IN3BIO gains approval for Phase I/II clinical trial

On June 8, 2021 IN3BIO Research Limited reported that the company has received the Clinical Trial Application approval from the Bulgarian Drug Agency and Ethical Committee to initiate a Phase I/II clinical trial of its colorectal cancer vaccine in Bulgaria (Press release, In3Bio, JUN 8, 2021, View Source [SID1234583929]).

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AstraZeneca takes PARP battle to court, seeking a larger claim to GSK’s key cancer med Zejula: report

On June 8, 2021 GlaxoSmithKline reported that $5.1 billion acquisition of Tesaro marked the company’s great pivot to oncology as championed by CEO Emma Walmsley (Press release, AstraZeneca, JUN 8, 2021, View Source [SID1234583923]). But just as the British pharma works hard to reap the deal’s financial benefits, its rival is taking a stab at its gains in court.

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AstraZeneca has filed a suit against GSK in the U.K., demanding a bigger share of sales from the Tesaro cancer med Zejula, The Times reports. If AZ succeeds, the lawsuit could potentially net the company hundreds of millions of pounds, the newspaper reported, citing a source.

Niraparib.svg
Zejula ( Niraparib)
Tesaro developed Zejula, a PARP inhibitor, with help from technology licensed from AZ, which sells the rival drug Lynparza. In its suit, AZ accuses GSK of breaching the original Tesaro licensing agreement, which GSK denies, according to the newspaper.

As the first-to-market PARP drug, AZ’s Merck-partnered Lynparza is the clear leader in the field. The drug generated $543 million for AZ in the first quarter of 2021, compared with about $124 million for GSK’s Tesaro.

Last year, Lynparza scored an FDA nod to be used alongside Roche’s Avastin for ovarian cancer patients who’ve responded to one round of chemo regardless of their tumor’s BRCA mutation status. It followed a similar nod by Zejula in the same first-line maintenance setting. But in a win for GSK, Zejula’s label covers a large subtype of the disease that Lynparza doesn’t have—tumors without homologous recombination deficiencies (HRD), which constitute about half of all ovarian cancer cases.

Olaparib.svg
Lynparza (Olaparib0
Thanks to that broader label, Zejula is currently splitting new patient starts in ovarian cancer roughly 50-50 with Lynparza. Most of its gains are from the HRD-negative group, and it’s been struggling to eat into Lynparza’s HRD-positive share.

The Tesaro buy and the addition of Zejula is a critical component of Walmsley’s new direction for GSK, which involves a refocus in oncology and a planned spinoff of the consumer health franchise.

But Walmsley has been under increased pressure these days as GSK’s R&D efforts have hit setbacks and as marketed cancer drugs—led by Zejula—have yet to taken off. Besides Zejula, GSK recently launched anti-BCMA multiple myeloma drug Blenrep and PD-1 inhibitor Jemperli, both of which face tough competition from oncology juggernauts ahead.

For GSK, the Zejula legal battle comes just after activist investment firm Elliott Management took a stake in the drugmaker. The move sparked speculation that the fund might push for a shakeup at the company. During private conversations with other shareholders, Elliott has reportedly asked whether Walmsley is the best fit to lead GSK after the consumer health spinoff.

New Trinity Delta Research Report Published

On June 8, 2021 Redx Pharma reported that H121 results highlight continued momentum and delivery against expectations, despite COVID headwinds on clinical studies (Press release, Redx Pharma, JUN 8, 2021, View Source [SID1234583899]). The start of the Phase I study of RXC007, a ROCK2 inhibitor for fibrosis, means the company now has two distinctly different in-house assets in the clinic. Lead in-house programme RXC004, a porcupine inhibitor for genetically selected solid tumours, is completing Phase I studies and set to enter Phase II trials during H221. The solid cash position of £39.9m supports increased R&D investment through to end-2022, covering several important value inflection points. Our updated rNPV-based valuation is £350.7m, equivalent to 128p/share (86p fully diluted).

