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Submitted Biological License Application to the FDA for NexoBrid EscharEx U.S. Phase 2 Study Resumed Patient Screening


GlobeNewswire Inc | Aug 6, 2020 07:01AM EDT

August 06, 2020

Submitted Biological License Application to the FDA for NexoBrid EscharEx U.S. Phase 2 Study Resumed Patient Screening

YAVNE, Israel, Aug. 06, 2020 (GLOBE NEWSWIRE) -- MediWound Ltd. (Nasdaq: MDWD) (the Company), a fully-integrated biopharmaceutical company bringing innovative therapies to address unmet needs in severe burn and wound management, today announced financial results for the second quarter ended June 30, 2020 and provided business and financial updates related to the COVID-19 pandemic.

Second Quarter Business and Financial Highlights

-- Revenues for the second quarter of 2020 were $4.0 million, compared with $20.7 million for the second quarter of 2019, which included the upfront payment of $17.5 million from the Vericel licensing agreement -- The Company had $24.4 million in cash and short-term investments as of June 30, 2020, compared with $29.5 million as of December 31, 2019 -- Resumed patient screening and randomization in U.S. EscharEx phase 2 adaptive design study for the treatment of venous leg ulcers (VLUs); Interim assessment is anticipated in the first half of 2021 -- Submitted Biologics License Application (BLA) to the U.S. Food and Drug Administration (FDA) for NexoBrid for the treatment of severe thermal burns in adults -- Instituted a series of measures to address challenges associated with the COVID-19 pandemic, while maintaining workforce and operational capacity and flexibility

We are pleased to have submitted the BLA for NexoBrid on schedule despite the disruptions of the COVID-19 pandemic. This submission is a major milestone in our long-term partnership with BARDA, and we are actively preparing for the commercial launch with our partner, Vericel, upon approval, said Sharon Malka, Chief Executive Officer of MediWound. In addition, we are actively recruiting and enrolling patients in our U.S. EscharEx phase 2 study, and we are encouraged to see progress in moving this trial forward.

Mr. Malka concluded, In recent months, humanity is facing tremendous challenges with a great deal of uncertainty. We are privileged to be among those tasked with improving patients quality of care and impacting their lives. Our solid balance sheet continues to support our growth as we execute on our strategic plans, and we are optimistic that we will continue to successfully strengthen our Company.

Corporate Update

MediWound has implemented several measures to safeguard the health and well-being of its employees, their families, and healthcare providers. The Company has reduced expenses to minimize impact to operations while ensuring full compliance with all necessary regulations. Management continues to assess the impact of the pandemic, the potential implications to business continuity, and necessary remedies and will adjust accordingly to the challenges created by any directives from regulatory authorities.

The Company continues to manufacture and supply NexoBrid to patients with severe burn injuries, including manufacturing NexoBrid and building an emergency stockpile for the U.S. Biomedical Advanced Research and Development Authority (BARDA), while the first delivery to BARDA is planned in the third quarter of 2020. The Company maintains a significant safety stock of all key raw materials and NexoBrid inventory to meet expected demand over the next several quarters. At this time, the Company does not expect any disruptions to its manufacturing operations and global supply chain.

The Company submitted a BLA to the U.S. FDA seeking the approval of NexoBrid for eschar removal (debridement) in adults with deep partial-thickness and full-thickness thermal burns. The BLA submission is based on multiple preclinical and clinical studies including the pivotal Phase 3 U.S. clinical study (DETECT) of NexoBrid in adult patients with severe thermal burns. Vericel Corporation (NASDAQ: VCEL) holds an exclusive license for North American commercial rights of NexoBrid. MediWound is eligible to receive a $7.5 million milestone payment from Vericel upon BLA approval.

On the clinical front, the Company has resumed new patients screening and randomization in its U.S. EscharEx phase 2 adaptive design study for the treatment of VLUs and expects to achieve the pre-defined interim assessment in the first half of 2021. In addition, enrollment in the NexoBrid expanded access (NEXT) program continues with enhanced safety measures, such as remote visits and virtual tools.

The Company had $24.4 million in cash and short-term investments as of June 30, 2020, compared with $29.5 million as of December 31, 2019, with no debt. The Company reiterates its expectations of cash use for operating activities in 2020 to be in the range of $8 to $10 million. At this time, the Company cannot predict the extent or duration of the impact of the COVID-19 outbreak on its ongoing financial and operational results.

Second Quarter Financial Results

Revenues for the second quarter of 2020 were$4.0 million, compared with $20.7 million for the second quarter of 2019, which included the upfront payment of $17.5 million from the Vericel licensing agreement. Revenues from product in the second quarter of 2020 were $1.1 million, reflecting an increase of 17% in comparison to the second quarter of 2019, excluding the one-time upfront payment.

