BioLineRx Ltd.
|
|||
By:
|
/s/ Philip Serlin
|
||
Philip Serlin
|
|||
Chief Executive Officer
|
• |
Completed recruitment of the triple combination arm of the COMBAT/KEYNOTE-202 study;
|
• |
Continued to advance the COMBAT/KEYNOTE-202 study toward progression free survival (PFS) and overall survival (OS) data in mid-2020;
|
• |
Received Orphan Drug Designation for motixafortide (BL-8040) for the Treatment of Pancreatic Cancer in Europe;
|
• |
Announced Notice of Allowance from USPTO for a broad patent covering motixafortide in combination with anti-PD-1 for the treatment of any and all types of cancer.
|
• |
Progression-free survival and overall survival data from the triple combination arm of the COMBAT/KEYNOTE-202 Phase 2a study in mid-2020;
|
• |
Interim results from the BLAST Phase 2b AML consolidation study in the second half of 2020;
|
• |
Results from the GENESIS Phase 3 registrational study in stem cell mobilization in the second half of 2020;
|
• |
Initial results from Part 2 of Phase 1/2a trial of AGI-134, which were initially expected by year-end 2020, are now anticipated in the second half of 2021 due to a temporary suspension of recruitment caused by the COVID-19 pandemic.
|
December 31,
|
March 31,
|
|||||||
2019
|
2020
|
|||||||
in USD thousands
|
||||||||
Assets
|
||||||||
CURRENT ASSETS
|
||||||||
Cash and cash equivalents
|
5,297
|
5,072
|
||||||
Short-term bank deposits
|
22,192
|
16,109
|
||||||
Prepaid expenses
|
108
|
277
|
||||||
Other receivables
|
613
|
682
|
||||||
Total current assets
|
28,210
|
22,140
|
||||||
NON-CURRENT ASSETS
|
||||||||
Property and equipment, net
|
1,816
|
1,698
|
||||||
Right-of-use assets, net
|
1,650
|
1,565
|
||||||
Intangible assets, net
|
21,891
|
21,768
|
||||||
Total non-current assets
|
25,357
|
25,031
|
||||||
Total assets
|
53,567
|
47,171
|
||||||
Liabilities and equity
|
||||||||
CURRENT LIABILITIES
|
||||||||
Current maturities of long-term loans
|
2,692
|
2,777
|
||||||
Accounts payable and accruals:
|
||||||||
Trade
|
7,794
|
7,489
|
||||||
Other
|
1,280
|
1,303
|
||||||
Lease liabilities
|
202
|
197
|
||||||
Total current liabilities
|
11,968
|
11,766
|
||||||
NON-CURRENT LIABILITIES
|
||||||||
Warrants
|
658
|
182
|
||||||
Long-term loans, net of current maturities
|
5,799
|
5,076
|
||||||
Lease liabilities
|
1,762
|
1,639
|
||||||
Total non-current liabilities
|
8,219
|
6,897
|
||||||
COMMITMENTS AND CONTINGENT LIABILITIES
|
||||||||
Total liabilities
|
20,187
|
18,663
|
||||||
EQUITY
|
||||||||
Ordinary shares
|
4,692
|
4,907
|
||||||
Share premium
|
265,938
|
267,140
|
||||||
Capital reserve
|
12,132
|
12,488
|
||||||
Other comprehensive loss
|
(1,416
|
)
|
(1,416
|
)
|
||||
Accumulated deficit
|
(247,966
|
)
|
(254,611
|
)
|
||||
Total equity
|
33,380
|
28,508
|
||||||
Total liabilities and equity
|
53,567
|
47,171
|
Three months ended March 31,
|
||||||||
2019
|
2020
|
|||||||
in USD thousands
|
||||||||
RESEARCH AND DEVELOPMENT EXPENSES
|
(4,392
|
)
|
(5,422
|
)
|
||||
SALES AND MARKETING EXPENSES
|
(256
|
)
|
(175
|
)
|
||||
