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Mereo BioPharma Group plc

For the period ended Mar 31, 2026. Filed May 12, 2026.

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About this filing

A company's report for each of its first three quarters. The financial statements are not audited. It shows how the business has moved since the last annual report, and what management says changed.

Mar 31, 2026 · Filed May 12, 2026

MREO$0.30+4.3%Stored close · as of Nov 9, 2026

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Item 1. Financial Statements

CONDENSED CONSOLIDATED BALANCE SHEETS

(In thousands, except share and per share amounts)

March 31,December 31,
20262025
Assets
Current assets:
Cash and cash equivalents$36,223$40,992
Prepaid expenses and other current assets2,2492,531
Research and development incentives receivables1,5621,497
Total current assets40,03445,020
Property and equipment, net91137
Operating lease right-of-use assets, net108244
Intangible assets, net381516
Total assets$40,614$45,917
Liabilities
Current liabilities:
Accounts payable$3,226$1,333
Accrued expenses2,0462,026
Operating lease liabilities – current—202
Other current liabilities905741
Total current liabilities6,1774,302
Warrant liabilities – non-current2138
Other non-current liabilities362661
Total liabilities$6,560$5,001
Commitments and contingencies (Note 14)
Shareholders’ Equity
Ordinary shares, par value £0.003 per share; 798,078,829 shares issued at March 31, 2026 (December 31, 2025: 795,658,504)$3,145$3,135
Additional paid-in capital551,018549,622
Accumulated deficit(507,538)(501,018)
Accumulated other comprehensive loss(12,571)(10,823)
Total shareholders’ equity34,05440,916
Total liabilities and shareholders’ equity$40,614$45,917

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS

(In thousands, except share and per share amounts)

Three Months Ended March 31,
20262025
Operating expenses
Research and development$(4,747)$(3,930)
General and administrative(4,019)(7,272)
Loss from operations(8,766)(11,202)
Other income/(expenses)
Interest income327659
Interest expense(20)(180)
Changes in the fair value of warrants17416
Foreign currency transaction gain/(loss), net1,628(2,765)
Benefit from research and development tax credit95185
Net loss before income tax(6,719)(12,887)
Income tax benefit——
Net loss$(6,719)$(12,887)
Loss per share – basic and diluted$(0.01)$(0.02)
Weighted average shares outstanding – basic and diluted801,805,570784,279,387
Net loss$(6,719)$(12,887)
Other comprehensive (loss)/income – Foreign currency translation adjustments, net of tax(1,748)3,559
Total comprehensive loss$(8,467)$(9,328)

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(In thousands)

Three Months Ended March 31,
20262025
Cash flows from operating activities
Net loss$(6,719)$(12,887)
Adjustments to reconcile net loss to net cash used in operating activities:
Share-based compensation1,6052,278
Depreciation4438
Amortization of intangible assets127106
Amortization of operating lease right-of-use assets134126
Change in fair value of warrants(17)(416)
Non-cash interest income(31)—
Non-cash interest expense12175
Foreign currency transaction gain/(loss)(1,628)2,765
Changes in operating assets and liabilities:
Prepaid expenses and other current assets271(268)
Research and development incentives receivable(95)952
Accounts payable1,957362
Accrued expenses and other liabilities229(1,390)
Operating lease liabilities(201)(170)
Net cash used in operating activities(4,312)(8,329)
Cash flows from investing activities
Payments for intangible assets(300)(300)
Purchase of property and equipment—(20)
Net cash used in investing activities(300)(320)
Cash flows from financing activities
Proceeds from exercise of warrants—487
Transaction costs on issuance of ordinary shares—(65)
Net cash provided by financing activities—422
Decrease in cash and cash equivalents(4,612)(8,227)
Cash and cash equivalents at January 1,40,99269,802
Effect of exchange rate changes(157)908
Cash and cash equivalents at March 31,$36,223$62,483
Supplemental disclosure
Cash paid for interest77

CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN EQUITY

(In thousands, except share amounts)

