Foreign Filer Report • May 11, 2022
Foreign Filer Report
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WASHINGTON, D.C. 20549
For the month of May 2022
Commission file number: 001-35223 _______________________
(Translation of registrant's name into English) _______________________
(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 May 11, 2022, the Registrant issued a press release announcing its financial results for the three months ended March 31, 2022. The Registrant is also publishing its unaudited interim consolidated financial statements, as well as its operating and financial review, as of March 31, 2022 and for the three months then ended. Attached hereto are the following exhibits:
Exhibit 1: Registrant's press release dated May 11, 2022;
Exhibit 2: Registrant's condensed consolidated interim financial statements as of March 31, 2022 and for the three months then ended; and
Exhibit 3: Registrant's operating and financial review as of March 31, 2022 and for the three months then ended.
This Form 6-K, the text under the heading "Financial Results for the Quarter Ended March 31, 2022 " in Exhibit 1, and Exhibit 2 and Exhibit 3 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 Serlin
Philip Serlin Chief Executive Officer
Dated: May 11, 2022

For Immediate Release
- On track to submit New Drug Application to FDA for Motixafortide in stem cell mobilization (SCM) for autologous stem cell transplantation in mid-2022, consistent with prior guidance -
- Progressing critical Motixafortide pre-launch activities while maintaining full optionality on commercialization strategies -
- Cash and cash equivalents at March 31, 2022 of \$50.6 million, sufficient to fund operations, as currently planned, into first half of 2024 -
- Management to hold conference call today, May 11, at 10:00 am EDT -
Tel Aviv, Israel, May 11, 2022 -- BioLineRx Ltd. (NASDAQ: BLRX) (TASE: BLRX), a late clinical-stage biopharmaceutical company focused on oncology, today reports its financial results for the first quarter ended March 31, 2022 and provides a corporate update.
"During the first quarter and subsequent period, we continued to prepare our New Drug Application for Motixafortide in stem cell mobilization, and we remain on track for submission to the FDA mid-year, consistent with our prior guidance," stated Philip Serlin, Chief Executive Officer of BioLineRx. "In parallel, we are advancing a range of critical pre-launch activities, should Motixafortide be approved, while maintaining full optionality with respect to our commercialization plans, in light of the highly concentrated end market in the U.S., in which 80 transplant centers conduct the vast majority of stem cell transplant procedures.
"The third-party commercial market assessment that we recently commissioned estimates the size of the stem cell mobilization market to be \$360 million annually in the U.S. alone and growing. In this respect, the overwhelmingly positive results from our GENESIS Phase 3 study, together with the very compelling cost savings identified through our pharmacoeconomic cost effectiveness studies, give us optimism that Motixafortide, if approved, can quickly become a core component of a new mobilization paradigm in multiple myeloma patients, and in potential other indications as well.
"With over \$50 million in cash, we believe we are well financed to extract maximum value from Motixafortide in stem cell mobilization while at the same time advancing our other pipeline programs, allowing us to achieve notable corporate and clinical milestones into the first half of 2024," concluded Mr. Serlin.
Research and development expenses for the quarter ended March 31, 2022 were \$4.4 million, an increase of \$0.1 million, or 3.7%, compared to \$4.3 million for the quarter ended March 31, 2021. The increase resulted primarily from an increase in expenses associated with the AGI-134 study, offset by lower expenses associated with the completed Motixafortide GENESIS and COMBAT clinical trials.
Sales and marketing expenses for the quarter ended March 31, 2022 were \$0.7 million, an increase of \$0.5 million, or 313% compared to \$0.2 million for the quarter ended March 31, 2021. The increase resulted primarily from an increase in market research and consultancy services, as well as initiation of pre-launch activities related to Motixafortide.
General and administrative expenses for the quarter ended March 31, 2022 were \$1.0 million, similar to the comparable period in 2021.
The Company's operating loss for the quarter ended March 31, 2022 amounted to \$6.1 million, compared to an operating loss of \$5.4 million for the quarter ended March 31, 2021.
Non-operating income amounted to \$1.3 million for the quarter ended March 31, 2022, compared to non-operating expenses of \$4.6 million for the quarter ended March 31, 2021. Non-operating income (expenses) for both periods primarily relate to fair-value adjustments of warrant liabilities on the Company's balance sheet.
Net financial expenses amounted to \$0.1 million for the quarter ended March 31, 2022, compared to net financial expenses of \$0.2 million for the quarter ended March 31, 2021. Net financial expenses for both periods primarily relate to interest paid on loans, offset by investment income earned on bank deposits.
The Company's net loss for the quarter ended March 31, 2022 amounted to \$4.9 million, compared with a net loss of \$10.2 million for the quarter ended March 31, 2021.
The Company held \$50.6 million in cash, cash equivalents and short-term bank deposits as of March 31, 2022, compared with \$57.1 million as of December 31, 2021.
Net cash used in operating activities was \$5.6 million for the quarter ended March 31, 2022, compared with net cash used in operating activities of \$6.2 million for the quarter ended March 31, 2021. The \$0.6 million decrease in net cash used in operating activities between the two periods was primarily the result of changes in operating asset and liability items in the two periods, i.e., a smaller increase in prepaid expenses and other receivables in 2022 versus 2021, as well as increase in accounts payable and accruals in 2022, versus a decrease in the 2021 period.
Net cash provided by investing activities was \$5.0 million for the quarter ended March 31, 2022, compared to net cash used in investing activities of \$36.3 million for the quarter ended March 31, 2021. The changes in cash flows from investing activities relate primarily to investments in, and maturities of, short-term bank deposits.
Net cash used in financing activities was \$1.0 million for the quarter ended March 31, 2022, compared to net cash provided by financing activities of \$41.9 million for the quarter ended March 31, 2021. The cash flows in 2022 primarily reflect repayments of the loan from Kreos Capital. The cash flows in 2021 primarily reflect the underwritten public offering of ADSs in January 2021, warrant exercises, and net proceeds from an ATM facility, offset by repayments of the loan from Kreos Capital.
BioLineRx will hold a conference call today, Wednesday, May 11 at 10:00 a.m. EDT. To access the conference call, please dial +1-866-744-5399 from the US or +972-3-918-0644 internationally. The call will also be available via webcast and can be accessed through the Investor Relations page of BioLineRx's website. Please allow extra time prior to the call to visit the site and download any necessary software to listen to the live broadcast.
A replay of the conference call will be available approximately two hours after completion of the live conference call on the Investor Relations page of BioLineRx's website. A dial-in replay of the call will be available until May 13, 2022; please dial +1-888-295-2634 from the US or +972-3-925-5904 internationally.
