TiGenix: TiGenix reports its full year 2014 results
(Thomson Reuters ONE) -
Regulated information
PRESS RELEASE
TiGenix reports its full year 2014 results
Leuven, Belgium - 17 March, 2015 - TiGenix NV (Euronext Brussels: TIG), an
advanced biopharmaceutical company focused on developing and commercialising
novel therapeutics from its proprietary platform of allogeneic, expanded
adipose-derived stem cells, or eASC's, in inflammatory and autoimmune diseases,
reported its results for 2014 today.
Business highlights
* Strategic refocusing successfully completed
* All resources focused on advancing the allogeneic expanded adipose-
derived stem cell (eASCs) product pipeline. ChondroCelect marketing and
distribution rights licensed to Sobi and Dutch manufacturing facility
sold to PharmaCell
* Management team strengthened with the appointment of Chief Medical
Officer and VP Medical Affairs & New Product Commercialisation
* Patient recruitment of Cx601 European Phase III study completed
* Results at 24 week of the ADMIRE Phase III study expected in the third
quarter of 2015
* Key adipose-derived stem cell composition patent obtained in Europe
* Cx601 development for the United States progressed according to plan
* Phase III trial design submitted to the Food and Drug Administration
(FDA) for a Special Protocol Assessment (SPA)
* Agreement signed with Lonza for the manufacture of Cx601 in the US
* Development plan for Cx611 announced and implementation started
* Cx611 to be developed for early rheumatoid arthritis and severe sepsis
* Phase I trial of Cx611 in a clinical challenge study for severe sepsis
begun
Financial highlights
* Loss for the period of Euro 13.0 million, a reduction of 29% compared to
2013
* Cash and cash equivalents at year end of Euro 13.5 million
* Additional funds of Euro 25 million secured in February 2015 through
convertible bond issue
"We are very pleased with our progress in the last year," said Eduardo Bravo,
CEO of TiGenix. "We have transformed the operational focus of the Company to
exploit the potential of our proprietary technology platform of allogeneic
eASCs. From this, we have an advanced pipeline of products in areas of high
unmet medical need in inflammatory and autoimmune diseases, including Cx601
which will deliver Phase III results in the third quarter of this year, and
Cx611 which will enter Phase IIb in early rheumatoid arthritis in the fourth
quarter of this year, and which is already in Phase I in severe sepsis. Finally,
through a convertible bond issue in February 2015, we have refinanced the
Company. TiGenix is re-positioned with an enhanced clinical pipeline and a
bright future".
Business Update
Strategic refocusing of the Company successfully completed
In 2014, management refocused the resources of the Company on to the development
of the product pipeline from its allogeneic expanded adipose-derived stem cell
(eASCs) technology platform.
In April, the marketing and distribution rights in Europe, the Middle East and
North Africa for ChondroCelect, the cell-based medicinal product for the repair
of cartilage defects of the knee, were licensed to the international specialty
healthcare company dedicated to rare diseases, Swedish Orphan Biovitrum AB
('Sobi'). TiGenix receives a royalty of 22% of the net sales of ChondroCelect in
the first year of the agreement, and 20% thereafter. In July, the Committee for
Medicinal Products for Human Use (CHMP) renewed for an additional five years its
marketing authorisation for ChondroCelect in all of the 31 countries of the
European Union (EU) and European Economic Area (EEA).
In June, TiGenix completed the sale of its Dutch production facility to
PharmaCell, a leading European contract manufacturing organisation active in the
areas of cell therapy and regenerative medicine.
In September, TiGenix announced that it had appointed Dr Marie Paule Richard as
the Company's Chief Medical Officer, and Dr Mary Carmen Diez as its Vice
President Medical Affairs and New Product Commercialisation. Dr Richard will be
responsible for the development of Cx611 in both early rheumatoid arthritis and
severe sepsis, for the completion of the ongoing European pivotal Phase III
trial with Cx601, and for the preparation and implementation of the development
plan of Cx601 in the United States. Dr Diez will be responsible for the Medical
Affairs function across all the Company's assets and she will be directly in
charge of preparing the launch of Cx601 in Europe.
The business model and operational focus of the Company have been transformed
and are now concentrated on those assets with the greatest potential to deliver
value.
