Mesoblast Limited (ASX:MSB) has announced an expansion of its operational management structure, appointing Dr. Gregory George as interim Chief Operating Officer while the company undertakes a search for a full-time COO, as it prepares for potential commercial launch activities for its second-generation product rexlemestrocel-L in chronic low back pain and cardiovascular disease.
Key Points
- Dr. Gregory George appointed interim COO; he founded and managed SurgCenter Development, described as the largest privately owned ambulatory surgical center company in the United States.
- A Phase 3 trial readout for rexlemestrocel-L in inflammatory chronic low back pain is expected during the second half of calendar 2027.
- Mesoblast has met with the FDA and obtained alignment on filing a Biologics License Application for rexlemestrocel-L to reduce life-threatening major gastrointestinal bleeding in end-stage heart failure patients supported by a left ventricular assist device.
- Chief Medical Officer Dr. Eric Rose will step away from the Board to focus solely on advancing rexlemestrocel-L in the company's cardiopulmonary franchise.
Interim COO Appointment and Commercial Preparations
Mesoblast disclosed that a primary corporate objective is to prepare for commercial manufacturing scale-up and potential commercial launch activities for its rexlemestrocel-L chronic low back pain product. While a search for a permanent Chief Operating Officer is underway, Dr. Gregory George will serve in an interim COO capacity. Dr. George previously founded and managed SurgCenter Development, identified in the filing as the largest privately owned ambulatory surgical center company in the United States. The company stated that Dr. George's immediate focus will be on driving operational efficiencies and accelerating the commercialisation of its cell therapies.
Rexlemestrocel-L Phase 3 and FDA Engagement for Cardiovascular Indication
According to the filing, rexlemestrocel-L has completed Phase 3 programs in both inflammatory chronic low back pain and cardiovascular disease indications. The CLBP Phase 3 trial readout is expected during the second half of calendar 2027. For the cardiovascular indication, Mesoblast disclosed it recently met with the FDA and obtained alignment on filing a Biologics License Application for rexlemestrocel-L targeting the reduction of life-threatening major gastrointestinal bleeding in end-stage heart failure patients kept alive by a left ventricular assist device. The company's stated strategy includes subsequently expanding the label to moderate and severe heart failure and pulmonary hypertension.
Dr. Eric Rose to Step Down from Board, Retain CMO Role
The filing states that Dr. Eric Rose will step away from the Board while continuing in his role as Chief Medical Officer, with his efforts focused on advancing rexlemestrocel-L in the company's cardiopulmonary franchise. The filing notes Dr. Rose as a world-renowned heart surgeon and scientist who performed the world's first successful pediatric heart transplant and, as Chairman of Columbia University's Department of Surgery, contributed to the first FDA approval of an implantable left ventricular assist device for long-term circulatory support. No effective date for Dr. Rose's departure from the Board was specified in the filing.



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