BioLineRx Ltd. (NASDAQ/TASE: BLRX) is a late clinical-stage biopharmaceutical company focused on oncology. The Company's lead program, Motixafortide (BL-8040), is a cancer therapy platform that was successfully evaluated in a Phase 3 study in stem cell mobilization for autologous bone-marrow transplantation, has reported positive results from a pre-planned pharmacoeconomic study, has successfully completed a pre-NDA meeting with the FDA, and is currently in preparations for an NDA submission. Motixafortide was also successfully evaluated in a Phase 2a study for the treatment of pancreatic cancer in combination with KEYTRUDA® and chemotherapy, and is currently being studied in combination with LIBTAYO® and chemotherapy as a first-line PDAC therapy.
BioLineRx is also developing a second oncology program, AGI-134, an immunotherapy treatment for multiple solid tumors that is currently being investigated in a Phase 1/2a study.
For additional information on BioLineRx, please visit the Company's website at www.biolinerx.com, where you can review the Company's SEC filings, press releases, announcements and events. 4
Various statements in this release concerning BioLineRx'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 "anticipates," "believes," "could," "estimates," "expects," "intends," "may," "plans," "potential," "predicts," "projects," "should," "will," and "would," and describe opinions about future events. These forward-looking statements involve known and unknown risks, uncertainties and other factors that may cause the actual results, performance or achievements of BioLineRx to be materially different from any 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 BioLineRx's preclinical studies, clinical trials and other therapeutic candidate development efforts; BioLineRx'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 of BioLineRx's therapeutic candidates; BioLineRx's ability to establish and maintain corporate collaborations; BioLineRx's ability to integrate new therapeutic candidates and new personnel; the interpretation of the properties and characteristics of BioLineRx's therapeutic candidates and of the results obtained with its therapeutic candidates in preclinical studies or clinical trials; the implementation of BioLineRx's business model and strategic plans for its business and therapeutic candidates; the scope of protection BioLineRx is able to establish and maintain for intellectual property rights covering its therapeutic candidates and its ability to operate its business without infringing the intellectual property rights of others; estimates of BioLineRx's expenses, future revenues, capital requirements and its needs for and ability to access sufficient additional financing; risks related to changes in healthcare laws, rules and regulations in the United States or elsewhere; competitive companies, technologies and BioLineRx's industry; statements as to the impact of the political and security situation in Israel on BioLineRx's business; and the impact of the COVID-19 pandemic and the Russian invasion of Ukraine, which may exacerbate the magnitude of the factors discussed above. 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 16, 2022. In addition, any forward-looking statements represent BioLineRx's views only as of the date 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.
Tim McCarthy LifeSci Advisors, LLC +1-917-679-9282 [email protected]
or
Moran Meir LifeSci Advisors, LLC +972-54-476-4945 [email protected]
| 2021 2022 in USD thousands Assets CURRENT ASSETS Cash and cash equivalents 12,990 Short-term bank deposits 44,145 Prepaid expenses 127 Other receivables 142 Total current assets 57,404 NON-CURRENT ASSETS Property and equipment, net 952 Right-of-use assets, net 1,331 Intangible assets, net 21,704 Total non-current assets 23,987 Total assets 81,391 Liabilities and equity CURRENT LIABILITIES Current maturities of long-term loan 2,757 Accounts payable and accruals: Trade 5,567 Other 1,227 Lease liabilities 168 Total current liabilities 9,719 NON-CURRENT LIABILITIES Warrants 1,859 Lease liabilities 1,726 Total non-current liabilities 3,585 COMMITMENTS AND CONTINGENT LIABILITIES Total liabilities 13,304 EQUITY Ordinary shares 21,066 Share premium 339,346 Warrants 975 Capital reserve 13,157 Other comprehensive loss (1,416) Accumulated deficit (305,041) Total equity 68,087 Total liabilities and equity 81,391 74,773 |
December 31, | March 31, |
|---|---|---|
| 11,446 | ||
| 39,144 | ||
| 161 | ||
| 190 | ||
| 50,941 | ||
| 855 | ||
| 1,273 | ||
| 21,704 | ||
| 23,832 | ||
| 74,773 | ||
| 1,903 | ||
| 5,784 | ||
| 1,264 | ||
| 147 | ||
| 9,098 | ||
| 604 | ||
| 1,658 | ||
| 2,262 | ||
| 11,360 | ||
| 21,066 | ||
| 339,444 | ||
| 975 | ||
| 13,315 | ||
| (1,416) | ||
| (309,971) | ||
| 63,413 | ||
| Three months ended March 31, | |||
|---|---|---|---|
| 2021 | 2022 | ||
| in USD thousands | |||
| RESEARCH AND DEVELOPMENT EXPENSES | (4,278) | (4,435) | |
| SALES AND MARKETING EXPENSES | (154) | (637) | |
| GENERAL AND ADMINISTRATIVE EXPENSES | (1,017) | (1,007) | |
| OPERATING LOSS | (5,449) | (6,079) | |
| NON-OPERATING INCOME (EXPENSES), NET | (4,561) | 1,268 | |
| FINANCIAL INCOME | 117 | 67 | |
| FINANCIAL EXPENSES | (299) | (186) | |
| NET LOSS AND COMPREHENSIVE LOSS | (10,192) | (4,930) | |
| LOSS PER ORDINARY SHARE - BASIC AND DILUTED | (0.02) | (0.01) | |
| WEIGHTED AVERAGE NUMBER OF SHARES USED IN | |||
| CALCULATION OF LOSS PER ORDINARY SHARE | 559,537,952 | 715,156,008 | |
| 7 |
| Other | |||||||
|---|---|---|---|---|---|---|---|
| Ordinary shares | Share premium | Warrants | Capital Reserve | comprehensive loss |
Accumulated deficit |
Total | |
| in USD thousands | |||||||
| BALANCE AT JANUARY 1, 2021 |
9,870 | 279,241 | - | 12,322 | (1,416) | (277,987) | 22,030 |
| CHANGES FOR THREE MONTHS ENDED MARCH 31, 2021: |
|||||||
| Issuance of share capital and | |||||||
| warrants, net | 6,805 | 24,979 | 975 | - | - | - | 32,759 |
| Warrants exercised | 2,051 | 17,523 | - | - | - | - | 19,574 |
| Employee stock options | |||||||
| exercised | 5 | 38 | - | (38) | - | - | 5 |
| Employee stock options | |||||||
| forfeited and expired | - | 139 | - | (139) | - | - | - |
