NASDAQ:BCLI Brainstorm Cell Therapeutics Q2 2023 Earnings Report $1.21 -0.06 (-4.72%) Closing price 04:00 PM EasternExtended Trading$1.19 -0.02 (-1.32%) As of 05:41 PM Eastern Extended trading is trading that happens on electronic markets outside of regular trading hours. This is a fair market value extended hours price provided by Polygon.io. Learn more. Earnings HistoryForecast Brainstorm Cell Therapeutics EPS ResultsActual EPS-$4.05Consensus EPS -$2.25Beat/MissMissed by -$1.80One Year Ago EPSN/ABrainstorm Cell Therapeutics Revenue ResultsActual RevenueN/AExpected RevenueN/ABeat/MissN/AYoY Revenue GrowthN/ABrainstorm Cell Therapeutics Announcement DetailsQuarterQ2 2023Date8/14/2023TimeN/AConference Call DateMonday, August 14, 2023Conference Call Time8:00AM ETUpcoming EarningsBrainstorm Cell Therapeutics' Q1 2025 earnings is scheduled for Tuesday, May 13, 2025, with a conference call scheduled at 7:00 AM ET. Check back for transcripts, audio, and key financial metrics as they become available.Q1 2025 Earnings ReportConference Call ResourcesConference Call AudioConference Call TranscriptPress Release (8-K)Quarterly Report (10-Q)Earnings HistoryCompany ProfilePowered by Brainstorm Cell Therapeutics Q2 2023 Earnings Call TranscriptProvided by QuartrAugust 14, 2023 ShareLink copied to clipboard.There are 7 speakers on the call. Operator00:00:00Greetings, and welcome to the Brainstorm Cell Therapeutics Second Quarter 2023 Earnings Call. At this time, all participants are in a listen only mode. As a reminder, this call is being recorded. And I would now like to introduce your host for today's call, Mr. Michael Wood of LifeSci Advisors. Operator00:00:19Mr. Wood, you may begin. Speaker 100:00:22Good morning and thank you for joining us this morning. Earlier today, Brainstorm issued a press release with its financial results for the Q2 of 2023, including a corporate update. Before passing it off to the company for prepared remarks, I'd like to remind listeners that this conference call will contain numerous statements, descriptions, Forecasts and projections regarding Brainstorm of Cell Therapeutics and its potential future business operations and performance Statements regarding the market potential for the treatment of neurodegenerative diseases such as ALS, the sufficiency of the company's existing capital resources For continued operations in 2023 and beyond, the safety and clinical effectiveness of Neuron Technology Platform, clinical trials of Neuron and related clinical development programs and the company's ability to develop strategic collaborations and partnerships to support its business planning efforts. Forward looking statements are subject to numerous risks and uncertainties, many of which are beyond Brainstorm's control, including the risks and uncertainties described from time to time in the company's SEC filings. The company's results may differ materially from those projected on today's call, and the company undertakes no obligation to publicly update Joining us on the call this morning will be Chaim Lambowitz, President and CEO of Brainstorm Doctor. Speaker 100:01:45Stacy Lindberg, Co Chief Executive Officer and Alaa Patis, Interim Chief Financial Officer. In addition, Brainstorm's Executive VP and So I'd like to turn the call now to Mr. Leibowitz. Please go ahead. Speaker 200:02:07Thank you, Michael. Thank you all who have joined us to discuss our Q2 2023 financial results and recent progress. Our main priorities right now are to prepare for the forthcoming advisory committee for Neuron, Our investigational therapy for the treatment of ALS and to make sure the company is prepared to make NUUREN available to patients. As announced in June, the FDA will convene a meeting of the Cellular Tissue and Gene Therapies Advisory Committee to review our BLA for Neuron on September 27. In addition, the BLA has been assigned a PDUFA action date of December 8, 2023. Speaker 200:02:57Neuron's regulatory process, as we have mentioned previously, Will be the same as it is for any other investigational therapy that is subject of a filed BLA. The upcoming outcome will be guided by an agenda that includes detailed presentations by Brainstorm and the FDA, which will allow our team and the agency to discuss the clinical evidence supporting Neuron's safety And efficacy as an ALS therapy. Other key stakeholders including independent medical experts, statisticians And patient advocates will then have the opportunity to provide their own unique perspective on Neuron's clinical data set as well as the unmet needs of people living with ALS. Members of the outcome will then have the opportunity to vote And the response to the question set forth by the FDA. The agency will take the results of this vote or these votes As well as the preceding discussions at the meeting under advisement when coming to a decision on the BLA, which will be made by the December 8 PDUFA date. Speaker 200:04:16Given the strength of the clinical evidence we have generated on Neuron, we remain confident in our ability To achieve a successful outcome from the outcome and are preparing for success to ensure we can make Neurone available to patients as quickly as possible if approved later this year. Our team is focused on being fully prepared in advance of the upcoming outcome. These preparations began months ago and continue today as we work with our expert consultants to ensure we can present And respond to all questions that the FDA and ATCO members might raise. We are grateful to the FDA for its cooperation Throughout the review process and recognize that the agency is taking our application very seriously. I'll now turn the call over To my colleague, Doctor. Speaker 200:05:09Stacy Klimberg for additional comments. Stacy? Speaker 300:05:13Thank you, Haim. We are looking forward to the ad comments at PIMBRA and cannot overstate the importance of this meeting in Neuron's regulatory path, Given the scientific and policy issues that need to be understood, the FDA has rightly shown a willingness to apply regulatory flexibility When evaluating investigational ALS therapies over the last year and we look forward to having Neurom's full data set discussed in the context The need for new ALS therapies in the public forum offered by NADCOM. As we move towards the FDA's decision, We continue to have full confidence in our data and believe that a comprehensive analysis of our results strongly support Neuron's clinical efficacy and safety. We remain committed to the scientific and regulatory process, which includes continuing research to confirm the results of the Neurone clinical program. We also remain committed to ongoing learning about the safety and the clinical effectiveness of Neurone. Speaker 300:06:18For this reason, we have assembled a steering committee to gather input on goals and the core design elements of a confirmatory trial. We look forward to providing an update prior to the AdCom. We continue to be active with the A List community at scientific conferences. We delivered an important presentation featuring new biomarker data at the recent 2023 Gordon Research Conference for ALS and related motor neuron diseases. As we described previously, during the NEUROIN facer trial, we collected CSF fluid from all trial participants and examined biomarkers spanning 3 pathways important to ALS pathology: Neuroinflammation, neurodegeneration and neuroprotection. Speaker 300:07:10The study is the most robust PSF biomarker study conducted in people living with ALS. And the new data presented at the Gordon Conference features analysis of a biomarker known as neurofilament lite in addition to more broadly providing evidence of the importance of using baseline disease characteristics in the analysis of biomarker data, which I'll provide the rationale for. I believe we all appreciate how heterogeneous A List is as a disease. Because of this, it is common practice to include ALS disease characteristics of covariates in the analysis of clinical data, which we also did in our Phase 3 trial. The goal is to include information that could influence an individual's prognosis in addition to therapy, so that you're drawing appropriate conclusions relative to the treatment effects in the trial. Speaker 300:08:04When we decided to include these as covariates and our biomarker analyses. We drew on the ALS literature and the final guidance released in 2023 by the FDA on adjusting for covariates in randomized clinical trials for drugs and biologic products. Towards the goal of exploring the importance of A List disease characteristics in our biomarker data from Phase 3, We employed 5 disease covariates that were pre specified and used in the primary efficacy model in the trial. These covariates, which include Baseline ALS FSR score, the baseline rate of decline, use of riluzole, fight of ALS disease onset and time since symptom onset to treatment are well supported in the literature. As highlighted in our poster presentation, all five disease covariates in addition to biomarker data had a significant impact on clinical outcome. Speaker 300:09:09Therefore, the analysis of biomarker data can reflect the treatment effect more accurately when accounting for the baseline heterogeneity of participants. Including these covariates in the analysis across all biomarkers simply adds precision to the results. In the poster, we highlighted the longitudinal trajectory of 4 biomarkers, including neuro filament light, as examples of the improvements Observed in biomarkers following treatment with Neurone compared to placebo across all participants in the trial. Nurofilament Light has been getting a lot of attention in the scientific community and with drug developers as evidenced by the exponential growth and publications in recent years. In neuro treated participants, we observed an 11% decrease From baseline to week 20 in neurofilament life, with the change of around 1% with placebo and a significant treatment difference of a P less than 0.05. Speaker 300:10:13The other biomarkers highlighted in the poster also showed significant treatment differences with decreases in pro inflammatory biomarker MCP-one and large increases in neuroprotective biomarkers VADJAS and Galectin-one. I also presented 2 other results in the poster. 