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Protalix BioTherapeutics Reports Fiscal Year 2023 Financial and Business Results

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Protalix BioTherapeutics, Inc. reports fiscal year 2023 financial results and business update, including regulatory approvals for Elfabrio and progress on PRX-115 clinical trial.
Positive
  • Protalix achieved marketing authorizations for Elfabrio in various regions for Fabry disease treatment.
  • The Company recorded a significant increase in revenues from selling goods and license and R&D services in 2023 compared to 2022.
  • PRX-115, a potential treatment for severe gout, is undergoing a phase I clinical trial with preliminary results expected in the second quarter of 2024.
  • Eliot Richard Forster, Ph.D., assumed the role of Chairman of the Board of Directors in September 2023.
  • Net income for the year ended December 31, 2023, was approximately $8.3 million, a notable improvement compared to a net loss in 2022.
Negative
  • None.

Insights

The reported financial results of Protalix BioTherapeutics, Inc. for the fiscal year ending December 31, 2023, reveal a substantial 60% increase in revenues from selling goods, primarily driven by the sales of Elfabrio post-FDA and EMA approvals. This performance is a strong indicator of the company's growing market presence and successful commercialization efforts, particularly in the rare disease segment. The $20.0 million milestone payment from Chiesi, triggered by FDA approval, is a significant liquidity event that strengthens the company's financial position. However, investors should consider the 28% increase in selling, general and administrative expenses, which reflects the cost of expanding operations and possibly the commercialization efforts for Elfabrio.

Another critical financial aspect is the 42% decrease in research and development expenses, which could signal the completion of costly clinical phases for certain products, thus potentially reducing future R&D expenditure. However, it is essential to monitor ongoing and future R&D investments, such as the PRX-115 trials, as they are indicative of the company's pipeline vitality and long-term growth prospects. The net income of approximately $8.3 million is a positive shift from the previous year's net loss of $14.9 million, reflecting a favorable trend in the company's profitability. This turnaround is an important consideration for investors, as it may influence the company's valuation and stock performance.

Protalix BioTherapeutics' progress with Elfabrio represents a significant milestone in the treatment of Fabry disease, a rare genetic disorder. The successful authorization of Elfabrio in multiple key markets, including the United States, the European Union and the UK, indicates the company's ability to navigate the complex regulatory landscape and serves as a testament to the potential of its ProCellEx® protein expression system. The market for rare diseases is characterized by high barriers to entry and significant pricing power, which can lead to substantial revenue opportunities for successful entrants like Protalix.

Looking at the clinical development of PRX-115 for severe gout, the initiation of a first-in-human phase I clinical trial is a critical step in the company's pipeline development. Given that severe gout is a condition with unmet medical needs and limited treatment options, the successful development of PRX-115 could open up a new and lucrative market segment for Protalix. The anticipation of trial results in the second quarter of 2024 suggests a potential catalyst for the company's stock in the near term. Stakeholders should monitor these developments closely as they could have a significant impact on the company's future revenue streams and competitive positioning within the biotechnology sector.

The approval and commercialization of Elfabrio, a PEGylated recombinant human α-Galactosidase-A enzyme, for Fabry disease, underscores Protalix's innovation in enzyme replacement therapies (ERTs). The use of PEGylation technology in ERTs is designed to enhance the stability and half-life of therapeutic enzymes, potentially improving treatment outcomes and patient adherence. The clinical and commercial advancements of Elfabrio could provide a more effective treatment option for patients, potentially improving their quality of life and reducing disease burden.

Furthermore, the development of PRX-115, a recombinant PEGylated uricase, addresses severe gout, a condition that can lead to debilitating pain and joint damage. The ongoing phase I clinical trial is a crucial step in assessing the safety and efficacy of this novel therapeutic approach. The successful development of PRX-115 could represent a significant advancement in the treatment of severe gout, offering a new therapeutic option for patients who are unresponsive to conventional treatments. The progression of PRX-115 through clinical trials will be an important area to watch, as it may influence the company's strategic focus and resource allocation.

