BioLineRx Ltd.
|
|||
By:
|
/s/ Philip A. Serlin
|
||
Philip A. Serlin
|
|||
Chief Executive Officer
|
• |
Continued to advance multiple clinical trials of its lead therapeutic candidates, BL-8040 and AGI-134, and anticipates top-line data from the triple combination arm of the COMBAT/KEYNOTE-202 pancreatic cancer trial by year-end.
|
• |
Received approval from the FDA for an Investigational New Drug (IND) application for AGI-134, which will enable expansion of the ongoing Phase 1/2a study, currently being carried out in the UK and Israel, to the US by the first half of
2020.
|
• |
Top-line results from COMBAT/KEYNOTE-202 Phase 2 pancreatic cancer trial
|
• |
Initial safety results from part 1 of Phase 1/2a trial of AGI-134
|
• |
Potential interim results from Phase 2b AML consolidation study
|
• |
Initiation of monotherapy basket arm of Part 2 of Phase 1/2a trial of AGI-134
|
• |
Progression-free survival (PFS) and overall survival (OS) data from COMBAT/KEYNOTE-202 trial in mid-2020
|
• |
Top-line results from Phase 3 GENESIS registration trial in stem-cell mobilization in second half of 2020
|
December 31,
|
June 30,
|
|||||||
2018
|
2019
|
|||||||
in USD thousands
|
||||||||
Assets
|
||||||||
CURRENT ASSETS
|
||||||||
Cash and cash equivalents
|
3,404
|
4,972
|
||||||
Short-term bank deposits
|
26,747
|
30,256
|
||||||
Prepaid expenses
|
488
|
451
|
||||||
Other receivables
|
1,339
|
528
|
||||||
Total current assets
|
31,978
|
36,207
|
||||||
NON-CURRENT ASSETS
|
||||||||
Long-term prepaid expenses
|
56
|
60
|
||||||
Property and equipment, net
|
2,227
|
2,047
|
||||||
Right-of-use assets
|
-
|
1,716
|
||||||
Intangible assets, net
|
21,972
|
21,928
|
||||||
Total non-current assets
|
24,255
|
25,751
|
||||||
Total assets
|
56,233
|
61,958
|
||||||
Liabilities and equity
|
||||||||
CURRENT LIABILITIES
|
||||||||
Current maturities of long-term loans
|
895
|
2,395
|
||||||
Accounts payable and accruals:
|
||||||||
Trade
|
4,493
|
4,565
|
||||||
Other
|
1,363
|
927
|
||||||
Lease liabilities
|
-
|
672
|
||||||
Total current liabilities
|
6,751
|
8,559
|
||||||
NON-CURRENT LIABILITIES
|
||||||||
Warrants
|
323
|
3,938
|
||||||
Long-term loans, net of current maturities
|
7,838
|
6,583
|
||||||
Lease liabilities
|
-
|
1,096
|
||||||
Total non-current liabilities
|
8,161
|
11,617
|
||||||
COMMITMENTS AND CONTINGENT LIABILITIES
|
||||||||
Total liabilities
|
14,912
|
20,176
|
||||||
EQUITY
|
||||||||
Ordinary shares
|
3,110
|
4,001
|
||||||
Share premium
|
250,192
|
261,522
|
||||||
Capital reserve
|
11,955
|
11,835
|
||||||
Other comprehensive loss
|
(1,416
|
)
|
(1,416
|
)
|
||||
Accumulated deficit
|
(222,520
|
)
|
(234,160
|
)
|
||||
Total equity
|
41,321
|
41,782
|
||||||
Total liabilities and equity
|
56,233
|
61,958
|
Three months ended June 30,
|
Six months ended June 30,
|
|||||||||||||||
2018
|
2019
|
2018
|
2019
|
|||||||||||||
in USD thousands
|
in USD thousands
|
|||||||||||||||
RESEARCH AND DEVELOPMENT EXPENSES
|
(4,484
|
)
|
(5,302
|
)
|
(9,554
|
)
|
(9,694
|
)
|
||||||||
SALES AND MARKETING EXPENSES
|
(360
|
)
|
(226
|
)
|
(844
|
)
|
(482
|
)
|
||||||||
GENERAL AND ADMINISTRATIVE EXPENSES
|
(883
|
)
|
(949
|
)
|
(1,958
|
)
|
(1,879
|
)
|
||||||||
OPERATING LOSS
|
(5,727
|
)
|
(6,477
|
)
|
(12,356
|
)
|
(12,055
|
)
|
||||||||
NON-OPERATING INCOME, NET
|
663
|
1,261
|
1,125
|
921
|
||||||||||||
FINANCIAL INCOME
|
287
|
171
|
462
|
381
|
||||||||||||
FINANCIAL EXPENSES
|
(11
|
)
|
(440
|
)
|
(217
|
)
|
(887
|
)
|
||||||||
NET LOSS AND COMPREHENSIVE LOSS
|
(4,788
|
)
|
(5,485
|
)
|
(10,986
|
)
|
(11,640
|
)
|
||||||||
in USD
|
in USD
|
|||||||||||||||
LOSS PER ORDINARY SHARE - BASIC AND DILUTED
|
(0.05
|
)
|
(0.04
|
)
|
(0.10
|
)
|
(0.08
|
)
|
||||||||
WEIGHTED AVERAGE NUMBER OF SHARES USED IN CALCULATION OF LOSS PER ORDINARY SHARE
|
106,630,704
|
145,461,598
|
106,524,332
|
139,270,178
