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BioLineRx Ltd.
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By:
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/s/ Philip A. Serlin
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Philip A. Serlin
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Chief Executive Officer
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• |
Launched APHEXDA (motixafortide) in the U.S.
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• |
Announced closing of exclusive license agreement that includes development and commercialization rights to motixafortide across all indications in the Asia region, as well as a strategic equity investment
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• |
Strengthened motixafortide intellectual property estate with notice of allowance for U.S. patent covering method of manufacturing motixafortide suitable for large scale production; the patent supplements existing Orphan Drug Designation
in the U.S. and Europe for the treatment of pancreatic cancer, as well as Orphan Drug market exclusivity for autologous stem cell mobilization in multiple myeloma patients in the U.S. following last year’s FDA approval of APHEXDA
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• |
Reported positive coverage decisions by payers representing ~95% of all covered lives in the U.S.
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• |
Received inclusion of APHEXDA in the National Comprehensive Cancer Network (NCCN) guidelines for Hematopoietic Cell Transplantation
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• |
Achieved "on formulary" status for APHEXDA within targeted top 80 transplantation centers (which perform 85% of all U.S. transplants) managing ~20% of stem cell transplant procedures at these institutions; anticipate similar on
formulary status of ~35% at end of Q2 2024 and ~60% at year-end 2024
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• |
Received Healthcare Common Procedure Coding System (HCPCS) J-Code to facilitate Medicare reimbursement for APHEXDA to transplant centers treating Medicare beneficiaries
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• |
Presented posters at both the American Society of Hematology (ASH) 65th Annual Meeting on December 10, 2023, and
the 2024 Tandem Meetings on February 21-24, 2024. The posters reviewed combination premedication benefits in the Phase 3 GENESIS trial, extended PD effect of elevated CD34+ cells in
peripheral blood, and a post-hoc subgroup analysis of impaired HSC mobilization patients that demonstrated a consistent benefit of motixafortide + G-CSF over placebo + G-CSF mobilization for all patients
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• |
Supported collaboration partner Gloria Biosciences with stem cell mobilization bridging study IND filing in February with the Center for Drug Evaluation of the National Medical Products Administration in China. Anticipate regulatory
action in May 2024 and initiation of pivotal clinical trial in 2H 2024
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• |
Announced first patient dosed in a randomized, investigator-initiated Phase 2b clinical trial in collaboration with Columbia University assessing motixafortide in combination with the PD-1 inhibitor cemiplimab and standard-of-care
chemotherapy as first-line treatment in patients with metastatic pancreatic cancer
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• |
Advanced plans with collaboration partner Gloria Biosciences on a Phase 2b randomized clinical trial in China assessing motixafortide in combination with the PD-1 inhibitor zimberelimab and standard-of-care chemotherapy as first-line
treatment in patients with metastatic pancreatic cancer. Anticipate clinical trial initiation in 2025
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• |
Continued to enroll patients into a clinical trial in collaboration with Washington University School of Medicine in St. Louis to evaluate motixafortide as monotherapy and in combination with natalizumab for stem cell mobilization for
gene therapies in sickle cell disease. Anticipate data in 2H 2024
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• |
Total revenues for the year ended December 31, 2023, were $4.8 million, compared to no revenues for the year ended December 31, 2022. Revenues in 2023 (all of which were recorded in the fourth quarter) primarily reflect a portion of the
upfront payment from the Gloria Biosciences license agreement, of which $4.6 million was recognized in 2023, as well as $0.2 million of revenues from product sales of APHEXDA in the U.S.
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• |
Cost of revenues for the year ended December 31, 2023, amounted to $3.7 million, compared to no cost of revenues for the year ended December 31, 2022. The cost of revenues in 2023 (all of which was recorded in the fourth quarter)
primarily reflects a $3.0 million sub-license fee to the upstream licensor of motixafortide payable on closing of the exclusive license agreement in Asia, as well as amortization of an intangible asset in respect of these license revenues
in the amount of $0.5 million. Cost of product sales were insignificant, representing approximately 6% of related sales.