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A second in-house programme enters the clinic Redx Pharma’s acknowledged expertise in medicinal chemistry underpins its discovery platform, and its strategy to develop best-or first-in-class small molecules that address validated biological targets in oncology and fibrosis indications. Two in-house programmes are now in clinical development: RXC004, a porcupine inhibitor for genetically selected solid tumours, is completing Phase I (both monotherapy and a PD-1 inhibitor combo) and set to enter Phase II studies; while RXC007, a ROCK2 inhibitor initially in development for fibrosis, dosed the first patient in its Phase I trial earlier in June.

▪ Funded through to value inflection points Redx Pharma has a solid balance sheet with £39.9m in cash resources. Funds are earmarked to progress RXC004 and RXC007 into Phase II proof-of-concept studies. RXC004 could, COVID permitting, post Phase II monotherapy results for MSS mCRC (microsatellite stable metastatic colorectal cancer) and biliary cancer in CY22 with interim monotherapy pancreatic cancer and MSS mCRC combination data also possible. For RXC007 the Phase I safety data should be available in H122, enabling a swift start to Phase II trials during H222. Our forecasts suggest the cash runway extends to end-2022.

▪ Building a track record of delivery The value of Redx Pharma’s medicinal chemistry expertise is being harnessed with a focussed, yet ambitious, strategy. The pipeline has been de-risked through preclinical outlicensing deals, with Jazz Pharmaceuticals and AstraZeneca, whilst retaining material commercial upside. However, it is the continued progress with its innovative in-house programmes that should, if successful, be transformative for the business over the medium term.

▪ rNPV valuation of £350.7m (128p/share) We value Redx Pharma using an rNPV and SOTP methodology, with conservative assumptions. Our updated model reflects recent clinical progress and generates a £350.7m valuation, or 128p/share (86p fully diluted) vs £326.4m, or 119p/share (84p, fully diluted) previously. Update 8 June 2021 Price 66.0p Market Cap £180.8m Enterprise Value £140.9m Shares in issue 273.9m 12 month range 11.7-95.0p Free float 11.0% Primary exchange AIM London Other exchanges N/A Sector Healthcare Company Code REDX Corporate client Yes Company description Redx Pharma specialises in the discovery and early clinical development of small molecule therapeutics, with an emphasis on oncology and fibrotic disease. Typically, these are progressed through proof-of-concept studies and then partnered for further development. The strategy has been validated by several collaborations.

Redx Pharma Redx Pharma: delivering on all key objectives The key message from Redx Pharma’s H121 results is the continued delivery of management against our, and the market’s, expectations. The recently announced start of a Phase I study with RXC007, a selective ROCK2 inhibitor, means that the company now has two in-house programmes in clinical development. The lead asset, porcupine inhibitor RXC004, is completing the fifth and final cohort (3.0mg) of the Phase I dose escalation study with results expected during H221. In addition, a Phase I study of RXC004 in combination with nivolumab (Bristol Myers Squibb’s PD-1 checkpoint inhibitor Opdivo), is underway with preliminary data expected in late-H221. Several RXC004 Phase II trials, in various oncology indications, are expected to start during H221.

Redx Pharma is well funded, with ample resources to achieve multiple value inflection points. Development progress with the lead assets during H121 lifted R&D investment to £10.3m (H120: £3.2m), similarly increasing operating costs from £5.2m to £12.6m. R&D spend is set to increase further as the clinical programmes progress, with the forecast cash runway extending through 2022. The cash balance of £39.9m at end-March 2021 was a sizeable improvement on the £1.9m figure a year earlier, reflecting the company’s refinancing in summer 2020 and its most recent successful £25.7m (gross) fund raise in December 2020. During H121, £5.1m of the £22.2m outstanding loan note held by majority shareholder Redmile Group was converted into equity. The 2020 raises added specialist investors Redmile, Sofinnova Partners, and Polar Capital to the shareholder register. The involvement of these respected and supportive investors provides valuable external validation of management’s clearly defined strategy.

