Athenex and Xiangxue Life Sciences Announce Preliminary Results of Patients Receiving T-Cell Receptor Affinity Enhancing Specific T-Cell Therapy (TAEST) Showed Encouraging Positive Clinical Signals

On October 15, 2018 Athenex, Inc. (NASDAQ:ATNX), a global biopharmaceutical company dedicated to the discovery, development and commercialization of novel therapies for the treatment of cancer and related conditions, reported that preliminary results of pilot studies in China in which patients received T-cell receptor affinity enhancing specific T-cell therapy ("TAEST") showed encouraging positive clinical signals in terms of efficacy and safety (Press release, Athenex, OCT 15, 2018, View Source;p=RssLanding&cat=news&id=2371574 [SID1234529935]).

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The pilot studies are being conducted in China by Xiangxue Life Sciences ("XLifeSc"), a wholly-owned subsidiary of Xiangxue Pharmaceutical Co., Ltd. (Shenzhen Exchange: 300147). In July 2018, XLifeSc and Athenex entered into an agreement to establish a new joint venture named Axis Therapeutics Limited, which owns the global rights to the TAEST technology, excluding China (XLifeSc retains the mainland China rights), and in this territory Axis Therapeutics is leading the research, development and commercialization efforts of T-cell receptor-engineered T cells (TCR-T, including the TAEST technology), a form of cancer immunotherapy.

The pilot studies are focused on the testing of TAEST technology generated T-cells, with enhanced binding affinity, against the antigen NY-ESO-1 and is HLA-A*02:01 restricted. Preliminary results of TAEST technology generated T-cell therapy studied in nine end-stage cancer patients who failed all standard treatments showed the following: In the first three patients, dose escalation in one patient and full dose in two patients were tested. All three patients showed an acceptable safety profile. Two of the patients showed stable disease with survival of 6 and 10 months, respectively. One patient with lung cancer showed a small tumor reduction, and a reduction in pain and softening of the subcutaneous metastasis following treatment. Lymphodepletion was added to the protocol in patients 4 through 9. Treatment was well tolerated with fever (n=5), chills (n=4), weakness (n=4), and mild skin rash (n=3) observed. Two patients (one breast cancer, one synovial sarcoma) had more than 40% reduction in tumor size, as measured by CT scans. The patient with breast cancer also had healing of two skin metastatic ulcers. Two other patients (one liver cancer patient with retroperitoneal recurrence after resection, one with thyroid cancer) showed stable disease. Both of these patients showed significant tumor necrosis shortly after the treatment, resulting in the formation of cavitation in the middle of the tumors. Clinically, there was also symptomatic relief of local pain reported during the period of radiologic evidence of increased tumor necrosis. The remaining two patients with lung cancer had stable disease for more than 60 days after treatment. This study also observed the expected cytokine response, detection of TCR-expression on T-cells, and persistence of the introduced TCR-gene in all patients during therapy.

An abstract with more detailed data will be submitted for presentation at an international scientific meeting.

Dr. Yi Li, Chief Scientific Officer of Axis Therapeutics and XLifeSc, stated, "We believe our TAEST technology has four distinct advantages: first, our engineered TCR has an improved binding affinity; second, our engineered TCR has excellent expression level on the engineered T-cells; third, we have demonstrated in this pilot study that our engineered TCR genes persisted in these patients; and finally, we have developed other HLA subtypes and we will be able to treat more patients with different HLA subtypes in the near future."

Dr. Johnson Lau, Vice Chairman and CEO of Axis Therapeutics and Chairman and CEO of Athenex, said, "We are excited by the positive clinical signal observed in this group of patients. The safety profile is within expectations and within acceptable limits of cancer therapy. The observation of clinical signal in these patients, with tumor reduction of more than 40% in two patients and significant tumor necrosis after treatment in two others, indicates that this approach showed anti-tumor activity even in late stage cancer patients. We have also followed the circulating level of the engineered T-cells and inserted gene expression and so far, their persistence in the patients’ circulation suggested that this approach can have the desired effect of having a consistent anti-tumor immune response for at least a moderate amount of time. More work will be done soon to define the best treatment protocol to advance this program. We are very grateful to Perceptive Advisors for their support and confidence in our team which made this joint venture possible."