|
Ordinary
|
Share
|
Capital
|
Other
Comprehensive
|
Accumulated
|
||||||||||||||||||||
shares
|
premium
|
reserve
|
loss
|
deficit
|
Total
|
|||||||||||||||||||
in USD thousands
|
||||||||||||||||||||||||
BALANCE AT JANUARY 1, 2018
|
2,836
|
240,682
|
10,337
|
(1,416
|
)
|
(199,558
|
)
|
52,881
|
||||||||||||||||
CHANGES FOR SIX MONTHS ENDED JUNE 30, 2018:
|
||||||||||||||||||||||||
Issuance of share capital, net
|
83
|
2,764
|
-
|
-
|
-
|
2,847
|
||||||||||||||||||
Employee stock options exercised
|
1
|
38
|
(39
|
)
|
-
|
-
|
-
|
|||||||||||||||||
Employee stock options forfeited and expired
|
-
|
399
|
(399
|
)
|
-
|
-
|
-
|
|||||||||||||||||
Share-based compensation
|
-
|
-
|
1,444
|
-
|
-
|
1,444
|
||||||||||||||||||
Comprehensive loss for the period
|
-
|
-
|
-
|
-
|
(10,986
|
)
|
(10,986
|
)
|
||||||||||||||||
BALANCE AT JUNE 30, 2018
|
2,920
|
243,883
|
11,343
|
(1,416
|
)
|
(210,544
|
)
|
46,186
|
Ordinary
|
Share
|
Capital
|
Other
Comprehensive
|
Accumulated
|
||||||||||||||||||||
shares
|
premium
|
reserve
|
loss
|
deficit
|
Total
|
|||||||||||||||||||
in USD thousands
|
||||||||||||||||||||||||
BALANCE AT JANUARY 1, 2019
|
3,110
|
250,192
|
11,955
|
(1,416
|
)
|
(222,520
|
)
|
41,321
|
||||||||||||||||
CHANGES FOR SIX MONTHS ENDED JUNE 30, 2019:
|
||||||||||||||||||||||||
Issuance of share capital, net
|
890
|
10,437
|
-
|
-
|
-
|
11,327
|
||||||||||||||||||
Employee stock options exercised
|
1
|
27
|
(27
|
)
|
-
|
-
|
1
|
|||||||||||||||||
Employee stock options forfeited and expired
|
-
|
866
|
(866
|
)
|
-
|
-
|
-
|
|||||||||||||||||
Share-based compensation
|
-
|
-
|
773
|
-
|
-
|
773
|
||||||||||||||||||
Comprehensive loss for the period
|
-
|
-
|
-
|
-
|
(11,640
|
)
|
(11,640
|
)
|
||||||||||||||||
BALANCE AT JUNE 30, 2019
|
4,001
|
261,522
|
11,835
|
(1,416
|
)
|
(234,160
|
)
|
41,782
|
Six months ended June 30,
|
||||||||
2018
|
2019
|
|||||||
in USD thousands
|
||||||||
CASH FLOWS - OPERATING ACTIVITIES
|
||||||||
Comprehensive loss for the period
|
(10,986
|
)
|
(11,640
|
)
|
||||
Adjustments required to reflect net cash used in operating activities (see appendix below)
|
(2,054
|
)
|
573
|
|||||
Net cash used in operating activities
|
(13,040
|
)
|
(11,067
|
)
|
||||
CASH FLOWS - INVESTING ACTIVITIES
|
||||||||
Investments in short-term deposits
|
(15,000
|
)
|
(27,510
|
)
|
||||
Maturities of short-term deposits
|
24,385
|
24,441
|
||||||
Proceeds from realization of long-term investment
|
1,500
|
-
|
||||||
Purchase of property and equipment
|
(76
|
)
|
(53
|
)
|
||||
Purchase of intangible assets
|
(37
|
)
|
-
|
|||||
Net cash provided by (used in) investing activities
|
10,772
|
(3,122
|
)
|
|||||
CASH FLOWS - FINANCING ACTIVITIES
|
||||||||
Issuances of share capital and warrants, net of issuance cost
|
2,847
|
15,879
|
||||||
Employee stock options exercised
|
-
|
1
|
||||||
Repayments of loans
|
(47
|
)
|
(47
|
)
|
||||
Repayments of lease liabilities
|
-
|
(110
|
)
|
|||||
Net cash provided by financing activities
|
2,800
|
15,723
|
||||||
INCREASE IN CASH AND CASH EQUIVALENTS
|
532
|
1,534
|
||||||
CASH AND CASH EQUIVALENTS – BEGINNING OF PERIOD
|
5,110
|
3,404
|
||||||
EXCHANGE DIFFERENCES ON CASH AND CASH EQUIVALENTS
|
147
|
34
|
||||||
CASH AND CASH EQUIVALENTS - END OF PERIOD
|
5,789
|
4,972
|
Six months ended June 30,
|
||||||||
2018
|
2019
|
|||||||
in USD thousands
|
||||||||
Adjustments required to reflect net cash used in operating activities:
|
||||||||
Income and expenses not involving cash flows:
|
||||||||
Depreciation and amortization
|
288
|
439
|
||||||
Long-term prepaid expenses
|
(2
|
)
|
(4
|
)
|
||||
Exchange differences on cash and cash equivalents
|
(147
|
)
|
(34
|
)
|
||||
Gain on adjustment of warrants to fair value
|
(625
|
)
|
(1,354
|
)
|
||||
Gain on realization of long-term investment
|
(500
|
)
|
-
|
|||||
Share-based compensation