1st, neurofilament light baseline Levels appear to be prognostic of ALS disease progression. This means that participants with higher baseline neurofilament light values had greater decline from baseline to week 28 as measured by the A List FSR. This finding confirms results seen in other ALS trials, which is promising for the field. Speaker 300:11:01The last analysis was motivated by the literature and has been used in the review and approval of products by the FDA in diseases such as pulmonary arterial hypertension and triple class refractory multiple myeloma, in addition to ALS through the review of Traversen. And while Neurone's mechanism of action is very different from Tafersen, as we have a broad Multimodal mechanism of action simultaneously targeting biological deficiencies associated with ALS. We felt these analyses were important to conduct and understand the insights derived into our data based on the relationship between neurofilament light and clinical outcomes. The analysis used an approach called causal inference, sometimes referred to as outcomes regression. And it allows us to explore the relationship between the change in neuro filament light and the change in ALSFRS R due to Neuron alone. Speaker 300:12:05By adjusting the observed outcome with the change we would have expected due to the natural progression of the disease. The analysis presented confirm That neuron driven reductions in neurofilament light are associated with less decline in the ALS of RASAR from baseline to week 28. Taken together, data from the literature and the Neurom Phase 3 trial Support the hypothesis that treatment driven reductions in neurofilament light are reasonably likely to be associated with clinical benefit in ALS. We believe these results are timely given the regulatory precedent that was set in ALS this year. In April, the FDA granted accelerated approval to Biogen and Ionis' drug to Persin To treat a genetic form of ALS known as SOD1 ALS, which represents approximately 2% of ALS patients. Speaker 300:13:09The approval decision was based in part on Terversen's ability to lower plasma levels of neurofilament light. Establishing the view that reductions in neurofluent light are reasonably likely to be associated with clinical benefit in ALS. Specifically, when the AdCom that reviewed Traversen was asked whether the available evidence supported The reduction in plasma neurofilament concentration was reasonably likely to predict clinical benefit. The committee voted unanimously 9 to 0. This is the first time an A List drug was approved by the FDA based on biomarker data. Speaker 300:13:51I'll now turn the call back to Haim for some additional comments. Speaker 200:13:57Thank you, Stacy. Our second main priority, as I mentioned earlier, is to ensure commercial preparedness and execute and the various activities that we need to complete in order to make Neuron available to patients if approved. These include activities across manufacturing, commercial and medical affairs To engage with the physicians who treat ALS and also early discussions with payers. In terms of how Neuron would actually be delivered to ALS patients, the first step is to collect bone marrow from the patients This is then shipped to our manufacturing facility where the MSCs would undergo a series of steps to create the therapeutic product. We're currently in discussions to be able to sign contracts with centers of excellence across the United States, So that they will be set up to collect bone marrow from patients and we can initiate a manufacturing process for each person's Personalized treatment. Speaker 200:15:09We'll begin with 8 to 10 centers and then move to broader engagement with more centers. As we have outlined before, we're in the process of a targeted capability build to expand our team in preparation for anticipated growth. Want to be able to move quickly, so if we're successful in achieving approval for Neuron, we will have the infrastructure in place And the wait for patients and families to gain access will be as short as possible. We have made a number of hires and management changes so far in 2023. At the beginning of the year, Doctor. Speaker 200:15:48Stacel Lindbergh was promoted to Co CEO. Then early in the Q2, we appointed Doctor. Kirk Taylor as Executive Vice President and Chief Medical Officer. Kirk will lead the global medical affairs function and launch activities, including planned product launches, Post approval commercialization efforts and deepening relationships with the medical community. More recently, in July, We appointed Doctor. Speaker 200:16:16Bob Daugher as Executive Vice President and Chief Development Officer. Bob will be responsible for the portfolio strategy and advancement of clinical development plans towards regulatory approval, Including the expansion of Neuron into new diseases and the translation of preclinical research in the first in human trials. He brings approximately 20 years of industry expertise in the development and approval of treatments for challenging neurological and rare diseases. He began his career at GSK and has served in leadership positions of science and medicine at companies such as Sanofi Genzyme and LabCorp Covance. Finally, we also made an important addition to our Board Nir brings over 20 years of global work experience as a CFO and senior finance leader. Speaker 200:17:19He has a broad background That includes large pharma and biotech and has overseen organizations with up to $2,500,000,000 in sales and $1,000,000,000 in annual spend. We are excited to expand our team with these and other talented individuals and I know they share our vision and excitement around Neuron's prospects. This expanded team is fully focused to prepare Brainstorm For the exciting future ahead. I'll now turn the call over to Alaa to discuss our financials. Alaa? Speaker 400:17:59Thank you, Chaim. Cash, cash equivalents and short term bank deposits were approximately $750,000 as of the end of June 2023 compared to approximately 3,000,000 as of the end of December 2022. In July 2023, subsequent to the end of the quarter, the company raised net proceeds of approximately $7,000,000 in registered direct offering. Research and development expenses for the 3 months End of June 30, 2023, 2022 were approximately $2,800,000 $5,100,000 respectively. General and administrative expenses for the 3 months ended June 30, 2023, 2022 were approximately $2,700,000 $2,500,000 respectively. Speaker 400:18:49Net loss for the 3 months ended June 30, 2023 Was approximately €5,300,000 or the €0.13 per share as compared to a net loss of approximately €7,000,000 or $0.19 per share for the 3 months ended June 30, 2022. I'll turn it back to Chaim. Chaim? Speaker 200:19:10Thank you, Alla. I'll ask Michael Woods from LifeSci to read the questions we have received from investors. Michael? Speaker 100:19:19Thanks, Cai. The first question, is the submitted BLA for Neurone specifically seeking full approval or Accelerated approval. Speaker 200:19:31The BLA filed is seeking full approval. Thank you. Speaker 100:19:36Thanks. And does the BLA include data collected from patients that have been treated under the Expanded Access Program and from the Israeli HE pathway? Speaker 200:19:48Yes, that is correct. Data from both programs were included in the BLA. Speaker 100:19:56Do you still intend to publish your biomarker manuscript? Speaker 200:20:02Absolutely. The biomarker data is a compelling part of our evidence, which provide strong support of the clinical data. And we can confirm the paper is under review at a highly regarded journal. The senior authors are Doctor. Bob Brown and Doctor. Speaker 200:20:19Merit Sethkowitz And the paper includes all the leading researchers and scientists. Speaker 100:20:27Thanks. So the next question relates to the Gordon Conference. Why did you only recently decide to look at baseline characteristics of patients and make this presentation at Gordon? And did the results Changed substantially once you've