GENERAL AND ADMINISTRATIVE EXPENSES
|
(930
|
)
|
(1,243
|
)
|
||||
OPERATING LOSS
|
(5,578
|
)
|
(6,840
|
)
|
||||
NON-OPERATING INCOME (EXPENSES), NET
|
(340
|
)
|
469
|
|||||
FINANCIAL INCOME
|
210
|
140
|
||||||
FINANCIAL EXPENSES
|
(447
|
)
|
(414
|
)
|
||||
NET LOSS AND COMPREHENSIVE LOSS
|
(6,155
|
)
|
(6,645
|
)
|
||||
LOSS PER ORDINARY SHARE - BASIC AND DILUTED
|
(0.05
|
)
|
(0.04
|
)
|
||||
WEIGHTED AVERAGE NUMBER OF SHARES USED IN
CALCULATION OF LOSS PER ORDINARY SHARE
|
132,979,984
|
176,454,423
|
Ordinary shares
|
Share premium
|
Capital Reserve
|
Other comprehensive loss
|
Accumulated deficit
|
Total
|
|||||||||||||||||||
in USD thousands
|
||||||||||||||||||||||||
BALANCE AT JANUARY 1, 2019
|
3,110
|
250,192
|
11,955
|
(1,416
|
)
|
(222,520
|
)
|
41,321
|
||||||||||||||||
CHANGES FOR THREE MONTHS ENDED MARCH 31, 2019:
|
||||||||||||||||||||||||
Issuance of share capital, net
|
817
|
9,620
|
-
|
-
|
-
|
10,437
|
||||||||||||||||||
Employee stock options exercised
|
1
|
18
|
(18
|
)
|
-
|
-
|
1
|
|||||||||||||||||
Employee stock options forfeited and expired
|
-
|
30
|
(30
|
)
|
-
|
-
|
-
|
|||||||||||||||||
Share-based compensation
|
-
|
-
|
284
|
-
|
-
|
284
|
||||||||||||||||||
Comprehensive loss for the period
|
-
|
-
|
-
|
-
|
(6,155
|
)
|
(6,155
|
)
|
||||||||||||||||
BALANCE AT MARCH 31, 2019
|
3,928
|
259,860
|
12,191
|
(1,416
|
)
|
(228,675
|
)
|
45,888
|
Ordinary shares
|
Share premium
|
Capital Reserve
|
Other comprehensive loss
|
Accumulated deficit
|
Total
|
|||||||||||||||||||
in USD thousands
|
||||||||||||||||||||||||
BALANCE AT JANUARY 1, 2020
|
4,692
|
265,938
|
12,132
|
(1,416
|
)
|
(247,966
|
)
|
33,380
|
||||||||||||||||
CHANGES FOR THREE MONTHS ENDED MARCH 31, 2020:
|
||||||||||||||||||||||||
Issuance of share capital, net
|
208
|
895
|
-
|
-
|
-
|
1,103
|
||||||||||||||||||
Employee stock options exercised
|
7
|
204
|
(204
|
)
|
-
|
-
|
7
|
|||||||||||||||||
Employee stock options forfeited and expired
|
-
|
103
|
(103
|
)
|
-
|
-
|
-
|
|||||||||||||||||
Share-based compensation
|
-
|
-
|
663
|
-
|
-
|
663
|
||||||||||||||||||
Comprehensive loss for the period
|
-
|
-
|
-
|
-
|
(6,645
|
)
|
(6,645
|
)
|
||||||||||||||||
BALANCE AT MARCH 31, 2020
|
4,907
|
267,140
|
12,488
|
(1,416
|
)
|
(254,611
|
)
|
28,508
|
Three months ended
March 31,
|
||||||||
2019
|
2020
|
|||||||
in USD thousands
|
||||||||
CASH FLOWS - OPERATING ACTIVITIES
|
||||||||
Comprehensive loss for the period
|
(6,155
|
)
|
(6,645
|
)
|
||||
Adjustments required to reflect net cash used in operating activities
(see appendix below)
|
1,533
|
(93
|
)
|
|||||
Net cash used in operating activities
|
(4,622
|
)
|
(6,738
|
)
|
||||
CASH FLOWS - INVESTING ACTIVITIES
|
||||||||
Investments in short-term deposits
|
(21,510
|
)
|
(6,000
|
)
|
||||
Maturities of short-term deposits
|
12,228
|
12,191
|
||||||
Purchase of property and equipment
|
(31
|
)
|
-
|
|||||
Net cash provided by (used in) investing activities
|
(9,313
|
)
|
6,191
|
|||||
CASH FLOWS - FINANCING ACTIVITIES
|
||||||||
