Skip to main content

AI assistant

Sign in to chat with this filing

The assistant answers questions, extracts KPIs, and summarises risk factors directly from the filing text.

Abliva Interim / Quarterly Report 2020

Aug 21, 2020

3131_ir_2020-08-21_6c114240-b6ca-4175-b747-91be979541d9.pdf

Interim / Quarterly Report

Open in viewer

Opens in your device viewer

Interim Report January – June 2020

We want to give patients with primary mitochondrial disease a better life.

Erik Kinnman, CEO

Delivering mitochondrial health

Second quarter summary

NeuroVive Pharmaceutical AB changes its name to Abliva AB. Two share issues bring a total of MSEK 87 to Abliva. Hadean Ventures new strategic owner.

Important events,
second quarter
(April - June 2020)

Abliva raises approximately MSEK 67 before deduction of
issue costs in a preferential rights issue.

Annual General Meeting in Abliva is held on 20 May 2020 in
Lund, Sweden.

NeuroVive Pharmaceutical AB changes its name to Abliva AB.

Abliva arranges virtual Capital Markets Day on 23 June.

Abliva completes the directed issue of MSEK 20 to Hadean
Ventures.
Important events
after the reporting
period

Abliva has received positive feedback from the US Food
and Drug Administration ("FDA") on the KL1333 clinical
development plan for the treatment of primary mitochondrial
disease (PMD) at a pre-Investigational New Drug ("pre-IND")
meeting. Feedback was received on the existing KL1333
documentation to date and the remaining development plan,
including the design of the clinical efficacy program in primary
mitochondrial disease patients.
Financial
information
April-June 2020*

Net revenues: KSEK 97 (85)

Other operating income: KSEK 34 (1,000)

Loss before tax: KSEK 20,312 (20,769)

Loss per share: SEK 0.09 (0.14)

Diluted loss per share: SEK 0.09 (0.14)
January-June 2020*

Net revenues: KSEK 105 (85)

Other operating income: KSEK 34 (1,000)

Loss before tax: KSEK 36,849 (34,591)

Loss per share: SEK 0.18 (0.23)

Diluted loss per share: SEK 0.18 (0.23)

* APM Alternative perfomance measures, see definition on page 19.

Positive development of our key KL1333 project

The second quarter of the year was highly eventful for Abliva. During the quarter, we changed our name from NeuroVive to Abliva to highlight the enhanced focus on primary mitochondrial diseases. During the second quarter and the start of the third, our key KL1333 project advanced on several fronts and we now anticipate being able to initiate the Phase Ib trial in patients during the autumn this year.

Erik Kinnman CEO Abliva

KL1333 advances

In July, we received positive feedback from the FDA at a pre-Investigational New Drug ("pre-IND") meeting. FDA stands positive of the existing KL1333 documentation to date and the remaining development plan. We also received positive results from our first two parts of the Phase I study, where KL1333 was dosed in healthy volunteers. We have now, exactly as intended, demonstrated that KL1333 has a good safety profile. We now plan to proceed with the concluding part of the study, where KL1333 for the first time will be dosed in patients. The original intention was to commence this part of the study during the spring of 2020, but it was postponed due to the COVID-19 pandemic. We are actively planning to start this patient part in autumn 2020.

Focus on primary mitochondrial diseases

Abliva's strategy entails that our financial resources and our research and development resources are concentrated on developing effective medical therapies for primary mitochondrial diseases. Specifically, this means that there are two projects in focus: KL1333 and NV354. Our ambition is to develop both of these drug candidates all the way to market, either completely by ourselves or together with a partner who can contribute to making the projects a success.

Severe symptoms and great suffering

Primary mitochondrial diseases are relatively rare, but have a severe effect on patients and their family members. The symptoms generally debut in early childhood, with severe symptoms such as stunted growth, heart failure, diabetes, reduced mobility and others. The diseases often lead to a far too early death. There are no effective drugs currently available for the treatment of primary mitochondrial diseases. We at Abliva would like to change this. Our explicit ambition is to develop a drug that can significantly improve the lives of patients and thus also the lives of their family members.

Orphan drug designation increases the chance of success

Drugs developed for rare disorders have good possibilities to obtain orphan drug designation. The authorities' goal with orphan drug designation is to make it commercially attractive to develop therapies specifically for rare disorders and entails that the development periods can be shorter and development costs lower than for traditional drugs. The outlook for reaching the market is also better than for traditional drugs. Our KL1333 project has obtained orphan drug designation in both Europe and the US and we deem the outlook favorable that NV354 can also obtain orphan drug designation in a later phase.

Abliva's other projects require some form of partnership

For our projects in traumatic brain injury and NASH, the route to market is longer and will require significant documentation. This means that they require more financial resources than KL1333 and NV354 to proceed all the way to market. Accordingly, Abliva will not continue to drive these projects independently. However, we are keen to identify various forms of partnership and out-licensing that will enable continued financing of the projects and their further development.

Two share issues

During the second quarter, we completed a rights issue that generated MSEK 67 for the company before issue costs and we conducted a private placement of MSEK 20 to the Norwegian company Hadean Ventures. At the end of the quarter, we also held a capital markets day.

Positive reception for our strategy

Our new strategy with an intensified focus on drug candidates for primary mitochondrial diseases has been received positively by analysts and specialist investors. Several of them have emphasized the opportunity of orphan drug designation as particularly important. A key indication that our strategy is genuinely attractive from an investor perspective is that the Norwegian company Hadean Ventures has invested MSEK 20 in Abliva through a private placement. I am very pleased about this investment and that Hadean will now be represented on Abliva's Board of Directors by Roger Franklin. Hadean is not only bringing a welcome injection of capital, but also a generous amount of expertise, experience and a long-term approach.