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• |
Research and development expenses for the year ended December 31, 2023, were $12.5 million, compared to $17.6 million for the year ended December 31, 2022. The decrease resulted primarily from lower expenses related to motixafortide NDA
supporting activities, as well as lower expenses associated with completion of the AGI-134 study
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• |
Sales and marketing expenses for the year ended December 31, 2023, were $25.3 million, compared to $6.5 million for the year ended December 31, 2022. The increase resulted primarily from the ramp-up of pre-commercialization and
commercialization activities related to motixafortide
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• |
General and administrative expenses for the year ended December 31, 2023, were $6.3 million, compared to $5.1 million for the year ended December 31, 2022. The increase resulted primarily from an increase in payroll and related expenses
associated with a small headcount increase during the 2022 period, as well as an increase in professional services and legal expenses
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• |
Non-operating expenses for the year ended December 31, 2023, were $10.8 million, compared to non-operating income of $5.7 million for the year ended December 31, 2022. Non-operating expenses and income primarily relate to the non-cash
revaluation of outstanding warrants resulting from changes in the company’s share price during the respective periods
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• |
Net loss for the year ended December 31, 2023 was $60.6 million, compared to $25.0 million for the year ended December 31, 2022. The net loss for 2023 included $17.8 million in non-cash expenses, specifically an expense of $11.1 million
for the revaluation of warrants and a one-time $6.7 million impairment of intangible assets associated with discontinuation of the AGI-134 development program. The net loss for 2022 included $6.4 million in non-cash income specifically
related to the revaluation of warrants.
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• |
As of December 31, 2023, the Company had cash, cash equivalents, and short-term bank deposits of $43.0 million. The Company anticipates that this amount and other available resources, including amounts available under a debt facility
with Kreos Capital, will be sufficient to fund operations, as currently planned, into 2025
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December 31,
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||||||||
2022
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2023
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|||||||
in USD thousands
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||||||||
Assets
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||||||||
CURRENT ASSETS
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||||||||
Cash and cash equivalents
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10,587
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4,255
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||||||
Short-term bank deposits
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40,495
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38,739
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Trade receivables
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-
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358
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||||||
Prepaid expenses
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198
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1,048
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||||||
Other receivables
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721
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830
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Inventory
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-
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1,953
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Total current assets
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52,001
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47,183
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NON-CURRENT ASSETS
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||||||||
Property and equipment, net
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726
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473
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Right-of-use assets, net
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1,772
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1,415
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Intangible assets, net
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21,885
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14,854
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Total non-current assets
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24,383
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16,742
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Total assets
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76,384
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63,925
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Liabilities and equity
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||||||||
CURRENT LIABILITIES
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||||||||
Current maturities of long-term loans
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1,542
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3,145
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Contract liabilities
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-
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12,957
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||||||
Accounts payable and accruals:
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||||||||
Trade
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6,966
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10,869
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||||||
Other
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1,744
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3,353
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Current maturities of lease liabilities
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427
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528
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Total current liabilities
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10,679
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30,852
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||||||
NON-CURRENT LIABILITIES
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||||||||
Warrants
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4,509
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11,932
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||||||
Long-term loans, net of current maturities
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8,626
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6,628
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Lease liabilities
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1,729
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1,290
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Total non-current liabilities
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14,864
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19,850
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COMMITMENTS AND CONTINGENT LIABILITIES