Issuance of share capital and warrants, net of issuance costs
|
14,989
|
1,103
|
||||||
Employee stock options exercised
|
1
|
7
|
||||||
Repayments of loans
|
(23
|
)
|
(682
|
)
|
||||
Repayments of lease liabilities
|
(50
|
)
|
(41
|
)
|
||||
Net cash provided by financing activities
|
14,917
|
387
|
||||||
INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS
|
982
|
(160
|
)
|
|||||
CASH AND CASH EQUIVALENTS – BEGINNING OF PERIOD
|
3,404
|
5,297
|
||||||
EXCHANGE DIFFERENCES ON CASH AND CASH EQUIVALENTS
|
(2
|
)
|
(65
|
)
|
||||
CASH AND CASH EQUIVALENTS - END OF PERIOD
|
4,384
|
5,072
|
Three months ended
March 31,
|
||||||||
2019
|
2020
|
|||||||
in USD thousands
|
||||||||
Adjustments required to reflect net cash used in operating activities:
|
||||||||
Income and expenses not involving cash flows:
|
||||||||
Depreciation and amortization
|
213
|
321
|
||||||
Long-term prepaid expenses
|
1
|
-
|
||||||
Exchange differences on cash and cash equivalents
|
2
|
65
|
||||||
Fair value adjustments of warrants
|
(79
|
)
|
(476
|
)
|
||||
Share-based compensation
|
284
|
663
|
||||||
Warrant issuance costs
|
417
|
-
|
||||||
Interest and exchange differences on short-term deposits
|
(195
|
)
|
(108
|
)
|
||||
Interest on loans
|
154
|
44
|
||||||
Exchange differences on lease liability
|
-
|
(82
|
)
|
|||||
797
|
427
|
|||||||
Changes in operating asset and liability items:
|
||||||||
Decrease (increase) in prepaid expenses and other receivables
|
786
|
(238
|
)
|
|||||
Decrease in accounts payable and accruals
|
(50
|
)
|
(282
|
)
|
||||
736
|
(520
|
)
|
||||||
1,533
|
(93
|
)
|
||||||
Supplemental information on interest received in cash
|
229
|
184
|
||||||
Supplemental information on interest paid in cash
|
238
|
275
|
Page
|
||
F-1
|
||
F-2
|
||
F-3
|
||
F-4 - F-5
|
||
F-6 - F-8
|
December 31,
|
March 31,
|
|||||||
2019
|
2020
|
|||||||
in USD thousands
|
||||||||
Assets
|
||||||||
CURRENT ASSETS
|
||||||||
Cash and cash equivalents
|
5,297
|
5,072
|
||||||
Short-term bank deposits
|
22,192
|
16,109
|
||||||
Prepaid expenses
|
108
|
277
|
||||||
Other receivables
|
613
|
682
|
||||||
Total current assets
|
28,210
|
22,140
|
||||||
NON-CURRENT ASSETS
|
||||||||
Property and equipment, net
|
1,816
|
1,698
|
||||||
Right-of-use assets, net
|
1,650
|
1,565
|
||||||
Intangible assets, net
|
21,891
|
21,768
|
||||||
Total non-current assets
|
25,357
|
25,031
|
||||||
Total assets
|
53,567
|
47,171
|
||||||
Liabilities and equity
|
||||||||
CURRENT LIABILITIES
|
||||||||
Current maturities of long-term loans
|
2,692
|
2,777
|
||||||
Accounts payable and accruals:
|
||||||||
Trade
|
7,794
|
7,489
|
||||||
Other
|
1,280
|
1,303
|
||||||
Lease liabilities
|
202
|
197
|
||||||
Total current liabilities
|
11,968
|
11,766
|
||||||
NON-CURRENT LIABILITIES
|
||||||||
Warrants
|
658
|
182
|
||||||
Long-term loans, net of current maturities
|
5,799
|
5,076
|
||||||
Lease liabilities
|
1,762
|
1,639
|
||||||
Total non-current liabilities
|
8,219
|
6,897
|
||||||
COMMITMENTS AND CONTINGENT LIABILITIES
|
||||||||
Total liabilities
