Earnings Labs

BioLineRx Ltd. (BLRX)

Q2 2022 Earnings Call· Tue, Aug 16, 2022

$2.69

+20.41%

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Transcript

Operator

Operator

Ladies and gentlemen, thank you for standing by. Welcome to the BioLineRx Second Quarter 2022 Results Conference Call. All participants are presently in a listen-only mode. Following management's formal presentation instructions will be given for the question-and-answer session. [Operator Instructions] I would now like to turn over the call to Tim McCarthy of LifeSci Advisors. Please go ahead.

Tim McCarthy

Analyst

Thank you, operator. Before turning the call over to management, I would like to make the following remarks concerning forward-looking statements. All statements in this conference call, other than historical facts, are indeed forward-looking statements. The words anticipate, believe, estimate, expect, intend, guidance, confidence, target, project and other similar expressions are used typically to identify such forward-looking statements. These forward-looking statements are not guarantees of future performance and may involve and are subject to certain risks and uncertainties and other factors that may affect BioLineRx's business, financial conditions and other operating results. These include but are not limited to the risk factors and other qualifications contained in BioLineRx's annual report on Form 20-F, quarterly reports filed in the 6-K and other reports filed by BioLineRx with the SEC to which your attention is directed. Actual outcomes and results may differ materially from what is expressed or implied by these forward-looking statements. BioLineRx expressly disclaims any intent or obligation to update these forward-looking statements. At this time, it is now my pleasure to turn the call over to Mr. Phil Serlin, Chief Executive Officer of BioLineRx.

Philip Serlin

Analyst

Thank you, Tim and good morning, everyone and thank you for joining us on our second quarter results conference call today. Earlier this morning, we issued a press release, a copy of which is available in the Investor Relations section of our website. It was also filed as a 6-K. I will begin with an overview of our second quarter. Then Mali Zeevi, our Chief Financial Officer, will provide a discussion of our financial results. We will then open up the call and are looking forward to your questions. Also joining the call for Q&A are Abi Vainstein, our Chief Medical Officer; Ella Sorani, our Chief Development Officer and Holly May, our Chief Commercial Officer. During the second quarter and subsequent period we made significant progress across both our stem cell mobilization and pancreatic cancer programs for our lead compound Motixafortide. At the same time we are approaching a key data readout for our second program the anti-cancer vaccine, AGI-134, which I will discuss shortly. Turning to our most advanced opportunity stem cell mobilization. In stem cell mobilization we are nearing completion of our new drug application and anticipate submitting the package to the FDA within the next four to six weeks. Recall that we held a successful pre-NDA meeting with the agency this past December and gained alignment on key aspects of the filing, most notably that a single Phase 3 study Genesis would be sufficient to support a submission. As a brief reminder, our Genesis Phase 3 trial of Motixafortide in stem cell mobilization met all primary and secondary endpoints with a very high degree of statistical significance, a P value of less than 0.0001. Approximately 90% of patients underwent transplantation after mobilizing the target number of stem cells following only one administration of Motixafortide on top of…

Mali Zeevi

Analyst

Thank you, Phil. As is our practice in our financial discussion, we will only go over a few significant items on this call, research and development expenses and cash. Therefore, let me invite you to review the filings we made this morning, which contain our financials, operating and financial review and press release for additional information. . Research and development expenses for the three months ended June 30, 2022, were $5.4 million, an increase of $0.3 million or 5% compared to $5.1 million for the three months ended June 30, 2021. The increase resulted primarily from an increase in expenses associated with the AGI-134 study offset by lower expenses associated with the completed motixafortide GENESIS trial, as well as lower expenses related to NDA supporting activities related to Motixafortide. Research and development expenses for the six months ended June 30, 2022 were $9.8 million, an increase of $0.4 million or 4.4%, compared to $9.4 million for the six months ended June 30, 2021. The reason for the increase is similar to the aforementioned increase in the three month period. Turning to cash, the company held $43.2 million of cash, cash equivalents and short-term bank deposits as of June 30, 2022. We believe we are well financed to achieve multiple potentially value-creating milestones into the first half of 2024. And with that, I'll turn the call back over to Phil.

