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8/12/2019 BioLineRx Company Presentation (Jun-14)
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8/12/2019 BioLineRx Company Presentation (Jun-14)
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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-lookingstatements involve known and unknown risks anduncertainties that may cause the actual results, performanceor achievements of BioLineRx to be materially different fromany future results, performance or achievements expressed or
implied by such forward-looking statements.
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Forward Looking Statements
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BioLineRx - General
Founded in 2003 by Teva and other key players in Israeli LifeSciences industry
Bridge development gap for Israeli assets
Leverage carefully selected early-stage technology, primarily at academia level,
following proof of concept in animals (at a minimum)
Invest 3-6 years in asset through to major catalyst
Partner the asset (depending on the stage)
For commercialization
For late-stage clinical development
For early and mid-stage co-development
Current pipeline of 10 assets, 6 in clinical development
Traded on both NASDAQ and TASE - symbol BLRX
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BioLineRxs Value Proposition
Multiple shots on goal
Several meaningful value inflection points in next 12 months
Two pharma assets regulated as devices
Strategic relationships and access to Israeli technology
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Our Proven Business Model
Identify promisingprojects
Conduct FeasibilityTesting`
Develop throughclinical stages
Partner
Strong scientific
basis
High chance ofregulatory approval
Competitiveadvantage
Strong IP
Validate results ofinventors
Resolve mainconcerns regardingtoxicity, CMC, etc.
Accelerateddevelopmentprogram
FDA/EMA standards
Continued clinicaldevelopment, ifneeded
Regulatory approval
Commercialization
5>2,000 assets screened; 45 entered development; 8 entered clinic; 4 partnered
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Efficient Project Development Infrastructure
BD
In-licensing andOut-licensing
Chemistry Team(Organic, Analytical,Bioanalytical,Formulation)
ExpertProject
Managers
Medical andClinical Team
Pre-ClinicalTeam
RegulatoryAffairs Team
IntellectualProperty Experts
MultipleProjects
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Main Pipeline Assets
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LEAD DEVELOPMENT PROGRAMS
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BL-8040:BEST-IN-CLASS CXCR4
ANTAGONIST FORTREATMENT OFHEMATOLOGICAL
CANCERS
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BL-8040 Highlights
Indications:Acute myeloid leukemia (AML) & other hematological cancers
Orphan designation received from FDA for both AML and stem-cell mobilization
Mode of Action:CXCR4 antagonism
CXCR4 over-expressed in >70% of tumors, and correlates with disease severity.
Status: Phase II trial ongoing
Product Highlights:
Induces apoptosis in cancer cells
Mobilizes cancer cells from bone marrow to peripheral blood
Sensitizes cancer cells to chemo- and bio-based anti-cancer therapy
Safety and mobilization activity demonstrated in Phase I/II study in myeloma patients
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AMLTreatment and Unmet Medical Need
AML is most common acute leukemia in adults
Over 60,000 new cases recorded worldwide in 2010, growing to 130,000 by 2020
14,000 cases of AML diagnosed in the US in 2012
Majority of AML patients relapse and require repeated treatment cycles
AML has poor prognosisless than 25% five-year survival
Over 10,000 fatalities from AML in the US in 2012
AML treatment regimens have changed little in past 30 years Treatment of AML is based largely on use of older chemotherapeutic drugs
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BL-8040 Mechanism Of Action
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Binds CXCR4 with high affinity (1-2 nM)
Maintains extended inhibition of CXCR4 through long receptor occupancy (>24 hours)
Works as inverse agonist of CXCR4
Induces apoptosis of tumor cells dependent on CXCR4 for survival
Increases sensitivity to anti-cancer agents by mobilizing tumor cells from protective
microenvironment
BL-8040
direct ly
inducesapoptosis
BL-8040
BL-8040
sensit izes
tumor c e l ls toother drugs
BL -8040 +
SoC
BL-8040
induces
tumor ce l lsmobi l izat ion
BL-
8040
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BL-8040 Superiority to Mozobil
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Time post BL-8040/Mozobil injection
NumberofNeutrophils
BL-8040 12 mg/kg
Mozobil 3.2 mg/kg
Mobilization
Cell Death
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Other Evidence of BL-8040s SuperiorAnti-Cancer Effect
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*
* Kuhne MR, Clinical Cancer Research, 2012
BL-8040 (formerly BKT140) inhibits proliferation of Ramos cells comparedwith Mozobil (AMD3100) and BMS-936564 (MDX-1338)
Study was conducted by scientists from BMS
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BL-8040
(BKT-140)
Mozobil
(Plerixafor/AMD3100)
BMS-936564
(MDX1338)Affinity with CXCR4 1-2 nM 84 nM 5nM
MOA Inverse agonist Antagonist (partial agonist) Antagonist
Binding siteExtracellular domains in theCXCR4 receptor
Trans-membrane regions inthe CXCR4 receptor
Extracellular domains in the CXCR4receptor
PK (T1/2 in human) 0.30.7 hr ~3-5 hr More than 24hr
Receptor occupancy More than 24 hr ~2 hr Not published
Inducing apoptosis intumor cells
Induces apoptosis in preclinicalmodels. Evidence of remarkableapoptosis in samples frompatients administrated with 0.75and 1 mg/kg (phase II).