Ordinary shares · Additional · Accumulatedother · Total
SharesPar valuepaid-in capitalcomprehensivelossAccumulated deficitshareholders’ equity
Balance, December 31, 2025795,658,504$3,135$549,622$(10,823)$(501,018)$40,916
Net loss————(6,719)(6,719)
Foreign currency translation adjustments———(1,748)—(1,748)
Share-based compensation——1,605——1,605
Delivery of shares on vesting of restricted stock units868,6304(4)———
Exercise of warrants1,551,6956(6)———
Transfer between reserves——(199)—199—
Balance, March 31, 2026798,078,829$3,145$551,018$(12,571)$(507,538)$34,054
Balance, December 31, 2024775,728,034$3,059$539,642$(18,849)$(462,883)$60,969
Net loss————(12,887)(12,887)
Foreign currency translation adjustments———3,559—3,559
Share-based compensation——2,278——2,278
Delivery of shares on vesting of restricted stock units718,3503(3)———
Transaction costs on issuance of shares——(65)——(65)
Conversion of convertible loan notes17,105,450645,676——5,740
Exercise of warrants1,449,6106481——487
Transfer between reserves——(3,743)—3,743—
Balance, March 31, 2025795,001,444$3,132$544,266$(15,290)$(472,027)$60,081

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

  1. Natureof business

Mereo BioPharma Group plc (the “Company” or “Mereo”) is a United Kingdom (“U.K.”) based biopharmaceutical company focused on the development of innovative therapeutics for rare diseases. The Company has developed a portfolio of late-stage clinical product candidates, and its two late-stage rare disease product candidates are setrusumab for the treatment of osteogenesis imperfecta (“OI”) and alvelestat primarily for the treatment of severe alpha-1 antitrypsin deficiency-associated lung disease (“AATD-LD”). The Company also has an early-stage rare disease program, vantictumab, for the treatment of autosomal dominant osteopetrosis Type 2 (“ADO2”).

The Company is a public limited company incorporated and domiciled in the U.K., and registered in England, with shares publicly traded on the Nasdaq Capital Market via American Depositary Shares (“ADSs”) under the ticker symbol “MREO”. The Company’s registered office is located at 4th Floor, One Cavendish Place, London, W1G 0QF, United Kingdom.

  1. Basis of presentation and summary of significant accounting policies

Basis of presentation

The condensed consolidated financial statements of the Company and its subsidiaries and other financial information included in this quarterly report on Form 10-Q (“Quarterly Report”) are unaudited, have been prepared in accordance with generally accepted accounting principles in the United States of America (“U.S. GAAP”) and are presented in U.S. dollars. All intercompany balances and transactions between the Company and its subsidiaries have been eliminated on consolidation.

The unaudited condensed consolidated financial statements presented in this Quarterly Report should be read in conjunction with the consolidated financial statements and accompanying notes included in the Company’s Annual Report on Form 10-K filed with the SEC on March 19, 2026 (the “2025 Annual Report”). The condensed consolidated balance sheet as of December 31, 2025 was derived from audited consolidated financial statements included in the 2025 Annual Report but does not include all disclosures required by U.S. GAAP. The Company’s significant accounting policies are described in Note 2 to those consolidated financial statements.

Certain information and footnote disclosures normally included in financial statements prepared in accordance with U.S. GAAP have been condensed or omitted from these interim financial statements. However, these interim financial statements include all adjustments which are, in the opinion of management, necessary to fairly state the Company's financial position as of March 31, 2026, the results of operations for the three months ended March 31, 2026 and 2025 and cash flows for the three months ended March 31, 2026 and 2025. The interim results are not necessarily indicative of results to be expected for the full year.

Going concern

The Company has prepared its condensed consolidated financial statements on the basis that it will continue as a going concern. The Company is subject to risks common to companies in the biotechnology industry, including but not limited to, risks of delays in initiating or continuing research programs and clinical trials, risks of failure of preclinical studies and clinical trials, the need to obtain marketing approval for any drug product candidate that it may identify and develop, the need to successfully commercialize and gain market acceptance of its product candidates, if approved, dependence on key personnel and collaboration partners, protection of proprietary technology, compliance with government regulations, development by competitors of technological innovations, and the ability to secure additional capital to fund operations. Product candidates currently under development will require significant additional research and development efforts, including pre-clinical and clinical testing and regulatory approval prior to commercialization. Even if the Company’s research and development efforts are successful, it is uncertain when, if ever, the Company will realize significant revenue from product sales.