Company to host conference call and webcast today at 8:30 a.m. EDT

CARMIEL, Israel, March 14, 2024 /PRNewswire/ -- Protalix BioTherapeutics, Inc. (NYSE American: PLX), a biopharmaceutical company focused on the development, production and commercialization of recombinant therapeutic proteins produced by its proprietary ProCellEx® plant cell-based protein expression system, today reported financial results for the fiscal year ended December 31, 2023, and provided a business update.

 

Protalix Biotherapeutics Logo

 

"2023 was a significant year for Protalix, as we received regulatory approvals of Elfabrio for the treatment of adult patients with Fabry disease and advanced our growing pipeline," said Dror Bashan, Protalix's President and Chief Executive Officer. "As the second drug produced through our proven protein expression platform, Elfabrio's approval is a welcome milestone for Fabry disease patients and their families. Our commercial partner Chiesi Global Rare Diseases is continuing to position Elfabrio for global success, with launches underway in the United States, the European Union, the UK and additional markets where approvals were granted. As we continue to provide Chiesi with operational support for its activities, we have turned our attention to developing our innovative pipeline. For example, PRX-115, our proprietary recombinant PEGylated uricase for the treatment of severe gout, is currently being studied in a first-in-human phase I clinical trial. We anticipate that results from the trial will be published in the second quarter of 2024. As a company powered by a professional team and solid financials, and with the potential for revenue growth, we are poised for an exciting future and look forward to making a positive impact on patients' lives and delivering long-term value to our stockholders."

Fiscal Year 2023 and Recent Business Highlights

Regulatory and Commercial Advancements

The Company, together with its development and commercialization partner, Chiesi Global Rare Diseases (Chiesi), a business unit of the Chiesi Group, gained marketing authorizations in the United States, the European Union, the UK, Switzerland and Israel for Elfabrio® (pegunigalsidase alfa), a PEGylated recombinant human α-Galactosidase-A enzyme, for the treatment of adult patients with confirmed Fabry disease. Elfabrio is administered via intravenous infusion at a dose of 1 mg/kg every two weeks.

  • On May 5, 2023, the Company announced that the European Commission (EC) granted marketing authorization to Elfabrio in the European Union for the treatment of adult patients with Fabry disease.
  • On May 10, 2023, the Company announced that the U.S. Food and Drug Administration (FDA) approved Elfabrio in the United States for the treatment of adult patients with Fabry disease.
  • On August 15, 2023, Chiesi announced that the UK Medicines and Healthcare products Regulatory Agency (MHRA) granted marketing authorization for Elfabrio in Great Britain for long-term enzyme replacement therapy in adult patients with a confirmed diagnosis of Fabry disease.
  • On September 11, 2023, Swissmedic, the national authorization and supervisory authority for drugs and medical products in Switzerland, announced the approval of Elfabrio in Switzerland for long-term enzyme replacement therapy in adult patients with a confirmed diagnosis of Fabry disease.
  • In January 2024, the Israeli Ministry of Health granted principle approval of Elfabrio for adult patients with a confirmed diagnosis of Fabry disease.

The FDA approval triggered a $20.0 million milestone payment from Chiesi. In addition, the Company generated $17.5 million from sales of Elfabrio to Chiesi during 2023 post-regulatory approval, as Chiesi is building its inventory and recruiting commercial patients in the United States and Europe.

Clinical Developments

In March 2023, the first patient was dosed in the Company's First in Human (FIH) Phase I clinical trial of PRX–115, a recombinant PEGylated uricase product candidate under development as a potential treatment for severe gout. The FIH trial is a double-blind, placebo-controlled, single ascending dose study designed to evaluate the safety, pharmacokinetics, pharmacodynamics and immunogenicity of PRX–115 in approximately 56 patients with elevated uric acid levels (>6.0 mg/dL) and no previous exposure to PEGylated uricase. The study, which is fully-enrolled, is being conducted at the New Zealand Clinical Research (NZCR) under the New Zealand Medicines and Medical Devices Safety Authority (MedSafe) and the Health and Disability Ethics Committee (HDEC) guidelines. The Company anticipates that preliminary results from the study will be published in the second quarter of 2024.

Corporate Developments

On September 14, 2023, Eliot Richard Forster, Ph.D. began his tenure as Chairman of the Board of Directors, replacing former Chairman Zeev Bronfeld, who retired for personal reasons.