counted the baseline characteristics. And then having listened to Stacy's discussion this morning, I have an additional question I'm going to add and that is, We're intrigued by the word precision that Stacy used in her prepared remarks. Speaker 100:20:53Can you please explain what this means? Speaker 200:20:57Stacy, I'll have you answer this question. Speaker 300:21:00Okay. So to the first question, why adjust Baseline characteristics now, basically this is an example of emerging science. If you look at the public documents From FirstNet's AdCom, you'll see that the FDA did a lot of work exploring the importance of disease covariates, including all of the baseline disease covariates We pre specified in our efficacy analyses that I actually spoke about in my prepared remarks. And they did this as they were analyzing Jafersen data. Also as I referenced earlier, the FDA issued a final guidance on adjusting for covariates in randomized clinical trials, which was very timely and provided important perspective. Speaker 300:21:42In fact, when we reviewed the guidance, which focused on prognostic Baseline covariates, what stood out to us was that sponsors should prospectively specify covariate adjusted analyses. Therefore, we thought it logical to use the covariates specified in our Phase 3 statistical analysis plan. The guideline also noted That covariate adjustment was acceptable even if baseline covariates were strongly associated with each other. So this guidance combined with the importance FDA placed On these covariates in 2 persons review led us to explore the importance of these covariates in our data. As a side note, in analysis that we ran, we also use the model that FDA used with TraverseN data. Speaker 300:22:30And in the cases where this was done, the significant assault held across our data Quite robust. Michael, if I understood your the question at the end, you wanted to know what I meant by the word precision. Let me first recall the statement I made earlier. So I referenced that in the analysis of our biomarker data, We can reflect the treatment effect more accurately when we account for baseline heterogeneity of patients. So in other words, by adding these characteristics, which really help identify ways that the disease is variable across patients. Speaker 300:23:08It brings precision to the estimate of treatment. So Here, when I use this word precision, what I mean is that the model with disease covariates included in it and these covariates Influence can influence the rate of disease progression. This will have a better ability to capture variability observed in the data. And the significance of these covariates tells us that this is the right way to analyze the data. Otherwise, you're ignoring important information in the analysis. Speaker 300:23:40The last part of the question was how the results compared across the model that had baseline covariates First is one, the model that did not. The biomarker results from the model from both models actually are very similar, With no conclusions changing substantially for any biomarker, there were 2 biomarkers that were already trending towards a significant treatment effect. One was neuro filament lite, the other was neuroprotective biomarker HGS. And accounting for these disease Characteristics resulted in the p value dropping just below the conventional level of 0.05, but even for these 2 biomarkers, the overall Pattern in the treatment effect as well as the percent change from baseline in both arms is very similar to the results of the model that didn't adjust for the terms. The estimate of the treatment effect just had more precision because it could take into account important information that also influenced clinical outcomes in addition to treatment. Speaker 100:24:44Thanks, Stacy. Next question, Do you intend to proceed with a confirmatory clinical trial? Speaker 200:24:50Yes. We have definite plans to proceed with the confirmatory trial. It's for months now that we have been meeting with the steering committee of leading clinicians and statisticians. We intend to share more after we get input from the FDA. In this regard, I would like to really share that We are thankful for the California Institution For Regenerative Medicine, CIRM, that reached out to us and they asked us That would be interesting that we submit an application for such a trial. Speaker 200:25:23Thank you. Speaker 100:25:26Is there a reason that you're granted a different adcom from the adcom that oversaw the Amelix and Biogen drugs? Do you think this is a good or bad sign that you're being reviewed in a different adcom? Speaker 200:25:41Yes. So the designation of the advisory committee that advises FDA for an application under review It's determined by the specific center of the FDA center that the application is filed with. Relivirio and Calcedi were both submitted as New Drug Applications NDA to CDER or the Center For Drug Evaluation and Research. While Neuron being a biological product, stem cell product was submitted As a biologic license application to CBER or the Center For Biologics Evaluation and Research. Each center has multiple outcomes. Speaker 200:26:21For example, CBER has 4. Neurom will be reviewed by CBER's cellular tissue and gene therapies advisory committee. If anyone is interested to look in deeper to this, there's a document called the intercenter agreement between the CDER and the CBER assigns to each center jurisdiction for a regulation of drug and biological products and combination of drugs and biological products And it describes those product characteristics or medical indications that will require a collaborative review of effort by the 2 centers. Speaker 100:27:01Thanks. The next question relates to clinical manufacturing controls or CMC. Have you been able to submit amendments To address the CMC items identified by the FDA in their initial RTF letter, and if so or if not, do you anticipate any impact on Speaker 200:27:18So yes, definitely, as we have shared and I'll confirm this again, the FDA has allowed us to submit amendments And we have submitted those amendments. Sure. Thank you. Speaker 100:27:31And have you been having any conversations directly with the FDA While the BLA has been under review? Speaker 200:27:39Yes. As is typical for a BLA under review, We have regularly occurring interactions with the FDA. We received quite a few requests for information, Which we have responded to in a timely fashion. We also were able to share presentations in addition to other interactions. Speaker 100:28:01You reported that around 25% of patients in your Phase 3 study had a baseline value below 25. And indeed patients further decline could not be measured because the items reached 0. You refer to this as the floor effect. Can you please expand on the floor effect? And do you have any biomarker data for these participants? Speaker 200:28:23Thank you, Stacy, please. Speaker 300:28:26Sure. I want to start by just reflecting on the fact that the ALSFR remains the best outcome measure that we have today. But like any bounded scale, it has limitations. And in the group of participants asked about in this question who were in the bottom half of the scale, There was a high rate of participants with aloecepra SR items, specifically in the fine and gross motor subdomain that started at 0, with approximately 40% starting at 0 across all six items. The rate of 0 values, Especially on the fine and gross motor is problematic to measuring a treatment effect in a trial because Expected that the fine and gross motor domains account for about 70% of decline observed in trials. Speaker 300:29:14This therefore Confounds the ability to show a treatment effect as the ALSFRS R can't measure further decline once items reach 0. So The question about biomarker data in these participants, we have looked at biomarker data in these participants. In fact, at the Gordon Conference, we reported First, that we observed significant improvements on ALS biomarkers with neuron versus placebo in all trial participants. And this was important Across the 3 important pathways that I referenced in my opening remarks, neuroinflammation, neurodegeneration and neuroprotection. We in fact see very similar treatment patterns in participants with baseline scores 25 and below in ALS, EPRSSR. Speaker 300:30:02And what this suggests is that Neuron is biologically active in the overall population that was studied in the trial, which includes participants with advanced Aelos disease where the scale, the Aeloseprazor scale demonstrated measurement challenges. Speaker 100:30:19Thanks, Stacy. Next question relates to your clinical pipeline. Brainstorm has said that it's working on the use of its product for other indications. Investors have been hearing about this now for years. Please provide some specificity with respect to what working on it means. Speaker 200:30:37Thank you. I'll ask Doctor. Kirk Taylor to take this question, please. Speaker 500:30:42Great, Chaim. Thank you. Sure. Well, we completed a Phase 2 study evaluating Neurone as a treatment for progressive MS and announced positive results in 2021. We have worked