| Share-based compensation | - | - | - | 471 | - | - | 471 |
| Comprehensive loss for the | |||||||
| period | - | - | - | - | - | (10,192) | (10,192) |
| BALANCE AT MARCH 31, | |||||||
| 2021 | 18,731 | 321,920 | 975 | 12,616 | (1,416) | (288,179) | 64,647 |
| Other |
| Ordinary shares | Share premium | Warrants | Capital Reserve | comprehensive loss |
Accumulated deficit |
Total | |
|---|---|---|---|---|---|---|---|
| in USD thousands | |||||||
| BALANCE AT JANUARY 1, | |||||||
| 2022 | 21,066 | 339,346 | 975 | 13,157 | (1,416) | (305,041) | 68,087 |
| CHANGES FOR THREE MONTHS ENDED MARCH 31, 2022: |
|||||||
| Employee stock options | |||||||
| forfeited and expired | - | 98 | - | (98) | - | - | - |
| Share-based compensation | - | - | - | 256 | - | - | 256 |
| Comprehensive loss for the | |||||||
| period | - | - | - | - | - | (4,930) | (4,930) |
| BALANCE AT MARCH 31, | |||||||
| 2022 | 21,066 | 399,444 | 975 | 13,315 | (1,416) | (309,971) | 63,413 |
| 8 |
| Three months ended March 31, |
|||
|---|---|---|---|
| 2021 | 2022 | ||
| in USD thousands | |||
| CASH FLOWS - OPERATING ACTIVITIES Comprehensive loss for the period |
(10,192) | (4,930) | |
| Adjustments required to reflect net cash used in operating activities | |||
| (see appendix below) | 3,963 | (656) | |
| Net cash used in operating activities | (6,229) | (5,586) | |
| CASH FLOWS - INVESTING ACTIVITIES | |||
| Investments in short-term deposits | (42,000) | (7,000) | |
| Maturities of short-term deposits | 5,758 | 12,066 | |
| Purchase of property and equipment | (19) | (18) | |
| Net cash provided by (used in) investing activities | (36,261) | 5,048 | |
| CASH FLOWS - FINANCING ACTIVITIES | |||
| Issuance of share capital and warrants, net of issuance costs | 42,765 | - | |
| Employee stock options exercised | 5 | - | |
| Repayments of loan | (814) | (895) | |
| Repayments of lease liabilities | (49) | (48) | |
| Net cash provided by (used in) financing activities | 41,907 | (943) | |
| DECREASE IN CASH AND CASH EQUIVALENTS | (583) | (1,481) | |
| CASH AND CASH EQUIVALENTS – BEGINNING OF PERIOD | 16,831 | 12,990 | |
| EXCHANGE DIFFERENCES ON CASH AND CASH EQUIVALENTS | (201) | (63) | |
| CASH AND CASH EQUIVALENTS - END OF PERIOD | 16,047 | 11,446 |
| Three months ended March 31, |
|||
|---|---|---|---|
| 2021 | 2022 | ||
| in USD thousands | |||
| Adjustments required to reflect net cash used in operating activities: | |||
| Income and expenses not involving cash flows: | |||
| Depreciation and amortization | 182 | 173 | |
| Exchange differences on cash and cash equivalents | 201 | 63 | |
| Fair value adjustments of warrants | 4,597 | (1,255) | |
| Share-based compensation | 471 | 256 | |
| Interest on short-term deposits | (38) | (65) | |
| Interest on loan | 93 | 41 | |
| Exchange differences on lease liabilities | (65) | (41) | |
| 5,441 | (828) | ||
| Changes in operating asset and liability items: | |||
| Increase in prepaid expenses and other receivables | (976) | (82) | |
| Increase (decrease) in accounts payable and accruals | (502) | 254 | |
| (1,478) | 172 | ||
| 3,963 | (656) | ||
| Supplemental information on interest received in cash | 22 | 68 | |
| Supplemental information on interest paid in cash | 200 | 112 | |
| Supplemental information on non-cash portion of transaction related to exercised warrants | 9,568 | - | |
| 10 |
Exhibit 2
BioLineRx Ltd. CONDENSED CONSOLIDATED INTERIM FINANCIAL STATEMENTS (UNAUDITED) AS OF MARCH 31, 2022
TABLE OF CONTENTS
| Page | |
|---|---|
| Condensed consolidated interim statements of financial position | 1 |
| Condensed consolidated interim statements of comprehensive loss | 2 |
| Condensed consolidated interim statements of changes in equity | 3 |
| Condensed consolidated interim cash flow statements | 4-5 |
| Notes to the condensed consolidated interim financial statements | 6-8 |
| December 31, | March 31, | ||
|---|---|---|---|
| 2021 | 2022 | ||
| in USD thousands | |||
| Assets | |||
| CURRENT ASSETS | |||
| Cash and cash equivalents | 12,990 | 11,446 | |
| Short-term bank deposits | 44,145 | 39,144 | |
| Prepaid expenses | 127 | 161 | |
| Other receivables | 142 | 190 | |
| Total current assets | 57,404 | 50,941 | |
| NON-CURRENT ASSETS | |||
| Property and equipment, net | 952 | 855 | |
| Right-of-use assets, net | 1,331 | 1,273 | |
| Intangible assets, net | 21,704 | 21,704 | |
| Total non-current assets | 23,987 | 23,832 | |
| Total assets | 81,391 | 74,773 | |
| Liabilities and equity | |||
| CURRENT LIABILITIES | |||
| Current maturities of long-term loan | 2,757 | 1,903 | |
| Accounts payable and accruals: | |||
| Trade | 5,567 | 5,784 | |
| Other | 1,227 | 1,264 | |
| Lease liabilities | 168 | 147 | |
| Total current liabilities | 9,719 | 9,098 | |
| NON-CURRENT LIABILITIES | |||
| Warrants | 1,859 | 604 | |
| Lease liabilities | 1,726 | 1,658 | |
| Total non-current liabilities | 3,585 | 2,262 | |
| COMMITMENTS AND CONTINGENT LIABILITIES Total liabilities |
13,304 | 11,360 | |
| EQUITY | |||
| Ordinary shares | 21,066 | 21,066 | |
| Share premium | 339,346 | 339,444 | |
| Warrants | 975 | 975 | |
| Capital reserve | 13,157 | 13,315 | |
| Other comprehensive loss | (1,416) | (1,416) | |
| Accumulated deficit | (305,041) | (309,971) | |
| Total equity | 68,087 | 63,413 | |
| Total liabilities and equity | 81,391 | 74,773 |
The accompanying notes are an integral part of these condensed consolidated interim financial statements.
| Three months ended March 31, | |||
|---|---|---|---|
| 2021 | 2022 | ||
| in USD thousands | |||
| RESEARCH AND DEVELOPMENT EXPENSES | (4,278) | (4,435) | |
| SALES AND MARKETING EXPENSES | (154) | (637) | |
| GENERAL AND ADMINISTRATIVE EXPENSES | (1,017) | (1,007) | |
| OPERATING LOSS | (5,449) | (6,079) | |
| NON-OPERATING INCOME (EXPENSES), NET | (4,561) | 1,268 | |
| FINANCIAL INCOME | 117 | 67 | |
| FINANCIAL EXPENSES | (299) | (186) | |
| NET LOSS AND COMPREHENSIVE LOSS | (10,192) | (4,930) | |
| LOSS PER ORDINARY SHARE - BASIC AND DILUTED | (0.02) | (0.01) | |
| WEIGHTED AVERAGE NUMBER OF SHARES USED IN | |||
| CALCULATION OF LOSS PER ORDINARY SHARE | 559,537,952 | 715,156,008 |
The accompanying notes are an integral part of these condensed consolidated interim financial statements.
