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PolyPid Hosts KOL Call to Discuss Significant Unmet Medical Need in Surgical Site Infections Prevention and Provides Update on its Ongoing SHIELD II Phase 3 Trial

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PolyPid, a biopharma company, hosted a Key Opinion Leader event to address the increasing rates of Surgical Site Infections (SSIs) post-COVID and provided an update on its SHIELD II Phase 3 trial for D-PLEX100. The event highlighted the rising SSI rates, the significant cost to payers, and the potential of D-PLEX100 to reduce SSIs in colorectal surgeries. Approximately 250 of the planned 600 patients are enrolled in the SHIELD II trial, with unblinded interim analysis expected once 400 patients complete their 30-day follow-up. Top-line results are anticipated in Q1 2025.

Positive
  • Approximately 250 out of 600 patients are enrolled in the SHIELD II trial.
  • D-PLEX100 shows promise in reducing SSI rates in colorectal surgeries.
  • The 30-day antibiotic release of D-PLEX100 supports prolonged infection prevention.
  • 50 centers are currently open and actively recruiting patients.
  • Unblinded interim analysis is planned for Q4 2024.
  • Top-line results from SHIELD II expected in Q1 2025.
Negative
  • SSI rates have returned to pre-COVID levels, indicating a persistent problem.
  • Significant cost implications for payers, with SSI events costing between $20,000 and $64,000.
  • High risk of SSIs due to known procedural and patient-related risk factors.

Insights

The update on PolyPid's Phase 3 SHIELD II trial for D-PLEX100 is particularly noteworthy. The high rate of surgical site infections (SSIs) returning to pre-COVID levels underlines the significant market need for effective SSI preventative treatments. With 250 out of 600 patients enrolled and an unblinded interim analysis expected by the end of 2024, there are clear milestones for investors to watch.

D-PLEX100’s potential in providing prolonged antibiotic release directly at the wound site could revolutionize the post-surgical infection landscape, especially given Dr. Edmiston's endorsement of its efficacy. It's also important to note that SSIs impose substantial costs on healthcare systems, with the cost of a single colorectal SSI event ranging from $20,000 to $64,000 over 24 months.

Investors should be aware that the success of this product could lead to substantial savings for payers and significant revenue streams for PolyPid, contingent on positive trial outcomes and eventual regulatory approval.

The financial implications of PolyPid’s ongoing Phase 3 trial for D-PLEX100 are promising. Given the marked return to higher SSI rates, the potential market demand for effective SSI prevention solutions like D-PLEX100 is substantial. If successful, D-PLEX100 could capture a significant share of the SSI prevention market due to its prolonged antibiotic release capabilities.

From a financial perspective, the ongoing trial and the upcoming milestones (interim analysis in Q4 2024 and top-line results in Q1 2025) are critical checkpoints. Positive interim results could drive up PolyPid’s stock value, reflecting increased investor confidence. It’s also worth noting the strategic impact of reduced payer costs, which could strengthen PolyPid’s market positioning.

An important point for investors is the company's potential for accelerated market entry, given the current unmet need and healthcare cost implications of SSIs.

After a Reduction in Surgical Site Infection (SSI) Rates During COVID, Rates are Now Increasing, Signaling a Return to Pre-COVID Levels

Known Procedure and Patient Risk-Factors Significantly Increase the Risk of SSIs and Impact Payer Costs

Approximately 250 Patients of a Planned Total of 600 Subjects Currently Enrolled in SHIELD II

Unblinded Interim Analysis to be Conducted Once Approximately 400 Patients Complete Their 30-Day Follow-up; Top-line Results Expected in the First Quarter of 2025

PETACH TIKVA, Israel, June 18, 2024 (GLOBE NEWSWIRE) -- PolyPid Ltd. (Nasdaq: PYPD) (“PolyPid” or the “Company”), a late-stage biopharma company aiming to improve surgical outcomes, today hosted a virtual Key Opinion Leader event discussing the significant unmet medical need in the prevention of surgical site infections (SSIs). The Company also provided an update on its ongoing SHIELD II Phase 3 trial for D-PLEX100.

