SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 6-K
REPORT OF FOREIGN PRIVATE ISSUER
PURSUANT TO RULE 13a-16 OR 15d-16 OF
THE SECURITIES EXCHANGE ACT OF 1934
For the month of December 2017
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BioLineRx Ltd.
(Translation of registrant’s name into English)
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2 HaMa’ayan Street
Modi’in 7177871, Israel
(Address of Principal Executive Offices)
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Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F:
Form 20-F ☒ Form 40-F ☐
Indicate by check mark whether the registrant by furnishing the information contained in this form is also thereby furnishing the information to the Commission pursuant to Rule 12g3-2(b) under the Securities Exchange Act of 1934:
Yes ☐ No ☒
On December 5, 2017, the registrant will be hosting an investor breakfast meeting in New York City beginning at 9:00 am EST. At the meeting, the registrant will present updates about its main therapeutic candidates and corporate objectives. The presentation to be made to investors is filed as
Exhibit 1 to this Report on Form 6-K
This Form 6-K, including all exhibits hereto, is hereby incorporated by reference into all effective registration statements filed by the Company under the Securities Act of 1933.
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
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BioLineRx Ltd. |
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By:
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/s/ Philip Serlin |
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Philip Serlin |
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Chief Executive Officer |
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Exhibit 1
Transforming science into medicine
Forward-Looking Statements This presentation contains “forward-looking statements.” These statements include words like “may,” “expects,” “believes,” “plans,” “scheduled,” and “intends,” and describe opinions about future events. These forward-looking statements involve known and unknown risks and uncertainties that may cause the actual results, performance or achievements of BioLineRx to be materially different from any future results, performance or achievements expressed or implied by such forward-looking statements. 2
Attractive investment caseStrong balance sheet$55 million (end Q3 2017)Significant upcoming milestones:Top line combination results from phase 2 COMBAT study in pancreatic cancerResults from initial lead-in period of phase 3 GENESIS study in SCMInterim analysis from phase 2b BLAST study in consolidation AML Who are we? Oncology and immunology focusLead oncology assets:BL-8040AGI-134 Immunology franchise with Novartis 4 Significant pharma collaborations NASDAQ: BLRX
Main pipeline assets 5 PROJECT INDICATION REGULATORY APPROVAL PRE-CLINICAL PHASE 1 PHASE 2 PHASE 3 Stem-cell mobilization Consolidation AML Solid tumors CANCER BL-8040 AGI-134 Type 1 diabetes immunology BL-9020 Skin lesions other BL-5010 Maintenance AML Gastric cancer Non-small cell lung cancer Pancreatic cancer Pancreatic cancer Liver failure diseases Dry eye syndrome BL-1220 BL-1230
Main Achievements in 2017 Completed recruitment for phase 2a COMBAT study in pancreatic cancer (Merck collaboration) 3 phase 1b/2 studies initiated under the Genentech collaboration (pancreatic, gastric and AML)Reached understandings with FDA on phase 3 registrational study in autologous SCMAcquired highly innovative immuno-oncology asset – AGI-134 – via Agalimmune acquisitionContinued long-term follow-up for phase 2a study in r/r AML – reporting highly encouraging OS data Reported successful partial results on phase 2 study in allogeneic SCMPresented encouraging data at several top-tier scientific conferencesStrengthened balance sheet and brought new leading fundamental life science investors to cap table 7
Clinical update onBL-8040 platform
BL-8040 Clinical Program 9
BL-8040 for Stem-cell Mobilization
Stem cell mobilization - Indications 11 Stem cell mobilization Autologous Haploidentical Allogeneic Phase 3 study- GENESIS: One dose of BL-8040 on top of G-CSF Phase 2 study to assess the effect of BL-8040 as a single agent for Allo and Haplo transplant Phase 1 study in Healthy volunteers of BL-8040 as a single agent
GENESIS Phase 3 - Mobilization of SC for autologous transplant in Multiple Myeloma patients 12 G-CSF, granulocyte-colony stimulating factorClinicaltrials.gov. NCT0346529 Study designPart 1: Lead in period - dose confirmation in up to 30 Multiple Myeloma patientsPart 2: Randomized placebo controlled study in combination with G-CSF in 177 Multiple Myeloma patients BL-8040 potentially offers patientsRobust HSC mobilization Single administration on top of SOCNo more than two apheresis sessions Expected to start Q4 2017 - Phase 3 randomized, placebo-controlled, safety and efficacy study (n=177): NCT03246529
GENESIS Study: Phase 3 SCM in Multiple Myeloma patients 13 Objectives To demonstrate that the combination of BL-8040 + G-CSF is superior to G-CSF alone in… Primary The ability of mobilize > 6M CD34+ cells in up to 2 apheresis Secondary The ability to mobilize > 2M CD34+ cells in 1 apheresis Safety and Tolerability Is safe and tolerable Other Objectives The combination will also be tested with regard to: Time to engraftment of neutrophils and platelets Durability of engraftment