|
20,187
|
18,663
|
||||||
EQUITY
|
||||||||
Ordinary shares
|
4,692
|
4,907
|
||||||
Share premium
|
265,938
|
267,140
|
||||||
Capital reserve
|
12,132
|
12,488
|
||||||
Other comprehensive loss
|
(1,416
|
)
|
(1,416
|
)
|
||||
Accumulated deficit
|
(247,966
|
)
|
(254,611
|
)
|
||||
Total equity
|
33,380
|
28,508
|
||||||
Total liabilities and equity
|
53,567
|
47,171
|
Three months ended March 31,
|
||||||||
2019
|
2020
|
|||||||
in USD thousands
|
||||||||
RESEARCH AND DEVELOPMENT EXPENSES
|
(4,392
|
)
|
(5,422
|
)
|
||||
SALES AND MARKETING EXPENSES
|
(256
|
)
|
(175
|
)
|
||||
GENERAL AND ADMINISTRATIVE EXPENSES
|
(930
|
)
|
(1,243
|
)
|
||||
OPERATING LOSS
|
(5,578
|
)
|
(6,840
|
)
|
||||
NON-OPERATING INCOME (EXPENSES), NET
|
(340
|
)
|
469
|
|||||
FINANCIAL INCOME
|
210
|
140
|
||||||
FINANCIAL EXPENSES
|
(447
|
)
|
(414
|
)
|
||||
NET LOSS AND COMPREHENSIVE LOSS
|
(6,155
|
)
|
(6,645
|
)
|
||||
LOSS PER ORDINARY SHARE - BASIC AND DILUTED
|
(0.05
|
)
|
(0.04
|
)
|
||||
WEIGHTED AVERAGE NUMBER OF SHARES USED IN
CALCULATION OF LOSS PER ORDINARY SHARE
|
132,979,984
|
176,454,423
|
Ordinary shares
|
Share premium
|
Capital Reserve
|
Other comprehensive loss
|
Accumulated deficit
|
Total
|
|||||||||||||||||||
in USD thousands
|
||||||||||||||||||||||||
BALANCE AT JANUARY 1, 2019
|
3,110
|
250,192
|
11,955
|
(1,416
|
)
|
(222,520
|
)
|
41,321
|
||||||||||||||||
CHANGES FOR THREE MONTHS ENDED MARCH 31, 2019:
|
||||||||||||||||||||||||
Issuance of share capital, net
|
817
|
9,620
|
-
|
-
|
-
|
10,437
|
||||||||||||||||||
Employee stock options exercised
|
1
|
18
|
(18
|
)
|
-
|
-
|
1
|
|||||||||||||||||
Employee stock options forfeited and expired
|
-
|
30
|
(30
|
)
|
-
|
-
|
-
|
|||||||||||||||||
Share-based compensation
|
-
|
-
|
284
|
-
|
-
|
284
|
||||||||||||||||||
Comprehensive loss for the period
|
-
|
-
|
-
|
-
|
(6,155
|
)
|
(6,155
|
)
|
||||||||||||||||
BALANCE AT MARCH 31, 2019
|
3,928
|
259,860
|
12,191
|
(1,416
|
)
|
(228,675
|
)
|
45,888
|
Ordinary shares
|
Share premium
|
Capital Reserve
|
Other comprehensive loss
|
Accumulated deficit
|
Total
|
|||||||||||||||||||
in USD thousands
|
||||||||||||||||||||||||
BALANCE AT JANUARY 1, 2020
|
4,692
|
265,938
|
12,132
|
(1,416
|
)
|
(247,966
|
)
|
33,380
|
||||||||||||||||
CHANGES FOR THREE MONTHS ENDED MARCH 31, 2020:
|
||||||||||||||||||||||||
Issuance of share capital, net
|
208
|
895
|
-
|
-
|
-
|
1,103
|
||||||||||||||||||
Employee stock options exercised
|
7
|
204
|
(204
|
)
|
-
|
-
|
7
|
|||||||||||||||||
Employee stock options forfeited and expired
|
-
|
103
|
(103
|
)
|
-
|
-
|
-
|
|||||||||||||||||
Share-based compensation
|
-
|
-
|
663
|
-
|
-
|
663
|
||||||||||||||||||
Comprehensive loss for the period
|
-
|
-
|
-
|
-
|
(6,645
|
)
|
(6,645
|
)
|
||||||||||||||||
BALANCE AT MARCH 31, 2020
|
4,907
|
267,140
|
12,488
|
(1,416
|
)
|
(254,611
|
)
|
28,508
|
Three months ended
March 31,
|
||||||||
2019
|
2020
|
|||||||
in USD thousands
|
||||||||
CASH FLOWS - OPERATING ACTIVITIES
|
||||||||
Comprehensive loss for the period