Acknowledged medicinal chemistry expertise
Redx Pharma is focused on developing innovative small molecule pharmaceuticals, with the aim of creating best-or first-in-class compounds. Its medicinal chemistry expertise underpins the discovery platform, which has a growing industry-wide reputation and a proven ability to generate clinically, and commercially, attractive products. Management is actively addressing complex biological pathways, for instance the Wnt/β-catenin pathway, where its insights have resulted in generating novel small molecules such as its family of porcupine inhibitors (eg RXC004 and RXC006, partnered with AstraZeneca).

Enzo Biochem Reports Third Quarter Fiscal 2021 Results

On June 8, 2021 Enzo Biochem, Inc. (NYSE:ENZ), a leading biosciences and diagnostics company, reported operating results for the third quarter ended April 30, 2021 and provided a business update on recent corporate and operational developments (Press release, Enzo Biochem, JUN 8, 2021, View Source [SID1234583892]).

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Enzo announced a set of strategic objectives in 2019 to strengthen its financial and operational performance within the rapidly changing diagnostic testing market. As a vertically integrated end–to-end diagnostic company leveraging control of its own supply chain in conjunction with its proprietary platforms, the Company was able to expand control over operational performance to achieve new levels of success. Enzo validated this approach during COVID-19 and will continue executing this underlying strategy moving into a post pandemic business environment.

"Our performance during the last quarter was particularly impressive as our team delivered another solid quarter of $32.8 million in revenue with significant profitability during an extraordinary period of transformation for the lab testing market," said Elazar Rabbani, Ph.D., Chairman. "Our company’s strength amidst many challenges in a difficult health environment is indicative of the strength of our determined strategy that enables Enzo to operate on a truly unique integrated basis. It provides us with consummate capabilities to achieve research advancements, operating efficiencies, and remarkable product innovation and delivery – a combination few companies can claim. We are especially proud of our dedicated team of people who have remained steadfast in advancing our mission in this environment and fueling our continued success."

"I am especially proud of the strategic foresight and execution of our management team as they positioned the Company to opportunistically address the turbulent times of COVID-19. Now, as COVID-19 testing volumes will normalize, Enzo’s fully integrated diagnostic approach will evolve to address broader market needs and continue to generate value for our shareholders. As a result of this collective effort, we are proud to announce that Enzo’s financial situation has improved considerably from an operating loss of $9.7 million in Q3 2020 to an operating profit of $2.0 million in Q3 2021," Dr. Rabbani continued.

As industry experts have indicated, Enzo management fully expects COVID-19 volumes to decline in the quarters ahead. The percentage of Americans who are vaccinated has increased dramatically. During the Company’s last quarter, vaccination rollout across the United States gained significant momentum from just 32 million vaccines administered in January to 240 million at the end of April and 300 million administered by the first week of June. In the face of this rapidly changing diagnostics environment, Enzo remains well positioned for continued success.

Enzo’s go-forward commercial strategy is clear. The Company is leveraging its higher margin testing model demonstrated during COVID-19 to other markets such as women’s health, sexually transmitted diseases and other testing needs based on the applications and versatility of the GENFLEX molecular platform. The platform is being used internally at the Company’s facilities and is in the early stage of commercialization into laboratories, academic institutions, and other commercial entities throughout the country.

Enzo is currently validating test menus and panel extensions to drive utility in the high-volume molecular testing space through deployment of the Company’s internal sales and marketing operations as well as with industry partners. These include chlamydia, gonorrhea, trichomonas, human papillomavirus vaccine (HPV) and Enzo’s full women’s health panel. The Company will follow this molecular diagnostic test rollout with cost-effective, flexible solutions involving other technologies and platforms including cytology, immunology, immunohistochemistry, and other key clinical areas.

"Our open system approach allows for the highest levels of flexibility and adaptability in the post COVID-19 environment, and we have actively engaged our partners, vendors and customers in maximizing the potential of our unique operational structure," said Barry Weiner, Enzo’s President. "While vaccinations are increasing, demand for testing services will remain in place in the many months and years ahead. Our objective as the health markets transition is to remain flexible and agile to maximize opportunities related to COVID while expanding our focus to address many new and important testing needs."