|
1,444
|
773
|
||||||
Warrant issuance costs
|
-
|
417
|
||||||
Interest and exchange rate differences on short-term deposits
|
(351
|
)
|
(440
|
)
|
||||
Interest on loans
|
(1
|
)
|
292
|
|||||
106
|
89
|
|||||||
Changes in operating asset and liability items:
|
||||||||
Decrease (increase) in prepaid expenses and other receivables
|
(776
|
)
|
848
|
|||||
Decrease in accounts payable and accruals
|
(1,384
|
)
|
(364
|
)
|
||||
(2,160
|
)
|
484
|
||||||
(2,054
|
)
|
573
|
||||||
Supplemental information on interest received in cash
|
377
|
442
|
||||||
Supplemental information on interest paid in cash
|
167
|
477
|
||||||
Supplemental information on non-cash transaction -
|
||||||||
Initial establishment of right-of-use assets against lease liabilities
|
-
|
1,878
|
Page
|
||
F-1
|
||
F-2
|
||
F-3
|
||
F-4 - F-5
|
||
F-6 - F-9
|
December 31,
|
June 30,
|
|||||||
2018
|
2019
|
|||||||
in USD thousands
|
||||||||
Assets
|
||||||||
CURRENT ASSETS
|
||||||||
Cash and cash equivalents
|
3,404
|
4,972
|
||||||
Short-term bank deposits
|
26,747
|
30,256
|
||||||
Prepaid expenses
|
488
|
451
|
||||||
Other receivables
|
1,339
|
528
|
||||||
Total current assets
|
31,978
|
36,207
|
||||||
NON-CURRENT ASSETS
|
||||||||
Long-term prepaid expenses
|
56
|
60
|
||||||
Property and equipment, net
|
2,227
|
2,047
|
||||||
Right-of-use assets
|
-
|
1,716
|
||||||
Intangible assets, net
|
21,972
|
21,928
|
||||||
Total non-current assets
|
24,255
|
25,751
|
||||||
Total assets
|
56,233
|
61,958
|
||||||
Liabilities and equity
|
||||||||
CURRENT LIABILITIES
|
||||||||
Current maturities of long-term loans
|
895
|
2,395
|
||||||
Accounts payable and accruals:
|
||||||||
Trade
|
4,493
|
4,565
|
||||||
Other
|
1,363
|
927
|
||||||
Lease liabilities
|
-
|
672
|
||||||
Total current liabilities
|
6,751
|
8,559
|
||||||
NON-CURRENT LIABILITIES
|
||||||||
Warrants
|
323
|
3,938
|
||||||
Long-term loans, net of current maturities
|
7,838
|
6,583
|
||||||
Lease liabilities
|
-
|
1,096
|
||||||
Total non-current liabilities
|
8,161
|
11,617
|
||||||
COMMITMENTS AND CONTINGENT LIABILITIES
|
||||||||
Total liabilities
|
14,912
|
20,176
|
||||||
EQUITY
|
||||||||
Ordinary shares
|
3,110
|
4,001
|
||||||
Share premium
|
250,192
|
261,522
|
||||||
Capital reserve
|
11,955
|
11,835
|
||||||
Other comprehensive loss
|
(1,416
|
)
|
(1,416
|
)
|
||||
Accumulated deficit
|
(222,520
|
)
|
(234,160
|
)
|
||||
Total equity
|
41,321
|
41,782
|
||||||
Total liabilities and equity
|
56,233
|
61,958
|
Three months ended June 30,
|
Six months ended June 30,
|
|||||||||||||||
2018
|
2019
|
2018
|
2019
|
|||||||||||||
in USD thousands
|
in USD thousands
|
|||||||||||||||
RESEARCH AND DEVELOPMENT EXPENSES
|
(4,484
|
)
|
(5,302
|
)
|
(9,554
|
)
|
(9,694
|
)
|
||||||||
SALES AND MARKETING EXPENSES
|
(360
|
)
|
(226
|
)
|
(844
|
)
|
(482
|
)
|
||||||||
GENERAL AND ADMINISTRATIVE EXPENSES
|
(883
|
)
|
(949
|
)
|
(1,958
|
)
|
(1,879
|
)
|
||||||||
OPERATING LOSS
|
(5,727
|
)
|
(6,477
|
)
|
(12,356
|
)
|
(12,055
|
)
|
||||||||
NON-OPERATING INCOME, NET
|
663
|
1,261
|
1,125
|
921
|
||||||||||||
FINANCIAL INCOME
|
287
|
171
|
462
|
381
|
||||||||||||
FINANCIAL EXPENSES
|
(11
|
)
|
(440
|
)
|
(217
|
)
|
(887
|
)
|
||||||||
NET LOSS AND COMPREHENSIVE LOSS
|
(4,788
|
)
|
(5,485
|
)
|
(10,986
|
)
|
(11,640
|
)
|
in USD
|
in USD
|
|||||||||||||||
LOSS PER ORDINARY SHARE - BASIC AND DILUTED
|
(0.05
|
)
|
(0.04
|
)
|
(0.10
|
)
|
(0.08
|
)
|
||||||||
WEIGHTED AVERAGE NUMBER OF SHARES USED IN CALCULATION OF LOSS PER ORDINARY SHARE
|
106,630,704
|
145,461,598
|
106,524,332
|
139,270,178
|
Ordinary
|
Share
|
Capital
|
Other
Comprehensive
|
Accumulated
|
||||||||||||||||||||
shares
|
premium
|
reserve
|
loss
|
deficit
|
Total
|
|||||||||||||||||||
in USD thousands
|
||||||||||||||||||||||||
BALANCE AT JANUARY 1, 2018
|
2,836
|
240,682
|
10,337
|
(1,416