Mr. YongHui Wang, Chairman of Axis Therapeutics and Chairman and CEO of Xiangxue Pharmaceutical, stated, "We are very impressed by the scientific and management skills that Athenex team contributes to this joint venture. We are excited to see these encouraging preliminary clinical data. We have full confidence in our collaboration and strongly believe that we will make a meaningful contribution to the arsenal of cancer treatment options for patients worldwide."

Axis Therapeutics is also announcing the line-up of the management team, with Mr. YongHui Wang as the Chairman of the Board, Dr. Johnson Lau as Vice-Chairman and CEO, Dr. Yi Li as Chief Scientific Officer, Dr. WingKai Chan as Chief Medical Officer, and Ms. Jacqueline Li as the Chief Financial Officer.

Mirati Therapeutics To Provide Updated Sitravatinib Clinical Data At The European Society For Medical Oncology (ESMO) 2018 Congress And Conduct Investor Call

On October 15, 2018 Mirati Therapeutics, Inc. (NASDAQ: MRTX), a clinical-stage targeted oncology company, reported that in conjunction with the two Proffered Papers Sessions (oral presentations) highlighting data from ongoing clinical trials of sitravatinib, the Company will conduct an investor conference call during the 2018 Annual Meeting of the European Society for Medical Oncology in Munich, Germany, on October 22nd at 2:00 p.m. CEST/8:00 a.m. EDT/5:00 a.m. PDT (Press release, Mirati, OCT 15, 2018, View Source [SID1234529931]).

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The Proffered Papers (Oral Presentations) Details:

Title: Sitravatinib demonstrates activity in patients with novel genetic alterations that inactivate CBL
Presentation Topic: Proffered paper session – Developmental therapeutics (ID 170)
Location: Hall B3 – Room 22, ICM München, Munich, Germany
Lecture Date and Time: October 21, 2018, at 11:00 a.m. – 11:12 a.m. CEST
Presentation Number: 408O
Presenter: Lyudmila Bazhenova, M.D.

The data being presented in this oral presentation will feature data from the ongoing Phase 1b trial of sitravatinib monotherapy in patients with certain genetic alterations.

Title: Stage 2 enrollment complete: Sitravatinib in Combination with Nivolumab in NSCLC Patients Progressing on Prior Checkpoint Inhibitor Therapy
Presentation Topic: Proffered paper session – Immunotherapy of Cancer (SITC) (Free SITC Whitepaper) (ID 159)
Location: Hall A2 – Room 18, ICM München, Munich, Germany
Lecture Date and Time: October 22, 2018, at 12:06 p.m. – 12:18 p.m. CEST
Presentation Number: 1129O
Presenter: Ticiana A. Leal, M.D.

The data being presented in this oral presentation comprise updated clinical data from the ongoing Phase 2 trial of sitravatinib in combination with OPDIVO (nivolumab) for the treatment of non-small cell lung cancer (NSCLC) patients who have progressed on prior immune checkpoint inhibitor therapy.

Investor Call and Webcast Information
In conjunction with the oral presentations, Mirati will host a live conference call and webcast, led by Dr. Charles Baum, on Monday, October 22, 2018, at 2:00 p.m. CEST/8:00 a.m. EDT/5:00 a.m. PDT. The live call can be accessed by dialing (866) 324-3683 (toll free) or (509) 844-0959 (international) and then using passcode 3890724. A telephone replay will be made available by dialing (855) 859-2056 (toll free) or (404) 537-3406 (international) using conference replay ID 3890724.

The call will also be webcast live through the "Investors" section of the Mirati corporate website at View Source A replay of the webcast will be available on the Mirati website shortly after the conclusion of the event.

About Sitravatinib

Sitravatinib is a spectrum-selective kinase inhibitor that potently inhibits receptor tyrosine kinases (RTKs), including TAM family receptors (TYRO3, Axl, Mer), split family receptors (VEGFR2, KIT) and RET. As an immuno-oncology agent, sitravatinib is being evaluated in combination with nivolumab (OPDIVO), an anti-PD-1 checkpoint inhibitor, in patients who have experienced documented disease progression following treatment with a checkpoint inhibitor. Sitravatinib’s potent inhibition of TAM and split family RTKs may overcome resistance to checkpoint inhibitor therapy through targeted reversal of an immunosuppressive tumor microenvironment, enhancing antigen-specific T cell response and expanding dendritic cell-dependent antigen presentation.