Fiscal Year 2023 Financial Highlights

  • The Company recorded revenues from selling goods of $40.4 million for the year ended December 31, 2023, an increase of $15.1 million, or 60%, compared to revenues of $25.3 million for the year ended December 31, 2022. The increase resulted primarily from an increase of $14.1 million in sales of Elfabrio drug product to Chiesi, following the approvals by the FDA and the European Medicines Agency (EMA) of Elfabrio, an increase of $0.1 million in sales to Pfizer Inc., or Pfizer, and of $0.9 million in sales to Brazil, resulting from timing differences.
  • The Company recorded revenues from license and R&D services of $25.1 million for the year ended December 31, 2023, an increase of $2.8 million, or 13%, compared to revenues of $22.3 million for the year ended December 31, 2022. The increase resulted from the $20.0 million regulatory milestone payment from Chiesi in connection with the FDA approval of Elfabrio which was partially offset by a decrease of $17.2 million in revenues recognized in connection with the R&D performance obligation under the Chiesi Agreements as the Company has completed the phase III clinical program thereunder. Revenues from license and R&D services represent primarily the revenues the Company recognized for services provided under the Chiesi Agreements.
  • Cost of goods sold was $23.0 million for the year ended December 31, 2023, an increase of $3.4 million, or 17%, compared to cost of goods sold of $19.6 million for the year ended December 31, 2022. The increase in cost of goods sold was primarily the result of the increase in sales of goods to Chiesi, Brazil and to Pfizer. Sales to Chiesi included certain drug substance costs which had already been recognized as research and development expenses as it was produced as part of research and development activities. Accordingly, the related cost of goods sold does not include the costs of such drug substance.
  • For the year ended December 31, 2023, the Company's total research and development expenses were approximately $17.1 million, comprised of approximately $6.3 million in subcontractor-related expenses, approximately $7.8 million of salary and related expenses, approximately $0.6 million of materials-related expenses and approximately $2.4 million of other expenses. For the year ended December 31, 2022, the Company's total research and development expenses were approximately $29.3 million, comprised of approximately $17.8 million in subcontractor-related expenses, approximately $7.3 million of salary and related expenses, approximately $1.4 million of materials-related expenses and approximately $2.8 million of other expenses. Total decrease in research and developments expenses was $12.2 million, or 42%, for the year ended December 31, 2023 compared to the year ended December 31, 2022. The decrease in research and development expenses resulted primarily from a $11.5 million decrease in subcontractor-related expenses in connection with the PRX-102 clinical trials, and a $0.8 million decrease in materials-related expenses.
  • Selling, general and administrative expenses were $15.0 million for the year ended December 31, 2023, an increase of $3.3 million, or 28%, from $11.7 million for the year ended December 31, 2022. The increase resulted primarily from an increase of approximately $2.3 million in one-time cash bonuses, share-based compensation and salary and salary-related expenses, as well as an increase of $0.3 million in travel, conferences and employee training expenses.
  • Financial expense, net was $1.9 million for the year ended December 31, 2023, an increase of $0.5 million, or 36%, compared to financial expenses of $1.4 million for the year ended December 31, 2022. The increase was primarily due to a decrease of $0.9 million in income related to exchange rates as well as an increase in interest expenses of $0.7 million which was partially offset by a gain recognized due to conversions of a portion of the 2024 Notes of $0.4 million and a $0.6 million increase in interest income.
  • For the year ended December 31, 2023, the Company recorded income taxes of approximately $0.3 million, a decrease of $0.2 million, or 40%, compared to tax expenses of $0.5 million for the year ended December 31, 2022. The income taxes resulted primarily from the provision for current taxes on income mainly derived from U.S. taxable global intangible low-taxed income (GILTI) mainly in respect of Section 174 of the U.S. Tax Cuts and Jobs Act (the "TCJA"). Effective in 2022, Section 174 of the TCJA requires all U.S. companies, for tax purposes, to capitalize and subsequently amortize R&D expenses that fall within the scope of Section 174 over five years for research activities conducted in the United States and over 15 years for research activities conducted outside of the United States rather than deducting such costs in the current year. The net income taxes gives effect to a valuation allowance release equal to approximately $3.1 million.
  • Cash, cash equivalents and short-term bank deposits were approximately $44.6 million at December 31, 2023.
  • Net income for the year ended December 31, 2023 was approximately $8.3 million, or $0.12 per share, basic, and $0.09 per share, diluted, compared to a net loss of $14.9 million, or $0.31 per share, basic and diluted, for the same period in 2022.