|
)
|
(199,558
|
)
|
52,881
|
||||||||||||||||
CHANGES FOR SIX MONTHS ENDED JUNE 30, 2018:
|
||||||||||||||||||||||||
Issuance of share capital, net
|
83
|
2,764
|
-
|
-
|
-
|
2,847
|
||||||||||||||||||
Employee stock options exercised
|
1
|
38
|
(39
|
)
|
-
|
-
|
-
|
|||||||||||||||||
Employee stock options forfeited and expired
|
-
|
399
|
(399
|
)
|
-
|
-
|
-
|
|||||||||||||||||
Share-based compensation
|
-
|
-
|
1,444
|
-
|
-
|
1,444
|
||||||||||||||||||
Comprehensive loss for the period
|
-
|
-
|
-
|
-
|
(10,986
|
)
|
(10,986
|
)
|
||||||||||||||||
BALANCE AT JUNE 30, 2018
|
2,920
|
243,883
|
11,343
|
(1,416
|
)
|
(210,544
|
)
|
46,186
|
Ordinary
|
Share
|
Capital
|
Other
Comprehensive
|
Accumulated
|
||||||||||||||||||||
shares
|
premium
|
reserve
|
loss
|
deficit
|
Total
|
|||||||||||||||||||
in USD thousands
|
||||||||||||||||||||||||
BALANCE AT JANUARY 1, 2019
|
3,110
|
250,192
|
11,955
|
(1,416
|
)
|
(222,520
|
)
|
41,321
|
||||||||||||||||
CHANGES FOR SIX MONTHS ENDED JUNE 30, 2019:
|
||||||||||||||||||||||||
Issuance of share capital, net
|
890
|
10,437
|
-
|
-
|
-
|
11,327
|
||||||||||||||||||
Employee stock options exercised
|
1
|
27
|
(27
|
)
|
-
|
-
|
1
|
|||||||||||||||||
Employee stock options forfeited and expired
|
-
|
866
|
(866
|
)
|
-
|
-
|
-
|
|||||||||||||||||
Share-based compensation
|
-
|
-
|
773
|
-
|
-
|
773
|
||||||||||||||||||
Comprehensive loss for the period
|
-
|
-
|
-
|
-
|
(11,640
|
)
|
(11,640
|
)
|
||||||||||||||||
BALANCE AT JUNE 30, 2019
|
4,001
|
261,522
|
11,835
|
(1,416
|
)
|
(234,160
|
)
|
41,782
|
Six months ended June 30,
|
||||||||
2018
|
2019
|
|||||||
in USD thousands
|
||||||||
CASH FLOWS - OPERATING ACTIVITIES
|
||||||||
Comprehensive loss for the period
|
(10,986
|
)
|
(11,640
|
)
|
||||
Adjustments required to reflect net cash used in operating activities (see appendix below)
|
(2,054
|
)
|
573
|
|||||
Net cash used in operating activities
|
(13,040
|
)
|
(11,067
|
)
|
||||
CASH FLOWS - INVESTING ACTIVITIES
|
||||||||
Investments in short-term deposits
|
(15,000
|
)
|
(27,510
|
)
|
||||
Maturities of short-term deposits
|
24,385
|
24,441
|
||||||
Proceeds from realization of long-term investment
|
1,500
|
-
|
||||||
Purchase of property and equipment
|
(76
|
)
|
(53
|
)
|
||||
Purchase of intangible assets
|
(37
|
)
|
-
|
|||||
Net cash provided by (used in) investing activities
|
10,772
|
(3,122
|
)
|
|||||
CASH FLOWS - FINANCING ACTIVITIES
|
||||||||
Issuances of share capital and warrants, net of issuance cost
|
2,847
|
15,879
|
||||||
Employee stock options exercised
|
-
|
1
|
||||||
Repayments of loans
|
(47
|
)
|
(47
|
)
|
||||
Repayments of lease liabilities
|
-
|
(110
|
)
|
|||||
Net cash provided by financing activities
|
2,800
|
15,723
|
||||||
INCREASE IN CASH AND CASH EQUIVALENTS
|
532
|
1,534
|
||||||
CASH AND CASH EQUIVALENTS – BEGINNING OF PERIOD
|
5,110
|
3,404
|
||||||
EXCHANGE DIFFERENCES ON CASH AND CASH EQUIVALENTS
|
147
|
34
|
||||||
CASH AND CASH EQUIVALENTS - END OF PERIOD
|
5,789
|
4,972
|
Six months ended June 30,
|
||||||||
2018
|
2019
|
|||||||
in USD thousands
|
||||||||
Adjustments required to reflect net cash used in operating activities:
|
||||||||
Income and expenses not involving cash flows:
|
||||||||
Depreciation and amortization
|
288
|
439
|
||||||
Long-term prepaid expenses
|
(2
|
)
|
(4
|
)
|
||||
Exchange differences on cash and cash equivalents
|
(147
|
)
|
(34
|
)
|
||||
Gain on adjustment of warrants to fair value
|
(625
|
)
|
(1,354
|
)
|
||||
Gain on realization of long-term investment
|
(500
|
)
|
-
|
|||||
Share-based compensation
|
1,444
|
773
|
||||||
Warrant issuance costs
|
-
|
417
|
||||||
Interest and exchange rate differences on short-term deposits
|
(351
|
)
|
(440
|
)
|
||||
Interest on loans
|
(1
|
)
|
292
|
|||||
106
|
89
|
|||||||
Changes in operating asset and liability items:
|