NoneDemonstrated apoptosis inpreclinical models, modest effect inpatients (ASH 2013)
Mobilization ofLeukemic blasts
6-8 fold increase(6/8 patients, phase IIa)
2.5 fold(A phase I/II study, Blood2012)
2.1-fold increase(14/24 patients in phase II study,ASH 2013)
Other remarks of BL-8040: BL-8040 synergizes with Rituximab and Bendamustine to stimulate Lymphoma cell death in vitro. BL-8040 synergize with Bortezomib (Velcade) to stimulate MM cell death in vitro. Combination of BL-8040 with Imatinib in CML cells overcomes the protective effect of stroma in vitro. BL-8040 alone is highly efficient in eliminating lymphoma cells in the bone marrow and combined with Rituximab significantly
reduces tumor load (in vivo).
Summary of BL-8040 vs. Competitors
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BL-8040 PlatformClinical Development Program
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Pre-Clinical Phase I Phase II Phase III
INDICATIONPROTOCOL
Ongoing
Investigator-initiated study
Completed
Commence Q2/2014
R/R AMLBL-8040.01
CMLBL-8040.03
BL-8040.02
BKTSC001 MM SC MOBILIZATION
SINGLE AGENT SC MOBILIZATION
HEMATOLOGICAL MALIGNANCIES
STEM CELL MOBILIZATION
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Phase IIa - Treatment of r/r AML patients
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A phase IIa, mult icen ter, open-label study desig ned to evaluate safety and eff icacy
prof i le of repeated escalat ing do ses of BL -8040 in adul t sub jects with relapsed or
refractory acute myelo id leukemia
Study design:
Dose escalation phase3+3 design, up to 5 escalating doses (0.5-1.5 mg/kg)
Expansion phase: expand safe, efficacious dose group
Treatment:
2 consecutive days of BL-8040 monotherapy
5 days of BL-8040 + chemotherapy
Endpoints:
To assess the safety and tolerability of escalating repeated doses of BL-8040 as monotherapy and whencombined with high-dose Ara-C in AML adult subjects with relapsed or refractory disease
To assess the clinical efficacy (response rates) of escalating repeated doses of BL-8040
To assess the apoptotic effect of BL-8040 on leukemic blasts
To assess the effect of BL-8040 on mobilization of AML blasts to peripheral blood (PB)
To assess the single and multiple dose pharmacokinetic profile of BL-8040
Treatment Follow upScreening
BM biopsy
BL-8040
Day
Ara-C
1 2 3 4 5 6 7 ------------------------------------------------------------------------------ 30
BL-8040.01
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Partial Results in AML Phase II Study
Safe at all doses tested to date (0.5, 0.75 and 1mg/kg)
Substantial mobilization of cancer cells from BM to peripheral blood
Evidence for robust effect of cancer cell death
Completion of study expected in early 2015
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Peripheral bloodsample apoptosisassay
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Phase I - Single Agent Stem Cells Mobilization
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A phase I, two part study explor ing the safety, to lerabi l i ty , pharmaco dynam ic and
pharmacokinet ic ef fect of ascending dos es of BL-8040 in heal thy sub jects
expected to start in Q3 2014; results expected in late 2014 or early 2015Study design:
Part 1Dose escalation, randomized, placebo controlled - up to 4 escalating doses (0.5-1.25 mg/kg)
Part 2Dose expansion of safe and efficacious dose group
Treatment:
2 consecutive days of BL-8040 monotherapy
Endpoints:
Safety and tolerability of escalating repeated (2 days QD) doses of BL-8040 in healthy subjects.
Effect of BL-8040 on WBC total and differential counts in peripheral blood (PB).
Effect of BL-8040 on mobilization of hematopoietic stem cells (HSC) to peripheral blood (PB).
Pharmacokinetic profile of BL-8040.