|
(6,155
|
)
|
(6,645
|
)
|
||||
Adjustments required to reflect net cash used in operating activities
(see appendix below)
|
1,533
|
(93
|
)
|
|||||
Net cash used in operating activities
|
(4,622
|
)
|
(6,738
|
)
|
||||
CASH FLOWS - INVESTING ACTIVITIES
|
||||||||
Investments in short-term deposits
|
(21,510
|
)
|
(6,000
|
)
|
||||
Maturities of short-term deposits
|
12,228
|
12,191
|
||||||
Purchase of property and equipment
|
(31
|
)
|
-
|
|||||
Net cash provided by (used in) investing activities
|
(9,313
|
)
|
6,191
|
|||||
CASH FLOWS - FINANCING ACTIVITIES
|
||||||||
Issuance of share capital and warrants, net of issuance costs
|
14,989
|
1,103
|
||||||
Employee stock options exercised
|
1
|
7
|
||||||
Repayments of loans
|
(23
|
)
|
(682
|
)
|
||||
Repayments of lease liabilities
|
(50
|
)
|
(41
|
)
|
||||
Net cash provided by financing activities
|
14,917
|
387
|
||||||
INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS
|
982
|
(160
|
)
|
|||||
CASH AND CASH EQUIVALENTS – BEGINNING OF PERIOD
|
3,404
|
5,297
|
||||||
EXCHANGE DIFFERENCES ON CASH AND CASH EQUIVALENTS
|
(2
|
)
|
(65
|
)
|
||||
CASH AND CASH EQUIVALENTS - END OF PERIOD
|
4,384
|
5,072
|
Three months ended
March 31,
|
||||||||
2019
|
2020
|
|||||||
in USD thousands
|
||||||||
Adjustments required to reflect net cash used in operating activities:
|
||||||||
Income and expenses not involving cash flows:
|
||||||||
Depreciation and amortization
|
213
|
321
|
||||||
Long-term prepaid expenses
|
1
|
-
|
||||||
Exchange differences on cash and cash equivalents
|
2
|
65
|
||||||
Fair value adjustments of warrants
|
(79
|
)
|
(476
|
)
|
||||
Share-based compensation
|
284
|
663
|
||||||
Warrant issuance costs
|
417
|
-
|
||||||
Interest and exchange differences on short-term deposits
|
(195
|
)
|
(108
|
)
|
||||
Interest on loans
|
154
|
44
|
||||||
Exchange differences on lease liability
|
-
|
(82
|
)
|
|||||
797
|
427
|
|||||||
Changes in operating asset and liability items:
|
||||||||
Decrease (increase) in prepaid expenses and other receivables
|
786
|
(238
|
)
|
|||||
Decrease in accounts payable and accruals
|
(50
|
)
|
(282
|
)
|
||||
736
|
(520
|
)
|
||||||
1,533
|
(93
|
)
|
||||||
Supplemental information on interest received in cash
|
229
|
184
|
||||||
Supplemental information on interest paid in cash
|
238
|
275
|
a. |
General
|
b. |
Approval of financial statements
|
Number of ordinary shares
|
||||||||
December 31,
|
March 31,
|
|||||||
2019
|
2020
|
|||||||
Authorized share capital
|
500,000,000
|
500,000,000
|
||||||
Issued and paid-up share capital
|
171,269,528
|
178,709,725
|
In USD and NIS
|
||||||||
December 31,
|
March 31,
|
|||||||
2019
|
2020
|
|||||||
Authorized share capital (in NIS)
|
50,000,000
|
50,000,000
|
||||||
Issued and paid-up share capital (in NIS)
|
17,126,953
|
17,870,972
|
||||||
Issued and paid-up share capital (in USD)
|
4,691,734
|
4,906,787
|
• |
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 and ability to access sufficient 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.