I look forward to the next few years with great confidence.

Erik Kinnman

CEO

Strategic focus: primary mitochondrial diseases

Abliva's objective is to improve life for patients suffering from primary mitochondrial diseases, meaning diseases caused by a genetic defect in mitochondrial function. These diseases often cause great suffering for both patients and family members. The symptoms worsen over time and, in many cases, the diseases lead to a far too early death. Today, a very limited number of treatment options are available, which means there are major unmet medical needs.

Focus on KL1333 and NV354

Strategically, Abliva's focus on mitochondrial diseases means that the company is concentrating financial and personnel resources on the KL1333 and NV354 drug candidates. KL1333 is in Phase I and NV354 is being prepared for clinical trials. The aim is to take these projects all the way to market authorization, either on our own or together with a partner.

Significant advantages with orphan drug designation

KL1333 has obtained orphan drug designation and NV354 also has the potential to receive orphan drug designation. An orphan drug designation generally offers several positive benefits, including:

  • regulatory assistance and scientific advice from pharmaceutical regulators
  • efficient development
  • lower development costs

  • greater chance of regulatory approval compared with drug candidates that lack orphan drug designation

  • attractive pricing compared with drug candidates that lack orphan drug designation1)2)

Abliva collaborates continuously with world-class consultants in the field of orphan drugs, who assist the company in its dialogue with regulators. Abliva has also established partnerships and a continuous dialogue with some of the world's leading clinical centers for the treatment of primary mitochondrial diseases.

Discovery-phase projects

Abliva works with a number of new molecules in the project portfolio for primary mitochondrial diseases. The projects focus on the regulation and stabilization of the mitochondrion's energy production and encompass the company's unique cyclophilin inhibitor, which has been demonstrated to improve muscle strength and survival in models of primary mitochondrial disease.

NeuroSTAT

Abliva intends to license the rights to develop and commercialize NeuroSTAT in a wholly owned subsidiary in the US after financing has been secured for the now ready to launch Phase IIb efficacy trial in the form of "soft" money and/or partners. NeuroSTAT was developed for the treatment of traumatic brain injury and the project has an approved IND application and FastTrack status from the FDA and is ready to enter a clinical Phase II efficacy trial.

Market

The main customers of Abliva's future products include specialist healthcare and institutions that pay for medicines. Primary prescribers of Abliva's future drugs include highly specialized physicians at national and regional centers of expertise for genetic metabolic disorders. In other words, the future customers are a relatively concentrated group of specialists, decision makers and patients.

Future revenue

Abliva works under two main scenarios for establishing future revenue: sales revenue for the drugs the company intends to bring all the way to market, and revenue from out-licensing, milestone payments and royalties from out-licensed drug candidates. Abliva has out-licensed parts of the NVP015 project to Fortify, which is developing a local treatment for the mitochondrial eye disease LHON.

Primary mitochondrial disorders are metabolic diseases that affect the ability of cells to convert energy. The diseases can manifest very differently depending on the organs in which the genetic defects are located and are described as clinical syndromes. It is estimated that 125 persons per million have a primary mitochondrial disease.

Primary mitochondrial diseases often present in early childhood and can lead to severe symptoms, such as stunted growth, muscle weakness, heart failure, pronounced exhaustion and rhythm disturbances, diabetes, movement disorders, stroke-like episodes, deafness, blindness, limited mobility of the eyes and seizures.

1) Jayasundra et al. Orphanet J of Rare Dis. Estimating the clinical cost of drug development for orphan versus non-orphan drugs. 2019. 2) EvaluatePharma, Orphan Drug Report 2019.

PROJECTS WITHIN PRIMARY MITOCHONDRIAL DISEASE

KL1333

First-in-class disease modifying treatment to improve the lives of patients with PMD

Ongoing Phase Ia/b study: dosing in healthy volunteers concluded Orphan drug designation in both the United States and Europe

Events in the second quarter

KL1333 is currently being evaluated in a clinical Phase Ia/b study in the UK. The third and final part of the study, where KL1333 for the first time will be dosed in patients, will be initiated as soon as it is safe for patients with regards to the COVID-19 pandemic.

Events after the end of the period

The US Food and Drug Administration ("FDA") has issued positive feedback on the KL1333 clinical development plan. The FDA Formal Advice feedback supports the existing documentation and the main features of Abliva's plan to develop KL1333 towards approval for primary mitochondrial disease.

Objectives for 2020/2021

  • In the ongoing clinical study start the Phase Ib part with patients (H2 2020)
  • Conclude the Phase Ia/b study and report results (H1 2021)
  • Initiate clinical Phase II efficacy study (H1 2021)

PATIENTS/INDICATIONS MODE OF ACTION ORPHAN DRUG BENEFITS POTENTIAL MARKET

KL1333 is developed for the treatment of adult patients within the spectra of MELAS-MIDD and CPEO-KSS. These diseases cause a wide range of severe symptoms and shortened life expectancy.

The drug candidate is intended for longterm oral treatment.

KL1333 has the ability to restore the balance of NAD+ and NADH, and thus leads to the formation

of new mitochondria and improved energy levels.