To assess yields of hematopoietic progenitor cells, immune cells, and other cellular subsetscollected by leukapheresis (Part 2)
To assess the viability, biological activity and repopulating capacity of the cells collected byleukapheresis (Part 2)
Collection
Mobilization Safety follow up
Safety follow upMobilization
Screening
Screening
Part 1
Part 2
BL-8040
1-28Day 2 73
BL-8040.02
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BL-8040.03
Phase I/II study u sing the com binat ion o f Imat in ib and BL -8040 for impro ving
mo lecular respo nse in chronic m yelogenous leukemia (CML) pat ients in f i rs t chro nic
phase achieving less than op t imal response with Imat in ib
Study design:
Patients with chronic phase CML on Imatinib therapy achieving less than optimal response accordingto ELN criteria or less than MR4 after 24 months of Imatinib treatment
Dose escalation phase3+3 design, up to 4 escalating doses (0.5-1.25 mg/kg)
Expansion phase: expand safe, efficacious dose group
Treatment:
Daily Imatinib 400 mg/day throughout the study. Single s.c. BL-8040 injection on days 1, 15, 29 and 43, four hours prior to Imatinib.
Endpoints:
To assess the safety and tolerability of escalating repeated doses of BL-8040 when combined withImatinib in CML adult subjects with relapsed or refractory disease
To assess the clinical efficacy of BL-8040 in combination with Imatinib in achieving improvedcytogenetic and molecular response in CML patients.
To assess the anti tumor efficacy of BL-8040 in CML patients.
To assess the apoptotic effect of BL-8040 in combination with Imatinib on CML stem cells.
Phase I/IIa - Treatment of CML patients (investigator-initiated)
Daily Imatinib treatment Safety and efficacy follow up
-14 15 29 43Days 90 133
BM Biopsy
BL-8040
1
Screening
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BL-8040 Summary
CXCR4 is a validated target
BL-8040 has robust mobilization activity and apoptosis
Validated in preliminary data from Phase II study in AML, and Phase I/II study in multiplemyeloma
BL-8040 has very favorable profile in comparison with leading CXCR4 antagonists
BL-8040 is an inverse agonist
Blocks the auto-signaling of CXCR4
BL-8040 is a platform for a number of hematological indications
Additional studies in CML and stem-cell mobilization are about to start
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BL-7010:NOVEL GLIADIN
BINDING POLYMERFOR
CELIAC DISEASE
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BL-7010: Polymeric Binder for Celiac Disease
Indication: Celiac disease
Mode of Action: Non-absorbable polymer with high affinity to gliadins(immunogenic peptides contained in gluten)
Status: Phase I/II ongoing
Product Highlights
Prevents pathological damage to small intestine
Non-absorbable
Non-toxic
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Celiac DiseaseLarge Unmet Medical Need
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1% of worlds population suffers from celiac disease
Number underestimated due to lack of awareness/diagnostic tools
Market projected to reach $8 billion by 2019
No current pharmacological agents approved for celiac
Only treatment option is life-long, strict gluten-free diet (GFD)
~20% of celiac patients are symptomatic even with GFD
Major interest shown by Big Pharma
AbbVie recently acquired rights to phase II asset from Alvine for $70 million upfront
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BL-7010 Prevents Formation of GliadinsImmunogenic Peptides
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Small intestinal damage with loss ofabsorptive villi and hyperplasia of thecrypts, typically leading to malabsorption
BL-7010
Gluten
Gliadin
Enterocytes
Lymphocytes
Inflammatory Cytokines
APC
The polymer andgliadin are excretedin feces
Copolymer of sodiumstyrene sulfonate (SS)and 2-hydroxyethylmethacrylate (HEMA)
Gluten
BL-7010 demonstratesdistinguished specificitytowards gliadin
Prevention of intestinal damage
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BL-7010 Maintains Normal Structure of GI
non-sensitizedmice
Gluten-sensitizedmice
Gluten-sensitizedmice + BL-7010
5.96 1.23Villus-to-crypt ratio 2.58 0.43 4.89 1.51
Model: HLA-DQ8/HCD4 transgenic male mice sensitized to gliadin
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BL-7010 Clinical Program Overview
Two studies in celiac patients are planned in 2014:
Phase I/II study in celiac patients
Consist of 2 parts:
- Top-line results expected in mid-2014
Efficacy study in celiac patients expected to begin by end of year
6-week repeated oral administration
Efficacy endpoints (primary and secondary) and safety endpoints 27
Single ascending dose
Safety endpoints
No efficacy endpoints
Assessment of systemic exposure
14 days repeated administration
3 times per day
Safety w/o efficacy endpoints
Assessment of systemic exposure
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Partial Results - Ascending Dose Stage of Phase I/II Study
Single administration, dose escalation part of study completed
Study structure based on alternating group design; each subject receiving 3 different
single escalating doses of BL-7010 or placebo
Study remains blinded
Escalation reached highest planned dose
All planned doses found to be safe and well tolerated
No serious or dose-limiting adverse events reported
All subjects completed participation in study
Based on encouraging safety results, repeated administration
part of study will be initiated