Philip Serlin

Analyst

Thank you, Mali. In closing, as is our custom, I would like to take a few moments to summarize our key upcoming milestones. First, submission of an NDA to the FDA for Motixafortide as a novel mobilization agent for multiple myeloma patients undergoing autologous stem cell transplantation expected in the next 4 to 6 weeks. Secondly, announcement of initial results for Part 2 of the Phase I/IIa trial of AGI-134 in solid tumors in the second half of 2022. And now for some slightly longer-term milestones, potential FDA approval of motixafortide in 2023, potential U.S. launch of Motixafortide and stem cell mobilization in 2023. Initiation of a Phase IIb randomized study in PDAC under our collaboration with GenFleet in 2023 and initiation of Phase II study for AGI-134 in 2023. And with that, we have now concluded the formal part of our presentation. Operator, we will now open up the call to questions.

Operator

Operator

Thank you. [Operator Instructions] The first question is from John Pantginis from Wainwright. Please go ahead.

Philip Serlin

Analyst

Joe, are you there?

Joe Pantginis

Analyst

Can you hear me?

Philip Serlin

Analyst

Yes, now we can. Go ahead.

Joe Pantginis

Analyst

Great. Thank you. Thank you. So a few logistical questions. So first, glad to see that the NDA filing is on track. Just curious in what Is you need to dot and Ts to cross that are still outstanding?

Philip Serlin

Analyst

They want to know what is left to do. Just go ahead.

Abi Vainstein-Haras

Analyst

Hi, John, it's Abi speaking. There are several steps when you are doing a submission, you need to write and you need to publish and we are on track. We are completing our work here in BioLine of writing and we are moving forward with all the publishing and all the technical issues. And we – and for this reason, we can already say that we are on track. We are sure about that.

Joe Pantginis

Analyst

Okay. And then with regard to sort of pre-launch activities, I'll ask a few questions on that, but first, I wanted to ask about the manufacturing preparedness should you be approved.

Philip Serlin

Analyst

Yes. So, I mean we've already completed our validation batches. We have - our API is manufactured in the U.S. are at a well-known site. Our drug products manufactured in Europe is at a well-known site. We've already started working with secondary packaging, et cetera, et cetera, as we mentioned on the call. So, we feel that we are very much on track for a timely launch if approved.

Joe Pantginis

Analyst

Got it. And then, so with regard to commercial prep and I appreciate all the details you shared in your prepared comments and definitely a great hire in Holly. So, I guess, you talked about, obviously, you're looking at all options in the U.S. So let's just focus on the potential if you were to bring forward yourself at least in the beginning. So what can you be doing right now, but not necessarily pulling the trigger on regard to, say, pre-hire types of details for a sales force and what kind of size would you potentially be looking at because hemoncs are generally pretty specific.

Philip Serlin

Analyst

Yes, so, I mean, I'll turn it over to Holly in a minute. I just want to say, as I mentioned, we have not made any decision at this point. All options are on the table at the moment. We are speaking with potential co-commercialization partners, as well as looking at the potential for going out on our own. We are doing quite a number, as I said, of pre-launch activities, all of which are applicable under any of the scenarios as far as commercialization. So I just want to say that briefly, and I'd be happy to turn it over to Holly to ask to add any more color.

Holly May

Analyst

Sure. Thanks. This is Holly. And our big goal, whether we – regardless of the [consultation] (ph) structure, partner, self-commercialization is to be able to have a launch just as close the PDUFA date as possible. And so there is many activities that regardless of who is going to market absolutely need to be initiated ahead of time. And we are already – we've already evaluated them and we are well on our way with things such as supply chain, thinking about market access, thinking about customers and the kind of the overall go-to-market strategy. I think Phil mentioned some of these, but a little bit more color there is secondary packaging. We're well on our serialization process. We've got 3PL partners identifying state licensing is another long lead time item that we've considered. We've been looking into through talking with customers and market research demand drivers to be able to really assess the marketplace to establishing through medical affairs outside of commercial, but medical affairs, relationships with both accounts and transplanters. And then, like I said, looking at the most important market access type of decisions such as pricing variables, et cetera. So regardless of the commercialization strategy that we move forward with all of those things are items that need to be in the pre-launch period and we have initiated things in all of those regards.