Patient recruitment of Cx601 European Phase III study completed
In November 2014, TiGenix completed the patient recruitment for its Phase III
trial of Cx601 in Europe, codenamed ADMIRE. The trial is a randomised, double-
blind, placebo-controlled Phase III study designed to confirm the efficacy and
safety of Cx601, a locally-injected product of eASCs, in the treatment of
complex perianal fistulas in Crohn's disease patients. It has recruited 289
patients across 51 centres in 7 European countries and Israel. The study's
primary endpoint is combined remission of fistulous disease, defined as closure
of all treated external openings draining at baseline despite gentle finger
compression confirmed by MRI (no collections > 2cm). The complete analysis of
results at week 24 will be available in the third quarter of 2015. This pivotal
study is intended to allow filing for marketing authorisation in Europe, and to
serve as a key supportive study in filing for approval in other territories,
including the United States.
In September 2014, the Paediatric Committee of the European Medicines Agency
(EMA) issued a positive opinion on the Company's Paediatric Investigation Plan
(PIP) for Cx601. An accepted PIP is a requirement for the filing for marketing
authorisation of a new medicinal product with the EMA. It describes how a
company intends to evaluate the use of the new product in children. On
completion of the PIP, the company is awarded an additional six months' patent
exclusivity for the product. Cx601 received Orphan Drug designation from the EMA
in 2009 giving it ten years' market exclusivity from the date of marketing
authorisation.
In January 2015, the European Patent Office (EPO) granted TiGenix European
Patent EP2292736 relating to an adipose-derived stem cell composition. The
claims of the granted patent cover both a specified population of expanded
adipose-derived multipotent cells and their therapeutic uses. The issuance of
this patent reinforces TiGenix's intellectual property portfolio of 24 patent
families, which now includes 14 granted patents related specifically to its eASC
platform. The pending and granted patents in TiGenix's intellectual property
portfolio include patent families that are directed to its eASC platform; and
more specifically, to eASC compositions and therapeutic applications as well as
to cell therapy delivery mechanisms and other eASC technology improvements.
Successful Phase III results for Cx601 permitting, the Company is now poised to
realise the value of its most advanced asset.
Cx601 development for the United States progressed according to plan
In 2014, the Company's strategy to capture the value of Cx601 in its most
important opportunity, the US market, was significantly advanced. In December
2014, TiGenix submitted to the Food and Drug Administration (FDA) the required
documentation for a Special Protocol Assessment (SPA) of its pivotal Phase III
trial design for Cx601 in the United States. The planned US study design is
similar to the ongoing Phase III trial in Europe. The US trial design protocol
incorporates guidance both from the FDA and from the Company's US Scientific
Advisory Board of six leading North American clinical experts in
gastroenterology and inflammatory bowel disease. On completion of the SPA review
process, and of the technology transfer of its cell manufacturing process to its
contract manufacturing partner in the US, TiGenix will submit its
investigational new drug application (IND) for this Phase III study to the FDA.
In February 2015, TiGenix and Lonza signed an agreement whereby Lonza will
manufacture Cx601 for the US Phase III trial at Lonza's cell therapy production
facility in Walkersville, Maryland (US).
As a result of this progress, at the time of the European Phase III study
results in Q3 2015, the company will have in the US an approved Phase III trial
protocol and the possibility of completing the development of Cx601 in its most
important market.
Development plan for Cx611 completed and implementation begun
In June 2014, TiGenix announced that it will develop its intravenous-
administered allogeneic stem cell product, Cx611, for patients suffering from
early rheumatoid arthritis and for patients afflicted with severe sepsis, a
potentially life-threatening complication of infection. The Company considered
the demonstrated therapeutic effects of allogeneic stem cells, the animal and
clinical data for Cx611 collected so far, the potential applications into areas
of high unmet medical need, and the advice from clinical experts in Europe and
in the United States. In early rheumatoid arthritis, Cx611 could offer patients
a therapy with an alternative mechanism of action that delays the need to
progress to biological drugs. In severe sepsis, Cx611 could be a therapy with a
mechanism of action that provides significant advantages when combined with
normal standards of care, delivering faster recovery and improved survival
rates.
In December 2014, the development of Cx611 in severe sepsis began with the
enrollment of the first subject in a sepsis challenge Phase I study, codenamed
CELLULA. The trial is designed to confirm the safety and demonstrate the anti-
inflammatory effect of Cx611 on the sepsis-like clinical symptoms and
immunological response elicited by an intravenous administration of a bacterial
endotoxin (lipopolysaccharide) in healthy volunteers. The trial is a placebo-
controlled dose-ranging study (3 doses of Cx611) in 32 healthy male volunteers.
It is being conducted in the Academic Medical Center of the University of
Amsterdam in the Netherlands which is a centre of excellence for such trials.
Recruitment and dosing of all 32 subjects in the trial was completed in early
March 2015. Results are expected in the second quarter of 2015.