  • Support from pharmaceutical authorities
  • Free scientific advice and regulatory flexibility
  • More efficient development to market
  • Lower development costs
  • Attractive pricing

The global market for orphan drugs was in 2019 estimated to USD 128 billion with an estimated annual growth rate of 11.2% between 2019-2024 reaching USD 217 billion in 2024.1) KL1333 has been estimated to reach sales of USD 574 million per year.2)

  • 1 EvaluatePharma, Orphan Drug Report 2020
  • 2 By the Company paid analysis conducted by Edison Group, June 26, 2020

CLINICAL DEVELOPMENT PLAN

Indication Discovery Preclinical Clinical Phase I Clinical Phase II Clinical Phase III Market
Primary mitochondrial diseases Phase Ia (healthy volunteers) ✓
Dose-dependent exposure ✓
Phase Ib expected to commen
ce H2 2020 if it is safe for pa
tients with regards to Covid-19
Efficacy study is being
prepared. Is planned to be
conducted in the US and
Europe. Start 2021.
With or without partner

NV354

First-in-class energy replacement therapy for disease modifying treatment of Leigh disease

The project is in preparation for clinical phase Ongoing safety studies

Events in the second quarter

NV354 preclinical safety studies have continued.

Objectives for 2020/2021

  • Complete preclinical safety studies (H2 2020)
  • Produce NV354 clinical trial material for clinical studies (H2 2020)
  • Initiate Phase I study (H1 2021)
  • Conclude the Phase I study and report results (H2 2021)

PATIENTS/INDICATIONS MODE OF ACTION ORPHAN DRUG BENEFITS POTENTIAL MARKET

NV354 is developed for the treatment of Leigh disease, a severe primary mitochondrial disease that usually debuts at one to two years of age. Patients usually die within two to three years. Symptoms include developmental delay, psychomotor regression and hypotonia. There are currently no approved medicines.

  • Possibility of Rare pediatric designation that enables Priority review voucher
  • Support from pharmaceutical authorities
  • Free scientific advice and regulatory flexibility
  • More efficient development to market
  • Lower development costs
  • Attractive pricing

The global market for orphan drugs was in 2019 estimated to USD 128 billion with an estimated annual growth rate of 11.2% between 2019-2024 reaching USD 217 billion in 2024.1) NV354 has been estimated to reach sales of USD 875 million per year.2)

  • 1 EvaluatePharma, Orphan Drug Report 2020
  • 2 By the Company paid analysis conducted by Edison Group, June 26, 2020

CLINICAL DEVELOPMENT PLAN

Indication Discovery Preclinical Clinical Phase I Clinical Phase II Clinical Phase III Market
Leigh disease Ongoing safety studies Initiate Phase I study (H1 2021) With or without partner

Non-core assets

The company is actively seeking strategic partnerships for NeuroSTAT. With regards to NV556, the company will not invest additional resources in this project and will have an opportunistic licensing approach going forward.

NEUROSTAT – FOR TREATMENT OF TRAUMATIC BRAIN INJURY

Traumatic brain injury (TBI) is caused by external force to the head resulting in immediate damage to nerve cells. The damage continues to worsen for several days after the acute trauma.

Treatment objective

The aim for NeuroSTAT, targeting the mitochondria, is to counteract the emergence of neurological and functional secondary brain damage after a traumatic injury, and thereby establish a therapy that will lead to increased survival, improved quality of life and preserved neurological function.

Project status: candidate drug in clinical Phase II

NeuroSTAT has shown favorable properties in a Phase Ib/IIa clinical study and in advanced experimental TBI models at the University of Pennsylvania (Penn). NeuroSTAT has orphan drug designation in Europe and the US as well as an IND approval and Fast Track designation for clinical development in the US.

Abliva has initiated a process with the aim to transfer the rights to develop and commercialize the NeuroSTAT program into a new wholly-owned company based in the US provided funding of the planned phase II efficy study.

NV556 – FOR TREATMENT OF NASH

Non-alcoholic fatty liver disease (NAFLD) affects 20-25 percent of the global population, a condition that may lead to liver cirrhosis or hepatocellular carcinoma (liver cancer).

Treatment objective

NV556 is a candidate drug with a directly acting anti-fibrotic mechanism of action targeting patients with NASH (non-alcoholic steatohepatitis, a form of NAFLD) who have progressed from the initial metabolic stage. The anti-fibrotic effect can also be developed for other diseases involving liver fibrosis, such as Primary Biliary Cholangitis (PBC) and Primary Sclerosing Cholangitis (PSC).

Project status: no further investments

Abliva will not invest further in the NV556 project, and has adopted an opportunistic approach to continued licensing activities.

Out-licensed projects and commercial partnerships

Abliva has currently out-licensed compounds developed within NVP015 project to US company BridgeBio/ Fortify. The compounds are being developed for the treatment of the eye disorder LHON. In addition, Abliva has a distribution agreement for research substances with the Austrian company Oroboros.

PROJECT FOR LOCAL TREATMENT OF LHON

In 2018, Abliva out-licensed molecules from the NVP015 project to Fortify Therapeutics. Fortify develops the in-licensed NVP015 chemistry further to a local therapy for the mitochondrial eye disorder Leber's Hereditary Optic Neuropathy (LHON).

Project status

The project is in discovery phase and currently paused for evaluation as the molecules selected have not reached sustainable concentrations in the eye.

PARTNERSHIP WITH OROBOROS INSTRUMENTS

In 2019, Abliva announced that the company has entered into an exclusive agreement with Oroboros Instruments, a leading global supplier of mitochondrial research technologies. Abliva have agreed to provide, at scale, two research compounds, originating from its NVP015 program, on an exclusive basis to Oroboros. Oroboros has initiated commercialization and distributes the compounds under the product name MitoKit-CII.

Consolidated Statement of

Comprehensive Income

Revenues

The consolidated turnover during the second quarter of 2020 was KSEK 97 (85) and relates to sales to Oroboros. Other operating revenues for the second quarter were KSEK 34 (1,000) and pertains to compensation for sixk pay. During the first six months of 2020 the consolidated turnover was 105 (85) KSEK. Other operating revenues for the first six months amounted 34 (1,000) KSEK.