Conference Call and Webcast Information

The Company will host a conference call today, March 14, 2024 at 8:30 am EDT, to review the financial results and provide a business update. To participate in the conference call, please dial the following numbers prior to the start of the call:

Conference Call Details:

Date: Thursday, March 14, 2024 
Time: 8:30 a.m. Eastern Daylight Time (EDT)
Toll Free: 1-877-423-9813
International: 1-201-689-8573
Israeli Toll Free: 1-809-406-247
Conference ID: 13744193
Call me™: https://tinyurl.com/4pkhcxcj

The Call me™ feature allows you to avoid the wait for an operator; you enter your phone number on the platform and the system calls you right away.

Webcast Details:

The conference will be webcast live from the Company's website and will be available via the following links:

Company Link: https://protalixbiotherapeutics.gcs-web.com/events0 
Webcast Link: https://tinyurl.com/mumnf9da
Conference ID: 13744193

Participants are requested to access the websites at least 15 minutes ahead of the conference to register, download and install any necessary audio software.

A replay of the call will be available for two weeks on the Events Calendar of the Investors section of the Company's website, at the above link.

About Protalix BioTherapeutics, Inc.

Protalix is a biopharmaceutical company focused on the development and commercialization of recombinant therapeutic proteins expressed through its proprietary plant cell-based expression system, ProCellEx. It is the first company to gain U.S. Food and Drug Administration (FDA) approval of a protein produced through plant cell-based in suspension expression system. This unique expression system represents a new method for developing recombinant proteins in an industrial-scale manner. Protalix has licensed to Pfizer Inc. the worldwide development and commercialization rights to taliglucerase alfa for the treatment of Gaucher disease, Protalix's first product manufactured through ProCellEx, excluding in Brazil, where Protalix retains full rights. Protalix's second product, Elfabrio®, was approved by both the FDA and the European Medicines Agency in May 2023.

Protalix has partnered with Chiesi Farmaceutici S.p.A. for the global development and commercialization of Elfabrio. Protalix's development pipeline consists of proprietary versions of recombinant therapeutic proteins that target established pharmaceutical markets, including the following product candidates: PRX–115, a plant cell-expressed recombinant PEGylated uricase for the treatment of severe gout; PRX–119, a plant cell-expressed long action DNase I for the treatment of NETs-related diseases; and others.