Success for Cx611 in either of these indications represents a major medical and
commercial opportunity.
Financial Update
Financial results for the full year 2014
Key figures (thousands of Euro, except share data)
Loss for the period reduced by 29%
In 2014, the operating loss was reduced by 15%, from Euro 14.8 million in 2013
to Euro 12.6 million, resulting from a significant increase in total revenues
together with a lower increase in operating expenses.
Total revenues for the period amounted to Euro 6.3 million. Grants income, Euro
5.6 million, significantly increased during 2014. Growth has been mainly driven
by grants related to soft loans received in previous years (Euro 4.5 million).
In addition to grants, total revenues include Euro 0.3 million of royalties from
the net sales of ChondroCelect, and Euro 0.4 million of other operating income.
Total operating charges for the period amounted to Euro 18.8 million. The
increase over 2013 is mainly due to progress made with the clinical development
of Cx601 in Phase III as well as the launch of the Phase I sepsis challenge
trial for Cx611.
The financial result (the balance of financial income, financial expenses and
foreign exchange differences) improved from a negative result of Euro -0.4
million in 2013 to a positive result of Euro 0.3 million in 2014. This was due
to the combined effect of an increase in financial expenses related to the Kreos
loan (which was signed in 2013 but only came into effect in 2014), positive
exchange differences coming from loans receivable in foreign currency (the US
dollar strengthened significantly against the Euro in 2014), and improved
financial income from bank deposits.
Loss for the period from continuing operations has been reduced by 25% compared
to 2013, from Euro 15.1 million to Euro 11.4 million, as a consequence of the
significant increase in total revenues and the lower increase in operating
expenses.
Income taxes increased to Euro 0.9 million due to fiscal benefits obtained from
research and development activities performed in 2013.
Loss for the period from discontinued operations decreased 51%, from Euro 3.3
million to Euro 1.6 million. During the first half of 2014, the Group
discontinued ChondroCelect operations through the combination of the sale of the
Dutch manufacturing facility and a licensing agreement for the marketing and
distribution rights of the product from which TiGenix will receive royalties.
As a result of the above, the loss for the period decreased significantly by
29%, from Euro 18.4 million to Euro 13.0 million, in 2014.
Cash and cash equivalents at year-end of Euro 13.5 million
As at 31 December, 2014, cash and cash equivalents amounted to Euro 13.5
million. Average monthly cash burn from operating activities for the year
amounted to Euro 1.1 million.
On 6 March, 2015, the Company issued senior, unsecured convertible bonds due
2018 for a total principal amount of Euro 25 million, thus strengthening its
cash position.
Outlook
TiGenix expects to take the following steps within the next 18 months:
* Q2 2015: clinical results of the Phase I sepsis challenge trial of Cx611
* Q3 2015: FDA agreement on the US Phase III trial protocol for Cx601 in
complex perianal fistulas in Crohn's disease
* Q3 2015: clinical results from the European Phase III trial of Cx601 in
complex perianal fistulas in Crohn's disease
* Q4 2015: start Phase IIb study of Cx611 in early rheumatoid arthritis
* Q4 2015: start Phase IIa study of Cx611 in severe sepsis
* Q1 2016: file for marketing authorisation for Cx601 in Europe
* H1 2016: complete technology transfer to Lonza
Auditor's review
The statutory auditor of the Company, BDO Bedrijfsrevisoren Burg. Ven. CBVA, has
completed its review of the financial statements of the Company for the year
ended on 31 December 2014 and issued an unqualified audit opinion with an
explanatory paragraph with respect to the Company as a going concern.
Financial statements
The financial statements for 2014 can be found in the investor section of the
TiGenix website, www.tigenix.com
Webcast
On Tuesday, 17 March, at 15:00h CET/9.00am ET, TiGenix will conduct a conference
call and webcast. The following speakers will present the full year results for
2014 and an update on the business, and will take questions:
· Eduardo Bravo, Chief Executive Officer, TiGenix
· Claudia D'Augusta, Chief Financial Officer, TiGenix
Please dial one of the following numbers to participate:
Belgium: +32 2 620 0138
Canada: +1 514 841 2154
France: +33 1 76 77 22 31
Netherlands: +31 20 721 9158
Spain: +34 91 114 6582
Sweden: +46 8 5065 3937
United Kingdom: +44 203 427 1917
United States of America: +1 212 444 0895
Confirmation code: 1392650
The webcast can be followed live online via the link:
http://edge.media-server.com/m/p/cetgefb3
The press release and the webcast slide presentation will be made available in
the Newsroom section of the TiGenix website. A replay of the webcast will be
available on the website shortly after the live webcast has finished.