As announced in the previous quarter, the Company’s strategic initiatives and succession planning are proceeding. The Company, management and board are working in unison to translate Enzo’s capabilities to benefit all shareholders and enhance shareholder value.

Enzo’s focus remains on achieving further efficiencies and enhanced integration while investigating additional commercial opportunities. The Company is determined to promote top line growth while targeting profitability from operations in the immediate future.

Third Quarter 2021 and Recent Business Highlights

Received Food and Drug Administration ("FDA") clearance for its AMPICOLLECT Sample Collection kit (manufactured under GMP) for distribution under Emergency Use Authorization. The AMPICOLLECT Sample Collection kit is now available for sample collection for COVID-19 testing protocols in the United States.
Enzo’s Loop RNA probe was featured in an independent publication of work derived from Enzo’s scientific collaborators in conjunction with Enzo scientists that details improvements regarding in situ hybridization reflecting higher sensitivity and lower background noise when compared to leading commercially available technologies. Enzo’s probes uniquely identify a single genetic sequence within a cell and without destroying the cell structure. This allows for better medical interpretation, accelerated drug development and improved research capabilities. This innovative technology may reduce the risk of false positives and false negatives for early stage detection of HPV and potentially other RNA based infections.
Enzo is integrating its campuses to include GMP manufacturing, CLIA clinical laboratory, research and development, and sales and marketing capabilities, all within four adjacent buildings at our Farmingdale facilities. This integration includes the forthcoming closure of our Ann Arbor, Michigan manufacturing facilities this summer.
Received a U.S. Patent for polyclonal antibodies against osteoporosis drug target sclerostin. U.S. Patent No. 10,899,827 entitled "Antibodies Specific for Sulfation Sites of Sclerostin" is a member of a broader U.S. and international patent family that also includes issued patents and pending patent applications for therapies including monoclonal antibodies and small synthetic peptides used to inhibit sclerostin in the treatment of bone disorders such as osteoporosis.
Third Quarter 2021 Financial Results

Total third quarter revenues amounted to $32.8 million, a 94% improvement over $16.9 million a year ago and a $1.3 million improvement sequentially when the peak months of the pandemic reduced demand for non-COVID diagnostic testing services and curtailed physician visits, and caused a dramatic slowdown in economic and business activity. By contrast, the recent quarter reflects increased activity, including growing demand for testing services and a steady improvement in sales of products and services.
Consolidated gross margin amounted to 49%, compared to 26% a year ago. Operating income totaled $2.1 million compared to a year-ago operating loss of $9.7 million, an $11.8 million YOY improvement.
Reflecting heightened activity, particularly in testing, Enzo Clinical Lab revenues totaled $25.0 million, an increase of 139% from $10.5 million in the third quarter last year. Gross margin in the ECL division was 49.1%, compared with 12.9% a year ago, largely due to improved product mix and continued cost-saving initiatives coming to fruition.
Enzo Life Sciences revenue was $7.8 million, an increase of 22% compared with $6.4 million in the year ago period. Product orders have averaged over $1,000 for the last three quarters. Gross margin was 48.4%, or 53% prior to intercompany eliminations, compared to 47.9% gross margin in the year ago period, slightly higher than the previous quarterly margins.
Research and development expenses declined 28% to $0.8 million, or 2.5% of total revenues, from $1.1 million, or 6.8% of total revenues, in the year ago period. Selling, general and administrative expenses of $12.1 million rose from $11.1 million in year ago period, although SG&A margin significantly declined due to better fixed cost leverage as a result of vertical integration and cost efficiency measures.
GAAP net income totaled $2.0 million, or $0.04 per share, compared with a loss of ($9.9) million, or ($0.21), in the year-ago quarter, an improvement of almost $12 million. Adjusted EBITDA in the quarter totaled $2.7 million, versus an adjusted EBITDA loss of ($7.0) million in the third quarter of 2020. The year-over-year increase was driven mainly by improvement in gross margin (from COVID-19 testing and lower reagent and reference lab costs) and lower SG&A expenses as a percent of revenues from headcount efficiencies, lower intangibles amortization, and reduced travel.
Cash, cash equivalents and marketable securities amounted to $45.1 million as of April 30, 2021. Cash and marketable securities were slightly lower as compared to July 31, 2020 due to investments in inventory, higher A/R and capital expenditures and lower accounts payable. Working capital amounted to $42.1 million as of April 30, 2021, compared to $36.0 million on July 31, 2020. As of April 30, 2021, the Company had 48.5 million shares outstanding.
Conference Call and Webcast Information