with neurologists and statisticians with deep expertise in MS to design the next trial and have a solid protocol concept Prepared that builds on the completed Phase IIa study. Speaker 500:31:05We've also prepared a protocol concept designed to study the impact of neuron in Alzheimer's disease In the context of the unmet need that remains with the approval of treatments that remove amyloid plaque, consulting with leading experts and that's neuron and Alzheimer's disease. Design to the question addressed here is though, in patients where amyloid plaque has been removed, could Neurone increase cognitive function above baseline levels? That's the question. Neurone's mechanism of action supports our view that it may have broad applications in neurodegenerative disease. However, Sir? Speaker 500:31:52I'm sorry. However, like many of our peers In Biotech Industry, we need to prioritize resources and focus those programs that could potentially benefit patients in the near term and create value for our stakeholders. At this point, we are focused primarily on the ALS program and getting approval in that indication. We intend to move forward with other programs as resources Thank you. Speaker 200:32:17Thank you. Speaker 100:32:19I have one final question. Did Brainstorm finalize On the follow on offering with Maxim for $7,500,000 Speaker 200:32:29Yes. In addition to the PR on this matter, As is common practice, we did publish an 8 ks. Just to provide some more color on this, we will continue to explore the best ways Finance, we'll have multiple options to finance going forward and the company will be Michael? Speaker 100:33:09That's the final question. Speaker 200:33:11Thank you so much. Jenny, would you open For any additional questions. Operator00:33:18No problem. At this time, we are opening the floor for questions. Thank you. Your first question is coming from Jason McCarthy of Maxim Group. Jason, your line is Speaker 600:33:57Hi, all. Thanks for taking the questions. Really looking forward to that AdCom in September. And about that AdCom, do you That based on your covariant analysis of the 5 covariants and what you've shown around NFL, particularly in that presentation in July, do you expect the same questions that Biogen had gotten, There was the vote on NFL 9 to 0, but there was differences in the voting 3 yes, 5 no On the full approval, I guess, requiring a confirmatory study, do you expect a similar set of questions? Speaker 200:34:41Thank you very much, Stacy. Speaker 300:34:45Hi, Jason. It's great to I hear from you. My thinking about that is this is a different outcome, it's a different FDA center, Different application, very different mechanism of action. I think what each of the drug programs What's presenting is their evidence also is quite different. So, we both bring interesting insights into neurofilament light and, the association with The ability to actually mention and show that reductions in neurofirmative lite results in an association with The improved clinical outcomes is a strength, but I've learned over the course of my career to not assume Anything with related regard to the regulators, we'll actually get the questions very close to the time of the ad And I think the questions that were asked were relevant, but we'll know for certain what our questions are right before the AdCom. Speaker 600:35:47During that adcom as part of the presentation, we made more of a point On the safety aspects of NARONE, given that it is an autologous cell therapy, it's not genetically manipulated, and that it is A far safer approach apparently than other drugs for ALS including the Biogen drug. Speaker 200:36:17Stacy? Speaker 300:36:19Yes. So we will present the full set of data efficacy and safety. And Jason, we share Your confidence in the safety of Naroom, not only in the data we've generated, but as a result of The way that our product is made and we will provide a compelling overview of all data at our Speaker 600:36:45And just lastly, a brief question on the potential commercialization plan. From I know it's early, but from a pricing perspective to ferrocyn priced at around $14,000 or so just north of that For treatment, but it's about $200,000 all told for a year. Is that a similar pricing strategy that you could expect For Cell Therapy. And just from a launch perspective, Cai am, you had mentioned getting possibly 8, 10 centers initially for bone marrow collection. How large of a sales force would you need to complete your initial commercialization plan? Speaker 200:37:28Yes. So thank you very much. Many of these questions is premature for us to answer for regulatory reasons, as you know. But I like the assumptions you're laying out. And I think what will be very important is to find the centers of excellence doing Not only the bone marrow aspirations, but the intrathecal injections, which some of these like Sarepta treatments and Topazone treatments really helps out That more and more centers have that expertise and that's where we'll be focusing and probably we'll start With the centers of the trial, which already have a lot of experience with our product, but we're also talking to many other geographical centers, make sure That patients from other geographies have a center close nearby to where they are. Speaker 200:38:13Just a comment to a previous question you asked and Stacy answered a little bit Of course, we believe that our clinical data set, even though the primary endpoint did not hit statistical significance, We think that the body of evidence we bring forward, we are able to show statistical significant results once we're able to show and dive into More deeper into the data set, which you spent a lot of time and I don't want to repeat it for you. But therefore, I think that the question will be more focused on clinical, Why the biomarker data gives strong support to what we're seeing in the clinical as it covers even for the part of the score where we think it's not sensitive in the more advanced patients. But when you're able to eliminate advanced patients, we see both in the primary and secondary endpoints statistical significant results. Of course, we're not going to lay it out here. That's what we're going to do at the AdCom. Speaker 200:39:01But thank you very much for those questions, Jason. Speaker 600:39:05Hi, I'm Stacy. Thank you. Speaker 200:39:09Sure. Operator00:39:09Thank you very much. Okay. We don't appear to have any further questions in the queue. I can hand back over for closing comments. Speaker 200:39:34Thank you. I really appreciate that. It looks like Stacy did a wonderful job laying out the plan and there's no additional questions. So, let's we had a long call this morning, so let's get back the time to everyone listening. We want to thank you again For listening in in August mid of August to have so many investors listen again, it shows the importance to our investors Of our plan forward and we really thank you for listening in today. Speaker 200:40:00Thank you very much, Jenny. Back to you. Operator00:40:04Thank you, Chaim. This does conclude today's conference call. You may disconnect your phone lines at this time and have a wonderful day. Thank you for your participation.Read morePowered by Conference Call Audio Live Call not available Earnings Conference CallBrainstorm Cell Therapeutics Q2 202300:00 / 00:00Speed:1x1.25x1.5x2x Earnings DocumentsPress Release(8-K)Quarterly report(10-Q) Brainstorm Cell Therapeutics Earnings HeadlinesBrainStorm to Present Biomarker Insights Supporting NurOwn's Mechanism of Action and Clinical Impact at the 2025 ALS Drug Development SummitMay 6 at 7:00 AM | prnewswire.comBrainstorm Cell Therapeutics (NASDAQ:BCLI) Coverage Initiated at StockNews.comMay 5 at 2:11 AM | americanbankingnews.comThe Trump Dump is starting; Get out of stocks now?The first 365 days of the Trump presidency… Will be the best time to get rich in American history.May 6, 2025 | Paradigm Press (Ad)BrainStorm's NurOwn® Data Selected as Breakthrough Science for Presentation at ISCT 2025 MeetingApril 29, 2025 | prnewswire.comHead to Head Comparison: Brainstorm Cell Therapeutics (NASDAQ:BCLI) and Vericel (NASDAQ:VCEL)April 28, 2025 | americanbankingnews.comBrainstorm Cell Therapeutics (NASDAQ:BCLI) Earns Hold Rating from Analysts at StockNews.comApril 27, 2025 | americanbankingnews.comSee More Brainstorm Cell Therapeutics Headlines Get Earnings Announcements in your inboxWant to stay updated on the latest earnings announcements and upcoming reports for companies like Brainstorm Cell Therapeutics? Sign up for Earnings360's daily newsletter to receive timely earnings updates on Brainstorm Cell Therapeutics and other key companies, straight to your email. Email Address About Brainstorm Cell TherapeuticsBrainstorm Cell Therapeutics (NASDAQ:BCLI), a biotechnology company, engages in the development and commercialization of autologous cellular therapies for the treatment of neurodegenerative diseases. The company, through its NurOwn proprietary cell therapy platform, leverages cell culture methods to induce autologous bone marrow-derived mesenchymal stem cells to secrete high levels of neurotrophic