Results of operations

The operating loss for thesecond quarter was KSEK 20,304 (20 756) and for the first six months the operating loss amounted KSEK -36 832 (-34,565). The net loss before tax for thesecond quarter amounted to KSEK 20,312 (-20,769). For the fist six months the loss before tax was -36,849 (-34,591).

The operating loss was affected by other external expenses, which for the first six months were KSEK 27,846 (26,577). Expenses related to development projects, as a part of external expenses, have affected the result with KSEK 17,591 (19,541) whereof KSEK 13,048 (10,298) relates to project in clinical phase. Personnel expenses during the first six months amounts to KSEK 7,783 (7,811). Other operating expenses amount to, KSEK 78 (117) and pertains to exchange-rate losses.

1 Apr, 2020 1 Apr, 2019 1 Jan, 2020 1 Jan, 2019 1 Jan, 2019
(SEK 000)
Note
30 Jun, 2020 30 Jun, 2019 30 Jun, 2020 30 Jun, 2019 31 Dec, 2019
Net sales 97 85 105 85 134
Other operating income 34 1,000 34 1,000 3,500
130 1,085 138 1,085 3,634
Operating expenses
Other external expenses -15,889 -16,946 -27,846 -26,577 -63,133
Personnel cost -4,233 -4,331 -7,783 -7,811 -14,872
Depreciation and write-down of tangible and intangible assets -636 -579 -1,263 -1,146 -2,379
Other operating expenses 324 16 -78 -117 -325
-20,435 -21,841 -36,971 -35,650 -80,709
Operating income -20,304 -20,756 -36,832 -34,565 -77,075
Profit/loss from financial items
Result from other securities and receivables related to non current assets - - - - 121
Financial income - - - - -
Financial costs -8 -13 -17 -26 -46
-8 -13 -17 -26 75
Profit/loss before tax -20,312 -20,769 -36,849 -34,591 -77,000
Income tax
2
- - - - -
Profit/loss for the period -20,312 -20,769 -36,849 -34,591 -77,000
Other comprehensive income
Items that may be reclassified to profit or loss
Translation differences on foreign subsidiaries -3 1 -1 2 3
Total comprehensive income for the period -20,315 -20,768 -36,850 -34,589 -76,997
Loss for the period attributable to:
Parent company shareholders -20,312 -20,768 -36,848 -34,590 -76,994
Non-controlling interests - -1 -1 -1 -6
-20,312 -20,769 -36,849 -34,591 -77,000
Total comprehensive income for the period
Parent company shareholders -20,314 -20,768 -36,849 -34,589 -76,991
Non-controlling interests -1 -1 -1 - -6
-20,315 -20,769 -36,850 -34,589 -76,997
Earnings per share before and after dilution(SEK) based on average number of shares -0.09 -0.14 -0.18 -0.23 -0.45

Consolidated Statement of

Financial Position

Financial position

The equity/assets ratio was 90 (90) percent as of 30 June 2020, and equity was KSEK 145,044 (170,204). The equity includes funds from the in May completed rights issue, which provided the company with KSEK 54,098 after deduction of issue costs and compensation for guarantee commitments of KSEK 12,879. Cash and cash equivalents amounted to KSEK 69,109 (99,079) as of 30 June 2020, an increase of KSEK 10,790 from the beginning of the year. Total assets as of 30 June 2020 were KSEK 160,395 (189,763).

The directed issue of shares totaling approximately SEK 20 million decided by the Board of Directors on April 22, 2020 to Hadean Ventures, a leading Nordic life science investor, was completed on June 15, 2020. The directed rights issue was performed after the period and the company received MSEK 18.5 after transactions costs which amounts to MSEK 1.5.

Financial instruments

Abliva holds unlisted securities. These assets should be measured at fair value and are classified as "financial assets measured at fair value through other comprehensive income."

The holding corresponds to 10% in one of Abliva's R&D partner companies, which conducts development activities. A prudent assessment is that book value corresponds to the market value.

Other financial assets and liabilities are valued at amortized cost. The carrying amount of these assets and liabilities is estimated to correspond to fair value.

(SEK 000) Note 30 Jun, 2020 30 Jun, 2019 31 Dec, 2019
ASSETS
Non-current assets
Intangible assets 1
Development costs 51,706 51,706 51,706
Patents 21,465 21,164 21,501
Other Intangible assets 1,411 1,546 1,479
74,583 74,416 74,686
Tangible assets
Equipment 68 154 99
Rigth of use asset leases 515 859 687
583 1,013 786
Financial assets
Other long-term securities 13,101 13,101 13,101
13,101 13,101 13,101
Total non-current assets 88,267 88,530 88,573
Current assets
Other receivables 1,366 1,537 1,141
Prepaid expenses and accrued income 1,653 617 459
Cash and cash equivalents 69,109 99,079 58,319
72,128 101,233 59,919
TOTAL ASSETS 160,395 189,763 148,492

Financial Position

Consolidated Statement of (SEK 000) Note 30 Jun, 2020 30 Jun, 2019 31 Dec, 2019
EQUITY AND LIABILITIES
Financial Equity attributable to the shareholders of the parent company
Share capital 13,484 9,298 9,298
Position Additional paid in capital 642,893 592,980 592,980
Translation reserve 621 618 619
Retained earnings -511,958 -432,703 -475,107
Total equity attributable to the shareholders of the parent 145,039 170,193 127,790
Non-controlling interests 5 11 5
Total equity 145,044 170,204 127,795
Long-term liabilities
Other longtrem liabilities 361 534 361
361 534 361
Short-term liabilities
Accounts payable 9,258 6,250 14,234
Other liabilities 535 823 811
Accrued expenses and deferred income 5,197 11,952 5,291
14,991 19,025 20,336
Total liabilities 15,351 20,093 21,058
TOTAL EQUITY AND LIABILITIES 160,395 189,763 148,492