For more information
Richard Simpson
Senior Consultant, Comfi sprl
T: +32 494 578 278
richard(at)comfi.be
About Cx601
Cx601 is a suspension of allogeneic expanded adipose-derived stem cells (eASCs)
delivered locally through intra-lesional injection. Cx601 is being developed for
the treatment of perianal fistulas in Crohn's disease patients. Crohn's disease
is a chronic inflammatory disease of the intestine and patients can suffer from
complex perianal fistulas for which there is currently no effective treatment.
In 2009, the European Commission granted Cx601 orphan designation for the
treatment of anal fistulas, recognising the debilitating nature of the disease
and the lack of treatment options. In a Phase II clinical trial, Cx601 showed
efficacy at 24 weeks in 56% of treated fistula tracts, which is more than two
times higher than the current standard of care (TNF inhibitors). Efficacy was
measured as the complete closure and re-epithelisation of the fistula being
treated with an absence of drainage. Additionally, 69.2% of patients
demonstrated a reduction in the number of initially draining tracts. The trial
also confirmed the safety of the use of allogeneic stem cells for the treatment
of perianal fistula. Based on these results, TiGenix sought scientific advice
from the European Medicines Agency (EMA) on the future development path of
Cx601. TiGenix then initiated a randomised, double-blind, placebo-controlled
Phase III trial in Europe and Israel designed to comply with the requirements
laid down by the EMA. 'Madrid Network', an organisation within the Autonomous
Region of Madrid which helps companies to grow through high-technology
innovation, issued a soft loan to help finance this Phase III study. The
programme is funded by The Secretary of State for Research, Development and
Innovation (Ministry of Economy and Competitiveness) within the framework of the
INNTEGRA plan. This pivotal study is intended to enable filing for marketing
authorisation in Europe and to serve as a key supportive study in filing for
approval in other territories, including the US. The study's primary endpoint is
closure of all treated external openings draining at baseline despite gentle
finger compression confirmed by MRI (no collections > 2cm). The trial has a
first complete analysis of results at 24 weeks, with a follow-up analysis to be
performed at 52 weeks post-treatment. Recruitment of the whole sample of
patients was completed in the fourth quarter of 2014. The first clinical report
is expected to be available in the third quarter of 2015. With positive results,
TiGenix intends to submit a request for marketing authorisation with the EMA
early in 2016. TiGenix is preparing to develop Cx601 for the US market. The
company has filed for a Special Protocol Assessment (SPA) by the Food and Drug
Administration (FDA) to ensure that the design of a new Phase III study to be
conducted in the US is aligned with the FDA's requirements for the future
approval of Cx601. The company has appointed Lonza as its contract manufacturing
organisation (CMO) for the clinical development of Cx601 in the US.
About Cx611
Cx611 is an intravenously-administered product of allogeneic expanded adipose-
derived stem cells (eASCs). TiGenix is currently developing Cx611 for patients
with early rheumatoid arthritis and for patients with severe sepsis. For the
first of these two indications, in 2013 TiGenix reported positive 6-month safety
data from its Phase IIa study of Cx611 in refractory rheumatoid arthritis, as
well as a first indication of therapeutic activity using standard outcome
measures and biologic markers of inflammation for at least three months after
dosing. The multicentre, randomised, double-blind, placebo-controlled Phase IIa
trial enrolled 53 patients with active refractory rheumatoid arthritis (mean
time since diagnosis 15 years), under treatment with at least one non-biologic
disease-modifying anti-rheumatic drug (DMARD), who failed to respond to at least
two biologic drugs (mean previous treatment: 3 or more DMARDs and 3 or more
biologic drugs). The study design was based on a three-cohort dose-escalating
protocol. For both the low and medium dose regimens, 20 patients received active
treatment versus 3 patients on placebo; for the high dose regimen, 6 patients
received active treatment versus 1 on placebo. Patients were dosed at Days
1, 8, and 15 and were followed up monthly over a six-month period. Follow-up
consisted of a detailed monthly work-up of all patients, measuring all pre-
defined parameters. The aim was to evaluate the safety, tolerability and optimal
dosing over the full 6 months of the trial, as well as exploring therapeutic
activity. Only one patient suffered serious adverse events that led to a
discontinuation of treatment. All other side effects were mild and transient
indicating that eASCs are well tolerated and associated with an overall
acceptable safety profile. Measured clinical activity scores were ACR20(1),
ACR50(1), ACR70(1), EULAR(2) response rates, and the disease activity score,
DAS28(3). To gain a first insight into therapeutic activity, these parameters
were evaluated every month for six months. Patients receiving Cx611 had higher
ACR scores, a better EULAR response, and higher DAS28 scores than patients
receiving placebo over three months, and a sustained benefit over six months.
