANSFORM-21  Spravato monotherapy (84mg) vs Placebo from TRD40052  Spravato  +AD  Not reported  Key Secondary Endpoint 
 
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 Secondary Endpoints: Remission1 GH001 Day 2 and Day 8 and Spravato Monotherapy (84mg) Day 2, Day 8 and Day 28  Note: To-date, no head-to-head comparisons of any other products to any of our product candidates in any clinical trial have been completed; results have been obtained from different trials with different designs, endpoints and patient populations; results may not be comparable.  1Remission defined as MADRS total score ≤10 for both GH001 and Spravato  2Source: Spravato monotherapy data for 84mg dose from TRD4005 trial, data presented at ECNP 2024;  Spravato 56mg participants in the TRD4005 trial achieved remission rates of 13.1% at Day 2, 7.1% at Day 8 and 14.6% at Day 28 (MADRS ≤10)  Abbreviations: D = Day; MADRS = Montgomery-Åsberg Depression Rating Scale  Remission Rates with GH001  Remission Rates with Spravato monotherapy (84mg) from TRD40052 
 
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 GH001 was well tolerated, and no serious adverse events (SAEs) were reported.  All TEAEs were mild or moderate with no severe adverse events.  The most common TEAEs in patients treated with GH001 were nausea, salivary hypersecretion, paresthesia, headache, and dysgeusia.  No TEAEs of flashbacks were reported.  No TEAEs related to vital signs or ECG, or clinically significant changes in blood pressure and heart rate.  No evidence of treatment-emergent suicidal ideation or behaviour, or treatment-emergent BPRS+ symptoms.  No dissociative state symptoms or sedation at discharge, 97.5% of patients discharge ready within 1-hour of the last dose.  Overall Summary of Safety  Abbreviations: AE = Adverse event; BPRS+ = Brief Psychiatric Rating Scale positive symptoms; DB = Double-blind; ECG = Electrocardiogram; SAE = Serious adverse event; TEAE = Treatment-emergent adverse event. 
 
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 Overview of Adverse Events: GH001 vs Placebo  GH001  N=40  Placebo  N=41  Pts  n (%)  Events  n  Pts  n (%)  Events  n  Any TEAE1  29 (72.5)  81  3 (7.3)  7  Max severity of TEAEs2  Mild  14 (35.0)  55  2 (4.9)  6  Moderate  15 (37.5)  26  1 (2.4)  1  Severe  0 (0)  0  0 (0)  0  Treatment-related TEAEs3  29 (72.5)  79  1 (2.4)  4  Device-related TEAEs  1 (2.5)  1  0 (0)  0  SAEs4  0 (0)  0  0 (0)  0  Treatment-related SAEs3  0 (0)  0  0 (0)  0  TEAEs leading to study drug withdrawal  0 (0)  0  0 (0)  0  TEAEs leading to early withdrawal from trial  0 (0)  0  0 (0)  0  AESIs  8 (20.0)  10  0 (0)  0  Death  0 (0)  0  0 (0)  0  1TEAE=AE that emerges after the start of study drug dosing having been absent pretreatment, or an AE that worsens in severity relative to a pretreatment onset  2 Number of events for mild, moderate and severe TEAEs represents total number of events of each severity  3Treatment-related TEAE/SAE is any TEAE/SAE that is possibly or probably related to the study drug  4SAE=any untoward medical occurrence of effect at any dose that a) results is death, b) is life threatening, c) requires inpatient hospitalization or prolongation of hospitalization, d) results in persistent or significant disability or incapacity, e) is a congenital anomaly or birth defect, f) any other important medical event  Abbreviations: AESI = Adverse event of special interest; Pts = Patients; SAE = Serious adverse event; TEAE = Treatment-emergent adverse event; MedDRA = Medical dictionary for regulatory activities; PT = Preferred term;   Five Most Common TEAEs in Patients Treated with GH001  MedDRA PT  GH001   N=40  Pts  n (%)  Events  n  Nausea  17 (42.5)  19  Salivary hypersecretion   8 (20)  10  Paresthesia  8 (20)  8  Headache  3 (7.5)  3  Dysgeusia  3 (7.5)  3  No TEAEs of flashbacks reported  Overview of Adverse Events 
 
