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BioLineRx Ltd. — Investor Presentation 2017
Dec 5, 2017
6692_rns_2017-12-05_09637f11-58e5-437b-84cd-ea2ff4846252.pdf
Investor Presentation
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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 6-K
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 2017
_______________________
BioLineRx Ltd.
(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 whether the registrant by furnishing the information contained in this form is also thereby furnishing the information to the Commission pursuant to Rule 12g3-2(b) under the Securities Exchange Act of 1934:
Yes ☐No ☒ On December 5, 2017, the registrant will be hosting an investor breakfast meeting in New York City beginning at 9:00 am EST. At the meeting, the registrant will present updates about its main therapeutic candidates and corporate objectives. The presentation to be made to investors is filed as Exhibit 1 to this Report on Form 6-K
This Form 6-K, including all exhibits hereto, is hereby incorporated by reference into all effective registration statements filed by the Company 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.
BioLineRx Ltd.
By: /s/ Philip Serlin
Philip Serlin Chief Executive Officer
Dated: December 5, 2017

2 / Forward-Looking Statements
This presentation contains "forward-looking statements." These statements include words like "may," "expects," "believes," "plans," "scheduled," 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 be materially different from any future results, performance or achievements expressed or implied by such forward-looking statements.
Corporate presentation

Oncology and immunology focus
Lead oncology assets:
- BL-8040
- AGI-134 D
Immunology franchise with Novartis
Significant pharma collaborations
Genentech A Member of the Roche Group

25 NOVARTIS Attractive investment case
Strong balance sheet
\$55 million (end Q3 2017)
Significant upcoming milestones:
- Top line combination results from phase 2 COMBAT study in pancreatic cancer
- Results from initial lead-in period of phase 3 GENESIS study in SCM
- Interim analysis from phase 2b BLAST study in consolidation BIOLINERX AML
5 / Main pipeline assets
| CANCER Stem-cell mobilization BL-8040 Consolidation AML Maintenance AML Gastric cancer Non-small cell lung cancer Pancreatic cancer 3 MSD Pancreatic cancer AGI-134 Solid tumors IMMUNOLOGY Type 1 diabetes BL-9020 Liver failure diseases BL-1220 BL-1230 Dry eye syndrome OTHER Skin lesions BL-5010 Perrigo |
PROJECT | INDICATION | PRE-CLINICAL | PHASE 1 | PHASE 2 | PHASE 3 | REGULATORY APPROVAL |
|---|---|---|---|---|---|---|---|
| Genentech | |||||||
| U novartis | |||||||
| BIOLINERX |

2017 achievements

Main Achievements in 2017
- Completed recruitment for phase 2a COMBAT study in pancreatic cancer (Merck collaboration)
- 3 phase 1b/2 studies initiated under the Genentech collaboration (pancreatic, gastric and AML)
- · Reached understandings with FDA on phase 3 registrational study in autologous SCM
- · Acquired highly innovative immuno-oncology asset AGI-134- via Agalimmune acquisition
- Continued long-term follow-up for phase 2a study in r/r AML reporting highly encouraging OS data
- Reported successful partial results on phase 2 study in allogeneic SCM
- · Presented encouraging data at several top-tier scientific conferences
- · Strengthened balance sheet and brought new leading fundamental life science investors to BIOLINERX cap table
Clinical update on BL-8040 platform
9 BL-8040 Clinical Program


BL-8040 for Stem-cell Mobilization

12 | GENESIS Phase 3 - Mobilization of SC for autologous transplant in Multiple Myeloma patients
Expected to start Q4 2017 - Phase 3 randomized, placebo-controlled, safety and efficacy study (n=177): NCT03246529

Study design
Part 1: Lead in period - dose confirmation in up to 30 Multiple Myeloma patients
Part 2: Randomized placebo controlled study in combination with G-CSF in 177 Multiple Myeloma patients
BL-8040 potentially offers patients
- Robust HSC mobilization
- Single administration on top of SOC
- No more than two apheresis sessions .
G-CSF, granulocyte-colony stimulating factor Clinicaltrials.gov. NCT0346529

13 / GENESIS Study: Phase 3 SCM in Multiple Myeloma patients
| Objectives | To demonstrate that the combination of BL-8040 + G-CSF is superior to G-CSF alone in |
|---|---|
| Primary | The ability of mobilize > 6M CD34+ cells in up to 2 apheresis |
| Secondary | The ability to mobilize > 2M CD34+ cells in 1 apheresis |
| Safety and Tolerability | ls safe and tolerable |
| Other Objectives | The combination will also be tested with regard to: |
|---|---|
| Time to engraftment of neutrophils and platelets | |
| Durability of engraftment |


BL-8040 - Solid Tumors
Mobilizing and promoting infiltration of immune cells and reducing immunosuppression in the tumor microenvironment