factors, modulate neuroinflammatory and neurodegenerative disease processes, promote neuronal survival, and enhance neurological function. It is developing NurOwn, which has completed Phase III clinical trial for the treatment of amyotrophic lateral sclerosis; Phase II clinical trial for the treatment of progressive multiple sclerosis; and for the treatment of alzheimer's disease, as well as for other neurodegenerative diseases. Brainstorm Cell Therapeutics Inc. was incorporated in 2000 and is headquartered in New York, New York.View Brainstorm Cell Therapeutics ProfileRead more More Earnings Resources from MarketBeat Earnings Tools Today's Earnings Tomorrow's Earnings Next Week's Earnings Upcoming Earnings Calls Earnings Newsletter Earnings Call Transcripts Earnings Beats & Misses Corporate Guidance Earnings Screener Earnings By Country U.S. Earnings Reports Canadian Earnings Reports U.K. Earnings Reports Latest Articles Palantir Stock Drops Despite Stellar Earnings: What's Next?Is Eli Lilly a Buy After Weak Earnings and CVS-Novo Partnership?Is Reddit Stock a Buy, Sell, or Hold After Earnings Release?Warning or Opportunity After Super Micro Computer's EarningsAmazon Earnings: 2 Reasons to Love It, 1 Reason to Be CautiousRocket Lab Braces for Q1 Earnings Amid Soaring ExpectationsMeta Takes A Bow With Q1 Earnings - Watch For Tariff Impact in Q2 Upcoming Earnings ARM (5/7/2025)AppLovin (5/7/2025)Fortinet (5/7/2025)MercadoLibre (5/7/2025)Cencora (5/7/2025)Carvana (5/7/2025)Walt Disney (5/7/2025)Emerson Electric (5/7/2025)Johnson Controls International (5/7/2025)Lloyds Banking Group (5/7/2025) Get 30 Days of MarketBeat All Access for Free Sign up for MarketBeat All Access to gain access to MarketBeat's full suite of research tools. Start Your 30-Day Trial MarketBeat All Access Features Best-in-Class Portfolio Monitoring Get personalized stock ideas. Compare portfolio to indices. Check stock news, ratings, SEC filings, and more. Stock Ideas and Recommendations See daily stock ideas from top analysts. Receive short-term trading ideas from MarketBeat. Identify trending stocks on social media. Advanced Stock Screeners and Research Tools Use our seven stock screeners to find suitable stocks. Stay informed with MarketBeat's real-time news. Export data to Excel for personal analysis. Sign in to your free account to enjoy these benefits In-depth profiles and analysis for 20,000 public companies. Real-time analyst ratings, insider transactions, earnings data, and more. Our daily ratings and market update email newsletter. Sign in to your free account to enjoy all that MarketBeat has to offer. Sign In Create Account Your Email Address: Email Address Required Your Password: Password Required Log In or Sign in with Facebook Sign in with Google Forgot your password? Your Email Address: Please enter your email address. Please enter a valid email address Choose a Password: Please enter your password. Your password must be at least 8 characters long and contain at least 1 number, 1 letter, and 1 special character. Create My Account (Free) or Sign in with Facebook Sign in with Google By creating a free account, you agree to our terms of service. This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
There are 7 speakers on the call. Operator00:00:00Greetings, and welcome to the Brainstorm Cell Therapeutics Second Quarter 2023 Earnings Call. At this time, all participants are in a listen only mode. As a reminder, this call is being recorded. And I would now like to introduce your host for today's call, Mr. Michael Wood of LifeSci Advisors. Operator00:00:19Mr. Wood, you may begin. Speaker 100:00:22Good morning and thank you for joining us this morning. Earlier today, Brainstorm issued a press release with its financial results for the Q2 of 2023, including a corporate update. Before passing it off to the company for prepared remarks, I'd like to remind listeners that this conference call will contain numerous statements, descriptions, Forecasts and projections regarding Brainstorm of Cell Therapeutics and its potential future business operations and performance Statements regarding the market potential for the treatment of neurodegenerative diseases such as ALS, the sufficiency of the company's existing capital resources For continued operations in 2023 and beyond, the safety and clinical effectiveness of Neuron Technology Platform, clinical trials of Neuron and related clinical development programs and the company's ability to develop strategic collaborations and partnerships to support its business planning efforts. Forward looking statements are subject to numerous risks and uncertainties, many of which are beyond Brainstorm's control, including the risks and uncertainties described from time to time in the company's SEC filings. The company's results may differ materially from those projected on today's call, and the company undertakes no obligation to publicly update Joining us on the call this morning will be Chaim Lambowitz, President and CEO of Brainstorm Doctor. Speaker 100:01:45Stacy Lindberg, Co Chief Executive Officer and Alaa Patis, Interim Chief Financial Officer. In addition, Brainstorm's Executive VP and So I'd like to turn the call now to Mr. Leibowitz. Please go ahead. Speaker 200:02:07Thank you, Michael. Thank you all who have joined us to discuss our Q2 2023 financial results and recent progress. Our main priorities right now are to prepare for the forthcoming advisory committee for Neuron, Our investigational therapy for the treatment of ALS and to make sure the company is prepared to make NUUREN available to patients. As announced in June, the FDA will convene a meeting of the Cellular Tissue and Gene Therapies Advisory Committee to review our BLA for Neuron on September 27. In addition, the BLA has been assigned a PDUFA action date of December 8, 2023. Speaker 200:02:57Neuron's regulatory process, as we have mentioned previously, Will be the same as it is for any other investigational therapy that is subject of a filed BLA. The upcoming outcome will be guided by an agenda that includes detailed presentations by Brainstorm and the FDA, which will allow our team and the agency to discuss the clinical evidence supporting Neuron's safety And efficacy as an ALS therapy. Other key stakeholders including independent medical experts, statisticians And patient advocates will then have the opportunity to provide their own unique perspective on Neuron's clinical data set as well as the unmet needs of people living with ALS. Members of the outcome will then have the opportunity to vote And the response to the question set forth by the FDA. The agency will take the results of this vote or these votes As well as the preceding discussions at the meeting under advisement when coming to a decision on the BLA, which will be made by the December 8 PDUFA date. Speaker 200:04:16Given the strength of the clinical evidence we have generated on Neuron, we remain confident in our ability To achieve a successful outcome from the outcome and are preparing for success to ensure we can make Neurone available to patients as quickly as possible if approved later this year. Our team is focused on being fully prepared in advance of the upcoming outcome. These preparations began months ago and continue today as we work with our expert consultants to ensure we can present And respond to all questions that the FDA and ATCO members might raise. We are grateful to the FDA for its cooperation Throughout the review process and recognize that the agency is taking our application very seriously. I'll now turn the call over To my colleague, Doctor. Speaker 200:05:09Stacy Klimberg for additional comments. Stacy? Speaker 300:05:13Thank you, Haim. We are looking forward to the ad comments at PIMBRA and cannot overstate the importance of this meeting in Neuron's regulatory path, Given the scientific and policy issues that need to be understood, the FDA has rightly shown a willingness to apply regulatory flexibility When evaluating investigational ALS therapies over the last year and we look forward to having Neurom's full data set discussed in the context The need for new ALS therapies in the public forum offered by NADCOM. As we move towards the FDA's decision, We continue to have full confidence in our data and believe that a comprehensive analysis of our results strongly support Neuron's clinical efficacy and safety. We remain committed to the scientific and regulatory process, which includes continuing research to confirm the results of the Neurone clinical program. We also remain committed to ongoing learning about the safety and the clinical effectiveness of Neurone. Speaker 300:06:18For this reason, we have assembled a steering committee to gather input on goals and the core design elements of a confirmatory trial. We look forward to providing an update prior to the AdCom. We continue to be active with the A List community at scientific conferences. We delivered an important presentation featuring new biomarker data at the recent 2023 Gordon Research Conference for ALS and related motor neuron diseases. As we described previously, during the NEUROIN facer