Earnings Labs

BioLineRx Ltd. (BLRX)

Q4 2018 Earnings Call· Thu, Mar 28, 2019

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Transcript

Operator

Operator

Ladies and gentlemen, thank you for standing by. Welcome to the BioLineRx Fourth Quarter and Full Year 2018 Results Conference Call. All participants are at present in a listen-only mode. Following the 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 Timothy McCarthy of LifeSci Advisors to read the Safe Harbor statement. Tim, 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 condition 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 a 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.

Phil Serlin

Analyst

Thank you, Tim and good morning, everyone. Thank you for joining us on our fourth quarter earnings conference call today. Earlier this morning we issued our Q4 earnings press release, a copy of which is available in the investor relations section of our website. It was also filed as a 6-K. Our agenda this morning is as follows, we will begin with a review of our programs and activities, enumerate our major target milestones over the next few quarters. And then Mali Zeevi, our Chief Financial Officer will provide a short discussion of our financial results. We will then open up the call to your questions. Also joining the call today for Q&A are Abi Vainstein, Vice President Clinical Development and Ella Sorani, Vice President of Research and Development. During the fourth quarter, we made notable progress advancing our therapeutic candidates BL-8040 and AGI-134 that we are developing both independently and in collaboration with others for the treatment of multiple cancer indications. Beginning with 8040, for those of you who may be new to the BioLineRx story, BL-8040 is a novel short peptide that functions as a high affinity antagonist to CXCR-4, a chemokine receptor whose over expression has been implicated in the progression of over 70% of all cancers. We are evaluating BL-8040 in eight Phase 2 or Phase 3 clinical trials in multiple oncology indications, including stem cell mobilization for multiple myeloma patients, acute myeloid leukemia and pancreatic cancer. One of these trials is being conducted under our ongoing collaboration with Merck, and three are being conducted under our collaboration with Genentech. Our partnerships with these two leading oncology companies validate our platform and give us conviction in BL-8040’s mechanism of action and ability to combine with various therapeutic agents. And in addition to these, we certainly see…

Mali Zeevi

Analyst

Thank you, Phil. In our financial discussion we will only go over 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 in 2018 were $19.8 million, an increase of $0.3 million or 1.5% compared to $19.5 million for 2017. The small increase resulted primarily from an increase in share-based compensation. Turning to cash, the company held $30.2 million in cash, cash equivalents and shorts bank deposits as of December 31, 2018. In February 2019 we completed a public offering with gross proceeds of $15.4 million, which provide us with the cash -- with the first half of 2021, a runway of almost two and half years sufficient to fund our operations through our most significant clinical milestones. And with that, I will turn the call back over to Phil.

Phil Serlin

Analyst

Thank you, Mali. In closing, I would like to take a few moments to summarize our most significant upcoming data milestones through the end of 2019. First potential interim results from the Phase 2 AML consolidation study in the second half of 2019. Also initial safety results from part 1 of the Phase 1/2 a trial of AGI-134 in the second half of 2019. Also, top line results from one or more of the solid tumor trials under collaboration with Genentech by the end of 2019 or early 2020. And finally, top line results from the Phase 2 triple combo pancreatic cancer trial of BL-8040, KEYTRUDA and chemotherapy under collaboration with Merck by the end of 2019 as well. With that, we have now concluded the formal part of our presentation. Operator, we are now opening up the call to questions.

Operator

Operator

Thank you. [Operator instructions] The first question is from Jason McCarthy of Maxim. Please go ahead.

Jason McCarthy

Analyst

Hey, guys, thanks for taking the question. All right, so you recently presented some positive initial data from the Genesis trial, I like to see if you could just give us a quick review of the multiple myeloma treatment paradigm and see where BL-8040 and BMT may fit, especially as we see a lot of new therapies advancing including the BCMA targeting CAR-T in this clinical space.

Phil Serlin

Analyst

Great, first of all, thanks for the question. Abi, would you like to take that?

Abi Vainstein

Analyst

Yes, no problem. Thanks, Jason. Actually, the treatment for multiple myeloma there are several aspects. First of all, bone marrow transplantation is still the standard of care treatment for patients. After they get into remission in the first treatment for them all the different treatment there are in development, the majority of them they coming after a transplant, or in patients who cannot go for transplant. Therefore, the bone marrow transplantation and the stem cell mobilization is still relevant, but it is not competing with this kind of treatment that you mentioned. The aim of our study and the BL-8040 is to try to bring the patients less to the hospital to give them less burden of treatment and preparation for the stem cell transplantation. And it's not competing with these drugs that we’ve already mentioned. Hope it answer your question.