Gross profit for the second quarter of 2020 was $1.2 million, compared to a gross profit of $17.5 million for the second quarter of 2019, which included $16.8 million from the Vericel licensing agreement.

Research and development expenses for the second quarter of 2020, net of participations, were$1.6 million, compared with$0.4 millionfor the second quarter of 2019. The increase was primarily due to decrease of participation by BARDA and Israeli Innovation Authority (IIA).

Selling, general and administrative expenses for the second quarter of 2020 were $2.3 million, in line with the second quarter of 2019.

Operating loss for the second quarter of 2020 was $2.7 million, compared with an operating profit of $13.9 million in the second quarter of 2019, which included the upfront payment of $17.5 million from the Vericel licensing agreement, net of royalty payment of $0.7 million and $0.8 million of other expenses.

The Company posted a net loss of$3.1 million, or$0.11 per share, for the second quarter of 2020 compared with a net profit of$12.7 million, or$0.47per share, for the second quarter of 2019, which included the $17.5 million upfront license payment, net of royalty payment of $0.7 million and $0.8 million of other expenses. Excluding the upfront license payment net of deal related costs, net loss for the second quarter of 2019 was $3.3 million, or $0.12 per share.

Adjusted EBITDA, as defined below, for the second quarter of 2020 was a loss of $2.1 million, compared with a profit of $15.4 millionfor the second quarter of 2019, which included the upfront payment of $17.5 million from the Vericel licensing agreement, net of royalty payment of $0.7 million.

Year-to-Date 2020 Financial Results

Revenues for the first half of 2020 were$8.5 million compared with $21.2 million in the first half of 2019, which included the $17.5 million upfront payment from the Vericel licensing agreement for NexoBrid.

The Companys net loss for the first half of 2020 was $5.6 million or $0.20 per share compared with net profit of $8.6 million or $0.32 per share for the first half of 2019, which included the $17.5 million upfront license payment, net of royalty payment of $0.7 million and $0.9 million of other expenses. Excluding the upfront license payment net of deal related costs, net loss for the first half of 2019 was $7.3 million, or $0.27 per share.

Adjusted EBITDA, for the first half of 2020, was a loss of $3.9 million, compared with a profit of $12.4 million for the first half of 2019, which included the upfront payment of $17.5 million from the Vericel licensing agreement, net of royalty payment of $0.7 million.

Conference Call

MediWoundmanagement will host a conference call for investorstoday, Thursday, August 6, 2020 beginning at8:30 a.m. Eastern Timeto discuss these results and answer questions. Shareholders and other interested parties may participate in the conference call by dialing 877-602-7189 (in the U.S.) 1809 315 362 (Israel), or 678-894-3057 (outside the U.S. & Israel) and entering passcode 3176168. The call also will be webcast live on the Companys website at http://ir.mediwound.com/events-and-presentations.

A replay of the call will be accessible two hours after its completion through August 27, 2020 by dialing 855-859-2056 (in the U.S.) or 404-537-3406 (outside the U.S.) and entering passcode 3176168. The call will also be archived on the Company website for 90 days at www.mediwound.com.

AboutMediWound Ltd.

MediWoundis a fully-integrated biopharmaceutical company focused on developing, manufacturing and commercializing novel therapeutics based on its patented proteolytic enzyme technology to address unmet needs in the fields of severe burns, chronic and other hard-to-heal wounds. MediWounds first innovative biopharmaceutical product, NexoBrid, non-surgically and rapidly removes burn eschar without harming viable tissue. The product has received marketing authorization from theEuropean Medicines Agencyas well as the Israeli, Argentinian, South Korean, Russian and Peruvian Ministries of Health. MediWounds second innovative product, EscharExis a topical biological drug candidate for the debridement of chronic and other hard-to-heal wounds using the same proteolytic enzyme technology as NexoBrid. In two Phase 2 studies, EscharEx has demonstrated safety and efficacy in the debridement of various chronic and other hard-to-heal wounds, within a few daily applications. For more information, please visitwww.mediwound.com.

About BARDA

The Biomedical Advanced Research and Development Authority (BARDA), part of the Office of the Assistant Secretary for Preparedness and Response within the U.S. Department of Health and Human Services, provides an integrated, systematic approach to the development and purchase of the necessary vaccines, drugs, therapies and diagnostic tools for public health medical emergencies. For more information, refer to www.phe.gov/about/BARDA. Funding and technical support for development of NexoBrid to obtain marketing approval in the U.S. including the expanded access treatment protocol (NEXT), the pivotal U.S. Phase 3 clinical study (DETECT) and the marketing approval registration process for NexoBrid in the U.S. is provided by BARDA, under the Assistant Secretary for Preparedness and Response (ASPR), within the U.S. Department of Health and Human Services (HHS), under ongoing USG Contract No. HHSO100201500035C. Additional projects for evaluation of NexoBrid funded under the BARDA contract include randomized, controlled pivotal clinical trial for use in pediatric population, establishment of a pre-emergency use data package and development of the health economic model to evaluate the cost savings impact to enable market adoption in the United States.

