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Galmed Pharmaceuticals Provides Additional Positive Data from the Open Label Part of ARMOR Study and Reports Third Quarter 2021 Financial Results

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Galmed Pharmaceuticals Ltd. (Nasdaq: GLMD) has reported financial results for the three and nine months ending September 30, 2021, alongside updates on its clinical programs. The ARMOR study demonstrated that 60% of patients showed significant histological improvement with Aramchol 300mg BID. Financially, the company posted a net loss of $7.7 million, or $0.31 per share, compared to $6.9 million, or $0.32 per share, year-over-year. Cash and equivalents decreased to $42.0 million from $50.9 million at the end of 2020. Upcoming presentations include data at the Liver Meeting and in Hepatology journal.

Positive
  • 60% of patients showed significant histological improvement in ARMOR study with Aramchol 300mg BID.
  • FDA and MHRA approved Galmed’s plan for Aramchol meglumine use in Phase 3 study.
Negative
  • Net loss increased to $7.7 million for Q3 2021 compared to $6.9 million in Q3 2020.
  • Cash and cash equivalents dropped to $42.0 million from $50.9 million at the end of 2020.

TEL AVIV, Israel, Nov. 8, 2021 /PRNewswire/ -- Galmed Pharmaceuticals Ltd. (Nasdaq: GLMD) ("Galmed" or the "Company"), a clinical-stage biopharmaceutical company focused on the development of the liver targeted SCD1 modulator Aramchol™, an oral therapy for the treatment of nonalcoholic steatohepatitis, or NASH and fibrosis, provides today updated information on the Company's scientific and clinical development programs and reports financial results for the three and nine months ended September 30, 2021.

Recent Clinical & Scientific Developments

  • Announced positive results of the efficacy of a higher daily Aramchol dose on fibrosis improvement of the first 16 patients in the ARMOR study Open Label Part. Data published as a late breaking abstract at the Liver Meeting organized by the American Association for the Study of Liver Diseases (AASLD) and will be featured in the December issue of the scientific journal Hepatology -
  • Announced histology data from first 20 patients from the ARMOR study Open Label Part showing that treatment with Aramchol 300mg BID resulted in clinically significant greater histological improvement in 12 out of 20 (60%) of patients. Data is corroborated by biomarkers associated with liver fibrosis including ALT, AST, Fib-4 and ProC-3 in ~50 patient providing the potential to predict similar histology response in larger cohort -
  • Results of Phase 2b ARREST Trial of Aramchol Published in Nature Medicine –
  • FDA and MHRA Agree with Galmed's plan to use Aramchol meglumine in the randomized double-blind placebo-controlled part of the Phase 3 ARMOR study —

Financial Summary – Third Quarter 2021 vs. Third Quarter 2020:

  • Cash and cash equivalents, restricted cash and marketable debt securities totaled $42.0 million as of September 30, 2021, compared to $50.9 million at December 31, 2020.
  • Net loss amounted to $7.7 million, or $0.31 per share, for the three months ended September 30, 2021, compared to a net loss of $6.9 million, or $0.32 per share, for the three months ended September 30, 2020.
  • Research and development expenses amounted to approximately $6.5 million for the three months ended September 30, 2021, compared to approximately $6.5 million for the three months ended September 30, 2020.
  • General and administrative expenses amounted to approximately $1.3 million for the three months ended September 30, 2021, compared to approximately $1.1 million for the three months ended September 30, 2020.
  • Financial income, net amounted to $0.1 million for the three months ended September 30, 2021, compared to financial income, net of $0.7 million for the three months ended September 30, 2020.

Conference Call & Webcast:
Monday November 8, 2021, 8:30 AM ET
Toll Free: 1-877-425-9470
Toll/International: 1-201-389-0878
Israel Toll Free: 1 809 406 247
Conference ID: 13724243
Webcast:  https://viavid.webcasts.com/starthere.jsp?ei=1511856&tp_key=e9490761d4

Replay Dial-In Numbers
Toll Free: 1-844-512-2921
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Replay Pin Number: 13724243
Replay Start: Monday November 8, 2021, 11:30 AM ET
Replay Expiry: Monday November 22, 2021, 11:59 PM ET

Galmed Pharmaceuticals Ltd.

Galmed Pharmaceuticals Ltd. is a clinical stage drug development biopharmaceutical company for liver, metabolic and inflammatory diseases. Our lead compound, Aramchol™, a backbone drug candidate for the treatment of NASH and fibrosis is currently in a Phase 3 registrational study. We are also collaborating with the Hebrew University in the development of Amilo-5MER, a 5 amino acid synthetic peptide.

About ARMOR Study

ARMOR is a Phase 3 study comprised of two-parts, an open-label part and a randomized, double-controlled, placebo part, designed to evaluate the safety and efficacy of Aramchol in approximately 200 sites in the U.S., Europe and Latin America.

