Foreign Filer Report • Dec 16, 2020
Foreign Filer Report
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WASHINGTON, D.C. 20549
REPORT OF FOREIGN PRIVATE ISSUER PURSUANT TO RULE 13a-16 OR 15d-16 OF THE SECURITIES EXCHANGE ACT OF 1934
For the month of December 2020
Commission file number: 001-35223
(Translation of registrant's name into English)
2 HaMa'ayan Street Modi'in 7177871, Israel (Address of Principal Executive Offices)
_______________________
_______________________
Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F:
Form 20-F ☒Form 40-F ☐
Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulations S-T Rule 101(b)(1):_____
Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulations S-T Rule 101(b)(7):_____
On December 16, 2020, management of the registrant will hold a KOL webinar at 8:00 a.m. ET to discuss the results of the COMBAT/KEYNOTE-202 clinical study. A copy of the presentation being used in connection with this webinar is furnished herewith as Exhibit 1 to this Report on Form 6-K.
In addition, on December 16, 2020 the registrant issued the press release which is filed as Exhibit 2 to this Report on Form 6-K.
The first, second, and third paragraphs, the table containing the data summary and the paragraph following immediately thereafter in the press release attached to this Form 6-K are hereby incorporated by reference into all effective registration statements filed by the registrant under the Securities Act of 1933.
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
By:/s/ Philip A. Serlin
Philip A. Serlin Chief Executive Officer
Dated: December 16, 2020

Various statements in this presentation concerning BioLineRs's future expectations constitute "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995. These statements include words such as "may," "expects," "anticipates," "believes," and "intends," and describe opinions about future events. These forward-looking statements involve known and unknown risks and uncertainties that may cause the actual results, performance or achievements of BioLineRx to many future results, performance or achievements expressed or implied by such forward-looking statements. Factors that could cause BioLineRx's actual results to differ materially from those expressed or implied in such forward-looking statements include, but are not limited to: the initiation, timing, progress and results of BioLinelx's preclinical trials and other therapeutic candidate development efforts; BioLineRs's ability to advance its therapeutic candidates into clinical trials or to successfully complete its preclinical studies or clinical trials; BioLineRx's receipt of regulatory approvals for its therapeutic candidates, and the timing of other regulatory filings and approvals; the clinical development, commercialization and market acceptance candidates; BioLineRx's ability to establish and maintain corporate collaborations; BioLineRx's ability to integratic candidates and new personnel; the interpretation of the properties and characteristics of BioLineRx's and of the results obtained with its therapeutic candidates in preclinical trials; the implementation of BioLineR's business model and strategic plans for its business and therapeutic candidates; the sope of protection BioLineRx is able to intellectual property rights covering its therapeutic cand its ability to operate its business without infringing the intellectual property rights of others; estimates of BioLineR's expenses, future revenues, capital requirements and its needs for additional financing; risks related to changes in healthcare laws, rules and regulations in the United States or elsewhere; companies, technologies and BioLineRx's industry; risks related to the coronavirus outbreak; as to the impact of the political and security situation in Israel on BioLineRx's business. These and other factors are more fully discussed in the "Risk Factors" section of BioLineRx's most recent annual report on Form 20-F filed with the Securities and Exchange Commission on March 12, 2020. In addition, any forward-looking statements represent BioLineRx's views only as of this release and should not be relied upon as representing its views as of any subsequent date. BioLineRx does not assume any obligation to update any forward-looking statements unless required by law.

Gulam Manji, M.D., Ph.D. is an Assistant Professor of Medicine and Director of Medical Oncology & Translational Research for The Pancreas Center at Columbia University Medical Center. Dr. Manji completed his PhD from the University of Wisconsin-Madison and Internal Medicine Residency at Albany Medical College. He then completed his fellowship in Hematology/Oncology at New York-Presbyterian/Columbia, where he remained as faculty within the Division of Hematology and Oncology.
Talia Golan, M.D. is a highly qualified medical oncologist and researcher in the field of pancreatic cancer. She specializes in gastrointestinal malignancies and serves as a director of the Phase I clinical trials unit at Sheba's Pancreatic Cancer Center. She has earned a world-renowned reputation for her studies in the field of pancreatic cancer. Her current research trials are being carried out in conjunction with two of the world's largest biopharmaceutical companies, AstraZeneca and MSD (Merck).
Manuel Hidalgo, M.D., Ph.D., is currently the Chief of the Division of Hematology and Medical Oncology at Weill Cornell Medicine/New York-Presbyterian Hospital. Dr. Hidalgo received his M.D. from the University of Navarra in Pamplona, Spain in 1992, and Ph.D. from University Autonoma of Madrid in 1997. He trained in medical oncology at Hospital "12 de Octubre" in Madrid and at the University of Texas Health Science Center in San Antonio, Texas. He also completed a fellowship program in anticancer drug development at the Institute of Drug Development in San Antonio.
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Gulam Abbas Manji, MD/PhD
Assistant Professor, Division of Hematology and Oncology Director of Pancreas Medical Oncology and Translational Medicine Columbia University Irving Medical Center
December 16, 2020
Columbia University COLUMBIA HERBERT IRVING COMPREHENSIVE
COLUMBIA HERBERT IRVING COMPREHENSIVE
CANCER CANCER CENTER