The Company is currently working with clinical experts to complete a protocol
for a randomised, double-blind, comparative Phase II study to test the efficacy
of Cx611 in patients exhibiting substantial disease activity of rheumatoid
arthritis despite treatment with methotrexate and corticosteroids, but unexposed
to a biological drug. Recruitment for the proposed study could start in the
fourth quarter of 2015 and TiGenix would expect final results to be available by
the end of 2017. In severe sepsis, as well as additional animal model testing,
TiGenix is running a randomised, placebo-controlled trial to test the mechanism
of action of Cx611 in healthy volunteers challenged with a bacterial endotoxin
(lipopolysaccharide), a potent pro-inflammatory constituent of the outer
membrane of Gram-negative bacteria, which elicits an inflammatory response
inducing sepsis-like clinical symptoms. Subject recruitment is completed and
TiGenix expects to have results from this study during the second quarter of
2015 and then to follow up with a phase II trial of Cx611 as an add-on therapy
to the standard of care in patients with severe sepsis.
(1) ACR 20 means a 20% improvement in tender or swollen joint counts as well as
20% improvement in at least three of the following five criteria: patient
assessment, physician assessment, erythrocyte sedimentation rate, pain scale and
functional questionnaire. The ACR50 and ACR70 categories adhere to the same
criteria, but for 50% and 70% improvement, respectively.
(2) EULAR, European League Against Rheumatism
(3) DAS28, Disease Activity Score 28 joint count
About TiGenix
TiGenix NV (Euronext Brussels: TIG) is an advanced biopharmaceutical company
focused on developing and commercialising novel therapeutics from its
proprietary platform of allogeneic, or donor-derived, expanded adipose-derived
stem cells, known as eASCs, in inflammatory and autoimmune diseases. Two
products from this technology platform are currently in clinical development.
Cx601 is in Phase III for the treatment of complex perianal fistulas in Crohn's
disease patients. Cx611 is in Phase IIb for early rheumatoid arthritis, and in
Phase Ib for severe sepsis. TiGenix also developed ChondroCelect, an autologous
cell therapy product for cartilage repair of the knee, which was the first
Advanced Therapy Medicinal Product (ATMP) to be approved by the European
Medicines Agency (EMA). From June 2014, the marketing and distribution rights of
ChondroCelect have been exclusively licensed to Sobi for the European Union
(except for Finland, where it is distributed by the Finnish Red Cross Blood
Service), Norway, Russia, Switzerland and Turkey, and the countries of the
Middle East and North Africa. TiGenix is headquartered in Leuven (Belgium) and
has operations in Madrid (Spain). For more information, please
visit www.tigenix.com
Forward-looking information
This document may contain forward-looking statements and estimates with respect
to the anticipated future performance of TiGenix and the market in which it
operates. Certain of these statements, forecasts and estimates can be recognised
by the use of words such as, without limitation, "believes", "anticipates",
"expects", "intends", "plans", "seeks", "estimates", "may", "will" and
"continue" and similar expressions. They include all matters that are not
historical facts. Such statements, forecasts and estimates are based on various
assumptions and assessments of known and unknown risks, uncertainties and other
factors, which were deemed reasonable when made but may or may not prove to be
correct. Actual events are difficult to predict and may depend upon factors that
are beyond the Company's control. Therefore, actual results, the financial
condition, performance or achievements of TiGenix, or industry results, may turn
out to be materially different from any future results, performance or
achievements expressed or implied by such statements, forecasts and estimates.
Given these uncertainties, no representations are made as to the accuracy or
fairness of such forward-looking statements, forecasts and estimates.
Furthermore, forward-looking statements, forecasts and estimates only speak as
of the date of the publication of this document. TiGenix disclaims any
obligation to update any such forward-looking statement, forecast or estimates
to reflect any change in the Company's expectations with regard thereto, or any
change in events, conditions or circumstances on which any such statement,
forecast or estimate is based, except to the extent required by Belgian law.
This announcement is distributed by GlobeNewswire on behalf of
GlobeNewswire clients. The owner of this announcement warrants that:
(i) the releases contained herein are protected by copyright and
other applicable laws; and
(ii) they are solely responsible for the content, accuracy and
originality of the information contained therein.
Source: TiGenix via GlobeNewswire
[HUG#1903951]
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Datum: 17.03.2015 - 07:01 Uhr
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