Cautionary Note Regarding Forward-Looking Statements

MediWoundcaution you that all statements other than statements of historical fact included in this press release that address activities, events, or developments that we expect, believe or anticipate will or may occur in the future are forward-looking statements. Although we believe that we have a reasonable basis for the forward-looking statements contained herein, they are based on current expectations about future events affecting us and are subject to risks, assumptions, uncertainties and factors, all of which are difficult to predict and many of which are beyond our control. Actual results may differ materially from those expressed or implied by the forward-looking statements in this press release. These statements are often, but are not always, made through the use of words or phrases such as anticipates, intends, estimates, plans, expects, continues, believe, guidance, outlook, target, future, potential, goals and similar words or phrases, or future or conditional verbs such as will, would, should, could, may, or similar expressions.

Specifically, this press release contains forward-looking statements concerning the anticipated progress, development, objectives, expectations, and commercial potential of NexoBrid and EscharEx. Among the factors that may cause results to be materially different from those stated herein are the inherent uncertainties associated with the timing and conduct of clinical trial and product development activities; the timing or likelihood of regulatory approvals; the ability to successfully develop and commercialize NexoBrid, including its commercial growth potential and the market demand for the product; the availability of funding from BARDA under its agreement withMediWoundfor use in connection with NexoBrid development activities; the timing of the NexoBrid delivery to BARDA, expected payments under the license agreement withVericel; competitive developments; whether FDA will accept all or part of the BLA and provide marketing approval for NexoBrid inthe United States; the risks related to the timing and conduct of NEXT Study; the ability to successfully develop and commercialize EscharEx, the design of the Phase 2 study, the timing of the interim assessment, the impact of applicable laws and regulations; and theuncertainties associated with the scope, scale and duration of the impact of the COVID-19 pandemic. For example, we areunable to predict how the pandemic will affect the overall healthcare infrastructure, including the pace with which governmental agencies, such as the FDA, will review and approve regulatory submissions. Additional government-imposed quarantines and requirements to shelter at home or other incremental mitigation efforts also may impact our ability to source supplies for our operations or our ability or capacity to manufacture, sell and support the use of NexoBrid in the future.

These and other significant factors are discussed in greater detail in MediWounds annual report on Form 20-F for the year endedDecember 31, 2019, filed with theSecurities and Exchange Commission(SEC) onFebruary 25, 2020, Quarterly Reports on Form 6-K and other filings with theSECfrom time-to-time. These forward-looking statements reflect MediWounds current views as of the date hereof andMediWoundundertakes, and specifically disclaims, any obligation to update any of these forward-looking statements to reflect a change in their respective views or events or circumstances that occur after the date of this release except as required by law.

Contacts: Investors:Boaz Gur-Lavie Jeremy FefferChief Financial Officer Managing Director, LifeSci AdvisorsMediWound Ltd. 212-915-2568ir@mediwound.com jeremy@lifesciadvisors.com

MediWound, Ltd.

CONDENSED CONSOLIDATED BALANCE SHEETSU.S. dollars in thousands

June 30, December 31, 2020 2019 2019 Un-audited AuditedCash, cash equivalents and short term deposits 24,382 38,712 29,458Accounts and other receivable 3,492 4,668 4,557Inventories 1,934 1,535 1,613Total current assets 29,808 44,915 35,628 Property, plant and equipment, net 2,326 2,183 2,304Right of use assets, net 2,086 2,315 2,229Intangible assets, net 396 462 429Total long-term assets 4,808 4,960 4,962 Total assets 34,616 49,875 40,590 Current maturities of long-term liabilities 1,321 896 569Trade payables and accrued expenses 2,423 4,073 4,067Other payables 6,040 5,889 5,737Total current liabilities 9,784 10,858 10,373 Deferred revenues 1,174 1,144 1,135Liability in respect of Israeli Innovation 7,130 6,919 6,811Authority grants net of current maturityContingent consideration for the purchase of 4,249 4,412 4,853shares net of current maturityLiability in respect of discontinued operation - 6,003 -Lease liabilities, net of current maturity 1,866 2,022 2,006Severance pay liabilities, net 281 338 243Total long-term liabilities 14,700 20,838 15,048 Shareholders' equity 10,132 18,179 15,169Total liabilities & shareholder equity 34,616 49,875 40,590

MediWound, Ltd.