BL-8040 – Solid TumorsMobilizing and promoting infiltration of immune cells and reducing immunosuppression in the tumor microenvironment
BL-8040 - Addressing unmet needs in cancer immunotherapy Despite significant advances in cancer immunotherapy, material needs remain:Improving the efficacy of immunotherapy in “cold” tumors, such as pancreatic cancerIncreasing rates and durability of response to existing therapies such as anti-PD1 and anti-PDL1 antibodies 15 BL-8040 may address these needs by:Mobilization of immune cells into circulationIncreasing immune cell infiltration into tumorsReducing immunosuppression in tumor microenvironment
COMBAT study: Advanced Pancreatic Cancer A Phase 2a, multi-center, open-label study to assess the safety and efficacy of BL-8040 in combination with Pembrolizumab (Keytruda) in patients with advanced pancreatic cancer 16 Phase 2a open-label study in combination with Pembrolizumab (n=30): NCT02826484
COMBAT-Objectives 17 Objectives To demonstrate that the combination of BL-8040 and Pembrolizumab… Primary Induces responses assessed as overall response (CR+PR) Secondary Prolongs the progression free survival (PFS) Prolongs the overall survival (OS) Safety and Tolerability Is safe and tolerable Other Objectives Assessment of ….. Disease control assessment (CR+PR+SD) Biomarkers for monotherapy and combination treatment Biopsy assessment for infiltration Immunophenotyping A phase 2a, multicenter, open-label study to assess the safety and efficacy of BL-8040 in combination with Pembrolizumab (Keytruda) in patients with advanced pancreatic cancer
Participating Sites and PIs Site City/Country PI Patients enrolled Beth Israel Deaconess MC Boston/US Manuel Hidalgo – study PI- 6 Rambam MC Haifa/Israel Ron Epelbaum 5 Tel Aviv Sourasky MC Tel Aviv/ Israel Ravit Geva 4 Sheba MC Ramat Gan/ Israel Talia Golan 4 Rabin MC Petach Tikva/Israel Solomon Shtemer 4 Dana Farber Cancer Institute Boston/US Brian Wolpin 4 Washington University of St Louis St. Louis/US Katrina Pedersen 2 Honor Health Research Institute Arizona/US Erkut Borazanci 3 Samsung MC Seoul/ South Korea Joon Oh Park 2 Mayo Clinics Arizona/US Mitesh Borad/ Ramesh Ramanathan 2 Ochsner MC New Orleans/LA Robert Ramirez 1 Massachusetts General Hospital Boston/US David Ryan 0 Baylor Charles A. Sammons Cancer Center Dallas/US Carlos Becerra 0 RECRUITMENT COMPLETED 18
BL-8040 for Acute Myeloid Leukemia
Acute Myeloid leukemia-Treatment Lines 20
Study BL-8040.01: Encouraging results in patients with relapsed/refractory AML 21 CR, complete response; CRi, complete response with incomplete hematological recovery; AML, Acute Myeloid Leukemia Study designDose escalation (0.5 to 2.0 mg/kg) with expansion cohort at 1.5mg/kg Phase 1/2a dose escalation/expansion study (n=42): NCT01838395 BL-8040.01
BL-8040.01 for Relapse/Refractory AML-Key Findings 22 Population Relapsed or refractory AML patients including patients after allogeneic transplantation Primary Endpoint Safety and Tolerability BL-8040 was found to be safe and well tolerated in combination with high dose cytarabine Secondary endpoint Composite Response rate of 38% in subjects receiving BL-8040 dose ≥1.0 mg/kg (n=39), compared to 16.3 % with cytarabine according to historical data* Exploratory endpoint BL-8040 was found to be pro-apoptotic as a single agent Bl-8040 was found to mobilize blasts to the peripheral blood *VALOR Study, Ravandi et al.
BL-8040.01- Overall Survival in R/R AML patients treated with BL-8040 +HiDAC 23
BLAST study: Consolidation therapy in AML patients in first remission Treatment: Two or three cycles (age-based) of consolidation with high-dose Ara-C together in combination with either BL-8040 or placebo 24 BL-8040 potentially offers AML patients prolonged remission and increased overall survival Phase 2b double-blind, placebo controlled study (n=194): NCT02502968
BLAST-Objectives 25 Objectives To demonstrate that the combination of BL-8040 High Dose Cytarabine (HiDAC) Primary Prolongs the Relapse free survival Secondary Reduces the minimal residual disease (MRD) Prolongs the Overall survival Safety and Tolerability Is safe and tolerable.
BATTLE study – Combination of BL-8040 and Atezolizumab in AML patients at a high risk of relapse A Phase 1b/2, multi-center, single arm, open-label study, to evaluate the safety and efficacy of BL-8040 in combination with Atezolizumab for maintenance treatment in AML patients of 60 years or older that are not fit for transplant 26 BL-8040 + Atezolizumab potentially offers prolonged remission and better overall survival for elderly AML patients not eligible for transplant Phase 1b/2 single arm, open-label study (n=60): NCT03154827
BATTLE-Objectives 27 Objectives To demonstrate that the combination of BL-8040 and Atezolizumab… Primary Prolongs the relapse free survival (RFS) time as compared to historical data. Secondary Reduces the minimal residual disease (MRD) Prolongs the Overall Survival (OS) time as compared to historical data. Prolongs the time to first relapse as compared to historical data. Safety and Tolerability Is safe and tolerable.