15 BL-8040 - Addressing unmet needs in cancer immunotherapy
Despite significant advances in cancer immunotherapy, material needs remain:
- Improving the efficacy of immunotherapy in "cold" tumors, such as pancreatic cancer
- Increasing rates and durability of response to existing therapies such as anti-PD1 and anti-PDI 1 antibodies
BL-8040 may address these needs by:
- · Mobilization of immune cells into circulation
- Increasing immune cell infiltration into tumors
- · Reducing immunosuppression in tumor microenvironment

16 | COMBAT study: Advanced Pancreatic Cancer
Phase 2a open-label study in combination with Pembrolizumab (n=30): NCT02826484
A Phase 2a, multi-center, open-label study and efficacy of BL-8040 in combination with Pembrolizumal (Keytruda) in patients with advanced pancreatic cancer



17 COMBAT-Objectives
A phase 2a, multicenter, open-label study to assess the safety and efficacy of BL-8040 in combination with Pembrolizumab (Keytruda) in patients with advanced pancreatic cancer
| Objectives | To demonstrate that the combination of BL-8040 and Pembrolizumab |
|---|---|
| Primary | Induces responses assessed as overall response (CR+PR) |
| Prolongs the progression free survival (PFS) | |
| Secondary | Prolongs the overall survival (OS) |
| Safety and Tolerability | Is safe and tolerable |
| Other Objectives | Assessment of |
|---|---|
| Disease control assessment (CR+PR+SD) | |
| Biomarkers for monotherapy and combination treatment | |
| Biopsy assessment for infiltration | |
| Immunophenotyping |

Participating Sites and PIs
| Site | City/Country | Pl | Patients enrolled |
|---|---|---|---|
| Beth Israel Deaconess MC | Boston/US | study PI- | б |
| Rambam MC | Haifa/Israel | aum | 5 |
| Tel Aviv Sourasky MC | Tel Aviv/ Israel | it Geva | 4 |
| Sheba MC | Ramat Gan/ Israe | Talia Golan | 4 |
| Rabin MC | Petach Tik | Solomon Shtemer | 4 |
| Dana Farber Cancer Institute | TO MAPLE Bos |
Brian Wolpin | 4 |
| Washington University of St Louis | Katrina Pedersen | 2 | |
| Honor Health Research Institute | Izona/US | Erkut Borazanci | 3 |
| NEGROFINALENT Samsung MC |
Seoul/ South Korea | Joon Oh Park | 2 |
| Mayo Clinics | Arizona/US | Mitesh Borad/ Ramesh Ramanathan | 2 |
| Ochsner MC | New Orleans/LA | Robert Ramirez | 1 |
| Massachusetts Gereral Hospital | Boston/US | David Ryan | 0 |
| Baylor Charles A. Sammons Cancer Center | Dallas/US | Carlos Becerra |
BL-8040 for Acute Myeloid Leukemia


21 | Study BL-8040.01: Encouraging results in patients with relapsed/refractory AML
Phase 1/2a dose escalation/expansion study (n=42): NCT01838395

Study design
Dose escalation (0.5 to 2.0 mg/kg) with expansion cohort at 1.5mg/kg
CR, complete response; CRi, complete response with incomplete hematological recovery; AML, Acute Myeloid Leukemia

22 / BL-8040.01 for Relapse/Refractory AML-Key Findings
| Population | Relapsed or refractory AML patients including patients after allogeneic transplantation |
|||||
|---|---|---|---|---|---|---|
| Primary Endpoint | Safety and Tolerability | BL-8040 was found to be safe and well tolerated in combination with high dose cytarabine |
||||
| Secondary endpoint | Composite Response rate of 38% in subjects receiving BL-8040 dose ≥1.0 mg/kg (n=39), compared to 16.3 % with cytarabine according to historical data* |
|||||
| Exploratory endpoint | BL-8040 was found to be pro-apoptotic as a single agent | |||||
| Bl-8040 was found to mobilize blasts to the peripheral blood |
*VALOR Study, Ravandi et al.
23 / BL-8040.01- Overall Survival in R/R AML patients treated with BL-8040 +HiDAC

Circles displayed identify censoring pattern
24 | BLAST study: Consolidation therapy in AML patients in first remission
Phase 2b double-blind, placebo controlled study (n=194): NC T02502968
Treatment: Two or three cycles (age-based) of consolidation with high-dose Ara-C together in combination with either BL-8040 or placebo


25 / BLAST-Objectives
| Objectives | To demonstrate that the combination of BL-8040 High Dose Cytarabine (HiDAC) |
|---|---|
| Primary | Prolongs the Relapse free survival |
| Secondary | Reduces the minimal residual disease (MRD) |
| Prolongs the Overall survival | |
| Safety and Tolerability | Is safe and tolerable. |