The first part, an open-label study, is designed to evaluate treatment response kinetics, pharmacokinetics and safety of twice daily administration of Aramchol 300mg in approximately 150 subjects with NASH and liver fibrosis stage 1-3 (F1 capped at 30 subjects), subjects with NASH who may or may not be overweight, and subjects with NASH who may or may not have type 2 diabetes or be pre-diabetic. Patients are randomized (1:1:1) into three groups with post-baseline liver biopsy being performed at 24 weeks, 48 weeks, or 72 weeks, respectively. A second post-baseline liver biopsy will be conducted after one year for subjects whose post-baseline liver biopsy at week 24, 48 or 72 does not show at least one stage improvement in fibrosis. The open label part is being conducted at approximately 50 selected sites in the U.S., and around the world which have been less affected by the COVID-19 pandemic.

The second part, a randomized, double-blind, placebo-controlled study, is designed to evaluate the safety and efficacy of twice daily administration of Aramchol 300 mg to support regulatory approval, with both a histology-based phase and a clinically-based phase. As currently designed, a total of 2000 subjects with NASH and liver fibrosis stage 2 and 3 who are overweight and are either pre-diabetic or have type 2 diabetes are expected to be randomized 2:1 to receive Aramchol 300mg BID or matching placebo. In the histology-based phase, we intend to treat 1000 subjects with Aramchol or matching placebo for 72 weeks until the second biopsy. The histology-based data is intended to serve as the basis for the submission of a Sub-part H marketing authorization application under regulatory provisions of accelerated/conditional approval. The primary histology-based endpoint is NASH resolution without worsening of fibrosis or fibrosis improvement without NASH worsening. In the clinically-based phase, all subjects will continue with the same treatment assignment for up to seven years until study completion to confirm clinical efficacy. We may announce end-of-study at the time when a total of 380 subjects have experienced at least one pre-specified clinical event or at five years from last subject randomization, whichever comes first. The primary clinically-based endpoint is expected to be based on clinical events including all-cause mortality, histological progression to cirrhosis, MELD score >15, and hepatic decompensation events (e.g., hepatic encephalopathy, variceal bleeding, ascites).

Forward-Looking Statements:

This press release may include forward-looking statements. Forward-looking statements may include, but are not limited to, statements relating to Galmed's objectives, plans and strategies, as well as statements, other than historical facts, that address activities, events or developments that Galmed intends, expects, projects, believes or anticipates will or may occur in the future. These statements are often characterized by terminology such as "believes," "hopes," "may," "anticipates," "should," "intends," "plans," "will," "expects," "estimates," "projects," "positioned," "strategy" and similar expressions and are based on assumptions and assessments made in light of management's experience and perception of historical trends, current conditions, expected future developments and other factors believed to be appropriate. Forward-looking statements are not guarantees of future performance and are subject to risks and uncertainties that could cause actual results to differ materially from those expressed or implied in such statements. Many factors could cause Galmed's actual activities or results to differ materially from the activities and results anticipated in forward-looking statements, including, but not limited to, the following: the timing and cost of Galmed's pivotal Phase 3 ARMOR trial, or the ARMOR Study or any other pre-clinical or clinical trials; completion and receiving favorable results of the ARMOR Study for Aramchol or any other pre-clinical or clinical trial; the impact of the COVID-19 pandemic; regulatory action with respect to Aramchol or any other product candidate by the FDA or the EMA; the commercial launch and future sales of Aramchol or any other future products or product candidates; Galmed's ability to comply with all applicable post-market regulatory requirements for Aramchol or any other product candidate in the countries in which it seeks to market the product; Galmed's ability to achieve favorable pricing for Aramchol or any other product candidate; Galmed's expectations regarding the commercial market for NASH patients or any other indication; third-party payor reimbursement for Aramchol or any other product candidate; Galmed's estimates regarding anticipated capital requirements and Galmed's needs for additional financing; market adoption of Aramchol or any other product candidate by physicians and patients; the timing, cost or other aspects of the commercial launch of Aramchol or any other product candidate; the development and approval of the use of Aramchol or any other product candidate for additional indications or in combination therapy; and Galmed's expectations regarding licensing, acquisitions and strategic operations. More detailed information about the risks and uncertainties affecting Galmed is contained under the heading "Risk Factors" included in Galmed's most recent Annual Report on Form 20-F filed with the SEC on March 18, 2021, and in other filings that Galmed has made and may make with the SEC in the future. The forward-looking statements contained in this press release are made as of the date of this press release and reflect Galmed's current views with respect to future events, and Galmed does not undertake and specifically disclaims any obligation to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise.