||||||||
Decrease )increase(in prepaid expenses and other receivables
|
(776
|
)
|
848
|
|||||
Decrease in accounts payable and accruals
|
(1,384
|
)
|
(364
|
)
|
||||
(2,160
|
)
|
484
|
||||||
(2,054
|
)
|
573
|
||||||
Supplemental information on interest received in cash
|
377
|
442
|
||||||
Supplemental information on interest paid in cash
|
167
|
477
|
||||||
Supplemental information on non-cash transaction -
Initial establishment of right-of-use assets against lease liabilities
|
-
|
1,878
|
a. |
General
|
b. |
Approval of financial statements
|
a. |
Adjustments recognized on adoption of IFRS 16
|
January 1,
|
June 30,
|
|||||||
2019
|
2019
|
|||||||
Composition of right-of-use assets by type:
|
||||||||
Property
|
1,552
|
1,485
|
||||||
Motor vehicles
|
326
|
231
|
||||||
Total right-of-use asset
|
1,878
|
1,716
|
Composition of lease liabilities recognized as of January 1, 2019:
|
|||||
Current lease liabilities
|
713
|
||||
Non-current lease liabilities
|
1,165
|
||||
1,878
|
b. |
Practical expedients applied on adoption of IFRS 16
|
• |
Use of a single discount rate to a portfolio of leases with reasonably similar characteristics;
|
• |
Reliance on previous assessments on whether leases are onerous;
|
• |
Accounting for operating leases with a remaining lease term of less than 12 months as of January 1, 2019, as short-term leases;
|
• |
Exclusion of initial direct costs for the measurement of the right-of-use asset at the date of initial application;
|
• |
Use of hindsight in determining the lease term where the contract contains options to extend or terminate the lease.
|
c. |
Other information relating to IFRS 16
|
a. |
At-the-market (“ATM”) sales agreement with BTIG
|
b. |
Underwritten public offering
|
Number of ordinary shares
|
||||||||
December 31,
|
June 30,
|
|||||||
2018
|
2019
|
|||||||
Authorized share capital
|
250,000,000
|
250,000,000
|
||||||
Issued and paid-up share capital
|
114,933,144
|
147,183,744
|
In USD and NIS
|
||||||||
December 31,
|
June 30,
|
|||||||
2018
|
2019
|
|||||||
Authorized share capital (in NIS)
|
25,000,000
|
25,000,000
|
||||||
Issued and paid-up share capital (in NIS)
|
11,493,314
|
14,718,374
|
||||||
Issued and paid-up share capital (in USD)
|
3,109,746
|
4,000,676
|
• |
the initiation, timing, progress and results of our preclinical studies, clinical trials and other therapeutic candidate development efforts;
|
• |
our ability to advance our therapeutic candidates into clinical trials or to successfully complete our preclinical studies or clinical trials;
|
• |
our receipt of regulatory approvals for our therapeutic candidates, and the timing of other regulatory filings and approvals;
|
• |
the clinical development, commercialization and market acceptance of our therapeutic candidates;
|
• |
our ability to establish and maintain corporate collaborations;
|
• |
our ability to integrate new therapeutic candidates and new personnel
|
• |
the interpretation of the properties and characteristics of our therapeutic candidates and of the results obtained with our therapeutic candidates in preclinical studies or clinical trials;
|
• |
the implementation of our business model and strategic plans for our business and therapeutic candidates;
|
• |
the scope of protection we are able to establish and maintain for intellectual property rights covering our therapeutic candidates and our ability to operate our business without infringing the intellectual property rights of others;
|
• |
estimates of our expenses, future revenues, capital requirements and our needs for additional financing;
|
• |
risks related to changes in healthcare laws, rules and regulations in the United States or elsewhere;
|
• |
competitive companies, technologies and our industry; and
|
• |
statements as to the impact of the political and security situation in Israel on our business.
