SNGX: Second Confirmatory Phase 3 Trial of HyBryte™ in CTCL to Initiate Before End of 2024…

    Date:

    By David Bautz, PhD

    NASDAQ:SNGX

    READ THE FULL SNGX RESEARCH REPORT

    Business Update

    Reaches Agreement with European Medicines Agency on Second Confirmatory Trial for HyBryte™

    On April 3, 2024, Soligenix, Inc. (NASDAQ:SNGX) announced it has reached agreement with the European Medicines Agency (EMA) on the key design elements for a confirmatory Phase 3 trial of HyBryte (synthetic hypericin) for the treatment of cutaneous T cell lymphoma (CTCL).

    The proposed Phase 3 FLASH 2 trial will be a randomized, double blind, placebo controlled, multicenter study that will enroll approximately 80 subjects with CTCL. HyBryte will be applied topically to CTCL lesions twice weekly for 18 weeks, with each application followed 21 (± 3) hours later by the administration of visible light at a wavelength of 500 to 650 nm. The light will be administered starting at 6 J/cm2 and will be increased upwards by 2 J/cm2 until: 1) the patient experiences a Grade 1 erythema; 2) the patient reaches a maximum dose of 30 J/cm2, or 3) the patient cannot tolerate the treatment time, whichever comes first. All of the subjects’ lesions that are readily available to the visible light source will be treated and 3 to 5 index lesions will be prospectively identified and indexed for the modified composite assessment of index lesions severity (mCAILS) evaluation prior to randomization. The primary endpoint will be assessed by the percent of patients in each treatment group (HyBryte or placebo) achieving a Partial or Complete Response of the treated lesions defined as a ≥50% reduction in the total mCAILS score for the 3-5 index lesions following 18 weeks of treatment compared to the total mCAILS score at baseline. Following treatment, subjects will be followed every 4 weeks for a total of 12 weeks (through Week 30). One interim analysis is planned after 60% of the total subjects have completed the primary endpoint evaluation. A sample size recalculation may be performed after examining the assumptions or the trial can be halted for futility, safety concerns, or overwhelming efficacy. The figure below gives a comparison between the proposed FLASH2 trial and the previously completed FLASH trial. The similarities between the two increases our confidence in a successful outcome for the FLASH2 trial.

    We anticipate that the trial will begin enrollment prior to the end of 2024 and topline results are expected in the second half of 2026. The company is continuing discussions with the U.S. Food and Drug Administration (FDA) on an appropriate study design as the agency has expressed a preference for a longer duration comparative study over a placebo-controlled trial.

    Orphan Drug Designation for Marburg Marburgvirus Vaccine

    On April 15, 2024, Soligenix announced that the U.S. FDA has granted orphan drug designation (ODD) to the active ingredient in MarVax™, the subunit protein vaccine of recombinantly expressed Marburg marburgvirus (MARV) glycoprotein, for “the prevention and post-exposure prophylaxis against MARV infection”.

    ODD is designed to assist companies that are developing therapies for rare diseases and disorders, defined as those that affect 200,000 people or fewer in the U.S. Drugs granted ODD receive a seven year term of market exclusivity upon final FDA approval. In addition, financial and regulatory benefits are available including government grants to conduct clinical trials, waiver of FDA user fees, and certain tax credits.

    MarVax addresses the potentially lethal Marburg Virus Disease caused by MARV. While vaccines exist for Zaire ebolavirus, they are ineffective against MARV. MarVax is based on the company’s novel vaccine platform that consists of a robust protein manufacturing process, a nano-emulsion adjuvant that induces a strong immune response, and thermostabilization of the adjuvant and antigen in a single vial that is stable at elevated temperatures for extended timeframes.

    Patent Protection Extended for Filovirus Vaccine Platform

    On April 25, 2024, Soligenix announced it received notice of intent to grant additional patents based on its patent application titled “Compositions and Methods of Manufacturing Trivalent Filovirus Vaccines” in the United Kingdom and South Africa, with other jurisdictions pending. Multiple patents have previously been issued in the U.S. within the same patent family. The described vaccine platform was previously used to successfully produce mono-, bi-, and tri-valent candidates for Zaire ebolavirus, Sudan ebolavirus, and Marburg marburgvirus.

    Financial Update

    On May 10, 2024, Soligenix announced financial results for the first quarter of 2024. The company reported revenues of $0.1 million for the first quarter of 2024, compared to $0.3 million for the first quarter of 2023. The revenues are derived from government contracts and grants to support the development of SGX943 for treatment of emerging and/or antibiotic resistant infectious diseases, development of CiVax™, and evaluation of HyBryte for expanded treatment in patients with early-stage CTCL. R&D expenses for the first quarter of 2024 were $1.1 million, compared to $0.9 million for the first quarter of 2023. The increase was primarily due to an increase in preliminary costs associated with the anticipated initiation of the Phase 2 study in Behcet’s Disease and the second confirmatory Phase 3 CTCL trial. G&A expenses for the first quarter of 2024 were $1.0 million, compared to $1.2 million for the first quarter of 2023. The decrease was primarily due to a decrease in legal and professional fees.

    Soligenix exited the first quarter of 2024 with approximately $4.3 million in cash and cash equivalents. Subsequent to the end of the quarter, the company raised gross proceeds of $4.75 million through the sale of 11.875 million shares at $0.40 per share along with 11.875 million warrants with an exercise price of $0.40 per share and a five-year expiration date. As of May 3, 2024, Soligenix had approximately 15.8 million shares outstanding, and when factoring in stock options, warrants, and the potential convertible debt the fully diluted share count is approximately 45.7 million.

    Conclusion

    We look forward to the initiation of the second confirmatory Phase 3 clinical trial of HyBryte and we’re confident that the FDA will come to an agreement with the company soon on its preferences for the trial. After taking into account the recent financing our valuation is now at $2.00 per share.

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