Regulatory Update
On August 11, 2020, the Company, together
with Chiesi Farmaceutici S.p.A. (“Chiesi”), announced that the
U.S. Food and Drug Administration (the “FDA”) had accepted the Biologics
License Application (“BLA”) for PRX-102, and granted Priority Review designation for PRX-102, for the proposed
treatment of adult patients with Fabry disease. The FDA noted in its BLA filing communication letter for PRX-102 that it is not
currently planning to hold an advisory committee meeting to discuss the application. The FDA initially set an action date of January
27, 2021, under the PDUFA. However, as the Company previously announced, in November 2020, the FDA extended the PDUFA action date
to April 27, 2021. As the Company publicly disclosed last year, the FDA advised the Company that it will have to inspect the Company’s
manufacturing facility and the facility of a third party in Europe that performs fill and finish processes for PRX-102 as part
of the FDA’s review of the BLA to ensure cGMP compliance. Due to COVID-19-related FDA travel restrictions, the FDA has advised
that it may be unable to conduct the inspections prior to the PDUFA action date. The Company, together with Chiesi, is currently
addressing this issue.
BRIDGE Study
On December 30, 2020, the Company announced
final study results from the BRIDGE Study. The BRIDGE Study was a Phase III 12-month open-label, single arm switch-over study evaluating
the safety and efficacy of PRX-102, 1 mg/kg infused every two weeks, in up to 22 Fabry patients previously treated with agalsidase
alfa, marketed by Takeda Pharmaceutical Company Limited (formerly Shire Plc) as Replagal®, for at least two years
and on a stable dose for at least six months. Twenty of 22 patients completed the 12-month treatment duration. Eighteen of the
patients who completed the study opted to roll over to a long-term extension study and continue to be treated with PRX-102.
As announced in May 2020, in the study,
the mean annualized eGFR slope of the study participants improved from -5.90 mL/min/1.73m2/year while on agalsidase
alfa to -1.19 mL/min/1.73m2/year on PRX-102 in all patients. Male patients improved from -6.36 mL/min/1.73m2/year
to -1.73 mL/min/1.73m2/year and female patients improved from -5.03 mL/min/1.73m2/year
to -0.21 mL/min/1.73m2/year.
Final results of the data generated in
the study showed substantial improvement in renal function as measured by mean annualized eGFR slope in both male and female patients
who were switched from agalsidase alfa to PRX-102. Following the switch to PRX-102, there was a decrease in patients with progressing
or fast progressing kidney disease, and most patients achieved a stable status post-switch.
PRX-102 was well-tolerated in the BRIDGE Study with all adverse
events being transient in nature without sequelae. Of the 22 patients enrolled in the BRIDGE Study, the majority of treatment emergent
adverse events were mild or moderate in severity, with two patients (9.1%) withdrawing from the therapy due to hypersensitivity
reaction that was resolved. The most common moderate treatment emergent adverse events were nasopharyngitis, headache and dyspnea.
An immunogenicity assessment indicated that four out of 20 patients (20%) developed persistent antidrug antibodies over the course
of the study, of which two had neutralizing activity.
Baseline characteristics of the 20 patients
that completed the BRIDGE Study, ranging from ages 28 to 60 years, were as follows: mean eGFR slope of 75.87 mL/min/1.73m2
in males, and 86.14 mL/min/1.73m2 in females and plasma lyso-Gb3 mean levels were 51.81 nM and 13.81 nM
in males and females, respectively. While lyso-Gb3 levels remain slightly high, particularly within the male cohort,
continuous reduction in lyso-Gb3 levels was observed of 19.55 nM (32.35%) in males and 4.57 nM (29.81%) in
females.
SarcoMed License Agreement
In February 2021, the Company entered into
an exclusive worldwide license agreement with SarcoMed USA Inc. (“SarcoMed”)
for PRX-110, a product candidate designed for use in the treatment of human respiratory disease or conditions including,
but not limited to, sarcoidosis, pulmonary fibrosis, and other related diseases, via inhaled delivery. Under the terms of the agreement,
SarcoMed will be responsible for the identification and selection of pharmaceutical candidates under the license, and the clinical
research and development of such candidates. The Company is entitled to an initial cash payment of $3.5 million, subject to certain
conditions, and to additional regulatory and commercial milestone payments and tiered royalties on net sales of products that are
commercialized under the license agreement. In addition, the Company and SarcoMed have agreed to commence negotiation of clinical
and commercial supply agreements for PRX-110. As part of the arrangement, the Company and SarcoMed have agreed to negotiate and
sign a supply agreement within 60 days of the execution of the license agreement, and SarcoMed has the right to terminate the license
agreement if the parties do not successfully do so.
Offering Press Releases
On February 11, 2021, the Company issued
press releases announcing the commencement and pricing of the offering. Copies of the press releases are attached as Exhibit 99.1
and Exhibit 99.2 hereto and are incorporated by reference into this Item 8.01.
Forward Looking Statements
To the extent that statements in this current
report on Form 8-K are not strictly historical, all such statements are forward-looking, and are made pursuant to the safe-harbor
provisions of the Private Securities Litigation Reform Act of 1995. The terms "expect," "anticipate," "believe,"
"estimate," "project," "may," "plan," "will," "would," "should"
and "intend," and other words or phrases of similar import are intended to identify forward-looking statements. These
forward-looking statements are subject to known and unknown risks and uncertainties that may cause actual future experience and
results to differ materially from the statements made. These statements are based on our current beliefs and expectations as to
such future outcomes. For a discussion of other risks and uncertainties which could cause actual results to differ from those contained
in the forward-looking statements, see "Risk Factors" in the Company's Annual Report on Form 10-K, subsequent Quarterly
Reports on Form 10-Q and other reports filed with the SEC. We caution readers not to place undue reliance upon any forward-looking
statements as the statements in this current report on Form 8-K are valid only as of the date hereof and we disclaim any obligation
to update this information, except as may be required by law.