Sitravatinib is also being evaluated as a single agent in a Phase 1b expansion clinical trial enrolling patients whose tumors harbor specific mutations in the CBL kinase. When CBL is inactivated by mutation, multiple RTKs, including TAM, VEGFR2 and KIT, are dysregulated and may act as oncogenic tumor drivers in NSCLC and melanoma. Sitravatinib potently inhibits these RTKs and is being investigated as a treatment option for cancer patients with CBL mutations

Aura Biosciences to Present Phase 1b/2 Clinical Data for AU-011 at the American Academy of Ophthalmology 2018 Annual Meeting

On October 15, 2018 Aura Biosciences, a leader in the development of novel targeted therapies in ocular oncology, reported that it will be highlighting its Phase 1b/2 clinical data for AU-011, the Company’s lead product candidate for the primary treatment of choroidal melanoma, in two oral presentations at the American Academy of Ophthalmology (AAO) 2018 Annual Meeting being held October 27-30, 2018, at McCormick Place in Chicago (Press release, Aura Biosciences, OCT 15, 2018, View Source [SID1234529922]).

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"Following the positive interim results reported in July 2018 from this ongoing Phase 1b/2 study evaluating AU-011 in patients with choroidal melanoma, we are pleased to be sharing these updated, one-year results with the medical community at AAO this year," said Elisabet de los Pinos, Ph.D., Founder and Chief Executive Officer of Aura. "There are no FDA approved therapies for the treatment of choroidal melanoma, the most common type of primary eye cancer. Patients are currently treated with radiotherapy and surgery which typically results in severe vision loss, along with a plethora of other severe adverse effects and comorbidities. If approved, AU-011 will be the first targeted therapy for the treatment of choroidal melanoma, with the potential to preserve vision and transform the treatment paradigm for these patients."

In addition to the AAO clinical data presentations, Aura has been selected to present its innovative technology for the treatment of choroidal melanoma as part of the Innovation Showcase during the Ophthalmology Innovation Summit (OIS@AAO) taking place Thursday, October 25, 2018, at the Marriot Marquis Chicago. Dr. de los Pinos will give the presentation which will provide an update on Aura Biosciences.

Details for the oral presentations at AAO 2018:

Title: One-Year Results of a Phase 1b/2 Open-Label Clinical Trial of AU-011 for the Treatment of Primary Choroidal Melanoma

Presenter: Brian P. Marr, M.D., Columbia University Medical Center

Session: Ocular Oncology

Date and Time: Saturday, October 27, 2018, from 3:21 – 3:29 PM CT

Location: Room E350

Title: One-Year Results of a Phase 1b/2 Open-Label Clinical Trial of AU-011 for the Treatment of Primary Choroidal Melanoma

Presenter: Brian P. Marr, M.D., Columbia University Medical Center

Session: Ocular Pathology, Oncology

Date and Time: Monday, October 29, 2018, from 3:57 – 4:04 PM CT

Location: Room E350

About Choroidal Melanoma

Choroidal melanoma is a rare and aggressive type of eye cancer. Choroidal melanoma is the most common primary ocular tumor and develops in the uveal tract of the eye. No targeted therapies are available at present, and current radiotherapy treatments can be associated with severe visual loss and other long-term sequelae such as dry eye, glaucoma, cataracts and radiation retinopathy. The most common current treatment is plaque radiotherapy, which involves surgical placement of a radiation device on the exterior of the eye over the tumor. The alternative is enucleation, or total surgical removal of the eye. Choroidal melanoma metastasizes to the liver in about 40-50 percent of cases in the long term (source: OMF), and only 15 percent of patients whose melanoma has metastasized survive beyond five years after diagnosis (source: ACS).