| Other comprehensive |
Accumulated | ||||||
|---|---|---|---|---|---|---|---|
| Ordinary shares | Share premium | Warrants | Capital Reserve | loss | deficit | Total | |
| in USD thousands | |||||||
| BALANCE AT JANUARY 1, 2021 |
9,870 | 279,241 | - | 12,322 | (1,416) | (277,987) | 22,030 |
| CHANGES FOR THREE MONTHS ENDED MARCH 31, 2021: |
|||||||
| Issuance of share capital and | |||||||
| warrants, net | 6,805 | 24,979 | 975 | - | - | - | 32,759 |
| Warrants exercised | 2,051 | 17,523 | - | - | - | - | 19,574 |
| Employee stock options | |||||||
| exercised | 5 | 38 | - | (38) | - | - | 5 |
| Employee stock options forfeited and expired |
- | 139 | - | (139) | - | - | - |
| Share-based compensation | - | - | - | 471 | - | - | 471 |
| Comprehensive loss for the | |||||||
| period | - | - | - | - | - | (10,192) | (10,192) |
| BALANCE AT MARCH 31, | |||||||
| 2021 | 18,731 | 321,920 | 975 | 12,616 | (1,416) | (288,179) | 64,647 |
| Ordinary shares | Share premium | Warrants | Capital Reserve | Other comprehensive loss |
Accumulated deficit |
Total | |
|---|---|---|---|---|---|---|---|
| in USD thousands | |||||||
| BALANCE AT JANUARY 1, 2022 |
21,066 | 339,346 | 975 | 13,157 | (1,416) | (305,041) | 68,087 |
| CHANGES FOR THREE MONTHS ENDED MARCH 31, 2022: |
|||||||
| Employee stock options forfeited and expired |
- | 98 | - | (98) | - | - | - |
| Share-based compensation Comprehensive loss for the period |
- - |
- - |
- - |
256 - |
- - |
- (4,930) |
256 (4,930) |
| BALANCE AT MARCH 31, 2022 |
21,066 | 399,444 | 975 | 13,315 | (1,416) | (309,971) | 63,413 |
The accompanying notes are an integral part of these condensed consolidated interim financial statements.
| Three months ended March 31, |
|||
|---|---|---|---|
| 2021 | 2022 | ||
| in USD thousands | |||
| CASH FLOWS - OPERATING ACTIVITIES | |||
| Comprehensive loss for the period | (10,192) | (4,930) | |
| Adjustments required to reflect net cash used in operating activities | |||
| (see appendix below) | 3,963 | (656) | |
| Net cash used in operating activities | (6,229) | (5,586) | |
| CASH FLOWS - INVESTING ACTIVITIES | |||
| Investments in short-term deposits | (42,000) | (7,000) | |
| Maturities of short-term deposits | 5,758 | 12,066 | |
| Purchase of property and equipment | (19) | (18) | |
| Net cash provided by (used in) investing activities | (36,261) | 5,048 | |
| CASH FLOWS - FINANCING ACTIVITIES | |||
| Issuance of share capital and warrants, net of issuance costs | 42,765 | - | |
| Employee stock options exercised | 5 | - | |
| Repayments of loan | (814) | (895) | |
| Repayments of lease liabilities | (49) | (48) | |
| Net cash provided by (used in) financing activities | 41,907 | (943) | |
| DECREASE IN CASH AND CASH EQUIVALENTS | (583) | (1,481) | |
| CASH AND CASH EQUIVALENTS – BEGINNING OF PERIOD | 16,831 | 12,990 | |
| EXCHANGE DIFFERENCES ON CASH AND CASH EQUIVALENTS | (201) | (63) | |
| CASH AND CASH EQUIVALENTS - END OF PERIOD | 16,047 | 11,446 |
The accompanying notes are an integral part of these condensed consolidated interim financial statements.
| Three months ended March 31, |
|||
|---|---|---|---|
| 2021 | 2022 | ||
| in USD thousands | |||
| Adjustments required to reflect net cash used in operating activities: | |||
| Income and expenses not involving cash flows: | |||
| Depreciation and amortization | 182 | 173 | |
| Exchange differences on cash and cash equivalents | 201 | 63 | |
| Fair value adjustments of warrants | 4,597 | (1,255) | |
| Share-based compensation | 471 | 256 | |
| Interest on short-term deposits | (38) | (65) | |
| Interest on loan | 93 | 41 | |
| Exchange differences on lease liabilities | (65) | (41) | |
| 5,441 | (828) | ||
| Changes in operating asset and liability items: | |||
| Increase in prepaid expenses and other receivables | (976) | (82) | |
| Increase (decrease) in accounts payable and accruals | (502) | 254 | |
| (1,478) | 172 | ||
| 3,963 | (656) | ||
| Supplemental information on interest received in cash | 22 | 68 | |
| Supplemental information on interest paid in cash | 200 | 112 | |
| Supplemental information on non-cash portion of transaction related to exercised warrants | 9,568 | - | |
The accompanying notes are an integral part of these condensed consolidated interim financial statements.
BioLineRx Ltd. ("BioLineRx"), headquartered in Modi'in, Israel, was incorporated and commenced operations in April 2003. BioLineRx and its subsidiaries (collectively, the "Company") are engaged in the development of therapeutics, primarily in clinical stages, with a focus on the field of oncology.
The Company's American Depositary Shares ("ADSs") are traded on the NASDAQ Capital Market, and its ordinary shares are traded on the Tel Aviv Stock Exchange ("TASE"). Each ADS represents 15 ordinary shares.
In March 2017, the Company acquired Agalimmune Ltd. ("Agalimmune"), a privately held company incorporated in the United Kingdom, with a focus on the field of immunooncology.
Although the Company has succeeded in generating significant revenues from a number of out-licensing transactions in the past, it cannot determine with reasonable certainty if and when it will become profitable on a current basis. Management believes that the Company's current cash and other resources will be sufficient to fund its projected cash requirements into the first half of 2024. However, in the event that the Company does not begin to generate sustainable cash flows from its operating activities in the future, the Company will need to carry out significant cost reductions or raise additional funding.