The Company has historically been loss making, anticipates that it will continue to incur losses for the foreseeable future, and had an accumulated deficit of $507.5 million as of March 31, 2026. The Company has funded these losses through a combination of public equity financings, private equity and debt financings and various license and collaboration agreements, and it expects it will continue to do so until such time as it can generate significant revenue from product sales, or other commercial revenues, if ever, or through licensing and/or collaboration agreements for its rare disease or other product candidates. Although management continues to pursue these plans, there is no assurance that the Company will be successful in obtaining sufficient funding on terms acceptable to the Company to fund continuing operations, if at all.

As of March 31, 2026, the Company had cash and cash equivalents of $36.2 million. The Company expects that its cash and cash equivalents as of March 31, 2026 will be sufficient to fund its operations and capital expenditure requirements for at least twelve months from the date of filing of this Quarterly Report. In the longer term, the Company will need additional funding to support its continuing operations and pursue its business strategy.

Use of estimates

The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of income and expenses during the reporting periods. There are no estimates and assumptions made in the condensed consolidated financial statements that are considered to be critical. Estimates are periodically reviewed in light of changes in circumstances, facts and experience. Changes in estimates are recorded in the period in which they become known. Actual results could differ from those estimates.

  1. Recent accounting pronouncements

There have been no recent accounting pronouncements, changes in accounting pronouncements or recently adopted accounting guidance, other than those previously included in the 2025 Annual Report that are of significance or potential significance to the Company. The Company is continuing to evaluate the impact of the recently issued pronouncements that are effective in future periods and were discussed in its 2025 Annual Report.

  1. Fair value measurement

The Company’s financial instruments consist of cash and cash equivalents, accounts payable, accrued expenses, deferred consideration and warrant liabilities. Cash, cash equivalents (except for investments in money market funds), accounts payable and accrued expenses are initially recorded and subsequently measured at cost, which is considered to approximate their fair value due to the short-term nature of such financial instruments.

The following table summarizes the Company’s financial assets and liabilities measured at fair value on a recurring basis and classified under the appropriate level of the fair value hierarchy:

TotalLevel 1Level 2Level 3
($'000)($'000)($'000)($'000)
Financial assets
Cash equivalents (investments in money market funds)23,589—23,589—
Financial liabilities
Warrant liabilities21—21—
TotalLevel 1Level 2Level 3
($'000)($'000)($'000)($'000)
Financial assets
Cash equivalents (investments in money market funds)22,749—22,749—
Financial liabilities
Warrant liabilities38—38—

There wereno transfers between any levels of the fair value hierarchy during thethree months ended March 31, 2026 and 2025.

Fair values of the investments in money market funds are determined based on the net asset value per share of each fund stated in the fund manager's statement.

As of March 31, 2026 and December 31, 2025, warrant liabilities solely related to those warrants outstanding to the former lenders of the Company as described in Note 10.

  1. Prepaid expenses and other current assets

Prepaid expenses and other current assets consisted of the following:

March 31,December 31,
20262025
($'000)($'000)
VAT receivable$317$486
Prepaid research and development expenses210161
Security deposits387395
Prepaid insurance premiums4511,126
Prepaid general and administrative expenses811222
Other assets73141
Total$2,249$2,531
  1. Property and equipment, net

Property and equipment, net consists of the following:

March 31,December 31,
20262025
($'000)($'000)
Leasehold improvements$749$764
Office equipment195210
IT equipment125248
Property and equipment, at cost1,0691,222
Less: accumulated depreciation(978)(1,085)
Property and equipment, net$91$137

Depreciation expense was less than$0.1 million for both thethree months ended March 31, 2026 and 2025.