AGI-134: a novel and unique immuno-oncology agent tackling the challenge of tumor neoantigen heterogeneity
AGI-134 – Harnessing pre-existing immunity to deliver a patient-specific anti-tumor response 29 Tumors vary from patient to patient in their neoantigen load and identityAGI-134 is a universal drug that evokes a vaccine effect via a unique, hyperacute, multi-arm mechanism that targets patient-specific neoantigens
alpha-Gal and anti-Gal 30 The alpha-Gal epitope is abundantly synthesized on glycolipids of non-primatesDue to constant exposure to this antigen (expressed by gut flora) humans develop and maintain high levels of anti-Gal Abs Xenotransplantation experiments in the 1980s-90s found that, when introduced to humans, the alpha-Gal-positive tissue was bound by pre-existing human anti-Gal antibodies, which were the main cause of the rejection, e.g. of porcine heart valves
AGI-134 A fully synthetic a-Gal glycolipid molecule for intratumoral injection into solid tumors, to induce an immune response against a patient’s own neoantigens a-Gal linker phospholipid 31
AGI-134 – Mechanism of Action 32
Compelling Pre-Clinical Data Supports Phase I Study due 1H 2018 A single dose of AGI-134 into a primary tumor protected mice from secondary tumor development for more than 90 days Combination of AGI-134 with an immune checkpoint inhibitor (anti-PD-1) resulted in increased efficacy over either agent’s monotherapy effect 33 AACR 2017 poster 616ASCO 2016 poster 3083AACR 2016 poster 4862 PBS (n=7)AGI-134 (n=8) PBS (n=13)AGI-134 (n=16) anti-PD1 (n=11)AGI-134 + anti-PD1 (n=16) * *** *** *
How is AGI-134 differentiated from competitors? Evokes personalized anti-tumor immunity Targets a multitude of patient-specific neoantigens Does not require complex ex vivo processing or computer modelling Harnesses pre-existing antibodies Directly labels the treated tumor for destruction Activates the complement cascade, creating a proinflammatory TME Personalized cancer vaccines NewLink Genetics* TLR agonists/innate immune activators AGI-134 *NewLink Genetics were developing a whole-cell cancer vaccine using alpha-Gal to boost immunogenicity. As whole-cell cancer vaccines do not target patient-specific neoantigens and do not alter the TME, they failed in Ph 3 Oncolytic viruses 34
High level outline of Phase 1/2a clinical study RP2D = Recommended Phase 2 Dose Study completion Accelerated escalation monotherapy Monotherapy Basket Part I Part II Combination – HNSCC RP2D Combination – mCRC Combination – STS AGI-134 AGI-134+ IO 35 mCRC = Metastatic Colorectal Cancer STS = Soft Tissue Sarcoma HNSCC = Head and Neck Squamous Cell Carcinoma
Treated and distal tumors:Level and composition of immune infiltrate & change with treatmentChanges in infiltrating T cell repertoire Changes in inflammatory signature Peripheral blood:Anti-Gal antibody titer and change with treatmentChanges in circulating T cell repertoireChanges in pro-inflammatory mediators AGI-134 – Immune monitoring strategy A comprehensive immune monitoring strategy that aims to: Assess how immune status at baseline affects response to treatmentAssess how immune status changes in response to treatmentIdentify markers that are predictive of patient response to treatment 36
2017 2018 Principal Milestones for 2017/2018 38 BL-8040 (Allo SCM)Phase 2 partial results BL-8040 (Auto SCM)Lead-in results BL-8040 (Panc., Gastric, AML) Phase 1/2 initiation (Genentech) BL-8040 (pancreatic) Phase 2 initiation (MDACC) AGI-134Agalimmune acquisition BL-8040 (Allo SCM)Phase 2 top-line results AGI-134 (Solid tumors)Phase 1/2a initiation BL-8040 (Multiple Solid Tumors) Phase 1/2 partial results (Genentech) BL-8040 (Pancreatic Cancer) Phase 1/2 topline results (Merck) BL-8040 (r/r AML) OS results BL-8040 (Auto SCM)Phase 3 initiation BL-8040 (AML Consolidation)Phase 2b interim results
Looking into the upcoming year Multiple read-outs during 2018: COMBAT top line results , Phase 3 lead-in results and potential BLAST interim resultsContinue to lay foundations for future events: Phase 3 in SCM, AGI-134 initiation Company expecting to meet previously-stated timelinesExpecting continued collaborations with leading global pharma companies in 2018 39
BioLineRx in Five Years Our plan is to become a significant player in the biotech industryWith critical mass of advanced projects in developmentAlongside portfolio of revenue-generating assetsWe intend to achieve the following:2-3 products in the market, with material amount of sustainable revenuesPipeline of 3-5 clinical stage assetsFull infrastructure to advance assets through registration and market launchExpansion of strategic collaborations with global pharma companies, with direct access to cutting edge technologiesOne or more significant out-licensing deals with global pharma companyExecute strategic transactions as opportunities arise (in addition to traditional in-licensing model) 41