The condensed consolidated interim financial statements of the Company as of March 31, 2022, and for the three months then ended, were approved by the Board of Directors on May 10, 2022, and signed on its behalf by the Chairman of the Board, the Chief Executive Officer and the Chief Financial Officer.
The Company's condensed consolidated interim financial statements as of March 31, 2022 and for the three months then ended (the "interim financial statements") have been prepared in accordance with International Accounting Standard No. 34, "Interim Financial Reporting" ("IAS 34"). These interim financial statements, which are unaudited, do not include all disclosures necessary for a fair statement of financial position, results of operations, and cash flows in conformity with International Financial Reporting Standards as issued by the International Accounting Standards Board ("IFRS"). The condensed consolidated interim financial statements should be read in conjunction with the Company's annual financial statements as of December 31, 2021 and for the year then ended and their accompanying notes, which have been prepared in accordance with IFRS. The results of operations for the three months ended March 31, 2022 are not necessarily indicative of the results that may be expected for the entire fiscal year or for any other interim period.
The preparation of financial statements in conformity with IFRS requires management to make estimates, judgments and assumptions that may affect the reported amounts of assets, liabilities, equity and expenses, as well as the related disclosures of contingent assets and liabilities, in the process of applying the Company's accounting policies. These inputs also consider, among other things, the implications of pandemics and wars over the world on the Company's activities, and the resultant effects on critical and significant accounting estimates, most significantly in relation to the value of intangible assets. In this regard, U.S. and global markets are currently experiencing volatility and disruption following the escalation of geopolitical tensions and the ongoing military conflict between Russia and Ukraine. Although the length and impact of the ongoing military conflict are highly unpredictable, the conflict in Ukraine could lead to market disruptions, including significant volatility in commodity prices, credit and the capital markets. As of the date of release of these financial statements, the Company estimates there are no material effects of this conflict on its financial position and results of operations.
The accounting policies and calculation methods applied in the preparation of these interim financial statements are consistent with those applied in the preparation of the annual financial statements as of December 31, 2021 and for the year then ended.
The Company maintains an ATM facility with H.C. Wainwright & Co., LLC ("HCW") pursuant to an ATM sales agreement entered into in September 2021. In accordance with the agreement, the Company is entitled, at its sole discretion, to offer and sell through HCW, acting as sales agent, ADSs having an aggregate offering price of up to \$25.0 million throughout the period during which the ATM facility remains in effect. The Company has agreed to pay HCW a commission of 3.0% of the gross proceeds from the sale of ADSs under the facility. From the effective date of the agreement through the issuance date of this report, 402,327 ADSs have been sold under the program for total gross proceeds of approximately \$1.1 million.
As of December 31, 2021 and March 31, 2022, share capital is composed of ordinary shares, as follows:
| Number of ordinary shares | |||
|---|---|---|---|
| December 31, | March 31, | ||
| 2021 | 2022 | ||
| Authorized share capital | 1,500,000,000 | 1,500,000,000 | |
| Issued and paid-up share capital | 715,156,008 | 715,156,008 | |
| In USD and NIS | |||
| December 31, | March 31, | ||
| 2021 | 2022 | ||
| Authorized share capital (in NIS) | 150,000,000 | 150,000,000 | |
| Issued and paid-up share capital (in NIS) | 71,515,600 | 71,515,600 | |
| Issued and paid-up share capital (in USD) | 21,066,368 | 21,066,368 | |
| 8 |
You should read the following discussion of our operating and financial condition and prospects in conjunction with the financial statements and the notes thereto included elsewhere in this 6-K, as well as in our Annual Report on Form 20-F filed on March 16, 2022 (the "Annual Report").
The following discussion contains "forward-looking statements," including statements regarding expectations, beliefs, intentions or strategies for the future. These statements involve known and unknown risks, uncertainties and other factors that may cause our actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by the forward-looking statements. In some cases, you can identify forward-looking statements by terms including "anticipates," "believes," "could," "estimates," "expects," "intends," "may," "plans," "potential," "predicts," "projects," "should," "will," "would," and similar expressions intended to identify forward-looking statements. Forward-looking statements reflect our current views with respect to future events and are based on assumptions, and are subject to risks and uncertainties. You should not put undue reliance on any forwardlooking statements. Our actual results could differ materially from those discussed in the forward-looking statements. Factors that could cause or contribute to these differences include those listed below as well as those discussed in the Annual Report (particularly those in "Item 3. Key Information – Risk Factors"). Unless we are required to do so under U.S. federal securities laws or other applicable laws, we do not intend to update or revise any forward-looking statements.
Factors that could cause our actual results to differ materially from those expressed or implied in such forward-looking statements include, but are not limited to:
There are no material changes to the risk factors previously disclosed in our Annual Report on Form 20-F for the year ended December 31, 2021.
We are a late clinical-stage biopharmaceutical development company with a strategic focus on oncology. Our current development and commercialization pipeline consists of two clinical-stage therapeutic candidates – motixafortide (BL-8040), a novel peptide for the treatment of stem-cell mobilization, solid tumors and AML, and AGI-134, an immuno-oncology agent in development for solid tumors. In addition, we have an off-strategy, legacy therapeutic product called BL-5010 for the treatment of skin lesions. We have generated our pipeline by systematically identifying, rigorously validating and in-licensing therapeutic candidates that we believe exhibit a high probability of therapeutic and commercial success. To date, except for BL-5010, none of our therapeutic candidates have been approved for marketing or sold commercially. Our strategy includes commercializing our therapeutic candidates through out-licensing arrangements with biotechnology and pharmaceutical companies and evaluating, on a case-by-case basis, the commercialization of our therapeutic candidates independently.
Motixafortide is a novel, short peptide that functions as a high-affinity antagonist for CXCR4, which we are developing for the treatment of stem-cell mobilization, solid tumors and acute myeloid leukemia, or AML.
➢ In March 2016, we initiated a Phase 2 trial for motixafortide in allogeneic stem cell transplantation, conducted in collaboration with the Washington University School of Medicine, Division of Oncology and Hematology. In May 2018, we announced positive top-line results of this study showing, among other things, that a single injection of motixafortide mobilized sufficient amounts of CD34+ cells required for transplantation at a level of efficacy similar to that achieved by using 4-6 injections of G-CSF, the current standard of care.
➢ In December 2017, we commenced a randomized, placebo-controlled Phase 3 registrational trial for motixafortide, known as the GENESIS trial, for the mobilization of HSCs, for autologous transplantation in patients with multiple myeloma. The trial began with a lead-in period for dose confirmation, which was to include 10-30 patients and then progress to the placebocontrolled main part, which was designed to include 177 patients in more than 25 centers. Following review of the positive results from treatment of the first 11 patients, the Data Monitoring Committee, or DMC, recommended that the lead-in part of the study be stopped and that we should move immediately to the second part. Additional positive results from the lead-in period were reported at the annual meeting of the European Society for Blood and Marrow Transplantation held in March 2019, where it was announced that HSCs mobilized by motixafortide in combination with G-CSF were successfully engrafted in all 11 patients.