Jason McCarthy

Analyst

Thank you very much. And then I just want to do a quick follow up to get an idea of the market dynamics in the space. So around how many HSCTs occur per year in multiple myeloma? And then at how many centers, is it a concentrated marketplace like we see in allogeneic side in AML or is it a bit more diffuse?

Phil Serlin

Analyst

Abi, you want to take that as well?

Abi Vainstein

Analyst

Yes, no problem. In terms of percentage, I didn't have this right now to give you, I don't remember exactly. But again, I'm telling you, the majority of the patients who are less than 67 years old, this is the category in terms of years, but now in performance studies it’s going to be a little bit more flexible. We'll go for bone marrow transplantation in multiple myeloma that these patients need to be those patients who respond first of all for treatment there with drugs. In addition, in terms of the transplantation and whether it is localized [ph] in some centers, it depends on the country, I must say that in the state bone-marrow transplantation is doing all over the country also in big centers, as well as in small centers. In Israel, for example, there's more focus more down in specific centers. And again, it depends on the country, but in terms of the U.S. the transplantation are doing in everywhere. The patients are not referred for this treatment.

Phil Serlin

Analyst

Yes, I will say, Jason that the latest data, that we have, shows that about 70% or 75% of the transplantations are done at around 50 centers in the U.S. So although the translations are done at many centers, our understanding is that a large majority of them are being done at around 50 major transplantation centers around the U.S.

Jason McCarthy

Analyst

Thank you. And then -- thanks for taking my questions. And then just one more quick one on AGI, it’s a fairly interesting mechanism of action essentially tagging the cancer cells respond [ph], I’d like to see if you guys could talk a bit more about how this potentially synergizes with checkpoint inhibitors.

Phil Serlin

Analyst

Ella, please go ahead, no, no go ahead.

Ella Sorani

Analyst

Hi, this is Ella. Thanks Jason for asking the question. So actually based on the mechanism of action it does make sense that it will synergize and they actually have performed in vivo model animal model where we tested a combination of AGI together with checkpoint inhibitor and we were able to show synergies in terms of better scopal effect. I want to point out that this was when we used sub-optimal doses of each of the drugs alone as AGI by itself is optimal dose, had such a good effect that it wasn’t possible to show synergistic effect on top of that. So we used the sub-optimal doses in order to show the synergies and we were able to do so.

Jason McCarthy

Analyst

All right, thank you very much for taking my questions.

Phil Serlin

Analyst

Appreciate. Have a great day, thanks.

Operator

Operator

The next question is from Joe Pantginis of HC Wainwright. Please go ahead.

Joe Pantginis

Analyst

Hey, everyone thanks for taking the question. Phil, just curious when we’re looking at the stem cell program going forward assuming it’s successful, just curious if you can add a little more detail or color of the type of work you’ve been doing in the background with regard to the pharmacoeconomic benefits that you mentioned. Like are you looking -- have you done any surveys yet with regard to physicians or looked at the markets yourself, because assuming that would have all the potential benefit from reimbursement discussions as well?

Phil Serlin

Analyst

Yes, absolutely. So yes, first of all thanks for joining the call. We have done quite a bit of work in the pharmacoeconomic area and the health outcomes area. We hired a consulting firm before we started the Phase 3 in order to -- from the get go put together and survey all of the and do sort of a map out all of the cost elements that we would need to capture in the Phase 3 study. And so that it could be already included in the protocol as part of the protocol and so we are collecting a ton of information that will help later on build the appropriate model towards the end of the study, which we could then use upon approval for economic justification vis-à-vis payers. So we’re all doing that and like I said it’s not being done on a post talk basis, but this is something that we built in to the study and is running in parallel to the Phase 3.

Joe Pantginis

Analyst

Great, thanks for the added info.

Operator

Operator

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

Mark Breidenbach

Analyst

Hey guys thanks for taking the questions. Phil, just one or two for you first on the pending interim readout from BLAST, can you tell us a little bit about what this readout might entail, is this going to be a futility analysis, or are we actually going to see like a portion of the data unblinded what are your expectations for this interim analysis?