Consolidated Statement of

Changes in Equity

Additional Non- Share- paid in Translation Retained controlling Total (SEK 000) capital capital reserve earnings Total interests equity Opening balance, 1 January 2020 9,298 592,980 619 -475,107 127,791 5 127,795 Comprehensive profit/loss for the period Profit/loss for the period - - - -36,848 -36,848 -1 -36,849 Other comprehensive income Translation differences - - 2 -3 -1 - -1 Other comprehensive profit/loss for the period, net after tax - - 2 -3 -1 - -1 Total comprehensive profit/loss - - 2 -36,851 -36,849 -1 -36,850 Transactions with shareholders Rights Issue* 4,186 49,912 - - 54,098 - 54,098 Total transactions with shareholders 4,186 49,912 - - 54,098 - 54,098 Closing balance, 30 June 2020 13,484 642,892 621 -511,958 145,039 5 145,044 Opening balance, 1 January 2019 4,585 489,913 616 -398,113 97,002 11 97,012 Comprehensive profit/loss for the period Profit/loss for the period - - - -34,590 -34,590 -1 -34,591 Other comprehensive income Translation differences - - 2 - 2 - 2 Other comprehensive profit/loss for the period, net after tax - - 2 - 2 - 2 Total comprehensive profit/loss - - 2 -34,590 -34,589 -1 -34,589 Transactions with shareholders Rights Issue* 4,713 103,067 - - 107,780 - 107,780 Total transactions with shareholders 4,713 103,067 - - 107,780 - 107,780 Closing balance, 30 June 2019 9,298 592,980 618 -432,703 170,193 11 170,204 Opening balance, 1 January 2019 4,585 489,913 616 -398,113 97,002 11 97,012 Comprehensive profit/loss for the period Profit/loss for the period - - - -76,994 -76,994 -6 -77,000 Other comprehensive income Translation differences - - 3 - 3 - 3 Other comprehensive profit/loss for the period, net after tax - - 3 - 3 - 3 Total comprehensive profit/loss - - 3 -76,994 -76,991 -6 -76,997 Transactions with shareholders Rights Issue 4,713 103,067 - - 107,780 - 107,780 Total transactions with shareholders 4,713 103,067 - - 107,780 - 107,780 Closing balance, 31 December 2019 9,298 592,980 619 -475,107 127,791 5 127,795

Equity attributable to the shareholders of the parent company

*Total equity includes funds from the May 5, 2020 completed rights issue with KSEK 54,098 less expenses and guarantees KSEK 12,879.

Consolidated Statement of Cash Flows

Cash flow and investments

Operating cash flow for the second quarter was KSEK -14,174 (-12,822). For the first six months the operating cash flow amounted -42,329 (-33,184). The cash flow effect related to investments in intangibles equals KSEK -805 (-1,230) for the first six months. Cash flow for the second quarter equals KSEK 39,546 (-14,260). Cashflow for the first six months equals KSEK 10,790 (73,125).

(SEK 000) 1 Apr, 2020 1 Apr, 2019 1 Jan, 2020 1 Jan, 2019 1 Jan, 2019
30 Jun, 2020 30 Jun, 2019 30 Jun, 2020 30 Jun, 2019 31 Dec, 2019
Cash flow from operating activities
Operating income -20,304 -20,756 -36,832 -34,565 -77,074
Adjustments for non-cash items:
Depreciation 636 579 1,263 1,146 2,379
Result from other securities and receivables related to non current assets -1 - - - 121
Interest received - - - - -
Interest paid -8 -13 -17 -26 -46
Net cash from operating activities before changes in working capital -19,676 -20,190 -35,586 -33,445 -74,620
Changes in working capital
Increase/decrease of other current assets -1,188 1,652 -1,418 523 1,077
Increase/decrease of other short-term liabilities 6,681 5,716 -5,325 -261 1,131
Changes in working capital 5,494 7,368 -6,743 261 2,208
Cash flow from operating activities -14,182 -12,822 -42,329 -33,184 -72,412
Investing activities
Acquisition of intangible assets -280 -970 -805 -1,230 -2,626
Acquisition of tangible assets -1 -241 - -241 -69
Increase in other financial assets - - - - -
Cash flow from investing activities -280 -1,211 -805 -1,471 -2,695
Financing activities
New share issue 54,098 -227 54,098 107,780 107,780
Amoritization lease -174 - -309
Cash flow from financing activities 54,008 -227 53,924 107,780 107,471
Cash flow for the period 39,546 -14,260 10,790 73,125 32,364
Cash and cash equivalents at the beginning of the period 29,568 113,339 58,319 25,951 25,951
Effect of exchange rate changes on cash -5 -0 0 3 4
Cash and cash equivalents at end of period 69,109 99,079 69,109 99,079 58,319

Parent Company Income Statement

Parental company

Company earnings after tax for the first quarter amounts to KSEK -20,343 (-16,533). Earnings after tax for the first six months amount to KSEK -36,876 (-34,576). Most of the Group's operations are conducted within the parent company. Accordingly, no further specific information regarding the parent company is presented.

