Summary of BioLineRx Update Conference Call Company and Industry Overview - **Company**: BioLineRx - **Industry**: Biotechnology, specifically focused on cancer therapeutics Key Points and Arguments 1. **Joint Venture Announcement**: BioLineRx has established a joint venture with Hemispherian AS to develop GLYCS1, a novel molecule targeting glioblastoma and other cancers [4][6][19] 2. **Focus on GLYCS1**: GLYCS1 is an oral small molecule that targets DNA damage response, showing promise in treating glioblastoma, an aggressive brain tumor with limited treatment options [6][8][10] 3. **Clinical Development Plans**: A phase 1-2A clinical trial for GLYCS1 is planned to start in Q1 2026, with the phase 1 part focusing on safety and tolerability in recurrent GBM patients [9][17][20] 4. **Market Opportunity**: The annual incidence of glioblastoma is projected to be around 18,500 patients in the U.S. and 13,400 in the EU5 by 2030, representing a combined addressable market of approximately $3.8 billion [10][11] 5. **Mechanism of Action**: GLYCS1 restores TET2 activity, leading to DNA breaks in cancer cells while sparing healthy cells, which is expected to enhance its efficacy [14][15] 6. **Preclinical Success**: GLYCS1 has demonstrated potent anti-tumor activity in preclinical models, including complete prevention of tumor growth in glioblastoma models [16][17] 7. **Intellectual Property**: GLYCS1 is protected by patents valid until at least 2040, with potential extensions, covering its use in various cancers [11][12][13] 8. **Financial Position**: BioLineRx has a cash runway extending into the first half of 2027, supported by royalties and milestone payments from existing partnerships [20][23] 9. **JV Structure**: Hemispherian holds 60% of the joint venture, with BioLineRx holding 40%, which can increase to 70% based on further investments [19] 10. **Future Pipeline**: The joint venture will also have the first look at other molecules in Hemispherian's pipeline, focusing on DNA repair [11][19] Additional Important Information - **Current Standard of Care**: The existing treatment for glioblastoma includes surgery, radiotherapy, and temozolomide, which only benefits 25% to 50% of patients [10] - **Patient Advocacy**: Hemispherian is building relationships with patient advocacy groups to facilitate clinical trial enrollment [21] - **Safety Profile**: GLYCS1 has shown excellent safety results in preclinical studies, indicating a favorable profile for human trials [31] - **Potential Combinations**: There is significant potential for GLYCS1 to be used in combination with PARP inhibitors, which may enhance treatment efficacy in various cancers [18][33] This summary encapsulates the critical insights from the BioLineRx update conference call, highlighting the company's strategic direction, clinical development plans, and market potential for GLYCS1.

Core Insights - BioLineRx Ltd is presenting new data from the CheMo4METPANC Phase 2 trial at the 2025 American Society of Clinical Oncology Annual Meeting, which evaluates a combination of motixafortide, cemiplimab, and standard chemotherapies for first-line pancreatic cancer [1] Group 1: Clinical Trial Results - The pilot phase of the trial showed that four out of eleven patients remained progression-free after more than one year [2] - The overall response rate (ORR) was 64% (7 out of 11), and the disease control rate (DCR) was 91% (10 out of 11), significantly higher than historical rates of 23% and 48% for gemcitabine and nab-paclitaxel [5] - The trial is the first large, multi-center, randomized study evaluating motixafortide with a PD-1 inhibitor and first-line PDAC chemotherapies, with full enrollment expected by 2027 [6] Group 2: Patient Outcomes - Two patients with metastatic pancreatic cancer (mPDAC) underwent definitive treatment, with one achieving complete resolution of liver lesions and the other showing a sustained partial response [3] - An increase in CD8+ T-cell tumor infiltration was observed across all eleven patients treated with the motixafortide combination, indicating a potential immune response [4] Group 3: Company Financials and Market Response - BioLineRx has reduced its operating expense run rate by over 70% starting January 1, 2025, due to the transfer of the APHEXDA program and the shutdown of U.S. commercial operations [7] - The company raised gross proceeds of $10 million in financing and reaffirmed its cash runway through the second half of 2026 [7] - Following these developments, Jones Trading upgraded BioLineRx from Hold to Buy with a price target of $12, and the stock price increased by 42.7% to $5.41 [8]