The Company will host a conference call on Wednesday, June 9, 2021, at 4:30 pm, Eastern Standard Time, to review the operational, corporate, and financial highlights. To participate in the conference call, please dial the following numbers prior to the start of the call or click the webcast link below to participate over the internet:

Domestic: 877-407-0792
International: 201-689-8263
ConferenceID: 13719822
Webcast: View Source
A replay of the call will be available via webcast for on-demand listening shortly after completion of the call on the Investor Relations section of the Company’s website, View Source, and will remain available for approximately 90 days. Please access the Company’s website at least 15 minutes ahead of the conference to register, download, and install any necessary audio software.

Adjusted Financial Measures

To comply with Regulation G promulgated pursuant to the Sarbanes-Oxley Act, Enzo Biochem attached to this news release and will post to the investor relations section of the Company’s website (View Source) any reconciliation of differences between GAAP and Adjusted financial information that may be required in connection with issuing the Company’s quarterly financial results.

The Company uses EBITDA as a measure of performance to demonstrate earnings exclusive of interest, taxes, depreciation and amortization. Adjustments to EBITDA are for items of a non-recurring nature and are reconciled on the table provided. The Company manages its business based on its operating cash flows. The Company, in its daily management of its business affairs and analysis of its monthly, quarterly and annual performance, makes its decisions based on cash flows, not on the amortization of assets obtained through historical activities. The Company, in managing its current and future affairs, cannot affect the amortization of the intangible assets to any material degree, and therefore uses EBITDA as its primary management guide. Since an outside investor may base its evaluation of the Company’s performance based on the Company’s net loss not its cash flows, there is a limitation to the EBITDA measurement. EBITDA is not, and should not be considered, an alternative to net loss, loss from operations, or any other measure for determining operating performance of liquidity, as determined under accounting principles generally accepted in the United States (GAAP). The most directly comparable GAAP reference in the Company’s case is the removal of interest, taxes, depreciation and amortization.

We refer you to the tables attached to this press release, which includes reconciliation tables of GAAP to Adjusted net income (loss) and EBITDA to Adjusted EBITDA.

Race Executes Key Contract for Israel Phase 2 AML Trial

On June 8, 2021 Race Oncology Limited ("Race") reported it has executed a contract with Trialog Clinical Trials Ltd, Israel, to support the coming combination Phase 2 Acute Myeloid Leukaemia trial (Press release, Race Oncology, JUN 8, 2021, View Source [SID1234583794]). Trialog will supply the trial drugs (including Bisantrene) as well as provide other clinical services to Race and Chaim Sheba.

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This 29 patient Phase 2 trial will use Bisantrene in a novel three drug combination which in preclinical studies showed superior efficacy in AML cells (ASX Announcement: 10 May 2021). The trial has received human ethics approval and will be supervised by Professor Arnon Nagler of the Chaim Sheba Medical Center. The first patient is expected to be treated in Q3 CY 2021.

The supply agreement has a maximum cost of USD$801,247 and will be invoiced in line with patient enrolment over the period 2021 – 2023.

Race Oncology looks forward to advising on the initiation of this trial in the near future, once it has executed the trial contract with the Chaim Sheba Medical Center.

This Phase 2 AML trial will run in parallel with a separate Australian Phase 2 trial in patients with extramedullary AML that is expected to begin treating patients in Q4 CY 2021 (ASX announcement: 2 June 2021).