Parent Company

Statement of Comprehensive Income

(SEK 000) 1 Apr, 2020 1 Apr, 2019 1 Jan, 2020 1 Jan, 2019 1 Jan, 2019
Note 30 Jun, 2020 30 Jun, 2019 30 Jun, 2020 30 Jun, 2019 31 Dec, 2019
Net sales 97 85 105 85 134
Other operating income - 1,000 - 1,000 3,500
97 1,085 105 1,085 3,634
Operating expenses
Other external expenses -15,980 -17,038 -28,028 -26,759 -63,469
Personnel cost -4,233 -4,331 -7,783 -7,811 -14,872
Depreciation and write-down of tangible and intangible assets -550 -493 -1,091 -974 -2,036
Other operating expenses 324 16 -78 -117 -325
-20,439 -21,847 -36,980 -35,661 -80,702
Operating income -20,343 -20,761 -36,876 -34,576 -77,068
Profit/loss from financial items
Result from other securities and receivables related to non current assets - - - - 122
Interest expenses and other similar loss items - -1 - -1 -1
- -1 - -1 121
Profit/loss before tax -20,343 -20,762 -36,876 -34,576 -76,947
Income tax 2
-
- - - -
Profit/loss for the period -20,343 -20,762 -36,876 -34,576 -76,947
(SEK 000) 1 Apr, 2020 1 Apr, 2019 1 Jan, 2020 1 Jan, 2019 1 Jan, 2019
Note 30 Jun, 2020 30 Jun, 2019 30 Jun, 2020 30 Jun, 2019 31 Dec, 2019
Profit/loss for the period -20,343 -20,762 -36,876 -34,576 -76,947
Other comprehensive income - - - - -
Total comprehensive profit/loss for the period -20,343 -20,762 -36,876 -34,576 -76,947

Parent Company Balance Sheet

(SEK 000) Note 30 Jun, 2020 30 Jun, 2019 31 Dec, 2019
ASSETS
Non-current assets
Intangible assets 1
Development costs 51,706 51,706 51,706
Patents 21,465 21,164 21,501
Other intangible assets 1,411 1,546 1,479
74,584 74,416 74,686
Tangible assets
Equipment 68 154 99
68 154 99
Financial assets
Shares in subsidiaries 3 23,625 23,625 23,625
Andra långfristiga värdepappersinnehav 13,101 13,100 13,101
36,726 36,726 36,726
Total non-current assets 111,377 111,296 111,511
Current assets
Short term receivables
Other receivables 1,363 1,534 1,138
Prepaid expenses and accrued income 1,653 617 459
3,015 2,151 1,597
Cash and bank balances 69,083 99,017 58,272
Total current assets 72,098 101,168 59,869
TOTAL ASSETS 183,475 212,464 171,380

Parent Company Balance Sheet

(SEK 000)
Note
30 Jun, 2020 30 Jun, 2019 31 Dec, 2019
EQUITY AND LIABILITIES
Equity
Restricted equity
Share capital 13,484 9,298 9,298
Statutory reserve 1,856 1,856 1,856
Development expenditure reserve 14,070 10,610 14,106
29,411 21,763 25,260
Unrestricted equity
Share premium reserve 152,978 103,067 103,067
Retained earnings 23,115 103,523 100,026
Profit/loss for the period -36,842 -34,576 -76,947
139,251 172,013 126,146
Total equity 168,662 193,777 151,406
Short-term liabilities
Accounts payable 9,258 6,250 14,234
Other liabilities 362 488 467
Accrued expenses and deferred income 5,194 11,949 5,273
14,814 18,687 19,974
TOTAL EQUITY AND LIABILITIES 183,475 212,464 171,380

Notes Note 1 — Intangible assets

(SEK 000) Development costs Patents Other Total
ACCUMULATED COST
Opening balance 1 Jan. 2020 51,706 32,279 2,864 86,849
Additions - 957 - 957
Closing balance 31 June 2020 51,706 33,236 2,864 87,806
ACCUMULATED DEPRECIATION
Opening balance 1 Jan. 2020 - -10,778 -1,385 -12,163
Depreciation for the period - -993 -67 -1,060
Closing balance 31 June 2020 - -11,771 -1,452 -13,223
Residual value 31 June 2020 51,706 21,465 1,412 74,583
(SEK 000) Development costs Patents Other Total
ACCUMULATED COST
Opening balance 1 Jan. 2019 51,706 29,107 2,864 83,677
Additions - 3,172 - 3,172
Closing balance 31 Dec. 2019 51,706 32,279 2,864 86,849
ACCUMULATED DEPRECIATION
Opening balance 1 Jan. 2019 - -8,986 -1,251 -10,237
Depreciation for the period - -1,792 -134 -1,926
Closing balance 31 Dec. 2019 - -10,778 -1,385 -12,163

Note 2 – Tax

The group's total loss carry-forwards amounts to KSEK 581,413 as of 30 June 2020 (502,286). The parent company's total loss carry-forwards amounts to SEK 555,581 as of 30 June 2020 (502,286). Because the company is loss making, management cannot judge when deductible loss carry-forwards will be utilized.

Note 3 – Shares and participations in group companies

These shares are the holding of 82.47% in the subsidiary NeuroVive Pharmaceutical Asia Ltd., domiciled in Hong Kong.

Other disclosures

Transactions with related parties

Transactions between the company and its subsidiarie, which are related parties to the company, have been eliminated on consolidation, and accordingly, no disclosures are made regarding these transactions.

(SEK 000) 1 Jan. 2020
30 Jun. 2020
1 Jan. 2019
31 Dec. 2019
Eskil Elmér, CSO 3 6
Magnus Hansson, CMO 2 3
Total 5 9

Compensation based on sales has been paid during the period under the agreement, in relation to mitochondrial energy regulation projects, with the Research Group at Lund University, which includes CSO Eskil Elmér and CMO Magnus Hansson. Apart from remuneration to senior executives no transactions with related parties have occured.

Segment information

Financial information reported to the chief operating decision maker (CEO) as the basis for allocating resources and judging the group's profit or loss is not divided into different operating segments. Accordingly, the group consists of a single operating segment.