Financial Data and Key Metrics Changes - Total revenues for the year ended December 31, 2024, were $28.9 million, an increase of $24.1 million, or 502.1%, compared to $4.8 million for the year ended December 31, 2023 [30] - Net loss for the year ended December 31, 2024, was $9.2 million compared to a net loss of $60.6 million for the year ended December 31, 2023 [34] - Cash, cash equivalents, and short-term bank deposits as of December 31, 2024, were $19.6 million, with approximately $29 million on a pro forma basis after financing completed in early January 2025 [34] Business Line Data and Key Metrics Changes - APHEXDA achieved a 10% market share of total CXCR4 inhibitor usage in the U.S. within less than 11 months of being on the market [26] - Generated more than $6 million of net APHEXDA product revenue in the U.S. through the closing of the Ayrmid transaction on November 21 [27] Company Strategy and Development Direction - The company has shifted its strategy to focus on evaluating early clinical stage and late pre-clinical stage therapeutic assets in oncology and rare diseases [6][7] - The licensing agreement with Ayrmid Pharma Ltd. allows the company to return to its roots in complex drug development while leveraging expertise in drug development [6][9] - The company aims to help as many patients as possible while creating enduring value for shareholders [20] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism about evaluating several promising candidates and the potential for definitive announcements within the year [8] - The company has reduced its ongoing operating cash burn by approximately 70%, from over $40 million annually to approximately $12 million annually [18] - The company believes it is well-positioned to advance motixafortide in solid tumor indications while evaluating additional assets in oncology and rare diseases [19] Other Important Information - The Ayrmid agreement generated $10 million in upfront payments and potential milestones of $87 million, along with double-digit sales royalties ranging from 18% to 23% [16] - The company has shut down its U.S. operations and implemented a headcount reduction in Israel, transitioning a substantial portion of its commercial team to Ayrmid [17] Q&A Session Summary Question: Any more color on meaningful progress in evaluating assets? - Management indicated that they are having meaningful discussions regarding early-stage clinical assets in oncology and rare diseases but could not provide a timeline for announcements [38] Question: How are internal programs looking, especially with WashU and sickle cell? - Management noted that a significant win would be mobilizing enough cells in one cycle for gene therapy, reducing the number of apheresis sessions required [43][44] Question: Commentary on increased traction of APHEXDA for multiple myeloma? - Management expressed confidence in Ayrmid's team and their marketing efforts, stating that the transition has gone smoothly [49] Question: How many assets have been looked at in the acquisition process? - Management stated that they have looked at thousands of molecules over the company's history, focusing on early clinical stage assets in oncology and rare diseases [56][58] Question: Allocation of expenses during the acquisition process? - Management confirmed that expenses would initially be higher during the search process but would shift towards R&D once assets are acquired [59] Question: Internal versus external efforts in the acquisition process? - Management indicated that the majority of the work is done in-house, with external consultants used as needed for specific expertise [64]

Financial Data and Key Metrics Changes - Total revenues for the year ended December 31, 2024, were $28.9 million, an increase of $24.1 million, or 502.1%, compared to $4.8 million for the year ended December 31, 2023 [30] - Net loss for the year ended December 31, 2024, was $9.2 million compared to a net loss of $60.6 million for the year ended December 31, 2023 [34] - Cash, cash equivalents, and short-term bank deposits as of December 31, 2024, were $19.6 million, with approximately $29 million on a pro forma basis after financing completed in early January 2025 [34] Business Line Data and Key Metrics Changes - Revenues in 2024 included $15 million from upfront and milestone payments under the Gloria license agreement and $6 million of net APHEXDA product revenues [31] - Research and development expenses for the year ended December 31, 2024, were $9.2 million, a decrease of $3.3 million, or 26.4%, compared to $12.5 million for the year ended December 31, 2023 [32] - Sales and marketing expenses for the year ended December 31, 2024, were $23.6 million, a decrease of $1.7 million, or 6.7%, compared to $25.3 million for the year ended December 31, 2023 [33] Market Data and Key Metrics Changes - APHEXDA achieved a 10% market share of total CXCR4 inhibitor usage in the U.S. within less than 11 months of being on the market [26] - More than $6 million of net APHEXDA product revenue was generated in the U.S. through the closing of the Ayrmid transaction on November 21 [27] Company Strategy and Development Direction - The company has shifted its strategy to focus on evaluating early clinical stage and late pre-clinical stage therapeutic assets in oncology and rare diseases [6][7] - The exclusive license agreement with Ayrmid Pharma Ltd. for motixafortide allows the company to return to its roots in complex drug development while benefiting from Ayrmid's commercial potential [9][10] - The company aims to help as many patients as possible while creating enduring value for shareholders [20] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism about evaluating promising candidates and making definitive announcements within the year [8] - The company has reduced its ongoing operating cash burn by approximately 70%, from over $40 million annually to approximately $12 million annually [18] - The company believes it is well-positioned to advance motixafortide in solid tumor indications while evaluating additional assets in oncology and rare diseases [19] Other Important Information - The Ayrmid agreement generated $10 million in upfront payments and potential milestones of $87 million, along with double-digit sales royalties ranging from 18% to 23% [16] - The company has shut down its U.S. operations and implemented a headcount reduction in Israel, allowing for a streamlined organization [17] Q&A Session Summary Question: Any more color on meaningful progress in evaluating assets? - Management indicated that while there are meaningful discussions ongoing, specific timelines for announcements cannot be provided [38] Question: How are internal programs, especially with WashU and sickle cell, looking? - Management noted that a significant win would be mobilizing enough cells in one cycle for gene therapy, reducing the number of apheresis sessions [43][44] Question: Commentary on increased traction of APHEXDA for multiple myeloma? - Management expressed confidence in Ayrmid's team and their marketing efforts, stating that the transition has gone smoothly [49] Question: How many assets have been looked at in the acquisition process? - Management stated that they have looked at thousands of molecules over the company's history, focusing on early clinical stage assets in oncology and rare diseases [56][58] Question: Allocation of expenses during the acquisition process? - Management confirmed that expenses would initially be higher during the search process, shifting towards R&D as acquisitions are made [59] Question: Internal versus external efforts in the acquisition process? - Management indicated that the majority of the work is done in-house, with external consultants used as needed [64]