trial, we collected CSF fluid from all trial participants and examined biomarkers spanning 3 pathways important to ALS pathology: Neuroinflammation, neurodegeneration and neuroprotection. Speaker 300:07:10The study is the most robust PSF biomarker study conducted in people living with ALS. And the new data presented at the Gordon Conference features analysis of a biomarker known as neurofilament lite in addition to more broadly providing evidence of the importance of using baseline disease characteristics in the analysis of biomarker data, which I'll provide the rationale for. I believe we all appreciate how heterogeneous A List is as a disease. Because of this, it is common practice to include ALS disease characteristics of covariates in the analysis of clinical data, which we also did in our Phase 3 trial. The goal is to include information that could influence an individual's prognosis in addition to therapy, so that you're drawing appropriate conclusions relative to the treatment effects in the trial. Speaker 300:08:04When we decided to include these as covariates and our biomarker analyses. We drew on the ALS literature and the final guidance released in 2023 by the FDA on adjusting for covariates in randomized clinical trials for drugs and biologic products. Towards the goal of exploring the importance of A List disease characteristics in our biomarker data from Phase 3, We employed 5 disease covariates that were pre specified and used in the primary efficacy model in the trial. These covariates, which include Baseline ALS FSR score, the baseline rate of decline, use of riluzole, fight of ALS disease onset and time since symptom onset to treatment are well supported in the literature. As highlighted in our poster presentation, all five disease covariates in addition to biomarker data had a significant impact on clinical outcome. Speaker 300:09:09Therefore, the analysis of biomarker data can reflect the treatment effect more accurately when accounting for the baseline heterogeneity of participants. Including these covariates in the analysis across all biomarkers simply adds precision to the results. In the poster, we highlighted the longitudinal trajectory of 4 biomarkers, including neuro filament light, as examples of the improvements Observed in biomarkers following treatment with Neurone compared to placebo across all participants in the trial. Nurofilament Light has been getting a lot of attention in the scientific community and with drug developers as evidenced by the exponential growth and publications in recent years. In neuro treated participants, we observed an 11% decrease From baseline to week 20 in neurofilament life, with the change of around 1% with placebo and a significant treatment difference of a P less than 0.05. Speaker 300:10:13The other biomarkers highlighted in the poster also showed significant treatment differences with decreases in pro inflammatory biomarker MCP-one and large increases in neuroprotective biomarkers VADJAS and Galectin-one. I also presented 2 other results in the poster. 1st, neurofilament light baseline Levels appear to be prognostic of ALS disease progression. This means that participants with higher baseline neurofilament light values had greater decline from baseline to week 28 as measured by the A List FSR. This finding confirms results seen in other ALS trials, which is promising for the field. Speaker 300:11:01The last analysis was motivated by the literature and has been used in the review and approval of products by the FDA in diseases such as pulmonary arterial hypertension and triple class refractory multiple myeloma, in addition to ALS through the review of Traversen. And while Neurone's mechanism of action is very different from Tafersen, as we have a broad Multimodal mechanism of action simultaneously targeting biological deficiencies associated with ALS. We felt these analyses were important to conduct and understand the insights derived into our data based on the relationship between neurofilament light and clinical outcomes. The analysis used an approach called causal inference, sometimes referred to as outcomes regression. And it allows us to explore the relationship between the change in neuro filament light and the change in ALSFRS R due to Neuron alone. Speaker 300:12:05By adjusting the observed outcome with the change we would have expected due to the natural progression of the disease. The analysis presented confirm That neuron driven reductions in neurofilament light are associated with less decline in the ALS of RASAR from baseline to week 28. Taken together, data from the literature and the Neurom Phase 3 trial Support the hypothesis that treatment driven reductions in neurofilament light are reasonably likely to be associated with clinical benefit in ALS. We believe these results are timely given the regulatory precedent that was set in ALS this year. In April, the FDA granted accelerated approval to Biogen and Ionis' drug to Persin To treat a genetic form of ALS known as SOD1 ALS, which represents approximately 2% of ALS patients. Speaker 300:13:09The approval decision was based in part on Terversen's ability to lower plasma levels of neurofilament light. Establishing the view that reductions in neurofluent light are reasonably likely to be associated with clinical benefit in ALS. Specifically, when the AdCom that reviewed Traversen was asked whether the available evidence supported The reduction in plasma neurofilament concentration was reasonably likely to predict clinical benefit. The committee voted unanimously 9 to 0. This is the first time an A List drug was approved by the FDA based on biomarker data. Speaker 300:13:51I'll now turn the call back to Haim for some additional comments. Speaker 200:13:57Thank you, Stacy. Our second main priority, as I mentioned earlier, is to ensure commercial preparedness and execute and the various activities that we need to complete in order to make Neuron available to patients if approved. These include activities across manufacturing, commercial and medical affairs To engage with the physicians who treat ALS and also early discussions with payers. In terms of how Neuron would actually be delivered to ALS patients, the first step is to collect bone marrow from the patients This is then shipped to our manufacturing facility where the MSCs would undergo a series of steps to create the therapeutic product. We're currently in discussions to be able to sign contracts with centers of excellence across the United States, So that they will be set up to collect bone marrow from patients and we can initiate a manufacturing process for each person's Personalized treatment. Speaker 200:15:09We'll begin with 8 to 10 centers and then move to broader engagement with more centers. As we have outlined before, we're in the process of a targeted capability build to expand our team in preparation for anticipated growth. Want to be able to move quickly, so if we're successful in achieving approval for Neuron, we will have the infrastructure in place And the wait for patients and families to gain access will be as short as possible. We have made a number of hires and management changes so far in 2023. At the beginning of the year, Doctor. Speaker 200:15:48Stacel Lindbergh was promoted to Co CEO. Then early in the Q2, we appointed Doctor. Kirk Taylor as Executive Vice President and Chief Medical Officer. Kirk will lead the global medical affairs function and launch activities, including planned product launches, Post approval commercialization efforts and deepening relationships with the medical community. More recently, in July, We appointed Doctor. Speaker 200:16:16Bob Daugher as Executive Vice President and Chief Development Officer. Bob will be responsible for the portfolio strategy and advancement of clinical development plans towards regulatory approval, Including the expansion of Neuron into new diseases and the translation of preclinical research in the first in human trials. He brings approximately 20 years of industry expertise in the development and approval of treatments for challenging neurological and rare diseases. He began his career at GSK and has served in leadership positions of science and medicine at companies such as Sanofi Genzyme and LabCorp Covance. Finally, we also made an important addition to our Board Nir brings over 20 years of global work experience as a CFO and senior finance leader. Speaker 200:17:19He has a broad background That includes large pharma and biotech and has overseen organizations with up to $2,500,000,000 in sales and $1,000,000,000 in annual spend. We are excited to expand our team with these and other talented individuals and I know they share our vision and excitement around Neuron's prospects. This expanded team is fully focused to prepare Brainstorm For the exciting future ahead. I'll now turn the call over to Alaa to discuss our financials. Alaa? Speaker 400:17:59Thank you, Chaim. Cash, cash equivalents and short term bank deposits were approximately $750,000 as of the end of June 2023 compared to approximately 3,000,000 as of the end of December 2022. In July 2023, subsequent to the end