 

 

 

GALMED PHARMACEUTICALS LTD.
Consolidated Balance Sheets

U.S. Dollars in thousands, except share data and per share data




As of

September 30,



As of
December 31,




2021



2020


Assets









Current assets









Cash and cash equivalents


$

3,490



$

6,947


Restricted Cash



113




113


Short-term deposits



-




3,807


Marketable debt securities



38,415




40,132


Other receivables



1,674




812


Total current assets



43,692




51,811











Right of use assets



452




394


Property and equipment, net



154




176


Total non-current assets



606




570











Total assets


$

44,298



$

52,381











Liabilities and stockholders' equity


















Current liabilities









Trade payables


$

5,233



$

7,046


Other payables



1,115




966


Total current liabilities



6,348




8,012











Non-current liabilities









Lease obligation


$

274



$

216


Total non-current liabilities



274




216











Ordinary shares par value NIS 0.01 per share; Authorized
50,000,000; Issued and outstanding: 25,083,914 shares as of
September 30, 2021; 21,325,975 shares as of December 31, 2020



70




58


Additional paid-in capital



198,403




179,530


Accumulated other comprehensive gain



(75)




272


Accumulated deficit



(160,722)




(135,707)


Total stockholders' equity



37,676




44,153











Total liabilities and stockholders' equity


$

44,298



$

52,381


 

 

 

GALMED PHARMACEUTICALS LTD.
Consolidated Statements of Operations (Unaudited)

U.S. Dollars in thousands, except share data and per share data




Three months ended
September 30,



Nine months ended
September 30,




2021



2020



2021



2020


Research and development expenses



6,541




6,536




20,957




17,057



















General and administrative expenses



1,304




1,054




4,432




2,811



















Total operating expenses



7,845




7,590




25,389




19,868



















Financial income, net



(131)




(685)




(374)




(1,374)



















Net loss


$

7,714



$

6,905



$

25,015



$

18,494



















Basic and diluted net loss per share


$

0.31



$

0.32



$

1.02



$

0.87



















Weighted-average number of shares outstanding used in computing basic and diluted net loss per share



25,083,914




21,268,730




24,432,220




21,191,196


 

 

GALMED PHARMACEUTICALS LTD.
Consolidated Statements of Cash Flows (Unaudited)

U.S. Dollars in thousands




Nine months ended
September 30,




2021



2020


Cash flow from operating activities


















Net loss


$

(25,015)



$

(18,494)











Adjustments required to reconcile net loss to net cash used in
operating activities









Depreciation and amortization



32




28


Stock-based compensation expense



1,517




1,474


Amortization of premium on marketable debt securities



115




36


Interest income from short-term deposits



7




(268)


Gain from realization of marketable debt securities



(32)




(522)


Changes in operating assets and liabilities:









Decrease (increase) in other accounts receivable



(862)




185


Decrease in trade payables



(1,813)




(848)


Increase (decrease) in other accounts payable



149




(40)


Net cash used in operating activities



(25,902)




(18,449)











Cash flow from investing activities









Purchase of property and equipment



(10)




(33)


Investment in available for sale securities



(12,069)




(45,226)


Sale (investment) in short term deposits, net



-




17,783


Maturity of short term deposits



3,800




-


Consideration from sale of available for sale securities



13,356




45,875


Net cash provided by (used in) investing activities



5,077




18,399











Cash flow from financing activities









Proceeds from exercise of options (*)




(*)



61


Issuance of Ordinary shares upon ATM



8,147




707


Issuance of Ordinary shares, net of issuance cost



9,221




-


Net cash provided in financing activities



17,368




768











Increase (decrease) in cash and cash equivalents and restricted cash



(3,457)




718


Cash and cash equivalents and restricted cash at the beginning of the period



7,060




16,043


Cash and cash equivalents and restricted cash at the end of the period


$

3,603



$

16,761


Supplemental disclosure of cash flow information:


















Cash received from interest


$

474



$

966


Non-cash transactions:









Recognition of right-of-use asset and lease liability from adoption of ASU 2016-02


$

497



$

35


(*) Represents amount less than $1.

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SOURCE Galmed Pharmaceuticals Ltd.

FAQ

What were Galmed Pharmaceuticals' financial results for Q3 2021?

Galmed reported a net loss of $7.7 million, or $0.31 per share, for Q3 2021, compared to a net loss of $6.9 million, or $0.32 per share, in Q3 2020.

What is the current cash position of Galmed Pharmaceuticals?

As of September 30, 2021, Galmed had $42.0 million in cash and cash equivalents, down from $50.9 million at December 31, 2020.

What were the results of the ARMOR study for Galmed Pharmaceuticals?

In the ARMOR study, 60% of the first 20 patients showed significant histological improvement after treatment with Aramchol 300mg BID.

When will Galmed Pharmaceuticals present data from the ARMOR study?

Data from the ARMOR study will be featured in the December issue of the journal Hepatology and presented at the Liver Meeting.

Galmed Pharmaceuticals Ltd.

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