  1. Leases

In August 2015, the Company entered into a lease agreement under which it leased office space located on the fourth floor of One Cavendish Place, London, with a lease term ending in August 2025. In June 2021, the Company entered into a new lease agreement to lease additional office space located on the fifth floor of that building for a lease period ending in June 2026. At the same time, the Company entered into a reversionary lease to extend the term for the original fourth floor lease to be coterminous with the fifth floor, ending in June 2026.

The total lease expense included in the statements of operations and comprehensive loss was $0.2 million for both thethree months ended March 31, 2026 and 2025. There were no material variable lease costs.

March 31,December 31,
20262025
Operating leases
Weighted-average remaining contractual lease term (years)0.250.50
Weighted average discount rate10.0%10.0%
Three Months Ended March 31,
20262025
($'000)($'000)
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows from operating leases$206$192

The Company had no remaining lease liabilities as of March 31, 2026 as the final quarterly rental payment was made in advance during the three months ended March 31, 2026.

  1. Other current liabilities

Other current liabilities consist of the following:

March 31,December 31,
20262025
($'000)($'000)
Social security and other taxes$485$320
Deferred consideration liability300296
Equity issuance costs payable9295
Other current liabilities2830
Total$905$741
  1. Accrued expenses

Accrued expenses consist of the following:

March 31,December 31,
20262025
($'000)($'000)
Accrued research and development costs$425$789
Accrued legal and professional fees740788
Accrued bonus605228
Accrued local taxes9233
Other accrued expenses184188
Total$2,046$2,026
  1. Warrant liability
Warrant liabilities
20262025
($'000)($'000)
At January 1$38$821
Changes in fair value during the period(17)(416)
Foreign exchange—14
At March 31$21$419

As of March 31, 2026, the former lenders of the Company have warrants outstanding to purchase a total of 1,243,908 ordinary shares at an exercise price of £2.95 per share, exercisable until August 2027 and a total of 1,243,908 ordinary shares at an exercise price of$0.4144 per share, exercisable until dates between August 2027 and October 2028. These warrants outstanding are equivalent to 0.3% and 0.3% of the issued ordinary share capital of the Company as of March 31, 2026 and December 31, 2025, respectively. There were no warrants classified as liabilities exercised during the three months ended March 31, 2026 and 2025.

The fair value of each warrant is estimated using the Black-Scholes option pricing model using the following weighted average assumptions:

March 31,December 31,
20262025
Market value of ADSs ($)$0.33$0.42
Risk-free interest rate (%)4.44%3.93%
Expected life (years)1.51.8
Expected volatility (%)129.30%129.58%
Expected dividends (%)0.00%0.00%
  1. Shareholders’ Equity

Ordinary Shares

Number ofordinary sharesPar value($'000)
At January 1, 2025775,728,034$3,059
Vesting of RSUs718,3503
Conversion of convertible loan notes17,105,45064
Exercise of warrants1,449,6106
At March 31, 2025795,001,444$3,132
At January 1, 2026795,658,504$3,135
Vesting of RSUs868,6304
Exercise of warrants1,551,6956
At March 31, 2026798,078,829$3,145

In February 2026, the Company received an exercise notice from The Alpha-1 Project and subsequently issued and allotted 1,551,695 shares (equivalent to 310,339 ADSs) on the non-cash exercise of the warrants. In addition, additional paid-in capital of $0.2 million was transferred to accumulated deficit, which represents the surplus of amounts previously recognized in excess of the par value of ordinary shares delivered on exercise of the warrants.

During the three months ended March 31, 2026,868,630 ordinary shares were issued due to the vesting of RSUs.

  1. Share based compensation

The Company currently grants equity awards under the Mereo 2019 Equity Incentive Plan (the “2019 EIP”) and the 2019 Non-Employee Equity Incentive Plan (the “2019 NED EIP”). There are also outstanding awards under two previous plans, the Mereo BioPharma Group Limited Share Option Plan and the Mereo Share Option Plan (together the “Previous Share Option Plans”). However, no further grants are envisioned from these plans.

The total number of ADSs available for issue under the 2019 EIP and 2019 NED EIP was 15.0 million as of March 31, 2026.