|
• |
BL-8040 is a novel, short peptide that functions as a high-affinity antagonist for CXCR4, which we are developing for the treatment of solid tumors, acute myeloid leukemia, or AML, and stem-cell mobilization.
|
➢ |
In January 2016, we entered into a collaboration with MSD (a tradename of Merck & Co., Inc., Kenilworth, New Jersey) in the field of cancer immunotherapy. Based on this collaboration, in September 2016 we initiated a Phase 2a
study, known as the COMBAT/KEYNOTE-202 study, focusing on evaluating the safety and efficacy of BL-8040 in combination with KEYTRUDA® (pembrolizumab), MSD’s
anti-PD-1 therapy, in 37 patients with metastatic pancreatic adenocarcinoma. The study was an open-label, multicenter, single-arm trial designed to evaluate the clinical response, safety and tolerability of the combination of these
therapies as well as multiple pharmacodynamic parameters, including the ability to improve infiltration of T-cells into the tumor and their reactivity. Top-line results showed that the combination demonstrated encouraging disease control
and overall survival in patients with metastatic pancreatic cancer. In addition, assessment of patient biopsies supported BL-8040’s ability to induce infiltration of tumor-reactive T-cells into the tumor, while reducing the number of
immune regulatory cells. In July 2018, we announced the expansion of the COMBAT/KEYNOTE-202 study under this collaboration to include a triple combination arm investigating the safety, tolerability and efficacy of BL-8040, KEYTRUDA and
chemotherapy. We initiated this arm of the trial in December 2018. Top-line results from the new triple combination arm of the study are expected in the second half of 2019, with overall survival results expected in 2020.
|
➢ |
In August 2016, in the framework of an agreement with MD Anderson Cancer Center, we entered into an additional collaboration for the investigation of BL-8040 in combination with KEYTRUDA in pancreatic cancer. The focus of this study,
in addition to assessing clinical response, is the mechanism of action by which both drugs might synergize, as well as multiple assessments to evaluate the biological anti-tumor effects induced by the combination. We are supplying BL-8040
for this Phase 2b study, which commenced in January 2017. Partial results from this study are anticipated in the second half of 2019, with top-line results expected in 2020.
|
➢ |
In September 2016, we entered into a collaboration with Genentech, Inc., or Genentech (a member of the Roche Group), in the framework of which both companies would carry out Phase 1b/2 studies investigating BL-8040 in combination with
TECENTRIQ® (atezolizumab), Genentech’s anti-PDL1 cancer immunotherapy, in various solid tumors and hematologic malignancies. The clinical study collaboration
between us and Genentech is part of MORPHEUS, Roche’s novel cancer immunotherapy development platform. Genentech commenced a Phase 1b/2 study for the treatment of pancreatic cancer in July 2017, as well as a Phase 1b/2 study in gastric
cancer in October 2017. These studies will evaluate the clinical response, safety and tolerability of the combination of these therapies, as well as multiple pharmacodynamic parameters. As we are not the sponsor of these studies, we do
not have information about Genentech’s data publication plan for these BL-8040-related arms within the MORPHEUS platform.
|
➢ |
During 2016, we completed and reported on a Phase 2a proof-of-concept trial for the treatment of relapsed or refractory acute myeloid leukemia, or r/r AML, which was conducted on 42 patients at six world-leading cancer research centers
in the United States and at five premier sites in Israel. The study included both a dose-escalation and a dose-expansion phase. Results from the trial showed detailed, positive safety and response rate data for subjects treated with a
combination of BL-8040 and high-dose cytarabine (Ara-C), or HiDAC. At the annual meeting of the European Hematology Association, or EHA, in June 2018, we presented positive overall survival data from the long-term follow-up part of this
study. We continue to monitor long-term survival data for patients in the study and, in parallel, are planning our next clinical development steps in this indication.
|
➢ |
We are currently investigating BL-8040 as a consolidation treatment together with cytarabine (the current standard of care) for AML patients who have responded to standard induction treatment and are in complete remission and, in this
regard, are conducting a significant Phase 2b trial in Germany, in collaboration with the German Study Alliance Leukemia Group. The Phase 2b trial is a double-blind, placebo-controlled, randomized, multi-center study aimed at assessing
the efficacy of BL-8040 in addition to standard consolidation therapy in AML patients. Up to 194 patients will be enrolled in the trial. We continue to discuss with our collaboration partners the potential conduct of an interim analysis
on this study based on various factors, including the occurrence of a minimum number of reported relapse events and/or exposure to provide a reasonable statistical powering for the analysis. Our current estimate for the timing of such
potential interim analysis is in the second half of 2019; however, the occurrence of enough relapse events that would form the basis for a robust interim analysis is difficult to predict at this point in time. Top-line results from the
trial are expected in 2021.
|
➢ |
In September 2017, we initiated a Phase 1b/2 trial in AML, known as the BATTLE trial, under the collaboration with Genentech referred to above in “― Solid tumors.” The trial was to have focused on the maintenance treatment of patients
with intermediate- and high-risk AML who have achieved a complete response following induction and consolidation therapy. Following several protocol amendments designed to increase study recruitment, we consulted with Genentech regarding
feasibility of completing the study, and jointly decided to terminate the trial in August 2019.