of the quarter, the company raised net proceeds of approximately $7,000,000 in registered direct offering. Research and development expenses for the 3 months End of June 30, 2023, 2022 were approximately $2,800,000 $5,100,000 respectively. General and administrative expenses for the 3 months ended June 30, 2023, 2022 were approximately $2,700,000 $2,500,000 respectively. Speaker 400:18:49Net loss for the 3 months ended June 30, 2023 Was approximately €5,300,000 or the €0.13 per share as compared to a net loss of approximately €7,000,000 or $0.19 per share for the 3 months ended June 30, 2022. I'll turn it back to Chaim. Chaim? Speaker 200:19:10Thank you, Alla. I'll ask Michael Woods from LifeSci to read the questions we have received from investors. Michael? Speaker 100:19:19Thanks, Cai. The first question, is the submitted BLA for Neurone specifically seeking full approval or Accelerated approval. Speaker 200:19:31The BLA filed is seeking full approval. Thank you. Speaker 100:19:36Thanks. And does the BLA include data collected from patients that have been treated under the Expanded Access Program and from the Israeli HE pathway? Speaker 200:19:48Yes, that is correct. Data from both programs were included in the BLA. Speaker 100:19:56Do you still intend to publish your biomarker manuscript? Speaker 200:20:02Absolutely. The biomarker data is a compelling part of our evidence, which provide strong support of the clinical data. And we can confirm the paper is under review at a highly regarded journal. The senior authors are Doctor. Bob Brown and Doctor. Speaker 200:20:19Merit Sethkowitz And the paper includes all the leading researchers and scientists. Speaker 100:20:27Thanks. So the next question relates to the Gordon Conference. Why did you only recently decide to look at baseline characteristics of patients and make this presentation at Gordon? And did the results Changed substantially once you've counted the baseline characteristics. And then having listened to Stacy's discussion this morning, I have an additional question I'm going to add and that is, We're intrigued by the word precision that Stacy used in her prepared remarks. Speaker 100:20:53Can you please explain what this means? Speaker 200:20:57Stacy, I'll have you answer this question. Speaker 300:21:00Okay. So to the first question, why adjust Baseline characteristics now, basically this is an example of emerging science. If you look at the public documents From FirstNet's AdCom, you'll see that the FDA did a lot of work exploring the importance of disease covariates, including all of the baseline disease covariates We pre specified in our efficacy analyses that I actually spoke about in my prepared remarks. And they did this as they were analyzing Jafersen data. Also as I referenced earlier, the FDA issued a final guidance on adjusting for covariates in randomized clinical trials, which was very timely and provided important perspective. Speaker 300:21:42In fact, when we reviewed the guidance, which focused on prognostic Baseline covariates, what stood out to us was that sponsors should prospectively specify covariate adjusted analyses. Therefore, we thought it logical to use the covariates specified in our Phase 3 statistical analysis plan. The guideline also noted That covariate adjustment was acceptable even if baseline covariates were strongly associated with each other. So this guidance combined with the importance FDA placed On these covariates in 2 persons review led us to explore the importance of these covariates in our data. As a side note, in analysis that we ran, we also use the model that FDA used with TraverseN data. Speaker 300:22:30And in the cases where this was done, the significant assault held across our data Quite robust. Michael, if I understood your the question at the end, you wanted to know what I meant by the word precision. Let me first recall the statement I made earlier. So I referenced that in the analysis of our biomarker data, We can reflect the treatment effect more accurately when we account for baseline heterogeneity of patients. So in other words, by adding these characteristics, which really help identify ways that the disease is variable across patients. Speaker 300:23:08It brings precision to the estimate of treatment. So Here, when I use this word precision, what I mean is that the model with disease covariates included in it and these covariates Influence can influence the rate of disease progression. This will have a better ability to capture variability observed in the data. And the significance of these covariates tells us that this is the right way to analyze the data. Otherwise, you're ignoring important information in the analysis. Speaker 300:23:40The last part of the question was how the results compared across the model that had baseline covariates First is one, the model that did not. The biomarker results from the model from both models actually are very similar, With no conclusions changing substantially for any biomarker, there were 2 biomarkers that were already trending towards a significant treatment effect. One was neuro filament lite, the other was neuroprotective biomarker HGS. And accounting for these disease Characteristics resulted in the p value dropping just below the conventional level of 0.05, but even for these 2 biomarkers, the overall Pattern in the treatment effect as well as the percent change from baseline in both arms is very similar to the results of the model that didn't adjust for the terms. The estimate of the treatment effect just had more precision because it could take into account important information that also influenced clinical outcomes in addition to treatment. Speaker 100:24:44Thanks, Stacy. Next question, Do you intend to proceed with a confirmatory clinical trial? Speaker 200:24:50Yes. We have definite plans to proceed with the confirmatory trial. It's for months now that we have been meeting with the steering committee of leading clinicians and statisticians. We intend to share more after we get input from the FDA. In this regard, I would like to really share that We are thankful for the California Institution For Regenerative Medicine, CIRM, that reached out to us and they asked us That would be interesting that we submit an application for such a trial. Speaker 200:25:23Thank you. Speaker 100:25:26Is there a reason that you're granted a different adcom from the adcom that oversaw the Amelix and Biogen drugs? Do you think this is a good or bad sign that you're being reviewed in a different adcom? Speaker 200:25:41Yes. So the designation of the advisory committee that advises FDA for an application under review It's determined by the specific center of the FDA center that the application is filed with. Relivirio and Calcedi were both submitted as New Drug Applications NDA to CDER or the Center For Drug Evaluation and Research. While Neuron being a biological product, stem cell product was submitted As a biologic license application to CBER or the Center For Biologics Evaluation and Research. Each center has multiple outcomes. Speaker 200:26:21For example, CBER has 4. Neurom will be reviewed by CBER's cellular tissue and gene therapies advisory committee. If anyone is interested to look in deeper to this, there's a document called the intercenter agreement between the CDER and the CBER assigns to each center jurisdiction for a regulation of drug and biological products and combination of drugs and biological products And it describes those product characteristics or medical indications that will require a collaborative review of effort by the 2 centers. Speaker 100:27:01Thanks. The next question relates to clinical manufacturing controls or CMC. Have you been able to submit amendments To address the CMC items identified by the FDA in their initial RTF letter, and if so or if not, do you anticipate any impact on Speaker 200:27:18So yes, definitely, as we have shared and I'll confirm this again, the FDA has allowed us to submit amendments And we have submitted those amendments. Sure. Thank you. Speaker 100:27:31And have you been having any conversations directly with the FDA While the BLA has been under review? Speaker 200:27:39Yes. As is typical for a BLA under review, We have regularly occurring interactions with the FDA. We received quite a few requests for information, Which we have responded to in a timely fashion. We also were able to share presentations in addition to other interactions. Speaker 100:28:01You reported that around 25% of patients in your Phase 3 study had a baseline value below 25. And indeed patients further decline could not be measured because the items reached 0. You refer to this as the floor effect. Can you please expand on the floor effect? And do you have any biomarker data for these participants? Speaker 200:28:23Thank you, Stacy, please. Speaker 300:28:26Sure. I want to start by just reflecting on the fact that the ALSFR remains the best outcome measure that we have today. But like any bounded scale, it has limitations. And in the group of participants asked about in this question who were in the bottom half of the scale, There was a high rate of