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 Columbia-Suicide Severity Rating Scale1 (C-SSRS)     GH001, N=40  n (%)  Placebo, N=41  n (%)  Past 12 months  Suicidal ideation (1-3)  8 (20)  11 (26.8)  Suicidal ideation with intent (4-5)  0 (0)  0 (0)  Suicidal behaviour (6-9)  0 (0)  0 (0)  Baseline  Suicidal ideation (1-3)  7 (17.5)  7 (17.1)  Suicidal ideation with intent (4-5)  0 (0)  0 (0)  Suicidal behaviour (6-9)  0 (0)  0 (0)  Discharge on Day 1  Suicidal ideation (1-3)  0 (0)  4 (9.8)  Suicidal ideation with intent (4-5)  0 (0)  0 (0)  Suicidal behaviour (6-9)  0 (0)  0 (0)  At Day 2  Suicidal ideation (1-3)  1 (2.5)  6 (14.6)  Suicidal ideation with intent (4-5)  0 (0)  0 (0)  Suicidal behaviour (6-9)  0 (0)  0 (0)  At Day 8  Suicidal ideation (1-3)  4 (10)  7 (17.1)  Suicidal ideation with intent (4-5)  0 (0)  0 (0)  Suicidal behaviour (6-9)  0 (0)  0 (0)  1 C-SSRS is comprised of 5 questions assessing suicidal ideation, and 4 questions assessing suicidal behaviour with sub-questions assessing severity. 
 
16
 Open-Label Extension Data as of 22nd January 2025 
 
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 Phase 2b Trial of GH001 in Patients with TRD: Design (GH001-TRD-201)  18  1Re-treatment criteria include the severity of depression and the effectiveness, tolerability, and number of previous IDRs. The patient meets one of the following criteria: i. has MADRS >18; or ii. has MADRS >10 and ≤18 and MADRS ≤10 has not been observed at D8 of the prior treatment or at any visit since then; or iii. has MADRS >10 and ≤18 and MADRS >18 has been observed since the most recent observation of MADRS ≤10  2Patients also attended assessment visits on Day 2 and Day 8 after each re-treatment  As in previously completed trials, the GH001-TRD-201 trial is conducted under the supervision of a healthcare provider, but without any planned psychotherapeutic interventions before, during, or after dosing.   Sources: 1) NCT05800860. (2024). A Trial of GH001 in Patients With Treatment-Resistant Depression. ClinicalTrials.gov. Accessed August 23, 2024.   Abbreviations: BL = Baseline; D = Day; h = Hour; IDR = Individualized dosing regimen; MADRS = Montgomery–Åsberg Depression Rating Scale; OLE = Open-label extension; TRD = Treatment-resistant depression.  n=80  Randomization 1:1  GH001 IDR  Placebo IDR   Up to 5 GH001 IDRs based on specific re-treatment criteria1  BL  2h  Open-label Extension (OLE)  Day 1  Primary Endpoint   ΔMADRS  Day 8  During the OLE, patients attend scheduled assessment visits at Day 15,   month 1,2,3,4,5 & 62  Additional clinic visits can be scheduled if required for medical reasons  MADRS  assessment  Month 6  D2  Day 2  Double-Blind Part 
 