Forward-Looking Statements

To the extent that statements in this press release are not strictly historical, all such statements are forward-looking, and are made pursuant to the safe-harbor provisions of the Private Securities Litigation Reform Act of 1995. The terms "expect," "anticipate," "believe," "estimate," "project," "may," "plan," "will," "would," "should" and "intend," and other words or phrases of similar import are intended to identify forward-looking statements. These forward-looking statements are subject to known and unknown risks and uncertainties that may cause actual future experience and results to differ materially from the statements made. These statements are based on our current beliefs and expectations as to such future outcomes. Drug discovery and development involve a high degree of risk and the final results of a clinical trial may be different than the preliminary findings for the clinical trial. Factors that might cause material differences include, among others: risks related to the commercialization of Elfabrio® (pegunigalsidase alfa-iwxj), our approved product for the treatment of adult patients with Fabry disease; risks relating to Elfabrio's market acceptance, competition, reimbursement and regulatory actions, including as a result of the boxed warning contained in the FDA approval received for the product; the possible disruption of our operations due to the war declared by Israel's security cabinet against the Hamas terrorist organization located in the Gaza Strip, the military campaign against the Hezbollah and other terrorist activities and armed conflict, including as a result of the disruption of the operations of certain regulatory authorities and of certain of our suppliers, collaborative partners, licensees, clinical trial sites, distributors and customers; risks related to the regulatory approval and commercial success of our other product and product candidates, if approved; risks related to our expectations with respect to the potential commercial value of our products and product candidates; failure or delay in the commencement or completion of our preclinical studies and clinical trials, which may be caused by several factors, including: slower than expected rates of patient recruitment; unforeseen safety issues; determination of dosing issues; lack of effectiveness during clinical trials; inability to satisfactorily demonstrate non-inferiority to approved therapies; inability or unwillingness of medical investigators and institutional review boards to follow our clinical protocols; inability to monitor patients adequately during or after treatment; and/or lack of sufficient funding to finance our clinical trials; delays in the approval or potential rejection of any applications we file with the FDA, EMA or other health regulatory authorities for our other product candidates, and other risks relating to the review process; risks associated with global conditions and developments such as supply chain challenges, the inflationary environment and tight labor market, and instability in the banking industry, which may adversely impact our business, operations and ability to raise additional financing if and as required and on terms acceptable to us; risks related to any transactions we may effect in the public or private equity markets to raise capital to finance future research and development activities, general and administrative expenses and working capital; risks relating to our evaluation and pursuit of strategic partnerships; the risk that the results of our clinical trials will not support the applicable claims of safety or efficacy and that our product candidates will not have the desired effects or will be associated with undesirable side effects or other unexpected characteristics; risks relating to our ability to manage our relationship with our collaborators, distributors or partners, including, but not limited to, Pfizer Inc., or Pfizer, and Chiesi Farmaceutici S.p.A.; risks related to the amount and sufficiency of our cash and cash equivalents and short-term bank deposits; risks relating to our ability to make scheduled payments of the principal of, to pay interest on or to refinance our outstanding notes or any other indebtedness; risks relating to changes to interim, topline or preliminary data from clinical trials that we announce or publish; risks relating to the compliance by Fundação Oswaldo Cruz, an arm of the Brazilian Ministry of Health, with its purchase obligations under our supply and technology transfer agreement, which may have a material adverse effect on us and may also result in the termination of such agreement; risk of significant lawsuits, including stockholder litigation, which is common in the life sciences sector; our dependence on performance by third-party providers of services and supplies, including without limitation, clinical trial services; the inherent risks and uncertainties in developing drug platforms and products of the type we are developing; the impact of development of competing therapies and/or technologies by other companies; risks related to our supply of drug products to Pfizer; potential product liability risks, and risks of securing adequate levels of related insurance coverage; the possibility of infringing a third-party's patents or other intellectual property rights and the uncertainty of obtaining patents covering our products and processes and successfully enforcing our intellectual property rights against third-parties; and risks relating to changes in healthcare laws, rules and regulations in the United States or elsewhere; and other factors described in our filings with the U.S. Securities and Exchange Commission. The statements in this press release are valid only as of the date hereof and we disclaim any obligation to update this information, except as may be required by law.

Logo: https://mma.prnewswire.com/media/999479/Protalix_Biotherapeutics_Logo.jpg

Investor Contact
Mike Moyer, Managing Director
LifeSci Advisors
+1-617-308-4306
mmoyer@lifesciadvisors.com 

 

 

 

PROTALIX BIOTHERAPEUTICS, INC.
CONSOLIDATED BALANCE SHEETS
(U.S. dollars in thousands)
























December 31, 



2022


2023

ASSETS














CURRENT ASSETS:







Cash and cash equivalents


$

17,111


$

23,634

Short-term bank deposits



5,069



20,926

Accounts receivable – Trade



4,586



5,272

Other assets



1,310



1,055

Inventories



16,804



19,045

Total current assets


$

44,880


$

69,932








NON-CURRENT ASSETS:







Funds in respect of employee rights upon retirement


$

1,267


$

528

Property and equipment, net



4,553



4,973

Deferred income tax asset





3,092

Operating lease right of use assets



5,087



5,909

Total assets


$

55,787


$

84,434








LIABILITIES AND STOCKHOLDERS' EQUITY (NET OF CAPITAL DEFICIENCY)














CURRENT LIABILITIES:







Accounts payable and accruals:







Trade


$

5,862


$

4,320

Other



12,271



19,550

Operating lease liabilities



1,118



1,409

Contracts liability



13,178



Convertible notes





20,251

Total current liabilities


$

32,429


$

45,530








LONG TERM LIABILITIES:







Convertible notes


$

28,187




Liability for employee rights upon retirement



1,642


$

714

Operating lease liabilities



4,169



4,621

Total long term liabilities


$

33,998


$

5,335

Total liabilities


$

66,427


$

50,865








COMMITMENTS














STOCKHOLDERS' EQUITY (CAPITAL DEFICIENCY)







Common Stock, $0.001 par value: Authorized - as of December 31, 2022 and 2023,
144,000,000 and 185,000,000 shares, respectively; issued and outstanding - as of December
31, 2022 and 2023, 53,790,167 and 72,952,124 shares, respectively



54



73

Additional paid-in capital



379,167



415,045

Accumulated deficit



(389,861)



(381,549)

Total stockholders' equity (capital deficiency)



(10,640)



33,569

Total liabilities and stockholders' equity (net of capital deficiency)


$

55,787


$

84,434

 

 

 

PROTALIX BIOTHERAPEUTICS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(U.S. dollars in thousands, except share and per share data)











































Year Ended December 31, 



2021


2022


2023

REVENUES FROM SELLING GOODS


$

16,749


$

25,292


$

40,418

REVENUES FROM LICENSE AND R&D SERVICES



21,601



22,346



25,076

TOTAL REVENUE



38,350



47,638



65,494

COST OF GOODS SOLD



(16,349)



(19,592)



(22,982)

RESEARCH AND DEVELOPMENT EXPENSES



(29,734)



(29,349)



(17,093)

SELLING, GENERAL AND ADMINISTRATIVE EXPENSES



(12,729)



(11,711)



(14,959)

OPERATING INCOME (LOSS)



(20,462)



(13,014)



10,460

FINANCIAL EXPENSES



(7,521)



(2,529)



(3,180)

FINANCIAL INCOME



401



1,146



1,286

FINANCIAL EXPENSES, NET



(7,120)



(1,383)



(1,894)

INCOME (LOSS) BEFORE TAXES ON INCOME



(27,582)



(14,397)



8,566

TAXES ON INCOME





(530)



(254)

NET INCOME (LOSS) FOR THE PERIOD


$

(27,582)


$

(14,927)


$

8,312

EARNINGS (LOSS) PER SHARE OF COMMON STOCK:










BASIC


$

(0.62)


$

(0.31)


$

0.12

DILUTED


$

(0.62)


$

(0.31)


$

0.09

WEIGHTED AVERAGE NUMBER OF SHARES OF COMMON STOCK










USED IN COMPUTING EARNINGS (LOSS) PER SHARE:










BASIC



44,140,233



48,472,159



67,512,527

DILUTED



44,140,233



48,472,159



82,424,016

 

 

Cision View original content:https://www.prnewswire.com/news-releases/protalix-biotherapeutics-reports-fiscal-year-2023-financial-and-business-results-302089198.html

SOURCE Protalix BioTherapeutics, Inc.

FAQ

What regulatory approvals did Protalix BioTherapeutics, Inc. receive in 2023?

Protalix received marketing authorizations for Elfabrio in the United States, the European Union, the UK, Switzerland, and Israel for the treatment of adult patients with Fabry disease.

What is the status of the PRX-115 clinical trial?

PRX-115, a potential treatment for severe gout, is currently in a first-in-human phase I clinical trial, with preliminary results expected in the second quarter of 2024.

Who is the new Chairman of the Board of Directors at Protalix BioTherapeutics, Inc.?

Eliot Richard Forster, Ph.D., began his tenure as Chairman of the Board of Directors in September 2023.

What was the net income for Protalix BioTherapeutics, Inc. for the year ended December 31, 2023?

The net income for the company for the year ended December 31, 2023, was approximately $8.3 million.

When will the preliminary results of the PRX-115 clinical trial be published?

The preliminary results of the PRX-115 clinical trial are anticipated to be published in the second quarter of 2024.

Protalix BioTherapeutics, Inc.

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Biotechnology
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