participants with aloecepra SR items, specifically in the fine and gross motor subdomain that started at 0, with approximately 40% starting at 0 across all six items. The rate of 0 values, Especially on the fine and gross motor is problematic to measuring a treatment effect in a trial because Expected that the fine and gross motor domains account for about 70% of decline observed in trials. Speaker 300:29:14This therefore Confounds the ability to show a treatment effect as the ALSFRS R can't measure further decline once items reach 0. So The question about biomarker data in these participants, we have looked at biomarker data in these participants. In fact, at the Gordon Conference, we reported First, that we observed significant improvements on ALS biomarkers with neuron versus placebo in all trial participants. And this was important Across the 3 important pathways that I referenced in my opening remarks, neuroinflammation, neurodegeneration and neuroprotection. We in fact see very similar treatment patterns in participants with baseline scores 25 and below in ALS, EPRSSR. Speaker 300:30:02And what this suggests is that Neuron is biologically active in the overall population that was studied in the trial, which includes participants with advanced Aelos disease where the scale, the Aeloseprazor scale demonstrated measurement challenges. Speaker 100:30:19Thanks, Stacy. Next question relates to your clinical pipeline. Brainstorm has said that it's working on the use of its product for other indications. Investors have been hearing about this now for years. Please provide some specificity with respect to what working on it means. Speaker 200:30:37Thank you. I'll ask Doctor. Kirk Taylor to take this question, please. Speaker 500:30:42Great, Chaim. Thank you. Sure. Well, we completed a Phase 2 study evaluating Neurone as a treatment for progressive MS and announced positive results in 2021. We have worked with neurologists and statisticians with deep expertise in MS to design the next trial and have a solid protocol concept Prepared that builds on the completed Phase IIa study. Speaker 500:31:05We've also prepared a protocol concept designed to study the impact of neuron in Alzheimer's disease In the context of the unmet need that remains with the approval of treatments that remove amyloid plaque, consulting with leading experts and that's neuron and Alzheimer's disease. Design to the question addressed here is though, in patients where amyloid plaque has been removed, could Neurone increase cognitive function above baseline levels? That's the question. Neurone's mechanism of action supports our view that it may have broad applications in neurodegenerative disease. However, Sir? Speaker 500:31:52I'm sorry. However, like many of our peers In Biotech Industry, we need to prioritize resources and focus those programs that could potentially benefit patients in the near term and create value for our stakeholders. At this point, we are focused primarily on the ALS program and getting approval in that indication. We intend to move forward with other programs as resources Thank you. Speaker 200:32:17Thank you. Speaker 100:32:19I have one final question. Did Brainstorm finalize On the follow on offering with Maxim for $7,500,000 Speaker 200:32:29Yes. In addition to the PR on this matter, As is common practice, we did publish an 8 ks. Just to provide some more color on this, we will continue to explore the best ways Finance, we'll have multiple options to finance going forward and the company will be Michael? Speaker 100:33:09That's the final question. Speaker 200:33:11Thank you so much. Jenny, would you open For any additional questions. Operator00:33:18No problem. At this time, we are opening the floor for questions. Thank you. Your first question is coming from Jason McCarthy of Maxim Group. Jason, your line is Speaker 600:33:57Hi, all. Thanks for taking the questions. Really looking forward to that AdCom in September. And about that AdCom, do you That based on your covariant analysis of the 5 covariants and what you've shown around NFL, particularly in that presentation in July, do you expect the same questions that Biogen had gotten, There was the vote on NFL 9 to 0, but there was differences in the voting 3 yes, 5 no On the full approval, I guess, requiring a confirmatory study, do you expect a similar set of questions? Speaker 200:34:41Thank you very much, Stacy. Speaker 300:34:45Hi, Jason. It's great to I hear from you. My thinking about that is this is a different outcome, it's a different FDA center, Different application, very different mechanism of action. I think what each of the drug programs What's presenting is their evidence also is quite different. So, we both bring interesting insights into neurofilament light and, the association with The ability to actually mention and show that reductions in neurofirmative lite results in an association with The improved clinical outcomes is a strength, but I've learned over the course of my career to not assume Anything with related regard to the regulators, we'll actually get the questions very close to the time of the ad And I think the questions that were asked were relevant, but we'll know for certain what our questions are right before the AdCom. Speaker 600:35:47During that adcom as part of the presentation, we made more of a point On the safety aspects of NARONE, given that it is an autologous cell therapy, it's not genetically manipulated, and that it is A far safer approach apparently than other drugs for ALS including the Biogen drug. Speaker 200:36:17Stacy? Speaker 300:36:19Yes. So we will present the full set of data efficacy and safety. And Jason, we share Your confidence in the safety of Naroom, not only in the data we've generated, but as a result of The way that our product is made and we will provide a compelling overview of all data at our Speaker 600:36:45And just lastly, a brief question on the potential commercialization plan. From I know it's early, but from a pricing perspective to ferrocyn priced at around $14,000 or so just north of that For treatment, but it's about $200,000 all told for a year. Is that a similar pricing strategy that you could expect For Cell Therapy. And just from a launch perspective, Cai am, you had mentioned getting possibly 8, 10 centers initially for bone marrow collection. How large of a sales force would you need to complete your initial commercialization plan? Speaker 200:37:28Yes. So thank you very much. Many of these questions is premature for us to answer for regulatory reasons, as you know. But I like the assumptions you're laying out. And I think what will be very important is to find the centers of excellence doing Not only the bone marrow aspirations, but the intrathecal injections, which some of these like Sarepta treatments and Topazone treatments really helps out That more and more centers have that expertise and that's where we'll be focusing and probably we'll start With the centers of the trial, which already have a lot of experience with our product, but we're also talking to many other geographical centers, make sure That patients from other geographies have a center close nearby to where they are. Speaker 200:38:13Just a comment to a previous question you asked and Stacy answered a little bit Of course, we believe that our clinical data set, even though the primary endpoint did not hit statistical significance, We think that the body of evidence we bring forward, we are able to show statistical significant results once we're able to show and dive into More deeper into the data set, which you spent a lot of time and I don't want to repeat it for you. But therefore, I think that the question will be more focused on clinical, Why the biomarker data gives strong support to what we're seeing in the clinical as it covers even for the part of the score where we think it's not sensitive in the more advanced patients. But when you're able to eliminate advanced patients, we see both in the primary and secondary endpoints statistical significant results. Of course, we're not going to lay it out here. That's what we're going to do at the AdCom. Speaker 200:39:01But thank you very much for those questions, Jason. Speaker 600:39:05Hi, I'm Stacy. Thank you. Speaker 200:39:09Sure. Operator00:39:09Thank you very much. Okay. We don't appear to have any further questions in the queue. I can hand back over for closing comments. Speaker 200:39:34Thank you. I really appreciate that. It looks like Stacy did a wonderful job laying out the plan and there's no additional questions. So, let's we had a long call this morning, so let's get back the time to everyone listening. We want to thank you again For listening in in August mid of August to have so many investors listen again, it shows the importance to our investors Of our plan forward and we really thank you for listening in today. Speaker 200:40:00Thank you very much, Jenny. Back to you. Operator00:40:04Thank you, Chaim. This does conclude today's conference call. You may disconnect your phone lines at this time and have a wonderful day. Thank you for your participation.Read morePowered by