|
• |
Motixafortide 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 motixafortide 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 dual combination demonstrated encouraging disease control and overall survival in patients with metastatic
pancreatic cancer. In addition, assessment of patient biopsies supported motixafortide’s ability to induce infiltration of tumor-reactive T-cells into the tumor, while reducing the number of immunosuppressive 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 motixafortide, KEYTRUDA and chemotherapy. We initiated this arm
of the trial in December 2018. In December 2019, we announced that preliminary data from the study indicated that the triple combination therapy showed a high level of disease control, including seven partial responders and 10 patients
with stable disease out of 22 evaluable patients. In January 2020, we completed recruiting a total of 43 patients for the study, and overall results are expected in mid-2020.
|
➢ |
In August 2016, in the framework of an agreement with MD Anderson Cancer Center, or MD Anderson, we entered into an additional collaboration for the investigation of motixafortide in combination with KEYTRUDA in pancreatic cancer.
The focus of this study, in addition to assessing clinical response, was 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 supplied motixafortide for this Phase 2b study, which commenced in January 2017. Partial results from this study (based on a cut-off in July 2019 from 20 enrolled patients out of which 15 were evaluable) showed that the
dual combination demonstrated clinical activity and encouraging overall survival in patients with metastatic pancreatic cancer. In addition, assessment of patient biopsies supported motixafortide’s ability to induce infiltration of
tumor-reactive T-cells into the tumor.
|
➢ |
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 positive safety and response rate data for subjects treated with a
combination of motixafortide 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 evaluating our next clinical development steps in this indication.
|
➢ |
We are currently investigating motixafortide 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 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 motixafortide 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 conduct of an interim analysis on this
study based on various factors, including the occurrence of a minimum number of reported events and/or exposure to provide a reasonable statistical powering for the analysis. We currently estimate the timing of such interim analysis to
be in the second half of 2020. Top-line results from the trial are not expected before 2022.
|
➢ |
In March 2015, we reported successful top-line results from a Phase 1 safety and efficacy trial for the use of motixafortide 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 motixafortide 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 motixafortide 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, placebo-controlled Phase 3 registrational trial for motixafortide, known as the GENESIS trial, for the mobilization of hematopoietic stem cells, or 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
motixafortide in combination with G-CSF were successfully engrafted in all 11 patients. 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 motixafortide. These studies serve to further elucidate the mechanism of action for motixafortide. The results of studies such as these are presented from time to time at relevant professional conferences.
|
➢ |
In September 2013, the FDA granted an Orphan Drug Designation to motixafortide as a therapeutic for the treatment of AML; and in January 2014, the FDA granted an Orphan Drug Designation to motixafortide as a treatment for stem cell
mobilization. In January 2015, the FDA modified this Orphan Drug Designation for motixafortide for use either as a single agent or in combination with G-CSF. In February 2019, the FDA granted Orphan Drug Designation to motixafortide as
a therapeutic for the treatment of pancreatic cancer. In January 2020, the European Medicines Agency, or EMA, granted Orphan Drug Designation to motixafortide 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, US and Israel. Initial safety results from the first part of the study were announced at
the beginning of September 2019; at the end of the same month, the second part of the study was commenced. Due to clinical operating issues associated with the COVID-19 pandemic, initial proof-of-mechanism of action and efficacy results
from the second part of the study have been delayed and are now expected in the second half of 2021.
|
• |
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 products for treatment of this first OTC indication (warts/verrucas) commenced in Europe in the second quarter of 2016.