Phil Serlin

Analyst

Yes, so first -- okay thanks, Mark. So I’ll turn it over to Abi in a second, but I want to say that we’ve been -- I think we’ve also reported this earlier on prior calls and in prior quarters. We have been contemplating and doing an interim analysis now for probably over a year and are trying to ascertain the right amount of events or exposure in the study that would be necessary for us to do the type of interim analysis. Also I might mention that this is in collaboration with a German Leukemia Alliance Group and so therefore all of the decisions here are joint. But -- so we’ve been trying to ascertain the right time that we could do the type of analysis that would be robust enough for us to have a true positive or true negative. And so right now we’re still working both with our statistician, their statistician both sides trying to look at the data what we know of course on a blinded basis. So try to ascertain the right timing for this. And to try to ascertain the number of events necessary to give us a type of power that we could use, for example, to report to investors, use for potential discussions with partners et cetera. So the last thing that we want to do is do it too early and therefore not have the type of robust data that we could use to make important decisions. So that's sort of just the background to the interim analysis. Right now, we believe -- like I said, we believe that we will have enough events to report interim results sometime in the second half of this year. As far as the futility analysis, the type of analysis that we're going to do, it has not yet been decided, but maybe Abi, do you want to add any color to what I've just said?

Abi Vainstein

Analyst

Actually, you presented very well, I'm not sure that I can say more than you already said. We are following the patient, we're following the right time to do this analysis, we will -- we don't want to do this earlier and to have results that are not showing that what has happened really. And therefore we are -- this is the reason for what we are having the delay, but it's not a delay that -- we believe that is a good delay. But we need to have these events and we are doing continuous analysis in order to have the right time to present the data, and robust data.

Phil Serlin

Analyst

I think, the point is as far as futility where something more significant, we still haven't made a decision and it's going to be a joint decision with our collaboration partners. So we still have several months to go before we potentially have to make that decision.

Mark Breidenbach

Analyst

Okay. And so the trial actually been fully enrolled or is it still on current patients?

Phil Serlin

Analyst

We haven't really given that data, we -- it's not fully enrolled it's still recruiting, but we haven't provided any data on the number of patients recruited. But this study has been up and running for a two and half or three years. So you can assume that quite a significant number of patients have been recruited already.

Mark Breidenbach

Analyst

Got it. And just a second question on BL-8040 in stem cell mobilization. I'm wondering if you can comment on your plans for potential label expansions beyond the multiple myeloma a target transplant settings. Are you considering adding cohorts to Genesis that might include NHL patients who could be treated with a target transplant? And are you looking at any potential studies involving the BL-8040 as a single agent stem cell mobilizer?

Phil Serlin

Analyst

Yes. So, well, let me take the second part first. So as you know, we did a study, a Phase 2 study in allogeneic stem cell mobilization for allergenic bone marrow transplantation as a single agent. We had very nice results similar to the current standard of care. But again, using only one administration of BL-8040 versus multiple administrations of GCSF, for example et cetera. So, if that was very nice data, but our understanding of the market is that the allogeneic market is somewhat more limited, and there's less of an unmet medical need in allogeneic transplantation versus autologous. So we made a decision to move forward with autologous bone marrow transplantation, et cetera. And that's what we're doing right now with the Phase 3. We are definitely considering at some point either us or a potential partner to expand the label. I thought, I think that we felt that the study that would most directly get us to registration and that would be the easiest to recruit would be in multiple myeloma. We certainly would like to expand the label into non-hodg lymphoma maybe into some other types of lymphoma or other I don't know sickle cell anemia or other types of indications. But right now I think our main focus is to push forward and get this product registered with this -- for this particular Phase 3 and in multiple myeloma.

Mark Breidenbach

Analyst

Okay, got it. Thanks for taking questions.

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 03-925-5938; Internationally, please call 972-3925-5938. Mr. Serlin would you like to make your concluding statement.

Phil Serlin

Analyst

Yes, I would. Thank you. That concludes our call this morning. I'd like to thank you all again for your continued interest in BioLineRx. And we look forward to providing future updates on good things to come. Have a great day.

Operator

Operator

Thank you. This concludes the BioLineRx fourth quarter 2018 results conference call. Thank you for your participation. You may go ahead and disconnect.