The expense for share-based compensation arises solely in respect of awards made under the two active plans as follows:

Three Months EndedMarch 31,
20262025
($'000)($'000)
2019 EIP$1,469$1,654
2019 NED EIP136624
Total$1,605$2,278

As of March 31, 2026, the total unrecognized compensation cost related to outstanding share awards was $5.5 million, which the Company expects to recognize over a weighted-average period of 1.5 years.

2019 EIP

The Company has awarded the following instruments under the 2019 EIP:

Share Options (“Options”)

Options issued under the EIP have a contractual term of 10 years. Options generally permit the recipient to purchase ADSs at an exercise price equal to the market price of the underlying ADSs on the date of grant, however certain awards granted in thethree months ended March 31, 2026 had an exercise price higher than the market price of the underlying ADSs on the date of grant.

Options generally vest over four years, with one-fourth of the award vesting on the first anniversary of the grant date and the remainder vesting in equal monthly installments over the three-year period thereafter, however in the three months ended March 31, 2026, certain options were granted that vest in equal monthly installments over a one year period from the grant date. No performance conditions apply to Options granted.

A summary of the Company’s Options activity and related information under the 2019 EIP for thethree months ended March 31, 2026 is as follows:

Number ofoptions(ADSs)WeightedAverageExercisePrice ($)Aggregateintrinsicvalue($'000)
At December 31, 202513,477,883$2.17$—
Granted6,463,0000.53—
Forfeited(49,206)2.23—
Expired(3,292)4.69—
At March 31, 202619,888,385$1.64$—
Vested9,973,552$1.98$—

The weighted average fair value per share of Options granted during the three months ended March 31, 2026 and 2025 was $0.39 and $2.43, respectively.

The weighted average contractual life of Options outstanding as of March 31, 2026 and December 31, 2025 was 7.7 years and 7.0 years, respectively. The weighted average contractual life for vested Options as of March 31, 2026 and December 31, 2025 was 6.3 years and 6.3 years, respectively.

Where presented, the aggregate intrinsic value is calculated as the difference between the exercise price of the underlying awards and the quoted market price of the Company’s ADSs for the Options that were in-the-money.

The fair value of each Option is estimated on the date of grant using the Black-Scholes option pricing model using the following weighted average assumptions:

Three Months EndedMarch 31,
20262025
Risk-free interest rate (%)3.89%4.49%
Expected life (years)5.876.25
Expected volatility (%)131.75%104.31%
Expected dividends (%)0.00%0.00%

Expected volatility is calculated by reference to the historical volatility of the Company's ADSs. The grant date fair value is recognized over the requisite service period using the accelerated graded-vesting attribution method.

Restricted Stock Units (“RSUs”)

A summary of the Company’s RSU activity and related information under the 2019 EIP for thethree months ended March 31, 2026 is as follows:

Number ofRSUs(ADSs)WeightedAverageGrantDate FairValue ($)
At December 31, 2025458,375$2.57
Vested(173,726)2.28
Forfeited(16,438)3.04
At March 31, 2026268,211$2.73

As of March 31, 2026 and December 31, 2025, the weighted average remaining vesting period of RSUs outstanding was 1.8 and 2.0 years, respectively. The total fair value of RSUs vested and delivered during thethree months ended March 31, 2026 and 2025 was $0.1 million and $0.4 million, respectively.

The fair value of each RSU was calculated by reference to the value of the shares awarded. The grant date fair value is recognized over the vesting period using the accelerated graded-vesting attribution method.

2019 NED EIP

The Company has awarded the following instruments under the 2019 NED EIP:

Options

A summary of the Company’s Options activity and related information under the 2019 NED EIP for thethree months ended March 31, 2026 is as follows:

Number ofoptions(ADSs)WeightedAverageExercisePrice ($)Aggregateintrinsicvalue($'000)
At December 31, 20251,982,087$2.38$—
Granted528,0000.39—
At March 31, 20262,510,087$1.97$—
Vested2,026,087$2.34$—

The weighted average fair value per share of Options granted during the three months ended March 31, 2026 and 2025 was $0.34 and $2.51, respectively.

The weighted average contractual life of Options outstanding as of March 31, 2026 and December 31, 2025 was 7.5 years and 7.0 years, respectively. The weighted average contractual life for vested Options as of March 31, 2026 and December 31, 2025 was 6.9 years and 7.0 years, respectively.