|
➢ |
In March 2015, we reported successful top-line safety and efficacy results from a Phase 1 safety and efficacy trial for the use of BL-8040 as a novel stem cell mobilization treatment for allogeneic bone marrow transplantation at
Hadassah Medical Center in Jerusalem.
|
➢ |
In March 2016, we initiated a Phase 2 trial for BL-8040 in allogeneic stem cell transplantation, conducted in collaboration with the Washington University School of Medicine, Division of Oncology and Hematology. In May 2018, we
announced positive top-line results of this study showing, among other things, that a single injection of BL-8040 mobilized sufficient amounts of CD34+ cells required for transplantation at a level of efficacy similar to that achieved by
using 4-6 injections of G-CSF, the current standard of care.
|
➢ |
In December 2017, we commenced a randomized, controlled Phase 3 registrational trial for BL-8040, known as the GENESIS trial, for the mobilization of HSCs for autologous transplantation in patients with multiple myeloma. The trial
began with a lead-in period for dose confirmation, which was to include 10-30 patients and then progress to the placebo-controlled main part, which is designed to include 177 patients in more than 25 centers. Following review of the
positive results from treatment of the first 11 patients, the Data Monitoring Committee recommended that the lead-in part of the study should be stopped and that we should move immediately to the second part. Additional positive results
from the lead-in period were reported at the annual meeting of the European Society for Blood and Marrow Transplantation held in March 2019, where it was announced that HSCs mobilized by BL-8040 in combination with G-CSF were successfully
engrafted in all 11 patients. Top-line results of this randomized, placebo-controlled main part of the study are expected in the second half of 2020.
|
➢ |
In addition to the above, we are currently conducting, or planning to conduct, a number of investigator-initiated, open-label studies in a variety of indications, to support the interest of the scientific and medical communities in
exploring additional uses for BL-8040. These studies serve to further elucidate the mechanism of action for BL-8040.
|
➢ |
In September 2013, the FDA granted an Orphan Drug Designation to BL-8040 as a therapeutic for the treatment of AML; and in January 2014, the FDA granted an Orphan Drug Designation to BL-8040 as a treatment for stem cell mobilization.
In January 2015, the FDA modified this Orphan Drug Designation for BL-8040 for use either as a single agent or in combination with G-CSF. In February 2019, the FDA granted Orphan Drug Designation to BL-8040 as a therapeutic for the
treatment of pancreatic cancer.
|
• |
AGI-134, a clinical therapeutic candidate in-licensed by Agalimmune, is a synthetic alpha-Gal glycolipid immunotherapy in development for solid tumors. AGI-134 harnesses the body’s pre-existing, highly abundant, anti-alpha-Gal
antibodies to induce a hyper-acute, systemic, specific anti-tumor response to the patient’s own tumor neo-antigens. This response not only kills the tumor cells at the site of injection, but also brings about a durable, follow-on,
anti-metastatic immune response. In August 2018, we initiated a Phase 1/2a clinical study for AGI-134 that is primarily designed to evaluate the safety and tolerability of AGI-134, given both as monotherapy and in combination with an
immune checkpoint inhibitor, in unresectable metastatic solid tumors. The multi-center, open-label study is currently being carried out in the UK and Israel and, following recent approval by the FDA for our Investigational New Drug (IND)
application, is expected to expand to the US by the first half of 2020. Initial safety results from the first part of the study are expected in the second half of 2019; initial efficacy results of the monotherapy arm from the second part
of the study are expected by the end of 2020.
|
• |
Our commercialized, legacy therapeutic product, BL-5010, is a customized, proprietary pen-like applicator containing a novel, acidic, aqueous solution for the non-surgical removal of skin lesions. In December 2014, we entered into an
exclusive out-licensing arrangement with Perrigo Company plc, or Perrigo, for the rights to BL-5010 for over-the-counter, or OTC, indications in Europe, Australia and additional selected countries. In March 2016, Perrigo received CE Mark
approval for BL-5010 as a novel OTC treatment for the non-surgical removal of warts. The commercial launch of this first OTC indication (warts/verrucas) commenced in Europe in the second quarter of 2016. Since then, Perrigo has invested
in improving the product and expects to launch an improved version of the product during 2019.