About Light-Activated AU-011

AU-011 is a first-in-class targeted therapy in development for the primary treatment of choroidal melanoma. The therapy consists of proprietary viral-like particle bioconjugates (VPB) that are activated with an ophthalmic laser. The VPBs bind selectively to unique receptors on cancer cells in the eye and are derived from technology originally pioneered by Dr. John Schiller of the Center for Cancer Research at the National Cancer Institute (NCI), recipient of the 2017 Lasker-DeBakey Award. Upon activation with an ophthalmic laser, the drug rapidly and specifically disrupts the cell membrane of tumor cells while sparing key eye structures, which may allow for the potential of preserving patients’ vision and reducing other long-term complications of radiation treatment. AU-011 can be delivered using equipment commonly found in an ophthalmologist’s office and does not require a surgical procedure, pointing to a potentially less invasive, more convenient therapy for patients and physicians. AU-011 for the treatment of choroidal melanoma has been granted orphan drug and fast track designations by the U.S. Food and Drug Administration and is currently in clinical development.

Veracyte to Host Conference Call and Webcast to Discuss Third Quarter 2018 Financial Results on Monday, October 29, 2018

On October 15, 2018 Veracyte, Inc. (Nasdaq: VCYT) reported that it will release its third quarter 2018 financial results after the close of market on Monday, October 29, 2018 (Press release, Veracyte, OCT 15, 2018, View Source [SID1234529919]). Company management will host a conference call and webcast to discuss financial results and provide a general business update at 4:30 p.m. EDT on the same day.

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The conference call will be webcast live from the company’s website and will be available via the following link: View Source The webcast should be accessed 10 minutes prior to the conference call start time. A replay of the webcast will be available for one year following the conclusion of the live broadcast and will be accessible on the company’s website at View Source

The conference call can be accessed as follows:

U.S./Canada participant dial-in number (toll-free): (855) 541-0980
International participant dial-in number: (970) 315-0440
Conference I.D.: 1658434

Enzo Biochem Reports Fourth Quarter and Fiscal 2018 Results

On October 15, 2018 Enzo Biochem Inc. (NYSE:ENZ), an integrated diagnostic and therapeutics company, reported results for the fourth quarter and fiscal year ended July 31, 2018, in addition to announcing New York State department of Health’s approval of additional assays for new women’s health infectious disease panel continuing to drive focus in development of lower cost products, platforms and services for the clinical laboratory market (Press release, Enzo Biochem, OCT 15, 2018, View Source [SID1234529918]).

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Recent Developments

Progress in molecular amplification and immunohistochemistry platforms is leading to full system solution to aid in addressing challenge of maintaining profitability for clinical labs in a market affected by declining reimbursement and high operating costs.
New York State Department of Health has approved an additional three women’s health infectious disease diagnostic assays to expand Enzo’s women’s health panel to 16 pathogens on the Company’s proprietary, versatile and cost effective AMPIPROBE platform. This addition makes the panel one of the most comprehensive in the $800 million market. This is performed using a single swab and now includes Ureaplasma spp./M. genitalium/M. hominis (UMM) in addition to Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis Candida spp (C. albicans, C. glabrata, C. krusei, C. parapsilosis, C. tropicalis), Atopobium vaginae, Gardnerella vaginalis, Lactobacillus spp, Megasphera spp and BVAB2. UMM testing is vital to women’s health as mycoplasmas are a significant cause of non-gonococcal urethritis. Ureaplasmas are also associated with urethritis, and a myriad of additional medical conditions.
Entered into an agreement to purchase an additional commercial facility with nearly 36,000 square feet in Farmingdale, NY. The building adjacent to the Company’s current Long Island campus enhances the infrastructure needed to produce and distribute Enzo’s expanding low cost, open architecture diagnostic platform products and broaden related services. The Company’s platform development includes automation-compatible reagent systems and associated products for sample collection and processing through to analysis.
Continued product and platform development activities directed to each step of the clinical testing process, expanding into sample collection and processing. The Company’s programs include manufacturing all components required for each step in the diagnostic process for integration into an open platform. Enzo’s system solutions will enable clinical laboratories to gain economic return in the diagnostics market where declining reimbursements and rigid costs from suppliers currently prevail.
Building on prior progress in the molecular diagnostics and immunohistochemistry areas, Enzo also recently announced the validation of three clinically relevant, cost-efficient immunohistochemistry (IHC) biomarker detection tests for charting the progression of various cancers, especially in the field of women’s health. These tests operate with the Company’s open system workflow and complement Enzo’s strategy of introducing lower cost testing solutions to the global IHC market that is projected to reach over $2 billion by 2021.
The Company recently designated an in-network laboratory provider for three new health insurance providers in the MidAtlantic and New England areas to support geographical expansion. These additional contracts are expected to add to Enzo’s national reach of testing services to millions of covered lives across the U.S.
New York Federal case against Hoffman LaRoche proceeding with trial date set for early April 2019.
The Company expects the commercialization from the developments of its strategic initiatives will begin over the next year at which time it anticipates returning to revenue and margin growth. The significant implementation steps include:

Validation through clinical trials of Enzo’s fully automated, high-throughput instrumentation including sample collection and sample processing and reagents systems both for New York State and FDA.
Completion of buildout of GMP manufacturing capabilities.
Approval of additional assays to expand Enzo’s test menu.
Expansion of sales and marketing, logistics and IT efforts to grow national reference laboratory accounts.
Partnerships and collaborations with potential strategic and institutional partners to enhance commercialization and market penetration of Enzo’s high technology platforms and products.
Barry Weiner, Enzo President, Comments:

"Fiscal 2018 was a year of solid progress in our strategic plan, and one in which each of the principal operating units posted volume increases and achieved objectives towards our growth initiatives. These initiatives began over three years ago now provide the potential for multiple ventures and partnerships that could generate significant shareholder value. Our focus is centered on providing cost efficient products and services utilizing our proprietary assays optimized for our automated, open system platforms that are compatible with existing sample collection devices as well as our own lower cost option. These have been designed to provide not only high-performance and adaptable solutions to existing lab workflow, but also to address a critical need for lower cost solutions. Besides the number of assays already approved, in process is the development of a screening assay for oncogenic forms of HPV, among others. Today’s clinical laboratories including Enzo face a two-fold challenge – to maintain revenue growth and profitability, amidst declining reimbursements and unreasonably high operating costs. The latter stem from "closed system" diagnostics platforms, sample collection devices and accessories that are a barrier to the use of low-cost and efficient third-party solutions.

Our efforts were not limited to laboratory product development, but also included building an internal sales force that will enable us to grow this business. We also have added to our development staff, and hired experienced professionals especially knowledgeable about health care providers in order to bring them into our fold as clients. In the next few quarters, our strategic plans call for a number of new tests currently under development to be submitted for New York State Department of Health for conditional approval to add to those already authorized, which will further expand our already sizable test menu. Our Women’s Health Panel was expanded with three more tests this quarter to 16 analytes that can be processed in one sample.

Our acquisition of a new facility ties in directly with the anticipated expansion of our capabilities at the Farmingdale, NY campus. In addition to enhancing efficiency, the purchase represents an important vote of confidence in our strategic plan. The new facility will provide Good Manufacturing Practices (GMP) and ISO compliant manufacturing and logistics space for Enzo’s diagnostics and life science products business. Moreover, the new facility will enhance space for GMP production of the Company’s development-stage clinical candidates, including Enzo’s proprietary sphingosine kinase 1 inhibitor, SK1-I, which is being investigated for potential applications in oncology and autoimmune diseases. This effort opens potential for strategic partnerships. It is a time-consuming, capital intensive effort, to transform an entity into a provider of platform, products and services in a relatively short time. We believe when the transition is completed over the next year that the Company will look very different than it does today, with an anticipated return to revenue and margin growth."