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Total liabilities
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25,543
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50,702
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EQUITY
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Ordinary shares
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27,100
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31,355
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Share premium
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338,976
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355,482
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Warrants
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1,408
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1,408
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Capital reserve
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14,765
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17,000
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Other comprehensive loss
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(1,416
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)
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(1,416
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)
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Accumulated deficit
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(329,992
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)
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(390,606
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)
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Total equity
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50,841
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13,223
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Total liabilities and equity
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76,384
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63,925
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Year ended December 31,
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||||||||||||
2021
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2022
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2023
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||||||||||
in USD thousands
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||||||||||||
REVENUES
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-
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-
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4,800
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COST OF REVENUES
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-
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-
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(3,692
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)
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GROSS PROFIT
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-
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-
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1,108
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RESEARCH AND DEVELOPMENT EXPENSES
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(19,466
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)
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(17,629
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)
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(12,519
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)
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SALES AND MARKETING EXPENSES
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(1,003
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)
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(6,462
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)
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(25,270
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)
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GENERAL AND ADMINISTRATIVE EXPENSES
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(4,308
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)
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(5,066
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)
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(6,310
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)
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IMPAIRMENT OF INTANGIBLE ASSETS
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-
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-
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(6,703
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)
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||||||||
OPERATING LOSS
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(24,777
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)
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(29,157
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)
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(49,694
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)
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NON-OPERATING INCOME (EXPENSES), NET
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(1,830
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)
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5,670
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(10,819
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)
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FINANCIAL INCOME
|
559
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694
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2,068
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|||||||||
FINANCIAL EXPENSES
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(1,006
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)
|
(2,158
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)
|
(2,169
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)
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LOSS AND COMPREHENSIVE LOSS
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(27,054
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)
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(24,951
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)
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(60,614
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)
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in USD
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||||||||||||
LOSS PER ORDINARY SHARE – BASIC AND DILUTED
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(0.04
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)
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(0.03
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)
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(0.06
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)
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WEIGHTED AVERAGE NUMBER OF SHARES USED IN CALCULATION OF LOSS PER ORDINARY SHARE
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662,933,695
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773,956,973
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963,365,525
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Ordinary shares
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Share premium
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Warrants
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Capital reserve
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Other comprehensive
loss |
Accumulated deficit
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Total
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||||||||||||||||||||||
