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Mesoblast Ltd (MESO)
NASDAQ:MESO
US Market

Mesoblast (MESO) AI Stock Analysis

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Mesoblast

(NASDAQ:MESO)

Rating:47Neutral
Price Target:
$11.50
▼(-2.46%Downside)
Mesoblast's overall score is impacted by substantial financial difficulties and weak technical and valuation metrics, despite a positive earnings call highlighting strategic advances such as FDA approval and fundraising success.
Positive Factors
Financial Position
Mesoblast is funded well into 2026, potentially extending further depending on the launch trajectory of Ryoncil in pediatric steroid refractory acute graft vs. host disease.
Market Opportunity
The potential pricing for Ryoncil in excess of $1.5M for a full course supports a significant market opportunity, validating the view that the GvHD opportunity alone could support Mesoblast's current valuation.
Regulatory 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.
Negative Factors
Competitive Advantage
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.
Pipeline Development
Significant potential for Mesoblast in its late-stage pipeline, including heart failure (HF), with potentially two near-term filings, as well as the ongoing P3 in chronic lower back pain (CLBP).
Regulatory Risk
FDA approval of Ryoncil represents a watershed moment for Mesoblast, leading to a reduction in revenue risk adjustment and an increase in the 12-month price target.

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

Mesoblast Business Overview & Revenue Model

Company DescriptionMesoblast Limited is an Australian-based regenerative medicine company specializing in the development of innovative cellular therapies. Operating primarily in the biotechnology sector, Mesoblast focuses on developing and commercializing allogeneic cellular medicines to treat complex diseases that are resistant to conventional treatments. The company's core products are based on its proprietary Mesenchymal Precursor Cell (MPC) technology platform, which is aimed at addressing a wide range of inflammatory and immunologic conditions.
How the Company Makes MoneyMesoblast makes money through the development and commercialization of its proprietary cellular therapies. The company's revenue model primarily involves the licensing of its technology to pharmaceutical partners, which allows them to develop and distribute Mesoblast's products. Additionally, Mesoblast generates revenue from milestone payments and royalties from these partnerships. The company also aims to bring its products directly to market, which could provide direct sales revenue. Strategic partnerships and collaborations with other pharmaceutical companies significantly contribute to its earnings by enabling the development and distribution of its therapies on a global scale.

Mesoblast Earnings Call Summary

Earnings Call Date:May 28, 2025
(Q2-2025)
|
% Change Since: 7.47%|
Next Earnings Date:Aug 27, 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.

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
TTMJun 2024Jun 2023Jun 2022Jun 2021Jun 2020
Income StatementTotal Revenue
5.67M5.90M7.50M10.21M7.46M32.16M
Gross Profit
-22.57M-35.17M-47.42M-53.36M-78.28M-49.34M
EBIT
-85.25M-84.15M-69.29M-80.57M-109.10M-74.87M
EBITDA
-49.42M-56.08M-58.55M-76.57M-107.60M-75.41M
Net Income Common Stockholders
-103.35M-87.96M-81.89M-91.35M-98.81M-77.94M
Balance SheetCash, Cash Equivalents and Short-Term Investments
38.03M62.56M70.92M60.03M136.88M129.33M
Total Assets
653.32M669.15M669.41M662.14M744.72M733.60M
Total Debt
126.11M118.92M116.50M106.91M105.50M99.31M
Net Debt
88.08M56.36M45.58M46.87M-31.39M-30.01M
Total Liabilities
192.06M188.80M167.58M165.10M163.32M184.28M
Stockholders Equity
461.26M480.36M501.84M497.04M581.40M549.33M
Cash FlowFree Cash Flow
-21.07M-48.79M-63.58M-66.01M-108.33M-58.61M
Operating Cash Flow
-20.66M-48.46M-63.27M-65.78M-106.68M-56.37M
Investing Cash Flow
327.50K-97.00K-194.00K-232.00K-1.65M-3.27M
Financing Cash Flow
4.58M40.25M74.50M-9.87M114.47M137.04M

Mesoblast Technical Analysis

Technical Analysis Sentiment
Positive
Last Price11.79
Price Trends
50DMA
11.24
Positive
100DMA
13.85
Negative
200DMA
12.07
Negative
Market Momentum
MACD
-0.08
Negative
RSI
56.59
Neutral
STOCH
90.71
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For MESO, the sentiment is Positive. The current price of 11.79 is above the 20-day moving average (MA) of 11.22, above the 50-day MA of 11.24, and below the 200-day MA of 12.07, indicating a neutral trend. The MACD of -0.08 indicates Negative momentum. The RSI at 56.59 is Neutral, neither overbought nor oversold. The STOCH value of 90.71 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive 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 (54)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
62
Neutral
$1.91B-5.78%25.50%64.63%
61
Neutral
$3.10B-32.17%-25.85%-23.89%
54
Neutral
$5.31B3.29-45.39%2.79%16.77%-0.07%
51
Neutral
$1.31B-422.66%49.29%44.52%
47
Neutral
$1.47B-21.26%
43
Neutral
$1.66B-23.34%-14.19%
39
Underperform
$1.95B-39.49%-20.03%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
MESO
Mesoblast
11.79
4.61
64.21%
TVTX
Travere Therapeutics
15.32
8.05
110.73%
IRON
Disc Medicine
50.02
10.30
25.93%
KYMR
Kymera Therapeutics
47.62
13.36
39.00%
IMCR
Immunocore Holdings
37.25
-3.19
-7.89%
VERA
Vera Therapeutics
22.70
-16.28
-41.77%
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.