We continue to follow-up on the GENESIS study patients for relapse-free and overall survival. In addition, we continue to perform detailed analyses of the data according to the statistical analysis plan agreed-upon with the FDA, as well as certain post hoc analyses. In December 2021, we held a pre-NDA meeting with the FDA. The purpose of the meeting was to obtain agreement from the FDA on the content of the proposed NDA, and, in particular, to confirm that our single Phase 3 pivotal study, GENESIS, is sufficient to support an NDA submission. During the pre-NDA meeting, the FDA agreed that the proposed data package is sufficient to support an NDA submission, which we anticipate will occur in mid-2022.
➢ In October 2021, we announced positive results from a pharmacoeconomic study evaluating the cost-effectiveness of using investigational drug motixafortide as a primary stem cell mobilization agent on top of granulocyte colony stimulating factor (G-CSF), versus G-CSF alone, in multiple myeloma patients undergoing autologous stem-cell transplantation (ASCT). The study was performed by the Global Health Economics and Outcomes Research (HEOR) team of IQVIA, and was a pre-planned study conducted in parallel with the GENESIS Phase 3 trial. The study concluded that the addition of motixafortide to G-CSF (the current standard of care) is associated with a statistically significant decrease in health resource utilization (HRU) during the ASCT process, compared to G-CSF alone. Based on the significantly higher number of mobilized cells and the lower number of apheresis sessions, lifetime estimates show quality-adjusted-life-year benefits and net cost savings of ~\$19,000 (not including the cost of motixafortide), versus G-CSF alone.
AML
ARDS secondary to COVID-19 and other viral infections
➢ During the first half of 2020, we initiated the evaluation of motixafortide as a potential therapy for acute respiratory distress syndrome, or ARDS, resulting from COVID-19 and other viral infections In this regard, substantial data is emerging regarding the involvement of neutrophils, neutrophil extracellular traps (NETs), monocytes and macrophages in the development of ARDS secondary to COVID-19 and other viral infections; as well as the key involvement of CXCR4 as a mediator of those cells in the inflamed pulmonary tissue. Based on the scientific data indicating the importance of blocking the CXCR4/CXCL12 axis during ARDS, we believe that motixafortide may be of potential benefit for patients with ARDS. Following our initial evaluation, in November 2020, we announced initiation of a Phase 1b study in patients with ARDS secondary to COVID-19 and other respiratory viral infections. The study is an investigator-initiated study, led by Wolfson Medical Center, in Israel, to evaluate motixafortide in patients hospitalized with ARDS. The primary endpoint of the study is to assess the safety of motixafortide in these patients; respiratory parameters and inflammatory biomarkers will be assessed as exploratory endpoints. Up to 25 patients will be enrolled in the study, with a preliminary analysis planned after ten patients have completed the initial treatment period. Results of the preliminary analysis are expected in the second half of 2022 (although timelines are ultimately controlled by the independent investigator and are therefore subject to change).
AGI-134, a clinical therapeutic candidate in-licensed by our subsidiary, Agalimmune Ltd., is a synthetic alpha-Gal glycolipid immunotherapy in development for solid tumors. AGI-134 harnesses the body's pre-existing, highly abundant, anti-alpha-Gal antibodies to induce a hyper-acute, systemic, specific anti-tumor response to the patient's own tumor neo-antigens. This response not only kills the tumor cells at the site of injection, but also brings about a durable, follow-on, anti-metastatic immune response. In August 2018, we initiated a Phase 1/2a clinical study for AGI-134 that is primarily designed to evaluate the safety and tolerability of AGI-134 in unresectable metastatic solid tumors. The multi-center, open-label study is currently being carried out in the United Kingdom, Spain and Israel. Initial safety results from the first part of the study were announced at the beginning of September 2019; at the end of the same month, the second part of the study was commenced. Due to clinical operating issues associated with the COVID-19 pandemic, in April 2020, enrollment to the clinical trial was temporarily suspended. In August 2020, we renewed study enrollment, and in January 2022, we completed enrollment. Initial proof-of-mechanism of action and efficacy results are now expected in the second half of 2022.
In December 2021, we established a Scientific Advisory Board (SAB) to provide insight and guidance on our activities in the field of immuno-oncology. The SAB is comprised of recognized leaders in cancer immunology, intra-tumoral injections and clinical development.
Listed in alphabetical order, the founding SAB members are: Ronald Levy, MD, the Robert K. and Helen K. Summy Professor and Director of the Lymphoma Program at Stanford University School of Medicine, Palo Alto, CA; Aurélien Marabelle, MD, PhD, Clinical Director, Cancer Immunotherapy Program, Gustave Roussy, Paris, France and Director, Translational Research Laboratory in Immunotherapy, INSERM, Paris, France; Ignacio Melero MD, PhD, Professor of Immunology at the Academic Hospital of Navarra, Spain and at the Center for Applied Medical Research (CIMA) of the University of Navarra, Spain; and Jon Wigginton, MD, Chair of the SAB and Senior Advisor at Cullinan Oncology, former Chief Medical Officer of MacroGenics, and former Therapeutic Area Head, Immuno-Oncology, Early Clinical Research at Bristol-Myers Squibb.
Our commercialized, legacy therapeutic product, BL-5010, is a customized, proprietary pen-like applicator containing a novel, acidic, aqueous solution for the non-surgical removal of skin lesions. In December 2014, we entered into an exclusive out-licensing arrangement with Perrigo Company plc, or Perrigo, for the rights to BL-5010 for over-the-counter, or OTC, indications in Europe, Australia and additional selected countries. In March 2016, Perrigo received CE Mark approval for BL-5010 as a novel OTC treatment for the non-surgical removal of warts. The commercial launch of products for treatment of this first OTC indication (warts/verrucas) commenced in Europe in the second quarter of 2016. Since then, Perrigo has invested in improving the product and during 2019 launched an improved version of the product in several European countries. In March 2020, we agreed that Perrigo could relinquish its license rights for certain countries that had been included in its territory according to the original license agreement, and was also no longer obligated to develop, obtain regulatory approval for and commercialize products for a second OTC indication. In turn, in March 2020, we agreed with our licensor of the rights to BL-5010, Innovative Pharmaceutical Concepts (IPC) Inc., or IPC, to return to IPC those license rights no longer outlicensed to Perrigo as a result of the agreement described in the preceding sentence, in consideration of the payment to us of royalties or fees on sublicense receipts.