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 77.8% Remission Rate at 6 Months in OLE Completers1 (n=54)  OLE status (Jan 22nd 2025): 9 patients ongoing, 54 completed, 18 early terminations (comparable to other antidepressant trials4; n=1 due to AE)   From the patients who completed the OLE:  77.8% (n=42) of patients were in remission5 at 6 months (81.5% responders)6  Completers (n=54) had a mean MADRS total score of 8.6 at 6 months  63.0% (n=34) received 1-4 treatments with GH001  As of January 22, 2025, no serious adverse events (SAEs) have been reported throughout the OLE. Note: safety analysis has not yet been completed for the OLE  1 Patients who completed the 6-month OLE follow-up per protocol (patients who terminated early are excluded)  2 Includes n=40 patients who received GH001 in double blind part of trial  3 6 Months’ or ‘Month 6’ (end of trial) was at approximately 6 months post-study start (mean 168 days from Day 1 of double-blind period)  4 For example, Spravato ESCAPE-TRD trial = 23.2% discontinued, 4.2% due to AEs; Spravato TRANSFORM-2 trial = 15.5% withdrawn, 7.8% due to AEs (note: no head-to-head comparisons have been made in any clinical trials that have been completed; results have been obtained from different trials with different designs, endpoints and patient populations; results may not be comparable).  5 Remission defined as a patient with a MADRS total score ≤10  6 Response defined as a patient with ≥50% reduction from baseline in total MADRS score  Abbreviations: MADRS = Montgomery-Åsberg Depression Rating Scale; OLE = Open-label extension: AE = Adverse Event.  Double-blind2  OLE  3 
 
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 83% fewer treatment visits with GH001 than with Spravato  GH001  Based on ESCAPE-TRD data & ICER estimate  Based on Phase 2b OLE data as of 22nd Jan 2025  Treatment visits in 6 months  4 visits1  23 visits3  Note: To-date, no head-to-head comparisons of any other products to any of our product candidates in any clinical trial have been completed; results have been obtained from different trials with different designs, endpoints and patient populations; results may not be comparable  1 4 GH001 visits deduced from mean total number of treatments received by OLE completers over the 6-month time period of the TRD-201 trial (data as of 22nd January 2025)  2 ‘6 Months’ (end of trial) was at approximately 6 months post-study start (mean 168 days from Day 1 of Double-Blind period)  3 SPRAVATO®: Assumes 23 treatment visits, as per standard initiation protocol of 8 & 4 sessions in months 1 & 2, respectively, and ICER assumed maintenance treatment frequency of 2.86 treatments per month for months 3-6 (1,2,3).  Remission defined as MADRS ≤10; Spravato 32-Week remission rates from ESCAPE-TRD trial were 49.1% remission at 32 weeks (55.0% with LOCF method) (4).  Abbreviations: ICER = Institute for Clinical and Economic Review; LOCF = Last Observation Carried Forward.  Sources: 1) Johnson & Johnson Spravato Access, Coding and Reimbursement Guide; 2) ICER Spravato Final Evidence Report; 3) Janssenscience.com, Dosage and Administration of Spravato, Duration of Therapy; 4) Reif et al., N Engl J Med 2023  77.8% remission at 6 months2 
 
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 Reduction in MADRS total score with GH001 in DB reproduced in PBO Group with first GH001 treatment in OLE  *An active treatment refers to treatment with GH001  Abbreviations: BL = Baseline; DB = Double blind; MADRS = Montgomery-Åsberg Depression Rating Scale; SEM = Standard error of mean; PBO = Placebo; OLE = Open-Label Extension  All patients enrolled in the DB part of the trial directly transitioned into the OLE at the end of the DB period.  Once a patient completed the Day 8 visit of the DB part, if re-treatment criteria were met, a GH001 treatment could be administered.  All patients allocated placebo in the DB part received at least one treatment with GH001 in the OLE.   In the OLE, the reduction in MADRS total score in the DB placebo group following first active treatment*, was comparable to the results observed in the GH001 group in the DB part, showing reproducibility of effects.  Mean MADRS Total Score from Baseline to Day 8 by First Active Treatment 
 
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 Remission on Day 8 / Remission at 6 Months  1 Remission defined as a patient with a MADRS total score ≤10  2 6 Months’ or ‘Month 6’ (end of trial) was at approximately 6 months post-study start (mean 168 days from Day 1 of double-blind period)  3 Patients who completed the 6-month OLE follow-up per protocol (patients who terminated early are excluded)  4 First active treatment refers to first treatment with GH001 = initial remitters / initial non-remitters  5 N=53 patients in total; 1 OLE completer not evaluable due to missing data at data cut as of Jan 22nd 2025  Patients who had remission on Day 8 after their first active treatment had a 91.7% remission rate at 6 Months.  (91.7% of the OLE Completers3 who had remission1 at Day 8 after first active treatment4, also had Remission at 6 Months2.) 
 