Where presented, the aggregate intrinsic value is calculated as the difference between the exercise price of the underlying awards and the quoted market price of the Company’s ADSs for the Options that were in-the-money.

The fair value of each Option is estimated on the date of grant using the Black-Scholes option pricing model using the following weighted average assumptions:

Three Months EndedMarch 31,
20262025
Risk-free interest rate (%)3.60%4.25%
Expected life (years)5.255.25
Expected volatility (%)129.95%104.39%
Expected dividends (%)0.00%0.00%

Expected volatility is calculated by reference to the historical volatility of the Company's ADSs. The grant date fair value is recognized over the vesting period using the accelerated graded-vesting attribution method.

Deferred Restricted Stock Units (“DRSUs”)

A summary of the Company’s DRSUs activity and related information under the 2019 NED EIP for thethree months ended March 31, 2026 is as follows:

Number ofDRSUs(ADSs)WeightedAverageGrantDate FairValue ($)
At December 31, 2025979,608$1.65
Granted657,1150.39
At March 31, 20261,636,723$1.15
Vested1,034,369$1.58
Unvested602,3540.39

As of December 31, 2025, there were 10,350 DRSUs unvested with a weighted average grant date fair value of $3.16 per DRSU. The total fair value of DRSUs vested during the three months ended March 31, 2026 and 2025 wasless than $0.1 million and $0.1 million, respectively.

The fair value of each DRSU was calculated by reference to the value of the shares awarded. The grant date fair value is recognized over the vesting period using the accelerated graded-vesting attribution method.

Previous Share Option Plans

Mereo previously granted Options to employees under the Previous Share Options Plans. No awards have been granted under either of these plans following the introduction of the 2019 EIP and the 2019 NED EIP and no further awards are envisioned.

As of March 31, 2026 and December 31, 2025, Options over 107,608 ADSs were outstanding and fully vested with a weighted average exercise price per Option of $16.68 and aggregate intrinsic value of $0.

The weighted average contractual life of Options outstanding and vested at March 31, 2026 and December 31, 2025 was 0.8 years and 1.1 years, respectively.

  1. Loss per share

Basic loss per share is calculated by dividing the loss attributable to ordinary equity holders of the Company for the period by the weighted average number of ordinary shares outstanding during the period. Diluted loss per share is based on dividing the loss attributable for the period, adjusted for the effect of dilutive ordinary shares, by ordinary share equivalents, which includes the weighted average number of ordinary shares outstanding and the effect of dilutive ordinary share equivalents.

Three Months EndedMarch 31,
20262025
($'000, except share and per shareamounts)($'000, except share and per shareamounts)
Net loss$(6,719)$(12,887)
Net loss per share – basic and diluted$(0.01)$(0.02)
Weighted-average number of shares used in computing loss per share – basic and diluted801,805,570784,279,387

The Company’s potentially dilutive securities in the table below have been excluded from the computation of diluted loss per share as the effect for the three months ended March 31, 2026 and 2025 would be to reduce the loss per share. Therefore, the weighted average number of ordinary shares outstanding used to calculate both basic and diluted loss per share is the same.

Three Months EndedMarch 31,
20262025
Ordinary shares issuable for:
Share-based compensation awards116,883,22592,734,385
Warrant liabilities2,487,8162,487,816
Warrants classified in equity2,000,0003,551,699
  1. Commitments and contingencies

Indemnification agreements

In the normal course of business, the Company enters into contracts and agreements that contain a variety of representations and warranties and provide for general indemnification. The Company’s exposure under these agreements is unknown because it involves claims that may be made against the Company in the future. To date, the Company has not paid any claims or been required to defend any action related to its indemnification obligations. However, the Company may record charges in the future as a result of these indemnification obligations. In accordance with the Articles of Association, the Company has indemnification obligations to its officers and directors for certain events or occurrences, subject to certain limits, while they are serving at the Company’s request in such capacity. There have been no claims to date, and the Company has director and officer insurance that may enable it to recover a portion of any amounts paid for future potential claims.