in USD thousands
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||||||||||||||||||||||||||||
BALANCE AT JANUARY 1, 2021
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9,870
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279,241
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-
|
12,322
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(1,416
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)
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(277,987
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)
|
22,030
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|||||||||||||||||||
CHANGES IN 2021:
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||||||||||||||||||||||||||||
Issuance of share capital and warrants, net
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8,956
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40,476
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975
|
-
|
-
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-
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50,407
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|||||||||||||||||||||
Warrants exercised
|
2,235
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18,967
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-
|
-
|
-
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-
|
21,202
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|||||||||||||||||||||
Employee stock options exercised
|
5
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41
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-
|
(39
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)
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-
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-
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7
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||||||||||||||||||||
Employee stock options expired
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-
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621
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-
|
(621
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)
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-
|
-
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-
|
||||||||||||||||||||
Share-based compensation
|
-
|
-
|
-
|
1,495
|
-
|
-
|
1,495
|
|||||||||||||||||||||
Comprehensive loss for the year
|
-
|
-
|
-
|
-
|
(27,054
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)
|
(27,054
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)
|
||||||||||||||||||||
BALANCE AT DECEMBER 31, 2021
|
21,066
|
339,346
|
975
|
13,157
|
(1,416
|
)
|
(305,041
|
)
|
68,087
|
|||||||||||||||||||
CHANGES IN 2022:
|
||||||||||||||||||||||||||||
Issuance of share capital and warrants, net
|
6,029
|
(1,007
|
)
|
433
|
-
|
-
|
-
|
5,455
|
||||||||||||||||||||
Employee stock options exercised
|
5
|
14
|
-
|
(14
|
)
|
-
|
-
|
5
|
||||||||||||||||||||
Employee stock options expired
|
-
|
623
|
-
|
(623
|
)
|
-
|
-
|
-
|
||||||||||||||||||||
Share-based compensation
|
-
|
-
|
-
|
2,245
|
-
|
-
|
2,245
|
|||||||||||||||||||||
Comprehensive loss for the year
|
-
|
-
|
-
|
-
|
(24,951
|
)
|
(24,951
|
)
|
||||||||||||||||||||
BALANCE AT DECEMBER 31, 2022
|
27,100
|
338,976
|
1,408
|
14,765
|
(1,416
|
)
|
(329,992
|
)
|
50,841
|
|||||||||||||||||||
CHANGES IN 2023:
|
||||||||||||||||||||||||||||
Issuance of share capital, net
|
3,242
|
10,847
|
-
|
-
|
-
|
-
|
14,089
|
|||||||||||||||||||||
Warrants exercised
|
1,000
|
5,559
|
-
|
-
|
-
|
-
|
6,559
|
|||||||||||||||||||||
Employee stock options exercised
|
13
|
45
|
-
|
(31
|
)
|
-
|
-
|
27
|
||||||||||||||||||||
Employee stock options expired
|
-
|
55
|
-
|
(55
|
)
|
-
|
-
|
-
|
||||||||||||||||||||
Share-based compensation
|
-
|
-
|
-
|
2,321
|
-
|
-
|
2,321
|
|||||||||||||||||||||
Comprehensive loss for the year
|
-
|
-
|
-
|
-
|
-
|
(60,614
|
)
|
(60,614
|
)
|
|||||||||||||||||||
BALANCE AT DECEMBER 31, 2023
|
31,355
|
355,482
|
1,408
|
17,000
|
(1,416
|
)
|
(390,606
|
)
|
13,223
|
Year ended December 31,
|
||||||||||||
2021
|
2022
|
2023
|
||||||||||
in USD thousands
|
||||||||||||
CASH FLOWS - OPERATING ACTIVITIES
|
||||||||||||
Loss
|
(27,054
|
)
|
(24,951
|
)
|
(60,614
|
)
|
||||||
Adjustments required to reflect net cash used in operating activities (see appendix below)
|
3,481
|
(1,289
|
)
|
38,006
|
||||||||
Net cash used in operating activities
|
(23,573
|
)
|
(26,240
|
)
|
(22,608
|
)
|
||||||
CASH FLOWS - INVESTING ACTIVITIES
|
||||||||||||
Investments in short-term deposits
|
(78,000
|
)
|
(44,000
|
)
|
(47,588
|
)
|
||||||
Maturities of short-term deposits
|
39,873
|
48,322
|
49,329
|
|||||||||
Purchase of property and equipment
|
(97
|
)
|
(131
|
)
|
(116
|
)
|
||||||
Purchase of intangible assets
|
-
|
(185
|
)
|
(181
|
)
|
|||||||
Net cash provided by (used in) investing activities
|
(38,224
|
)
|
4,006
|
1,444
|
||||||||
CASH FLOWS - FINANCING ACTIVITIES
|
||||||||||||
Issuance of share capital and warrants, net of issuance costs
|
50,407
|
14,359
|
14,089
|
|||||||||
Exercise of warrants
|
10,907
|
-
|
2,928
|
|||||||||
Employee stock options exercised
|
7
|
5
|
27
|
|||||||||
Proceeds from long-term loan, net of issuance costs
|
-
|
9,126
|
-
|
|||||||||
Repayments of loans
|
(3,376
|
)
|
(2,832
|
)
|
(1,543
|
)
|
||||||
Repayments of lease liabilities
|
(196
|
)
|
(220
|
)
|
(445
|
)
|
||||||
Net cash provided by financing activities
|
57,749
|
20,438
|
15,056
|
|||||||||
DECREASE IN CASH AND CASH EQUIVALENTS
|
(4,048
|
)
|
(1,796
|
)
|
(6,108
|
)
|
||||||
CASH AND CASH EQUIVALENTS - BEGINNING OF YEAR
|
16,831
|
12,990
|
10,587
|
|||||||||
EXCHANGE DIFFERENCES ON CASH AND CASH EQUIVALENTS
|
207
|
(607
|
)
|
(224
|
)
|
|||||||
CASH AND CASH EQUIVALENTS - END OF YEAR
|
12,990
|
10,587
|
4,255
|
Year ended December 31,
|
||||||||||||
2021
|
2022
|
2023
|
||||||||||
in USD thousands
|
||||||||||||
APPENDIX
|
||||||||||||
Adjustments required to reflect net cash used in operating activities:
|
||||||||||||
Income and expenses not involving cash flows:
|
||||||||||||
Depreciation and amortization
|
703
|
654
|
1,384
|
|||||||||
Exchange differences on cash and cash equivalents
|
(207
|
)
|
607
|
224
|
||||||||
Fair value adjustments of warrants
|
1,936
|
(6,425
|
)
|
11,054
|
||||||||
Share-based compensation
|
1,495
|
2,245
|
2,321
|
|||||||||
Interest and exchange differences on short-term deposits
|
(262
|
)
|
(672
|
)
|
15
|
|||||||
Interest on loans
|
301
|
1,117
|
1,148
|
|||||||||
Warrant issuance costs
|
-
|
171
|
-
|
|||||||||
Exchange differences on lease liabilities
|
55
|
(224
|
)
|
(42
|
)
|
|||||||
Intangible assets impairment
|
-
|
-
|
6,703
|
|||||||||
4,021
|
(2,527
|
)
|
22,807
|
|||||||||
Changes in operating asset and liability items:
|
||||||||||||
Increase in trade receivables
|
-
|
-
|
(358
|
)
|
||||||||
Increase in inventory
|
-
|
-
|
(1,953
|
)
|
||||||||
Decrease (increase) in prepaid expenses and other receivables
|
24
|
(650
|
)
|
(959
|
)
|
|||||||
Increase (decrease) in accounts payable and accruals
|
(564
|
)
|
1,888
|
5,512
|
||||||||
Increase in contract liabilities
|
-
|
-
|
12,957
|
|||||||||
(540
|
)
|
1,238
|
15,199
|
|||||||||
3,481
|
(1,289
|
)
|
38,006
|
Supplemental information on interest received in cash
|
138
|
342
|
2,020
|
|||||||||
Supplemental information on interest paid in cash
|
682
|
593
|
1,111
|
Supplemental information on non-cash transactions:
|
||||||||||||
Changes in right-of-use asset and lease liabilities
|
183
|
706
|
149
|
|||||||||
Warrant issuance costs
|
-
|
262
|
-
|
|||||||||
Purchase of property and equipment
|
-
|
28
|
-
|
|||||||||
Fair value of exercised warrants (portion related to accumulated fair value adjustments)
|
10,295
|
-
|
3,631
|