We have funded our operations primarily through the sale of equity securities (both in public and private offerings), funding received from the Israel Innovation Authority, or IIA, payments received under out-licensing arrangements, and interest earned on investments. We expect to continue to fund our operations over the next several years through our existing cash resources, potential future milestone and royalty payments that we may receive from our existing out-licensing agreement, potential future upfront, milestone or royalty payments that we may receive from out-licensing transactions for our other therapeutic candidates, potential revenues that we may receive from the direct commercialization of our other therapeutic candidates, interest earned on our investments, and additional capital to be raised through public or private equity offerings or debt financings. As of March 31, 2022, we held \$50.6 million of cash, cash equivalents and shortterm bank deposits.
Our revenues to date have been generated primarily from milestone payments under previously existing out-licensing agreements.
We expect our revenues, if any, for the next several years to be derived primarily from future payments under out- licensing agreement and other potential collaboration arrangements, including future royalties on product sales.
Our research and development expenses consist primarily of salaries and related personnel expenses, fees paid to external service providers, up-front and milestone payments under our license agreements, patent-related legal fees, costs of preclinical studies and clinical trials, drug and laboratory supplies and costs for facilities and equipment. We primarily use external service providers to manufacture our product candidates for clinical trials and for the majority of our preclinical and clinical development work. We charge all research and development expenses to operations as they are incurred. We expect our research and development expense to remain our primary expense in the near future as we continue to develop our therapeutic candidates.
The following table identifies our current major research and development projects:
| Project | Status | Expected Near Term Milestones |
|---|---|---|
| 1. Phase 3 registration study in autologous stem cell mobilization (GENESIS) completed; top-line results announced May 2021 showed highly statistically significant evidence across all primary and secondary endpoints favoring motixafortide in combination with G-CSF (p<0.0001). In addition, the combination was found to be safe and well tolerated. Pharmaco-economic studies showed positive results regarding the cost-effectiveness of using motixafortide versus both G-CSF alone and plerixafor in combination with G CSF. Pre-NDA meeting with FDA in December 2021 resulted in FDA agreeing that our GENESIS study is sufficient to support an NDA submission. |
1. NDA submission in mid-2022 | |
| motixafortide | 2. Phase 2a study in pancreatic cancer (COMBAT/KEYNOTE-202) completed; full results showing improvement in all endpoints announced December 2020 |
2. Evaluation and planning of next clinical development steps, including discussions towards potential collaborations and development of a protocol for a randomized controlled study |
| 3. Phase 2 investigator-initiated study in first-line PDAC patients | 3. Data from the study is anticipated in the second half of 2022* |
|
| 4. Phase 1b study in patients with ARDS secondary to COVID-19 and other respiratory viral infections | 4. Results of the preliminary analysis are expected in the second half of 2022* |
|
| AGI-134 | Phase 1/2a study, ongoing | Initial proof-of-mechanism of action and efficacy results expected in second half of 2022 |
*These studies are investigator-initiated studies; therefore, the timelines are ultimately controlled by the independent investigators and are subject to change.
We expect that a large percentage of our research and development expense in the future will be incurred in support of our current and future preclinical and clinical development projects. Due to the inherently unpredictable nature of preclinical and clinical development processes, we are unable to estimate with any certainty the costs we will incur in the continued development of the therapeutic candidates in our pipeline for potential commercialization. Clinical development timelines, the probability of success and development costs can differ materially from expectations. We expect to continue to test our product candidates in preclinical studies for toxicology, safety and efficacy, and to conduct additional clinical trials for each product candidate. If we are not able to enter into an out-licensing arrangement with respect to any therapeutic candidate prior to the commencement of later stage clinical trials, we may fund the trials for the therapeutic candidate ourselves.
While we are currently focused on advancing each of our product development projects, our future research and development expenses will depend on the clinical success of each therapeutic candidate, as well as ongoing assessments of each therapeutic candidate's commercial potential. In addition, we cannot forecast with any degree of certainty which therapeutic candidates may be subject to future out-licensing arrangements, when such out-licensing arrangements will be secured, if at all, and to what degree such arrangements would affect our development plans and capital requirements.
As we obtain results from clinical trials, we may elect to discontinue or delay clinical trials for certain therapeutic candidates or projects in order to focus our resources on more promising therapeutic candidates or projects. Completion of clinical trials by us or our licensees may take several years or more, but the length of time generally varies according to the type, complexity, novelty and intended use of a therapeutic candidate.
The cost of clinical trials may vary significantly over the life of a project as a result of differences arising during clinical development, including, among others:
We expect our research and development expenses to remain our most significant cost as we continue the advancement of our clinical trials and preclinical product development projects and place significant emphasis on in-licensing new product candidates. The lengthy process of completing clinical trials and seeking regulatory approval for our product candidates requires expenditure of substantial resources. Any failure or delay in completing clinical trials, or in obtaining regulatory approvals, could cause a delay in generating product revenue and cause our research and development expenses to increase and, in turn, have a material adverse effect on our operations. Due to the factors set forth above, we are not able to estimate with any certainty when we would recognize any net cash inflows from our projects.
Sales and marketing expenses consist primarily of compensation for employees in business development and marketing functions. Other significant sales and marketing costs include costs for marketing and communication materials, professional fees for outside market research and consulting, legal services related to partnering transactions and travel costs.
General and administrative expenses consist primarily of compensation for employees in executive and operational functions, including accounting, finance, legal, investor relations, information technology and human resources. Other significant general and administration costs include facilities costs, professional fees for outside accounting and legal services, travel costs, insurance premiums and depreciation.
Non-operating expense and income includes fair-value adjustments of liabilities on account of the warrants issued in equity financings we carried out in February 2019, May 2020 and June 2020. These fair-value adjustments are highly influenced by our share price at each period end (revaluation date). Non-operating expense and income also includes issuance expenses of the ATM sales agreements between us and H.C. Wainwright & Co., LLC, or HCW, entered into in September 2020 and September 2021, and the pro-rata share of issuance expenses from the placements related to the warrants. Sales-based royalties and other revenue from the license agreement with Perrigo have also been included as part of non-operating income, as the out-licensed product is not an integral part of our strategy and the amounts are not material.
Financial expense and income consist of interest earned on our cash, cash equivalents and short-term bank deposits; interest expense related to our loan from Kreos Capital; bank fees and other transactional costs. In addition, it may also include gains/losses on foreign exchange hedging transactions, which we carry out from time to time to protect against a portion of our NISdenominated expenses (primarily compensation) in relation to the dollar.
We describe our significant accounting policies more fully in Note 2 to our consolidated financial statements for the year ended December 31, 2021. We believe that the accounting policies below are critical for one to fully understand and evaluate our financial condition and results of operations.