|
Project
|
Status
|
Expected Near Term Milestones
|
|
1. |
Phase 2a study for relapsed or refractory AML completed
|
1. Follow-up for overall survival is ongoing; evaluation and decision regarding next clinical development steps
|
|
2. |
Phase 2b study in AML consolidation treatment line (BLAST) ongoing
|
2. Possible interim results in H2 2019; top-line results expected in 2021
|
|
3. |
Phase 2 study in allogeneic stem-cell mobilization completed
|
3. Follow-up on acute and chronic GvHD by
H2 2019
|
|
BL-8040
|
4. |
Phase 2a in pancreatic cancer under Merck collaboration (COMBAT/KEYNOTE-202) ongoing; top-line results from dual combination arm announced in October 2018
|
4. Top-line results from triple
combination arm expected in H2 2019; overall survival results expected in 2020
|
5. |
Phase 2b study in pancreatic cancer, in collaboration with MD Anderson Cancer Center, ongoing
|
5. Partial results from this study are
anticipated in H2 2019; top-line results expected in 2020
|
|
6. |
Phase 3 registration study in autologous stem-cell mobiliza-tion (GENESIS), ongoing
|
6. Top-line results from randomized,
placebo-controlled main part of study expected in H2 2020
|
|
AGI-134
|
Phase 1/2a study commenced in August 2018
|
Initial safety results from part 1 of study in H2 2019; initial efficacy results of monotherapy arm from part 2 of study expected by end of 2020
|
|
BL-5010
|
Out-licensed to Perrigo; CE mark approval obtained; commercial launch of first OTC indication in Europe commenced
|
Launch of improved product during 2019; pursuit of potential out-licensing partner(s) for OTC and non-OTC rights still held by us
|
• |
the number of sites included in the clinical trials;
|
• |
the length of time required to enroll suitable patients;
|
• |
the number of patients that participate in the clinical trials;
|
• |
the duration of patient follow-up;
|
• |
whether the patients require hospitalization or can be treated on an out-patient basis;
|
• |
the development stage of the therapeutic candidate; and
|
• |
the efficacy and safety profile of the therapeutic candidate.
|
Three months ended June 30,
|
Six months ended June 30,
|
|||||||||||||||||||||||
2018
|
2019
|
Increase (decrease)
|
2018
|
2019
|
Increase (decrease)
|
|||||||||||||||||||
(in thousands of U.S. dollars)
|
||||||||||||||||||||||||
Research and development expenses, net
|
4,484
|
5,302
|
818
|
9,554
|
9,694
|
140
|
Three months ended June 30,
|
Six months ended June 30,
|
|||||||||||||||||||||||
2018
|
2019
|
Increase (decrease)
|
2018
|
2019
|
Increase (decrease)
|
|||||||||||||||||||
(in thousands of U.S. dollars)
|
||||||||||||||||||||||||
Sales and marketing expenses
|
360
|
226
|
(134
|
)
|
844
|
482
|
(362
|
)
|
Three months ended June 30,
|
Six months ended June 30,
|
|||||||||||||||||||||||
2018
|
2019
|
Increase (decrease)
|
2018
|
2019
|
Increase (decrease)
|
|||||||||||||||||||
(in thousands of U.S. dollars)
|
||||||||||||||||||||||||
General and administrative expenses
|
883
|
949
|
66
|
1,958
|
1,879
|
(79
|
)
|
Three months ended June 30,
|
Six months ended June 30,
|
|||||||||||||||||||||||
2018
|
2019
|
Increase (decrease)
|
2018
|
2019
|
Increase (decrease)
|
|||||||||||||||||||
(in thousands of U.S. dollars)
|
||||||||||||||||||||||||
Non-operating income (expenses), net
|
663
|
1,261
|
598
|
1,125
|
921
|
(204
|
)
|
Three months ended June 30,
|
Six months ended June 30,
|
|||||||||||||||||||||||
2018
|
2019
|
Increase (decrease)
|
2018
|
2019
|
Increase (decrease)
|
|||||||||||||||||||
(in thousands of U.S. dollars)
|
||||||||||||||||||||||||
Financial income
|
287
|
171
|
(116
|
)
|
462
|
381
|
(81
|
)
|
||||||||||||||||
Financial expenses
|
(11
|
)
|
(440
|
)
|
(429
|
)
|
(217
|
)
|
(887
|
)
|
(670
|
)
|
||||||||||||
Net financial income (expense)
|
276
|
(269
|
)
|
(545
|
)
|
245
|
(506
|
)
|
(751
|
)
|
• |
the progress and costs of our preclinical studies, clinical trials and other research and development activities;
|
• |
the scope, prioritization and number of our clinical trials and other research and development programs;
|
• |
the amount of revenues we receive under our collaboration or licensing arrangements;
|
• |
the costs of the development and expansion of our operational infrastructure;
|
• |
the costs and timing of obtaining regulatory approval of our therapeutic candidates;
|
• |
the ability of our collaborators to achieve development milestones, marketing approval and other events or developments under our collaboration agreements;
|
• |
the costs of filing, prosecuting, enforcing and defending patent claims and other intellectual property rights;
|
• |
the costs and timing of securing manufacturing arrangements for clinical or commercial production;
|
• |
the costs of establishing sales and marketing capabilities or contracting with third parties to provide these capabilities for us;
|
• |
the costs of acquiring or undertaking development and commercialization efforts for any future product candidates;
|
• |
the magnitude of our general and administrative expenses;
|
• |
any cost that we may incur under current and future licensing arrangements relating to our therapeutic candidates; and
|
Three months ended June 30,
|
Six months ended June 30,
|
|||||||||||||||
2018
|
2019
|
2018
|
2019
|
|||||||||||||
(in U.S. dollars)
|
||||||||||||||||
Loss per ADS – basic and diluted
|
(0.67
|
)
|
(0.57
|
)
|
(1.55
|
)
|
(1.25
|
)
|
December 31,
2018
|
June 30,
2019
|
|||||||
(in number of ADSs)
|
||||||||
Authorized share capital
|
16,666,667
|
16,666,667
|
||||||
Issued and paid-up capital
|
7,662,210
|
9,812,250
|