Fiscal 2018 Operating Results

Total revenues were $104.7 million, compared to $107.8 million in the prior year, a decrease of $3.1 million, or 3%. Clinical services revenues were $74.8 million, compared to $77.4 million in the prior year, a decrease of $2.6 million or 3% due to lower insurance reimbursement payments and shifts in test mix to lower esoteric testing verses high genetic testing in the prior year. Total diagnostic testing volume, measured by the number of accessions reported, increased 4% year over year. Clinical products and royalties revenue was $29.9 million compared to $30.4 million in the prior year. The decline year over year resulted from lower product royalties from an agreement that expired in April 2018.
Consolidated gross margins were 42% compared with 45% in the prior year. Clinical services gross margins were 39% compared to 41% a year ago. Gross margins in the current year were negatively impacted by lower revenue from Clinical Services as noted above. Clinical products and royalties gross margin was 52% compared to 54% in the prior year period.
Operating expenses totaled $56.5 million, up 10% compared to $51.4 million a year ago. The increase reflected legal fee expenses in anticipation of a patent infringement and contract related trial, where Enzo is plaintiff that may occur next calendar year. Total legal expenses were $5.1 million compared to $1.7 million in the prior year. Selling and general administrative expenses (SG&A) as well as research and development (R&D) expenses were slightly higher year over year in support of the Company’s growth strategies. As a percentage of revenue, SG&A was 42% compared to 41% in the prior year and R&D expenses were flat year over year.
The GAAP and Non-GAAP net loss was $10.3 million and $11.4 million, respectively, compared to $2.5 million a year ago. The GAAP net loss per share was $0.22, compared to $0.05 a year ago, and the Non-GAAP loss per share was $0.24. There were no Non-GAAP adjustments in the prior year. EBITDA was a loss of $9.1 million compared to earnings of $0.7 million a year ago.
Fourth Quarter Operating Results

Total revenues were $24.5 million, compared to $28.2 million in the prior year, a decrease of $3.7 million. Clinical services revenues were $16.8 million, compared to $20.4 million in the prior year, a decrease of $3.7 million. Approximately $1.7 million of the current quarter’s revenue decline relates to a previously reported account loss with the remaining decline due to lower insurance reimbursement payments and shifts in test mix away from high valued genetic testing in the prior year. Total diagnostic testing volume, measured by the number of accessions reported, decreased 3% year over year, however it increased 3% sequentially compared to the third fiscal quarter of 2018. Clinical products and royalties revenue was approximately $7.7 million in both the current year and prior year periods.
Consolidated gross margins were 40% compared with 44% in the prior year. Clinical services gross margins were 33% compared to 41% a year ago. Gross margins in the current year were negatively impacted by lower revenue from Clinical Services as noted above. Clinical products and royalties gross margins increased 120 basis points year over year to 54%.
Operating expenses totaled $15.4 million, up 19% compared to $12.9 million from a year ago. The increase reflected higher legal fee expenses of $0.9 million in anticipation of the aforementioned patent infringement and contract related trial, increased allowances for bad debts of $0.9 million and higher SG&A expenses of $0.6 million. R&D expenses were flat year over year.
The GAAP and Non-GAAP net loss was $5.8 million compared to breakeven a year ago. The GAAP and Non-GAAP net loss per share was $0.12 and compared to $0.05 a year ago. There were no Non-GAAP adjustments in the current and prior year. EBITDA was a loss of $5.3 million compared to EBITDA earnings of $0.9 million a year ago.
Total cash and cash equivalents at July 31, 2018 were $60.0 million compared to $64.2 million at July 31, 2017. Cash used in operations was $2.7 million during fiscal 2018 and cash used for investing activities, principally capital expenditures, was $1.9 million. Operating segments continue to be cash flow positive. Working capital at July 31, 2018 was over $63.0 million.

Conference Call

The Company will conduct a conference call Tuesday, October 16, 2018 at 8:30 AM ET. The call can be accessed by dialing 1-888-459-5609. International callers can dial 1-973-321-1024. Please reference PIN number 6096026.

Interested parties may also listen over the Internet at: View Source

To listen to the live call, individuals should go to the website at least 15 minutes early to register, download and install any necessary audio software. Any pop up blocker installed on your PC should be disabled while accessing the webcast. A rebroadcast of the call will be available starting approximately two hours after the conference call ends, through 12 AM (E.T.) Tuesday, October 30, 2018. The replay of the conference call can be accessed by dialing 1-855-859-2056 (International callers can dial 1-404-537-3406) and, when prompted, use the same PIN number 6096026.

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 Company’s investor relations web site (www.enzo.com) 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.