Human resources

The average number of employees of the group for the period January to June 2020 was 9 (8), of which 5 (4) are women.

Incentive programs/share warrants

Currently there is no incentive program.

Audit review

This Interim Report has not been subject to review by the company's auditors.

Upcoming financial statements

Interim Report January-September 2020 November, 2020
Year-End Report 2020 February 19, 2021

The interim reports and the Annual Year Report are available at www.Abliva.com

Risks and uncertainty factors

A research company such as Abliva AB (publ) is subject to high operational and financial risks because the projects the company conducts are in different developmental phases, where a number of parameters influence the likelihood of commercial success. Briefly, operations are associated with risks relating to factors including drug development, competition, technological progress, patents, regulatory requirements, capital requirements, currencies and interest rates. The Board of Directors works continuously to secure the business operation's need for financing. A way to spread risks is through continious development activities, to out-license projects or enter strategic partnerships.

Impact of COVID-19 on the Company's clinical trials

The Company estimates that COVID-19 will delay Abliva's ongoing Phase Ia/b study with KL1333, since healthcare authorities and healthcare providers will prioritize available resources, care locations and healthcare professionals to better meet the possible influx of COVID-19 patients. At present, the planned final part of the Phase I a/b study with KL1333 against PMD is ready to start recruiting patients. Trial centers in Newcastle and London, where the study is to be conducted, have announced that, due to the situation with the COVID-19 pandemic, there will be delays in recruitment to all clinical trials for some time to come. This has caused the timing of inclusion of the first patient in the final phase of the Phase I a/b study with KL1333 to be delayed and that there is a risk that final results from this part of the study will be announced later than planned. Currently, Abliva assesses that it will be possible to initiate the Phase Ib study in the autumn of 2020. Abliva expects that the delay in the Ib study will not affect the start of the upcoming clinical efficacy study, which is still scheduled to start during the the first half of 2021. Abliva's preparations in the form of preclinical safety studies to be able to take the drug candidate, NV354 for Leigh syndrome, into clinical phase in 2021 are currently not considered to be affected by the COVID-19 pandemic. In Abliva's

assessment, it is currently difficult to assess the actual effects of COVID-19 over the longer term and the degree to which they will affect the Company's operations and clinical studies.

Abliva is not involved in any disputes.

For more detail of risks and uncertainty factors, refer to the Statutory Administration Report in the Annual Report 2019 and the prospectus published April 3, 2020 for the preferential rights issue carried out in April 2020.

Principles of preparation of the Interim Report

Abliva prepares its consolidated accounts in accordance with International Financial Reporting Standards (IFRS) issued by the International Accounting Standards Board (IASB) and interpretation statements from the IFRS Interpretations Committee, as endorsed by the EU for application within the EU. This Interim Report has been prepared in accordance with IAS 34 Interim Financial Reporting.

The parent company applies the Swedish Annual Accounts Act and RFR's (the Swedish Financial Reporting Board) recommendation RFR 2 Accounting for Legal Entities. Application of RFR 2 implies that, as far as possible, the parent company applies all IFRS endorsed by the EU within the limits of the Swedish Annual Accounts Act and the Swedish Pension Obligations Vesting Act,

and considering the relationship between accounting and taxation.

The group and parent company have applied the accounting principles described in the Annual Report for 2019 on pages 52-68.

Definitions alternative performance measures

Alternative Performance Measures (APM) are key figures not defined in financial reports prepared according to IFRS. Of the below key figures, only the key figure Earnings per share before and after dilution is mandatory and defined according to IFRS. Of the other key figures, net sales, earnings per share before and after dilution, cash flow from operating activities and cash flow for the period are defined according to IFRS.

The following key figures are used: Definition Reason for use
Net revenues Revenue from goods and services sold that are part of the company's
normal operations
Other operating income Income from secondary activities in ordinary activities such as grants
received
Operating income Net sales and other revenues minus expenses for other external costs,
personnel costs, depreciation and impairment and other expenses
Measures the result in the operations
Profi/loss before tax Operating income after profit/loss from finacial items and allocations Measures the result in the business after profit/loss from financial items
and allocations
Earnings per share before
dilution(SEK) based on average
number of shares
Profit/loss for the period divided by avarage number of shares before
dilution at the end of the period
Earnings per share after
dilution(SEK) based on average
number of shares
Profit/loss for the period divided by avarage number of shares after
dilution at the end of the period
Cash flow from operating activities Cash flow from operating activities, including cash flow from working
capital, ie changes in current liabilities and current receivables
Measures total cash flow generated in the business
Cash flow for the period The company's total cash flow from operating activities, investment
activities and financing activities
Measures total cash flow generated in the business including investment
activities and financing activities
Average number of shares before
and after dilution
Average number of shares before and after dilution Measures the average number of shares during the period before and after
dilution. As the Group's earnings are negative, there is no dilution
Equity Ratio % Equity as a percentage of total assets Shows how much of the company's assets are financed with equity and
shows the company's ability to pay
Liquidity Ratio (%) Current assets divided by current liabilities Shows on the company's short-term ability to pay

The declaration of the Board of Directors and the CEO

This Interim Report gives a true and fair view of the parent company and group's operations, financial position and results of operations, and states the significant risks and uncertainty factors facing the parent company and group companies.

Lund, Sweden, August 21, 2020

David Laskow-Pooley David Bejker Roger Franklin Chairman of the Board Board member Board member

Denise Goode Magnus Persson Jan Törnell Board member Board member Board member

Erik Kinnman Chief Executive Officer

For more information concerning this report, please contact CEO Erik Kinnman. Telephone: +46 (0)46-275 62 20.