Novartis Asset Purchase Agreements

The Company has agreed to make future payments to Novartis comprising amounts equal to ascending specified percentages of tiered annual worldwide net sales (beginning at high single digits and reaching into double digits at higher sales) of products that include the assets acquired. The levels of ascending percentages of tiered annual worldwide net sales are stipulated under the respective Purchase Agreements.

The Company further agreed that in the event it transfers, licenses, assigns or leases all or substantially all of its assets, it will pay Novartis a percentage of the proceeds of such transaction, subject to certain deductions. The payment of a percentage of proceeds is not payable with respect to any transaction involving equity interests of Mereo BioPharma Group plc, a merger or consolidation of Mereo BioPharma Group plc, or a sale of any assets of Mereo BioPharma Group plc.

License agreement with AstraZeneca

In October 2017, the Company entered into an exclusive license and option agreement (the “AstraZeneca License Agreement”) and subscription deed (the “AstraZeneca Subscription Deed”), together (the “Original Agreements”) with AstraZeneca AB (“AstraZeneca”). Each of these were amended on November 8, 2024, when the Company entered into an amendment and restatement agreement related to the AstraZeneca License Agreement (the “Amended AstraZeneca License Agreement”) and a Deed of Amendment and Restatement related to the AstraZeneca Subscription Deed (the “Amended AstraZeneca Subscription Deed”) together (the “Amended AstraZeneca Agreements”).

Under the terms of the Original Agreements, the Company obtained from AstraZeneca an exclusive worldwide, sub-licensable license under AstraZeneca’s intellectual property rights relating to alvelestat, with an option to acquire such intellectual property rights following commencement of a pivotal trial and payment of related milestone payments, together with the acquisition of certain related assets. Upon entering into the Original Agreements, the Company made a payment of $3.0 million and issued 490,798 ordinary shares (equivalent to 98,159 ADSs) to AstraZeneca, for an aggregate upfront payment equal to $5.0 million. Upon execution of the Amended AstraZeneca License Agreement, the Company issued 2,044,390 ordinary shares and paid $0.5 million to AstraZeneca in respect of an agreed milestone.

Under the terms of the Amended AstraZeneca Agreements, the Company has agreed, in connection with certain further development and regulatory milestones, to make potential future payments both in cash and through the issue of a variable number of additional ADSs to AstraZeneca of up to $114.3 million in the aggregate for products included in the Amended AstraZeneca License Agreement.

The number of ADSs to be issued to satisfy each equity milestone is determined by dividing a monetary amount by a defined subscription price based on the weighted average trading price of the Company's ADSs, and the obligation is presented as a liability under ASC Topic 480, Distinguishing Liabilities from Equity. The Company continues to reassess the fair value of such instruments in each reporting period until the milestones are achieved, if ever, and the issuance of shares occurs. Given the pervasive uncertainty involved in establishing the amounts, timing and likelihood of the future cash flows, including the Company’s ability to secure either a partnership or alternative forms of non-dilutive financing, the possible terms and rate of such a partnership or financing, the clinical and regulatory performance of the product candidate and the lack of comparable recent transactions, the Company has determined the fair value of the equity milestones to be paid in a variable number of shares pursuant to its Amended AstraZeneca License Agreement to be negligible and therefore assigned a nil value to the instrument as of March 31, 2026 and December 31, 2025.

In addition to the development and regulatory milestones, the Company has agreed to make payments to AstraZeneca based on specified commercial milestones of the product. The Company has also agreed to pay a specified percentage of sub-licensing revenue to AstraZeneca and to make royalty payments to AstraZeneca equal to ascending specified percentages of tiered annual worldwide net sales by the Company of licensed products (subject to certain reductions), ranging from the high single digits to low double digits. Royalties will be payable on a licensed-product-by-licensed-product and country-by-country basis until the later of ten years after the first commercial sale of such licensed product in such country and expiration of the last patent covering such licensed product in such country that would be sufficient to prevent generic entry. The Company has agreed to use commercially reasonable efforts to develop and commercialize at least one licensed product.