Each subject to receive 3x daily dosing of BL-7010 or placebo for 14 days
PK samples have been collected for analysis and will be reported
at study completion, together with top-line results
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BL-7010 Summary
Celiac disease is a huge unmet medical need
There are only a handful of clinical-stage programs in development
BL-7010 has a unique MOA
High molecular weight polymers
High affinity to gluten
Secreted through feces
Currently in Phase 1/2 pilot study
No dose limiting toxicity in first part of study
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BL-1040:FIRST-IN-CLASS
MYOCARDIAL IMPLANTFOR PREVENTION OF
VENTRICULAR REMODELINGFOLLOWING AMI
Out- l icensed to Bel leropho n(f/k/a Ikaria) and bein g
developed as B ioabsorbable
Cardiac Matr ix (BCM)
30
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BL-1040 Highlights
Indication: Cardiac remodeling post-AMI
Mode of Action: Provides support to ischemic tissue during healing
Status: CE Mark registration trialcompletion expected in mid-2015
Device designation (including FDA)
Partnered with Bellerophon BCM (f/k/a Ikaria)
Total deal structure $282.5 million; $17 million already received; 11-15% royalties
All program costs funded by Bellerophon BCM
Market Opportunity: > Billion dollar market*
31*Based on a customized survey and report prepared for BioLineRx by Defined Health
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Unmet Medical Need
Vessel occlusion
Successfully treatedwith PCI and stents
Tissue damage
No sufficiently effectivetreatment for myocardial
damage
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How Does BL-1040 Work?
Infarct related artery injection
Deposits into infarcted tissue
Upon contact with infarcted tissue, turns from liquid into gel
Gel-like scaffold provides mechanical support to damaged tissue
Transitions to liquid and exits the body within 6 weeks
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BL-1040 Prevents Structural Changes
Normal sizeleft ventricle
Normal LV
wall
Dilated leftventricle
Thin LV wall
Untreated BL-1040
Porcine AMI model, day 60
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Promising Results from Pilot Study
Designated as device by regulatory authorities(including FDA)
Pilot study in Europecompleted January 2010
27 patients, safety and preliminary efficacy in patients withprimary MI at high risk for LV remodeling
9 sites: 6 in Germany, 3 in Belgium
Trial results show
No treatment related complications, arrhythmias, elevations incardiac enzymes or occlusions
Comparison to historical data suggests superior efficacy
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BL-1040 Pivotal Clinical Development Program
Pivotal CE Mark Registration trial progressing at full steam
Placebo controlled, total enrollment ~300 patients, six-month follow-up
~80 sites currently active in nine countries (including 14 sites in US)
Over 200 patients enrolled to date
Endpoints: End diastolic volume index, QLQ, six-minute walk test
Trial to be completed by mid-2015
US pivotal trial in planning stages
Final discussions with FDA
Placebo controlled, >1,000 patients, 12-month follow-up
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BL-1040 Summary
Huge unmet medical need
>$1 billion market
Designated as device in both US and Europe
Pilot study successfully completed
No safety or tolerability issues after six months of follow-up
Promising efficacy in comparison to historical data
CE mark registration study progressing at full steam
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CORPORATE
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Financial and Corporate Summary
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Available cash as of March 31, 2014 - ~$37.5 million
Funds operational capital through 2016
Expect to reach several value inflection points during this time
Number of employees45
Approximately 2/3 with advanced degrees
Capital structure (on basis of ADSs)
34.0 million outstandingbasic capital
40.0 million outstandingfully diluted capital
US investors ~60% of shareholder base
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Analyst Coverage
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BioLineRx Ltd. is followed by the analysts listed below:
Please note that any opinions, estimates or forecasts regarding BioLineRx Ltd.'s
performance made by these analysts are theirs alone and do not represent opinions,
forecasts or predictions of BioLineRx Ltd. or its management. BioLineRx Ltd. does not by
its reference above or distribution imply its endorsement of or concurrence with suchinformation, conclusions or recommendations.
Analyst Firm
Jason Kolbert Maxim Group
Joe Pantginis Roth Capital Partners, LLC
Raghuram Selvaraju Aegis Capital Corp.
Robin Davison; Jason Zhang Edison Investment Research
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2014
Major Milestones over next 12 Months
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BL-7010 (Celiac Disease) phase 1/2 completion
BL-7010 (Celiac Disease) CE pivotal study initiation
BL-1040 (AMI) CE mark study completion
BL-8040 (AML) phase 2 completion
BL-8040 (AML) phase 2 partial results*
BL-8040 (SC Mobilization) phase 1 initiation
BL-8040 (SC Mobilization) phase 1 completion
* End of dose escalation phase
2015
BL-1040 (AMI) complete CE mark study enrollment
BL-8040 (CML) phase 1/2 study initiationBL-7010 (Celiac Disease) pre-IND mtg with FDA
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