Joe Pantginis

Analyst

Okay. Got it. Thanks for that Holly. And then I guess one last question. I mean, maybe not looking to disclose today, so – and it's option dependent as well. When do you think you might be or BioLine might be in the position to describe clinical plans beyond multiple myeloma that you alluded to?

Philip Serlin

Analyst

Abi, would you like to take that?

Abi Vainstein-Haras

Analyst

I will take that. Indeed, we are not communicating right now, our plan doesn't mean that we didn't have a lot of plans. Currently, our focus is on the NDA submission. However, we have several ideas on how to continue the development of BL-8040 either in the area of the hematological disease, as well as in solid tumor. As you may remember, we have a deal with GenFleet in order to develop BL-8040 to continue the development of BL-8040 in pancreatic cancer. And in this we are continuing to work. We have a study, an investigator initiated study also in pancreatic cancer in the U.S., in Columbia University and we have some other ideas on how to develop, to continue and to expand the development of BL-8040 in the area of hematology. But I think that we will need to be more - we will need to wait a little bit more before we can discuss this other idea.

Joe Pantginis

Analyst

I appreciate it. Thanks for all the added color guys.

Philip Serlin

Analyst

Alright. Thanks so much have a great day, Joe.

Operator

Operator

The next question is from Mark of Oppenheimer. Please go ahead.

Mark Breidenbach

Analyst

Hey. Thanks for taking the questions. Just a couple from me. And just wanted to seek some additional clarity on the cash runway guidance. Is the guidance you are offering today inclusive of all prelaunch expenses that you think are going to be necessary to support commercialization? Or is it right now just really focusing or inclusive of the long lead time items? So that's the first question. And the second question, I was just wondering if there is been any news or updates from the academic sponsored trial in frontline PDAC. Are we possibly going to be seeing any data from that trial later this year? Thanks for taking my questions.

Philip Serlin

Analyst

Okay. Abi, you want to take the second one first?

Abi Vainstein-Haras

Analyst

Yes, I will. First of all – it’s an investigator-initiated study, we have less of influence on what happened there, but we hope to have some results to share in the upcoming months and see how we will move forward in this regard in terms of pancreatic cancer. But at the moment, I cannot commit to any specific day, but it should be in the upcoming months.

Philip Serlin

Analyst

And as far as the cash runway, we mentioned that we have $43 million in cash, which, again, as we mentioned, is enough to take us through our major upcoming milestones, which include most of the pre-launch activities. And as a pre-commercial stage company, we believe that we'll have multiple options available to us if and when the time comes.

Mark Breidenbach

Analyst

Alright. Thanks for clarifying and thanks for taking our questions.

Philip Serlin

Analyst

Thank you. Have a great day.

Operator

Operator

The next question is from John Vandermosten of Zacks. Please go ahead.

John Vandermosten

Analyst

Hello everyone and good morning, and good afternoon. I'd like to understand the GenFleet arrangement. So they are doing a trial, a triple combination trial in China. Will it only remain there? Is the deal only in the Chinese geography and what if it's successful and how might that expand out to other regions?

Philip Serlin

Analyst

Yes. So, I can just say that this is a trial that they are performing a Phase IIb randomized study in 200 patients in first-line metastatic pancreatic cancer. But they do not have any rights to the no territory. They don't have any territorial rights in China, Greater China anywhere. We are keeping all of the global rights and all of the global indications to the product. They are entitled to a low-single-digit royalty if Motixafortide is approved. Once we receive, hopefully, if the data is positive, we believe and since in a positive and a randomized, well-designed, randomized, controlled Phase IIb study, we believe that we will be able to take that data and speak to additional partners, larger global partners to go forward with a clinical development plan to a Phase III study and again, if successful, then to registration.

John Vandermosten

Analyst

And they would be eligible for that royalty on a global basis as long as it's used in that triple combination, but that's it.