Charles E. Edmiston, Ph.D. (Emeritus Professor of Surgery, Division of Vascular Surgery, Medical College of Wisconsin), discussed several key topics surrounding SSIs. Key takeaways include:

  • The return to higher pre-COVID SSI rates due to the increase in the number of elective surgeries conducted and the surgical environment normalizing to levels found prior to 2020.
  • SSIs are under-reported, and up to 30-35% of colorectal infections are missed due to sub-optimal surveillance strategies.
  • Procedural and patient-related risk factors such as smoking, alcohol abuse, type 2 diabetes and a high BMI have a significant negative impact on the risk of developing a SSI, and this increase in risk is compounded when patients have multiple risk factors.
  • Long term cost to commercial payers of a single colorectal SSI event over a period of 24 months can range from $44,000 (superficial SSI) to $64,000 (deep SSI), with the cost for Medicare ranging from $20,000 to $45,000, respectively.
  • Surgical care bundles in patients undergoing colorectal surgery significantly reduce the risk of SSIs. The 30-day high concentration release of antibiotics achieved with D-PLEX100 has the potential to add additional benefit to infection prevention bundles.

“Studies show traditional evidence-based interventions have maximum benefit within the perioperative and immediate postoperative period. Building upon this, D-PLEX100 supports prolonged doxycycline concentrations within the surgical wound during and beyond this critical period and exceeds the minimum inhibitory concentration for the most common surgical wound pathogens regardless of length of the surgical incision,” said Dr. Edmiston. “There remains an opportunity to improve upon the existing clinical standard of care to reduce the rate of SSIs in and beyond the colorectal surgical setting, improving the patient experience and lowering costs for payers.”

PolyPid also provided an update on the enrollment of its ongoing Phase 3 SHIELD II trial of its lead product candidate, D-PLEX100. The SHIELD II clinical study includes patients undergoing abdominal colorectal surgery with large incisions and has now enrolled approximately 250 patients of a planned total of approximately 600 subjects. Approximately 50 centers are currently open and recruiting patients. Top-line results are expected in the first quarter of 2025. The Company intends to conduct an unblinded interim analysis once a total of approximately 400 patients complete their 30-day follow-up, which is anticipated to occur in the fourth quarter of 2024.

About SHIELD II
SHIELD II (Surgical site Hospital acquired Infection prEvention with Local D-PLEX) is a prospective, multinational, randomized, double blind Phase 3 trial designed to assess the efficacy and safety of D-PLEX100 administered concomitantly with standard of care (SoC), which includes prophylactic systemic antibiotics, compared to SoC alone arm, in the prevention of post abdominal-surgery incisional infection in patients undergoing surgeries with incisions greater than 20 cm. The primary endpoint of the trial is measured by the proportion of subjects with either an SSI event as determined by a blinded and independent adjudication committee, reintervention, or mortality for any reason within 30 days post-surgery. Patient safety will be monitored for an additional 30 days. The trial will enroll patients in centers in the United States, Europe and Israel.

About D-PLEX100
D-PLEX100, PolyPid’s lead product candidate, is designed to provide local prolonged and controlled anti-bacterial activity directly at the surgical site to prevent SSIs. Following the administration of D-PLEX100 into the surgical site, the PLEX (Polymer-Lipid Encapsulation matriX) technology pairs with Active Pharmaceutical Ingredients, enabling a prolonged and continuous release of the broad-spectrum antibiotic doxycycline, resulting in a high local concentration of the drug for a period of 30 days for the prevention of SSIs, with additional potential to prevent SSIs caused by antibiotic-resistant bacteria at the surgical site. D-PLEX100 received Breakthrough Therapy Designation from the U.S. Food and Drug Administration for the prevention of SSIs in patients undergoing elective colorectal surgery. D-PLEX100 is currently in Phase 3 SHIELD II trial for the prevention of surgical site infections in patients undergoing abdominal colorectal surgery with large incisions.