26 BATTLE study - Combination of BL-8040 and Atezolizumab in AML patients at a high risk of relapse
Phase 1b/2 single arm, open-label study (n=60): NCT03154827
A Phase 1b/2, multi-center, single arm, open-label study, to evaluate the safety and efficacy of BL-8040 in combination with Atezolizumab for maintenance treatment in AML patients of 60 years or older that are not fit for transplant

27 | BATTLE-Objectives
| Objectives | To demonstrate that the combination of BL-8040 and Atezolizumab |
|---|---|
| Primary | Prolongs the relapse free survival (RFS) time as compared to historical data. |
| Secondary | Reduces the minimal residual disease (MRD) |
| Prolongs the Overall Survival (OS) time as compared to historical data. | |
| Prolongs the time to first relapse as compared to historical data. | |
| Safety and Tolerability | Is safe and tolerable. |

AGI-134: a novel and unique immuno-oncology agent tackling the challenge of tumor neoantigen heterogeneity
29 | AGI-134 - Harnessing pre-existing immunity to deliver a patient-specific anti-tumor response
- Tumors vary from patient to patient in their neoantigen load and identity
- AGI-134 is a universal drug that evokes a vaccine effect via a unique, hyperacute, multi-arm mechanism that targets patient-specific neoantigens


30 / alpha-Gal and anti-Gal
- The alpha-Gal epitope is abundantly synthesized on glycolipids of nonprimates
- · Due to constant exposure to this antigen (expressed by gut flora) humans develop and maintain high levels of anti-Gal Abs
Xenotransplantation experiments in the 1980s-90s found that, when introduced to humans, the alpha-Gal-positive tissue was bound by preexisting human anti-Gal antibodies, which were the main cause of the rejection, e.g. of porcine heart valves




A fully synthetic a-Gal glycolipid molecule for intratumoral injection into solid tumors, to induce an immune response against a patient's own neoantigens


32 AGI-134 - Mechanism of Action


33 Compelling Pre-Clinical Data Supports Phase I Study due 1H 2018
- · A single dose of AGI-134 into a primary tumor protected mice from secondary tumor development for more than 90 days
- Combination of AGI-134 with an immune checkpoint inhibitor (anti-PD-1) resulted in increased efficacy over either agent's monotherapy effect

34 | How is AGI-134 differentiated from competitors?
| And Sunny General A 1979 |
Post polices of colliers concel upportunes |
a populars for porpo storonise delivious activitions and |
Oleophing one and | ||
|---|---|---|---|---|---|
| Evokes personalized anti-tumor immunity | V | V | |||
| Targets a multitude of patient-specific neoantigens | V | ||||
| Does not require complex ex vivo processing or computer modelling |
V | ||||
| Harnesses pre-existing antibodies | V | ||||
| Directly labels the treated tumor for destruction | V | ||||
| Activates the complement cascade, creating a proinflammatory TME |
V |
*NewLink Genetics were developing a whole-cell cancer vaccine using alpha-Gal to boost immunogenicity. As whole-cell cancer vaccines do not target patient-specific neoantigens and do not atter the TME, they failed in Ph 3

35 / High level outline of Phase 1/2a clinical study

36 / AGI-134 - Immune monitoring strategy
A comprehensive immune monitoring strategy that aims to:
- · Assess how immune status at baseline affects response to treatment
- · Assess how immune status changes in response to treatment
- · Identify markers that are predictive of patient response to treatment
Treated and distal tumors: · Level and composition of immune infiltrate & change with treatment · Changes in infiltrating T cell repertoire · Changes in inflammatory signature
Peripheral blood:
- · Anti-Gal antibody titer and change with treatment
- · Changes in circulating T cell repertoire
- · Changes in pro-inflammatory mediators


Looking ahead

38 / Principal Milestones for 2017/2018

39 / Looking into the upcoming year
- Multiple read-outs during 2018: COMBAT top line results , Phase 3 lead-in results and potential BLAST interim results
- Continue to lay foundations for future events: Phase 3 in SCM, AGI-134 initiation
- Company expecting to meet previously-stated timelines
- Expecting continued collaborations with leading global pharma companies in 2018

Long-term vision

41 BioLineRx in Five Years
Our plan is to become a significant player in the biotech industry
- With critical mass of advanced projects in development
- Alongside portfolio of revenue-generating assets
We intend to achieve the following:
- = 2-3 products in the market, with material amount of sustainable revenues
- · Pipeline of 3-5 clinical stage assets
- Full infrastructure to advance assets through registration and market launch
- Expansion of strategic collaborations with global pharma companies, with direct access to cutting edge technologies
- · One or more significant out-licensing deals with global pharma company
- Execute strategic transactions as opportunities arise (in addition to traditional in-licensing model)