The discussion and analysis of our financial condition and results of operations is based on our financial statements, which we prepare in accordance with IFRS. The preparation of these financial statements requires us to make estimates using assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the financial statements, as well as the reported revenues and expenses during the reporting periods. On an ongoing basis, we evaluate such estimates, including those described in greater detail below. We base our estimates on historical experience and on various assumptions that we believe are reasonable under the circumstances, the results of which impact the carrying value of our assets and liabilities that are not readily apparent from other sources. Actual results will differ from these estimates and such differences may be significant.
We did not record any revenues during each of the three-month periods ended March 31, 2022 and 2021.
We did not record any cost of revenues during each of the three-month periods ended March 31, 2022 and 2021.
| Three months ended March 31, | |||
|---|---|---|---|
| 2021 | 2022 | Increase (decrease) | |
| (in thousands of U.S. dollars) | |||
| Research and development expenses | 4,278 | 4,435 | 157 |
Research and development expenses for the three months ended March 31, 2022 were \$4.4 million, an increase of \$0.1 million, or 3.7%, compared to \$4.3 million for the three months ended March 31, 2021. The increase resulted primarily from an increase in expenses associated with the AGI-134 study, offset by lower expenses associated with the completed motixafortide GENESIS and COMBAT clinical trials.
| Three months ended March 31, | |||
|---|---|---|---|
| 2021 | 2022 | Increase (decrease) | |
| (in thousands of U.S. dollars) | |||
| Sales and marketing expenses | 154 | 637 | 483 |
Sales and marketing expenses for the three months ended March 31, 2022 were \$0.7 million, an increase of \$0.5 million, or 313% compared to \$0.2 million for the three months ended March 31, 2021. The increase resulted primarily from an increase in market research and consultancy services as well as initiation of pre-commercialization activities related to motixafortide.

| Three months ended March 31, | |||
|---|---|---|---|
| 2021 | 2022 | Increase (decrease) | |
| (in thousands of U.S. dollars) | |||
| General and administrative expenses | 1,017 | 1,007 | (10) |
General and administrative expenses for the three months ended March 31, 2022 were \$1.0 million, similar to the comparable period in 2021.
| Three months ended March 31, | ||||
|---|---|---|---|---|
| 2021 | 2022 | Increase (decrease) | ||
| (in thousands of U.S. dollars) | ||||
| Non-operating income (expenses), net | (4,561) | 1,268 | 5,829 | |
We recognized net non-operating income of \$1.3 million for the three months ended March 31, 2022, compared to net non-operating expenses of \$4.6 million for the three months ended March 31, 2021. Net operating income (expenses) for both periods primarily relate to fair-value adjustments of warrant liabilities on our balance sheet.
| Three months ended March 31, | |||||
|---|---|---|---|---|---|
| 2021 | 2022 | Increase (decrease) | |||
| (in thousands of U.S. dollars) | |||||
| Financial income | 117 | 67 | (50) | ||
| Financial expenses | (299) | (186) | 113 | ||
| Net financial income (expenses) | (182) | (119) | 63 |
We recognized net financial expenses of \$0.1 million for the three months ended March 31, 2022, compared to net financial expenses of \$0.2 million for the three months ended March 31, 2021. Net financial expenses for both periods primarily relate to interest paid on loans, offset by investment income earned on our bank deposits.
Since our inception, we have funded our operations primarily through public and private offerings of our equity securities, payments received under our strategic licensing and collaboration arrangements, interest earned on investments and funding from the IIA. As of March 31, 2022, we held \$50.6 million of cash, cash equivalents and short-term bank deposits. We have invested substantially all of our available cash funds in short-term bank deposits.
In September 2021, we entered into an "at-the-market" offering agreement, or ATM, with H.C. Wainwright, or HCW, pursuant to which we may offer and sell, at our option, up to \$25.0 million of our ADSs through an at-the-market equity program under which HCW agreed to act as sales agent. This agreement replaced a substantially identical ATM program that we previously had with HCW. As of May 10, 2022, we have sold 402,327 of our ADSs for total gross proceeds of approximately \$1.1 under the ATM.
Net cash used in operating activities was \$5.6 million for the three months ended March 31, 2022, compared with net cash used in operating activities of \$6.2 million for the three months ended March 31, 2021. The \$0.6 million decrease in net cash used in operating activities between the two periods was primarily the result of changes in operating asset and liability items in the two periods, i.e., a smaller increase in prepaid expenses and other receivables in 2022 versus 2021, as well as increase in accounts payable and accruals in 2022 versus decrease in the 2021 period.
Net cash provided by investing activities was \$5.0 million for the three months ended March 31, 2022, compared to net cash used in investing activities of \$36.3 million for the three months ended March 31, 2021. The changes in cash flows from investing activities relate primarily to investments in, and maturities of, short-term bank deposits.
Net cash used in financing activities was \$1.0 million for the three months ended March 31, 2022, compared to net cash provided by financing activities of \$41.9 million for the three months ended March 31, 2021. The cash flows in 2022 primarily reflect the repayments of the loan from Kreos Capital. The cash flows in 2021 primarily reflect the underwritten public offering of our ADSs in January 2021, warrant exercises and net proceeds from our previous ATM facility, offset by repayments of the loan from Kreos Capital.
Developing drugs, conducting clinical trials and commercializing products is expensive and we will need to raise substantial additional funds to achieve our strategic objectives. Although we believe our existing cash and other resources will be sufficient to fund our current projected cash requirements into the first half of 2024, we will require additional financing in the future to fund our operations. Additional financing may not be available on acceptable terms, if at all. Our future capital requirements will depend on many factors, including:
the costs of the development and expansion of our operational infrastructure;
the costs and timing of obtaining regulatory approval of our therapeutic candidates;
Until we can generate significant continuing revenues, we expect to satisfy our future cash needs through payments received under our collaborations, debt or equity financings, or by out-licensing other product candidates. We cannot be certain that additional funding will be available to us on acceptable terms, or at all.
If funds are not available, we may be required to delay, reduce the scope of, or eliminate one or more of our research or development programs or our commercialization efforts.
Since inception, we have not entered into any transactions with unconsolidated entities whereby we have financial guarantees, subordinated retained interests, derivative instruments or other contingent arrangements that expose us to material continuing risks, contingent liabilities, or any other obligations under a variable interest in an unconsolidated entity that provides us with financing, liquidity, market risk or credit risk support.
Presented below, for the convenience of the reader, is share and per-share information in ADSs (each ADS represents 15 ordinary shares).
| Three months ended March 31, |
|||||
|---|---|---|---|---|---|
| 2021 | 2022 | ||||
| (in U.S. dollars) | |||||
| Loss per ADS – basic and diluted | 0.27 | 0.09 | |||
| December 31, 2021 (in number of ADSs) |
March 31, 2022 |
||||
| Authorized share capital | 100,000,000 | 100,000,000 | |||
| Issued and paid-up capital | 47,677,067 | 47,677,067 | |||
| 15 |
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