| status and TILs | Table 2. Inverse correlation between tumor PD-L1 | |||
|---|---|---|---|---|
| PD-L1 | CD4 | CD8 | ||
| Positive | Negative | Positive | Negative | |
| Positive Negative |
ರಿ 24 |
11 7 |
5 25 |
15 6 |
Nomi, T. CCR. 2007; 13:251-7
PDL1 and TIL
COLUMBIA UNIVERSIT COLUMBIA HERBERT IRVING COMPREHENSIVE
CANCER CANCER CENTER Survivales Results: Overall Survival 1 -Gem+Nab-P+Durva+Treme -Gem+Nab-P 0.8 Stratified Hazard Ratio = 0.94; 90% CI (0.71-1.25); p=0.72 Adjusted Cox Model HR = 0.90; 90% CI (0.67-1.20); p=0.54 Proportion Alive Median Gem+Nab-P = 8.8 months; 90% CI (8.3-12.2) 0.6 Median Gem+Nab-P+Durva+Treme = 9.8 months; 90% Cl (7.2-11.2) 0.4 0.2 0 0 12 32 4 8 16 20 24 28 36 Time (Months) 71 31 20 G+N+D+T:119 97 48 15 7 1 0 G+N: 61 51 32 21 13 11 7 4 0 0
Dr. Daniel Renouf, BC Cancer, University of British Columbia, Vancouver, Canada Renouf D. Knox J. Kavan P. Jonker D. Welch S. Couture F. Lemay F Tehfe M, Harb M, Aucoin N, Ko Y, Tang P, Ramjeesingh R, Meyers B, Kim C, Schaeffer D, Lorge J, Graham B, Tu D, O'Callaghan Canadian Cancer - Groupe canadien
Trials Group des essais sur le can 40 des essais sur le cance7

Feig C, et al. PNAS. 2013. 110:20212-7
COLUMBIA HERBERT IRVING COMPREHENSIVE -NewYork-Presbyterian

Feig C, et al. PNAS. 2013. 110:20212-7
COLUMBIA HERBERT IRVING COMPREHENSIVE
CANCER CENTER = NewYork-Presbyterian


Biasci D, et al. Proc Natl Acad Sci U S A. 2020 Nov 17;117(46):28960-28970.


COLUMBIA COLUMBIA HERBERT IRVING COMPREHENSIVE
CANCER CENTER

DOLUMBIA HERBERT IRVING COMPREHENSIVE
CONFREHENSIVE CANCER CENTER

KPC Mice Triple Therapy

Manji GA and K Olive, Unpublished Bockorny B et al. Nature Medicine. 26, pages878-885(2020)
COLUMBIA | HERBERT IRVING COMPREHENSIVE
CANCER CENTER


Manji GA and Rabadan R, Unpublished
COLUM BIA HERBERT IRVING COMPREHENSIVE
CANCER CANCER CENTER
· Inhibition of CXCR4 in combination with chemotherapy and ICB in KPC mice -
Increases CD 8+ T cell/FoxP3+ Improves proximity of CD8+ T cells to neoplastic cells Improves survival
Increases CD8+ T cells (AM3100 and Motixafortide with ICB) Decreases MDSCs (Motixafortide with ICB) Encouraging efficacy in preliminary study with combination with 5-FU, liposomal irinotecan and ICB
COLUMBIA HERBERT IRVING COMPREHENSIVE

Talia Golan, MD
Medical Director, Phase I Program & Sheba Pancreatic Cancer Program Sheba Medical Center, Israel

December 2020
17
Disclosures
Receipt of grants/research supports: Astra Zeneca and MSD Merck Receipt of honoraria or consultation fees: Abbvie, BioLineRx, MSD Merck, Bayer and Teva
19
The current state of pancreatic cancer treatment
Benchmarks for PDAC
Immunotherapy in pancreatic cancer
Summary

https://seer.cancer.gov/statfacts/html/pancreas.html
→ Pancreatic cancer is the only one of the top 5 cancer killers for which deaths are projected to increase

| Drug | Target/Mechanism | Phase | Number of Patients |
|---|---|---|---|
| Evofosfamide | Alkylator (Hypoxia) | = | 694 |
| Ruxolitinib | JAK1/2 | Early termination | |
| Necuparanib | Heparan mimetic | 1/11 | 128 |
| Masitinib | TKI (Kit, Lyn, Fyn) | 323 | |
| Vandetanib | TKI (VEGFR2, RET, EGFR) | = | 142 |
| Algenpantucel-L | Vaccine | = | 722 |
| CRS-207 + GVAX | Vaccine | lib | 240 |
| Tarextumab | Notch2/3 | = | 177 |
| Demcizumab | DIL4 | II | 204 |
| 90Y-Clivatuzumab Tetraxetan |
MUC1 | 334 | |
| Apatorsen | HSP27 | II | 132 |
| Z-360 | CCK2 | II | 167 |
| Simtuzumab | LOX-2 | II | 240 (159) |
| MM-141 | IGF-1R/ErbB-3 | = | 88 |
| Ibrutinib | BTK | 111 | 424 |
| Napabucasin | STAT3 | >1,100 | |
| Pegilodecakin (AM0010) | pegylated IL-10 | = | 567 |
| PEGPH20 | Hyaluron | 500 | |
| Cabiralizumab | CSFR-1 | Ilb | 160 |