Since then, Perrigo invested in improving the product and during 2019 launched an improved version of the product in several European countries. In March 2020, we agreed that Perrigo could relinquish its license rights for certain
countries that had been included in its territory according to the original license agreement and was no longer obligated to develop, obtain regulatory approval for and commercialize products for a second OTC indication. In turn, in
March 2020, we agreed with our licensor of the rights to BL-5010, Innovative Pharmaceutical Concepts (IPC) Inc., or IPC, to return to IPC those license rights no longer outlicensed to Perrigo as a result of the agreement described in
the preceding sentence, in consideration of the payment to BioLineRx of royalties or fees on sublicense receipts.
|
Project
|
Status
|
Expected Near Term Milestones
|
||
motixafortide
|
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. |
Interim results in second half of 2020
|
|
3. |
Phase 2a in pancreatic cancer under Merck collaboration (COMBAT/KEYNOTE-202) ongoing; preliminary results from triple
combination arm announced in December 2019; recruitment completed in January 2020
|
3. |
Progression-free and overall survival results expected in mid-2020
|
|
4.
|
Phase 3 registration study in autologous stem cell mobilization commenced (GENESIS), ongoing
|
4. |
Results from randomized, placebo-controlled main part of study expected in second half of 2020
|
|
AGI-134
|
Phase 1/2a study, ongoing
|
Initial proof-of-mechanism efficacy results of part 2 of study expected in second half of 2021
|
||
BL-5010
|
Out-licensed to Perrigo; CE mark approval obtained; commercial launch of improved product for first OTC indication in Europe commenced
|
Expansion of launch of improved product
|
• |
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 cost of drug substance/product manufacturing, storage and shipment;
|
• |
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 March 31,
|
||||||||||||
2019
|
2020
|
Increase (decrease)
|
||||||||||
(in thousands of U.S. dollars)
|
||||||||||||
Research and development expenses
|
4,392
|
5,422
|
1,030
|
Three months ended March 31,
|
||||||||||||
2019
|
2020
|
Increase (decrease)
|
||||||||||
(in thousands of U.S. dollars)
|
||||||||||||
Sales and marketing expenses
|
256
|
175
|
(81
|
)
|
Three months ended March 31,
|
||||||||||||
2019
|
2020
|
Increase (decrease)
|
||||||||||
(in thousands of U.S. dollars)
|
||||||||||||
General and administrative expenses
|
930
|
1,243
|
313
|
Three months ended March 31,
|
||||||||||||
2019
|
2020
|
Increase (decrease)
|
||||||||||
(in thousands of U.S. dollars)
|
||||||||||||
Non-operating income (expenses), net
|
(340
|
)
|
469
|
809
|
Three months ended March 31,
|
||||||||||||
2019
|
2020
|
Increase (decrease)
|
||||||||||
(in thousands of U.S. dollars)
|
||||||||||||
Financial income
|
210
|
140
|
(70
|
)
|
||||||||
Financial expenses
|
(447
|
)
|
(414
|
)
|
33
|
|||||||
Net financial income (expenses)
|
(237
|
)
|
(274
|
)
|
(37
|
)
|
• |
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;
|
• |
interest and principal payments on the loan from Kreos Capital;
|
• |
any cost that we may incur under current and future licensing arrangements relating to our therapeutic candidates; and
|
• |
payments to the IIA.
|
Three months ended
March 31,
|
||||||||
2019
|
2020
|
|||||||
(in U.S. dollars)
|
||||||||
Loss per ADS – basic and diluted
|
0.69
|
0.56
|
December 31, 2019
|
March 31,
2020
|
|||||||
(in number of ADSs)
|
||||||||
Authorized share capital
|
33,333,333
|
33,333,333
|
||||||
Issued and paid-up capital
|
11,417,968
|
11,913,981
|