This information is information that Abliva AB is obliged to make public pursuant to the Securities Markets Act.

The information was submitted for publication, through the agency of the contact person set out above, at 08:30 a.m. CEST on August 21, 2020.

This Interim Report is published in Swedish and English. In the event of any difference between the English version and the Swedish original, the Swedish version shall prevail.

Glossary

Active compound. A pharmaceutical active ingredient in a pharmaceutical product.

Candidate drug. A particular compound which is selected during the preclinical phase. The candidate drug is subsequently tested in humans in clinical studies.

Clinical study. The examination of healthy or unhealthy humans to study the safety and efficacy of a pharmaceutical or treatment method. Clinical trials are divided into different phases, termed phase I, phase II, phase III. Phase II is usually divided into an early phase (phase IIa) and a later phase (phase IIb). See also "phase (I, II and III)".

FDA. The United States Federal Food and Drug Administration.

HCC. Hepatocellular carcinoma, liver cancer.

Hypotonia. An abnormally low level of tension, important for posture, in the resting muscle.

Indication. A disease condition requiring treatment, such as traumatic brain injury or fatty liver, NASH.

In vivo/in vitro. In vivo are scientific studies in animal models. In vitro are scientific studies carried out outside of the living body, for example in cells in test tubes.

KSS. Mitochondrial disease, Kearns-Sayre's syndrome. The disease debuts before the age of 20 and is characterized by eye related symptoms with pigment retention in the retina and paralysis of the outer eye muscles, as well as the effects on the cardiac retinal system and the cerebellum with disorders in the coordination of muscle movements (ataxia).

Leigh syndrome. Leigh syndrome is a serious condition with characteristic changes to the brain that usually affects small children. This disease is caused by faults in energy-producing mitochondria and is also known as subacute (fast onset) necrotizing (tissue destroying) encephalomyopathy (a disease of the brain and muscles).

LHON. Mitochondrial disease, Leber Hereditary Optic Neuropathy. Affects the retina and the optic nerve, but in rare cases symptoms can be found in other parts of the central nervous system. There is no cure, but treatments are focused primarily on compensating for the visual impairment.

Liver fibrosis/cirrhosis. Liver fibrosis is the formation of fibrous tissue (scar tissue) in the liver as a result of, for example, infection. May lead to liver cirrhosis.

MELAS. MELAS is an acronym of mitochondrial encephalomyopathy (brain and muscle disease) with lactic acidosis (increased lactic acid levels in the blood) and strokelike episodes.

MIDD. Maternally Inherited Diabetes and Deafness

Mitochondria. That part of each cell that provides effective energy production in the form of conversion of oxygen and nutrients in the body into chemical energy.

Mitochondrial medicine. Field of research and development of pharmaceuticals that protect the mitochondria.

Mitochondrial myopathy. Primary mitochondrial disease which affects the muscles.

NAFLD. Non-Alcoholic Fatty Liver Disease.

NASH. Non-alcoholic steatohepatitis, inflammatory fatty liver disease. ODD. Orphan Drug Designation. Facilitates development and commercialization, and may, upon receiving marketing authorization, provide orphan drug status with seven or ten years of market exclusivity (in the US and Europe, respectively).

PEO/CPEO. Mitochondrial disease. Progressive External Ophthalmoplegia/Chronic Progressive External Ophthalmoplegia.

Pharmacokinetics. Describes how the body affects a specific drug after administration.

Phase (I, II and III). The various stages of trials on the efficacy of a pharmaceutical in humans. See also "clinical trial." Phase I examines the safety on healthy human subjects, phase II examines efficacy in patients with the relevant disease and phase III is a large-scale trial that verifies previously achieved results. In the development of new pharmaceuticals, different doses are trialed and safety is evaluated in patients with relevant disease, phase II is often divided between phase IIa and phase IIb.

Preclinical. That stage of drug development that occurs before a candidate drug is trialed on humans.

Primary mitochondrial diseases. Metabolic diseases that affect the ability of cells to convert energy. An estimated 12 in every 100,000 people affected. Often present in early childhood and lead to severe symptoms, such as mental retardation, heart failure and rhythm disturbances, dementia, movement disorders, severe diabetes, stroke-like episodes, deafness, blindness, limited mobility of the eyes, vomiting and seizures. Psychomotor regression. When the development of the ability to perform will-driven movements is initially normal but deteriorates during infancy or early childhood.

TBI. Traumatic Brain Injury. An injury to the brain where some nerve cells are subjected to immediate damage. The injury then continues to exacerbate several days after the incident, which significantly impacts the final extent of damage.

About Abliva

Abliva develops medicines for the treatment of primary mitochondrial diseases. These rare and often very severe diseases occur when the cell's energy provider, the mitochondria, do not function properly. The company is focused on two projects. KL1333, a powerful NAD+ regulator, is in clinical development and has been granted orphan drug designation in Europe and the US. NV354, an energy replacement (succinate) therapy, is in preclinical development. Abliva is based in Lund, Sweden.

What is primary mitochondrial disease?

Primary mitochondrial diseases are metabolic diseases that affect the ability of cells to convert energy. The disorders can manifest differently depending on the organs affected by the genetic defects and are viewed as clinical syndromes. An estimated 125 in every 1,000,000 people suffer from a primary mitochondrial disease.

Abliva's discovery projects focus on deeper understanding of the mechanisms for our unique chemistry platforms, and the development of next-generation compounds for primary mitochondrial diseases.

Stock exchange

Abliva is listed on Nasdaq Stockholm, Sweden (ticker: ABLI).

Abliva AB (publ)

Medicon Village, SE-223 81 Lund Phone: +46 46 275 62 20 (switchboard) [email protected] www.abliva.com