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 1 Treatments 2-5 were administered in the OLE, and all patients were administered GH001  2 Includes patients who received GH001 in the DB period   Abbreviations: BL = Baseline; DB = Double-blind; MADRS = Montgomery-Åsberg Depression Rating Scale; OLE = Open-label extension  OLE data as of 22nd Jan 2025 shows GH001 leads to a consistent and rapid reduction in MADRS after each GH001 treatment, as in the DB part  MADRS Total Score Change from Baseline/Pre-dose to Day 8 Across Treatments1 in DB and OLE  Associated study visit  2  MADRS Change from Baseline  MADRS Total Score Change from Baseline/Pre-dose to Day 8 Across Treatments 
 
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 As of January 22, 2025, 9 patients (11.1%) are ongoing in the trial. 54 patients have completed the full 6-month follow-up of the OLE.  Of the 54 patients who completed the OLE:  77.8% of patients were in remission1 (MADRS≤10) at the 6 month visit and 81.5% were responders2  Mean MADRS total score at 6 months3 was 8.6.   63.0% (n=34) received 1-4 treatments with GH001. On this basis, GH001 could reduce the number of administration visits by 83% compared to SPRAVATO®.  91.7% of the OLE Completers4 who had Remission at Day 8, also had Remission at 6 months.  As of January 22, 2025, no serious adverse events (SAEs) have been reported throughout the OLE (OLE ongoing).  Discontinuation rate in the OLE is comparable to other antidepressant trials5 with 1 patient discontinuation due to an adverse event.  1 Remission defined as a patient with a MADRS total score ≤10  2 Response defined as a patient with ≥50% reduction from baseline in total MADRS score  3 6 Months’ or ‘Month 6’ (end of trial) was at approximately 6 months post-study start (mean 168 days from Day 1 of double-blind period)  4 Patients who completed the 6-month OLE follow-up per protocol (patients who terminated early are excluded), N=53 patients in total; 1 OLE completer not evaluable due to missing data at data cut of Jan 22nd 2025  5 No head-to-head comparisons have been made in any clinical trials that have been completed; results have been obtained from different trials with different designs, endpoints and patient populations; results may not be comparable  Abbreviations: MADRS = Montgomery-Åsberg Depression Rating Scale; OLE = Open-label extension; SAE = Serious Adverse Event.  Overall Summary of OLE 
 
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 Double-Blind  Primary Endpoint: GH001 led to MADRS reduction from baseline of -15.5 on Day 8 compared with placebo (p<0.00001).  Secondary Endpoints: All secondary endpoints results were consistent with the primary endpoint.  Safety: GH001 was well tolerated, with no serious adverse events (SAEs) reported and no evidence of treatment-emergent suicidal ideation or behaviour.  Open-Label Extension  Durability: GH001 can maintain the patient in remission for a long time with 77.8% of TRD patients in remission at 6 months. This is achieved with relatively infrequent treatment visits and rapid reduction in MADRS after each GH001 re-treatment.   As of January 22, 2025, no serious adverse events (SAEs) have been reported throughout the OLE1 (OLE ongoing).  1 Open Label Extension is on-going as of Jan 22nd 2025; Safety conclusion subject to change following this date  Abbreviations: MADRS = Montgomery-Åsberg Depression Rating Scale; TRD = Treatment Resistant Depression, DB = Double Blind; OLE = Open-Label Extension; SAE = Serious Adverse Event.  CONCLUSION 
 
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 A Randomized, Double-Blind, Placebo-Controlled, Phase 2b Trial with an Open-Label Extension to Determine the Safety and Efficacy of GH001 in Patients with Treatment-Resistant DepressionGH001-TRD-201  Clinicaltrials.gov ID: NCT05800860 
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