Benchmark for Pancreatic Cancer


| Endpoint | NAPOLI-1 stage IV at diagnosis subgroup (n=61) |
Meta-analysis IRI based 2L (7 studies n=396 ) Includes all stages at diagnosis |
|---|---|---|
| mOS (mos) | 4.7 | 5.5 |
| mPFS (mos) | 3.1 (stage III-IV n=117) |
2.7 |
| ORR (%) | 16% | 8.7% |
| cORR (%) | 7.7% (stage III-IV n=117) |
NA |
| DCR (%) | 52% (stage III-IV n=117) |
29.4% 28 |
Immunotherapy in pancreatic cancer
Royal RE, et al. J Immunother. 2010,33(8):228-833. Topalian SL, et al. N Engl J Med. 2012;366(26):2443-2454. Morrison AH et al Trends Cancer. 2018;4(6):418-28. Poschke I et al Oncoimmunology. 2016;5(12):e1240859.




Manuel Hidalgo, M.D., Ph.D. COMBAT Study Principal Investigator
December 16th 2020

= NewYork-Presbyterian @ @ Weill Cornell Medicine

=NewYork-Presbyterian @ @ Weill Cornell Medicine

| EVALUABLE | N=43 |
|---|---|
| Gender | Female 44.2%/Male 55.8% |
| Diagnosed at stage 4 | 97.6% |
| Median age | 68 (40-85) |
| ECOG 0/1 | 31.3%/68.7% |
| % of MSI-H (MSS status tested in 38 subjects) |
0% |
| % of Patients with Liver Metastasis | 74.4% |
39
= NewYork-Presbyterian @ @ Weill Cornell Medicine
| ALL | Grade≥ 3 | |
|---|---|---|
| Nausea and vomiting | 74.4% | 18.6% |
| Asthenia | 67.4% | 16.3% |
| Injection site reactions | 55.8% | 4.7% |
| Diarrhea | 53.5% | 14% |
| Appetite disorders | 41.9% | 9.3% |
| Pruritus | 39.5% | |
| Anemias | 37.2% | 11.6% |
| Rashes, eruptions and exanthems | 30.2% | |
| Gastrointestinal and abdominal pains | 30.2% | |
| Musculoskeletal and connective tissue pain and discomfort | 30.2% | 4.6% |
| Dermal and epidermal conditions | 25.6% | |
| Edema | 23.3% | 4.7% |
| Weight decrease | 20.9% | 2.3% |
| Hyperpigmentation disorders | 20.9% | |
| Gastrointestinal atonic and hypomotility disorders | 20.9% |
40
Adverse events reported in >20% of patients
= NewYork-Presbyterian @ @ Weill Cornell Medicine


Study COMBAT Cohort 2 - mITT Analysis Set (N=38): Progression Free Survival

Study COMBAT Cohort 2 - Duration of Clinical Benefit (RECIST1.1)

Study COMBAT Cohort 2 - mITT Analysis Set (N=38): Overall Survival (OS) Months from Monotherapy D1 to Death (Based on data retrievd from AEs, EOS, Survival FU)

| COMBAT | NAPOLI1 | |
|---|---|---|
| Neutropenia >=G3 | 7% | 20% |
| Infections/infestations All Grades |
21% | 38% |
| Infections/infestations >=G3 | 7% | 17% |
46
https://www.accessdata.fda.gov/drugsatfda docs/label/2015/207793lbl.pdf
=NewYork-Presbyterian @ @ Weill Cornell Medicine
| Endpoint | COMBAT | NAPOLI-1 stage IV at diagnosis subgroup (n=61) |
Meta-analysis IRI based 2L (n=396) Stage III-IV at diagnosis |
|---|---|---|---|
| mOS (mos) | 6.5 | 4.7 | 5.5 |
| mPFS (mos) | 4.0 | 3.1 (stage III-IV n=117) |
2.7 |
| ORR (%) | 21.2% | 16% | 8.7% |
| cORR (%) | 13.2% | 7.7% (stage III-IV n=117) |
NA |
| DCR (%) | 63.2% | 52% (stage III-IV n=117) |
29.4% |
47
Macarulla Mercade et al, Pancreas 2020;2. Petrelli et al EJC 2017 (Iri-based),
Wang Gillam et al EJC 2016;
= NewYork-Presbyterian @ @ Weill Cornell Medicine
= NewYork-Presbyterian @ @ Weill Cornell Medicine
48
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