The Amended AstraZeneca License Agreement will expire on the expiration of the last-to-expire royalty term with respect to all licensed products. Upon the expiration of the royalty term for a licensed product in a particular country, the licenses to the Company for such product in such country will become fully paid and irrevocable. Prior to exercise of the Option, if at all, the Company may terminate the Amended AstraZeneca License Agreement upon prior written notice. Either party may terminate the agreement upon prior written notice for the other party’s material breach that remains uncured for a specified period of time or insolvency.

Research and development activities

The Company enters into contracts in the normal course of business with contract research organizations (“CROs”), contract manufacturing organizations (“CMOs”) and other third parties to assist in the performance of research and development activities and other services and products for operating purposes. The contracts with CROs generally provide for termination on notice, and therefore, are cancellable contracts and not included herein. The Company hadno manufacturing commitments with CMOs as of March 31, 2026 and December 31, 2025.

Manufacturing and supply agreement with Ultragenyx

In December 2024, the Company entered into a manufacturing and supply agreement with Ultragenyx Pharmaceutical Inc. (“Ultragenyx”) under which Ultragenyx is responsible for the manufacture and supply of setrusumab to the Company in its territories. The Company is also required to reimburse Ultragenyx for a portion of the manufacturing process development costs, future commercial supply costs as well as a portion of costs in the event of cancellation of certain manufacturing slots. Pursuant to this agreement, the Company has recognized $2.3 million for its share of the costs related to cancellation of certain manufacturing slots by Ultragenyx in the three months ended March 31, 2026. Any additional payments are subject to our agreement and cannot currently be estimated.

Legal proceedings

Putative Securities Class Action

On February 4, 2026, a putative class action complaint was filed in the United States District Court for the Southern District of New York against the Company, its Chief Executive Officer, Denise Scots-Knight, and its Chief Scientific Officer, John Lewicki (the “Defendants”). This action, captioned Dodge v. Mereo Biopharma Group PLC (No. 1:26-cv-988), alleges that the Defendants violated federal securities law by making false and misleading statements regarding the Company's business and operations. The Plaintiff seeks the payment of damages allegedly sustained by her and the putative class by reason of the allegations set forth in the complaint, plus interest, and legal and other costs and fees. On April 29, 2026, the court appointed a lead plaintiff and lead counsel. No responsive pleadings have been filed to date. The Company intends to vigorously defend against this action, but at this early stage, the Company can neither predict the ultimate outcome, nor estimate any range of possible losses.

From time to time, the Company may be a party to litigation or subject to claims incident to the ordinary course of business. Except for the abovementioned putative securities class action, the Company was not a party to any material litigation and did not have any material contingency reserves established for any liabilities as of March 31, 2026 and December 31, 2025.

  1. Related party disclosures

In the three months ended March 31, 2026 and 2025, there wereno reportable related party transactions.

  1. Segment information

The Company has one operating segment focused on the business of developing rare disease therapies. The chief operating decision maker, its Chief Executive Officer, assesses performance for the entity and decides how to allocate resources based on consolidated net loss before income tax, which is reported on the condensed consolidated statements of operations and comprehensive loss. The measure of segment assets is reported on the condensed consolidated balance sheet as total consolidated assets.

The chief operating decision maker uses consolidated net loss before income tax and budget-to-actual variances for consolidated net loss before income tax to assess the performance of the operating segment.

The following table presents certain financial data for the Company’s reportable segment, including significant segment expenses regularly provided to the chief operating decision maker to assess performance of the Company.

Three Months EndedMarch 31,
20262025
($'000)($'000)
Research and development expenses
Setrusumab (BPS-804/UX143)$(4,052)$(2,244)
Alvelestat (MPH-966)(443)(1,365)
Etigilimab (MPH-313)(194)(207)
Other(58)(114)
General and administrative expenses(4,019)(7,272)
Other segment items2,047(1,685)
Net loss before income tax$(6,719)$(12,887)

Other segment items consist of interest income, interest expense, change in fair value of warrants, foreign currency transaction gain/(loss) and benefit from research and development tax credit. These are disclosed in the condensed consolidated statements of operations and comprehensive loss.

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