About PolyPid
PolyPid Ltd. (Nasdaq: PYPD) is a late-stage biopharma company aiming to improve surgical outcomes. Through locally administered, controlled, prolonged-release therapeutics, PolyPid’s proprietary PLEX (Polymer-Lipid Encapsulation matriX) technology pairs with Active Pharmaceutical Ingredients (APIs), enabling precise delivery of drugs at optimal release rates over durations ranging from several days to months. PolyPid’s lead product candidate D-PLEX100 is in Phase 3 clinical trial for the prevention of abdominal colorectal surgical site infections. In addition, the Company is currently in preclinical stages to test the efficacy of OncoPLEX for the treatment of solid tumors, beginning with glioblastoma.

For additional Company information, please visit http://www.polypid.com and follow us on Twitter and LinkedIn.

Forward-looking Statements

This press release contains “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act and other securities laws. Words such as “expects,” “anticipates,” “intends,” “plans,” “believes,” “seeks,” “estimates” and similar expressions or variations of such words are intended to identify forward-looking statements. For example, the Company is using forward-looking statements when it discusses potential benefits and advantages of D-PLEX100, that there remains an opportunity to improve upon the existing clinical standard of care to reduce the rate of SSIs in and beyond the colorectal surgical setting, improving the patient experience and lowering costs for payers, total recruitment time into the study and the timing of the top-line results and an unblinded interim analysis. Forward-looking statements are not historical facts, and are based upon management’s current expectations, beliefs and projections, many of which, by their nature, are inherently uncertain. Such expectations, beliefs and projections are expressed in good faith. However, there can be no assurance that management’s expectations, beliefs and projections will be achieved, and actual results may differ materially from what is expressed in or indicated by the forward-looking statements. Forward-looking statements are subject to risks and uncertainties that could cause actual performance or results to differ materially from those expressed in the forward-looking statements. For a more detailed description of the risks and uncertainties affecting the Company, reference is made to the Company’s reports filed from time to time with the Securities and Exchange Commission (“SEC”), including, but not limited to, the risks detailed in the Company’s Annual Report on Form 20-F filed on March 6, 2024. Forward-looking statements speak only as of the date the statements are made. The Company assumes no obligation to update forward-looking statements to reflect actual results, subsequent events or circumstances, changes in assumptions or changes in other factors affecting forward-looking information except to the extent required by applicable securities laws. If the Company does update one or more forward-looking statements, no inference should be drawn that the Company will make additional updates with respect thereto or with respect to other forward-looking statements.

References and links to websites have been provided as a convenience, and the information contained on such websites is not incorporated by reference into this press release. PolyPid is not responsible for the contents of third-party websites.

Contacts:
PolyPid Ltd. 
Ori Warshavsky
COO – US
908-858-5995
IR@Polypid.com

Investors:
Brian Ritchie
LifeSci Advisors
212-915-2578
BRitchie@lifesciadvisors.com


FAQ

What is PolyPid's stock symbol?

PolyPid's stock symbol is PYPD.

When are the top-line results for SHIELD II expected?

The top-line results for SHIELD II are expected in the first quarter of 2025.

How many patients are enrolled in PolyPid's SHIELD II trial?

Approximately 250 out of the planned 600 patients are currently enrolled in the SHIELD II trial.

What is D-PLEX100?

D-PLEX100 is PolyPid's lead product candidate aimed at reducing Surgical Site Infections (SSIs).

What are the costs associated with SSIs for payers?

The cost of a single colorectal SSI event ranges from $20,000 to $64,000 for commercial payers or Medicare.

When will the unblinded interim analysis for SHIELD II be conducted?

The unblinded interim analysis will be conducted once approximately 400 patients complete their 30-day follow-up, expected in Q4 2024.

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