CONDENSED CONSOLIDATED STATEMENT OF COMPREHENSIVE PROFIT (LOSS) (ANAUDITED)U.S. dollars in thousands

Six months ended Three months ended June 30, June 30, 2020 2019 2020 2019 Revenues 8,465 21,207 4,027 20,746Cost of revenues 6,018 3,788 2,809 3,481Gross profit 2,447 17,419 1,217 17,265 Operating expenses: Research and development, gross 3,312 6,075 1,593 1,893Participation by BARDA & IIA 19 -4,624 19 -1,721Research and development, net 3,331 1,451 1,612 172Selling, general & administrative 4,028 4,708 2,311 2,343Other expenses - 901 - 812Operating profit (loss) (4,912) 10,359 (2,706) 13,938Financial expenses, net (645) (1,803) (390) (1,222)Profit (loss) from continuing (5,557) 8,556 (3,096) 12,716operationsProfit from discontinued operation - 50 0 0Profit (loss) for the period (5,557) 8,606 (3,096) 12,716Foreign currency translation 1 2 0 (2)adjustmentsTotal comprehensive profit (loss) (5,556) 8,608 (3,096) 12,714 Net Profit (loss) per share (0.20) 0.32 (0.11) 0.47Weighted average number of ordinaryshares used in the computation 27,207 27,179 27,211 27,179of basic and diluted profit (loss) pershare:

MediWound, Ltd.

ADJUSTED EBITDAU.S. dollars in thousands Six months ended Three months ended June 30, June 30, 2020 2019 2020 2019Profit (loss) for the period (5,557) 8,606 (3,096) 12,716 Adjustments: Financial expenses, net (645) (1,803) (390) (1,222)Profit from discontinued operation - 50 - -Other expenses - (901) - (812)Depreciation and amortization (539) (552) (271) (278)Share-based compensation expenses (519) (599) (346) (324)Total adjustments (1,703) (3,805) (1,007) (2,636)Adjusted EBITDA (3,854) 12,411 (2,089) 15,352

MediWound, Ltd.

CONDENSED CONSOLIDATED STATEMENT OF CASH FLOW(UNAUDITED)U.S. dollars in thousands Six months ended Three months June 30, ended June 30, 2020 2019 2020 2019Cash Flows from Operating Activities: Net profit (loss) (5,557) 8,606 (3,096) 12,716 Adjustments to reconcile net profit(loss) to net cash used in continuing operating activities:Adjustments to profit and loss items: Profit from discontinued operation - (50) - -Depreciation and amortization 539 552 271 278Share-based compensation 519 599 346 324Revaluation of liabilities in respect of 424 (392) 226 (466)IIA grantsRevaluation of contingent consideration 348 1,322 196 1,081for the purchase of sharesRevaluation of lease liabilities 64 194 100 91Increase (decrease) in severance 40 (10) 19 13liability, netFinancing income (191) (149) (81) (87)Unrealized foreign currency (gain) loss 28 (70) (51) 60 1,771 1,996 1,026 1,294Changes in asset and liability items: Decrease (increase) in trade receivables 1,341 (9) 444 (318)Decrease (increase) in inventories (326) 146 65 (62)Decrease (increase) in other receivables (284) 2,744 (383) 2,482Increase (decrease) in trade payables (1,649) 1,357 (1,004) 1,076Increase in other payables & deferred 86 529 133 77revenues (832) 4,767 (745) 3,255Net cash provided by (used in) (4,618) 15,369 (2,815) 17,265continuing operating activitiesNet cash provided by discontinued - 50 -operating activitiesNet cash provided by (used in) (4,618) 15,419 (2,815) 17,265operating activities

MediWound, Ltd.

CONDENSED CONSOLIDATED STATEMENT OF CASH FLOW(UNAUDITED)-Cont.U.S. dollars in thousands Six months ended Three months June 30, ended June 30, 2020 2019 2020 2019 Cash Flows from Investment Activities: Purchase of property and equipment (244) (433) (100) (194)Interest received 42 44 39 14Proceeds from short term bank deposits, 10,595 2,977 7,603 412net of investmentsNet cash provided by investing activities 10,393 2,588 7,542 232

Cash Flows from Financing Activities:Repayment of lease liabilities (313) (312) (153) (157)Proceeds from IIA grants, net of (66) 193 - 248repaymentsNet cash (used in) provided by financing (379) (119) (153) 91activities Exchange rate differences on cash and (26) 63 57 (55)cash equivalent balances Increase in cash and cash equivalents 5,370 17,901 4,631 17,533from continuing activitiesIncrease in cash and cash equivalents - 50 - -from discontinued activitiesBalance of cash and cash equivalents at 7,242 6,716 7,981 7,134the beginning of the periodBalance of cash and cash equivalents at 12,612 24,667 12,612 24,667the end of the period









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