Philip Serlin

Analyst

No, they would be entitled to a royalty on Motixafortide sales in general, but again, a very small single-digit royalty and it's also capped. But we haven't given much – we haven't given that much guidance on it, we gave overall guidance at this point.

John Vandermosten

Analyst

Okay. And the checkpoint inhibitor that they're using that their own internally developed checkpoint inhibitor?

Philip Serlin

Analyst

Yes. We haven't disclosed that. I mean, they have access to a checkpoint inhibitor.

John Vandermosten

Analyst

Okay. I know there have been a number of them developed in China that are similar in the way they act compared to the ones developed.

Philip Serlin

Analyst

That's our feeling. .

John Vandermosten

Analyst

Yes. Okay. And questions on Motixafortide in in autologous stem cell transplants, if approval comes, it will be in multiple myeloma patients, but obviously, the potential market is a little bit larger. Are there any efforts you can make to use it in a broader transplant setting, such as in perhaps allogeneic transplants or beyond multiple myeloma? And what would you need to do to get there? I mean, perhaps not another trial necessary or perhaps it is. What do you see the pathway there for expanding the use outside of the multiple myeloma area?

Abi Vainstein-Haras

Analyst

I will take this question. Again, you are right. There are other places – other indications for stem cell mobilization. However, the biggest and largest indication is in multiple myeloma is the one that we choose. This is one of the reasons for what. We choose multiple myeloma because it's the largest and there were still an unmet demand that's increasing all the time because of the increase of the induction treatment and the age of the patient. And therefore, this is the larger market. If we want to to have an expanded indication in terms of mobilization, we will need to have some kind of data from clinical trials, the type of clinical trial that we need to do. We need to check it again. But there are – as I said before, there are other opportunities that we are evaluating in further and we will need to decide which is what is the best for us to invest in order to expand the labor.

John Vandermosten

Analyst

Okay, great. And last one for me is for you, Molly on R&D expenditures. Will AGI-134 expenses continue to increase as the year progresses? Is that what we are thinking?

Mali Zeevi

Analyst

Yes. As we already published completed the recruitment of the AGI-134 and we are working on the analysis of the blood samples. That's why you see the increase in the R&D expenses related to the AGI-134.

John Vandermosten

Analyst

Okay. And so they should remain at similar levels or maybe drop-off a bit as we move into second half.

Mali Zeevi

Analyst

Yes, this will drop-off a little bit by the end of the year.

John Vandermosten

Analyst

Okay. Great. Thank you guys. Appreciated.

Philip Serlin

Analyst

Thanks, John. Have a great day. .

Operator

Operator

[Operator Instructions] There are no further questions at this time. Before I ask Mr. Phil Serlin to go ahead with his closing statement, I would like to remind participants that a replay of this call is scheduled to begin two hours after the conference. In the U.S., please call 1 (888) 295-2634. In Israel, please call 03 9255-904. Internationally, please call (972) 3 9255-904. Mr. Serlin, would you like to make your concluding statement?

Philip Serlin

Analyst

Yes, I would. Thank you, operator. To summarize, we remain on track to submit our NDA for Motixafortide in stem cell mobilization in the next 4 to 6 weeks while in parallel, we advance prelaunch activities. We are evaluating different options with respect to the commercialization of Motixafortide in the U.S., either independently or with a partner. In either case, our ultimate goal is to execute a robust launch of approved that maximizes the value of the asset. We believe we can capture a significant share of the U.S. market estimated to be in excess of $360 million and growing rapidly. And from both a clinical and pharmacoeconomic perspective we believe Motixafortide in top of G-CSF can quickly become the standard of care in this important indication. At the same time, we are pleased to advance Motixafortide in pancreatic cancer through our GenFleet agreement and we are rapidly approaching a key data readout for AGI-134. And I am very pleased with the progress that we made during the second quarter and look forward to a very productive back half of the year. Thank you all very much for your continued interest in BioLineRx and we look forward to providing our next comprehensive update in November. Be safe and have a great day.

Operator

Operator

Thank you. This concludes the BioLineRx Second Quarter 2022 Results Conference Call. Thank you for your participation. You may go ahead and disconnect.