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Cleveland BioLabs: Potential Funding Could Be Pivotal Event

Published 01/16/2013, 01:11 AM
Updated 07/09/2023, 06:31 AM
Investment summary: First line of (bio)defence

Cleveland BioLabs’ (CBLI) biodefence franchise is fundamental to its near-term investment case and 2013 should see significant progress in the development of Entolimod (CBLB502) as the first available treatment for acute radiation syndrome (ARS). A potential development funding contract from BARDA in H113 is a major stock catalyst and financing event. Pivotal studies in animals and humans are planned for 2013 and a BLA submission is targeted for Q414. Entolimod, a TLR5 agonist, also holds potential as an anti-cancer agent, with a Phase I study to complete in Q413.

Animal efficacy rules OK
The FDA created the Animal Efficacy Rule in 2002 to encourage and enable the development of new products when human efficacy studies are not ethical or feasible. To date, four products have been approved under this pathway, two gaining approval in 2012 (raxibacumab for inhalational anthrax and levofloxacin for plague), confirming the viability of this regulatory process for Entolimod.

Efficacy in animals, safety in humans
A pivotal study of Entolimod in 179 non-human primates (single im admin 25 hours after total body irradiation) demonstrated efficacy at the highest-anticipated radiation level requested by the FDA (60-day survival rate of 75% for Entolimod vs 28% placebo), a dose response and validation of biomarkers (G-CSF and IL-6). Human safety trials have been completed in 150 healthy volunteers and Cleveland is planning further pivotal animal efficacy and human safety studies through 2013. A pre-emergency use authorisation (EUA) submission is also targeted for Q313; most countermeasures stockpiled by the US government are procured through an EUA.

Longer-term oncology play
Entolimod’s TLR5 agonist activity delivers protective qualities (via healing cytokines/ anti-apoptotic factors) but also mobilises an innate immune response, particularly against TLR5+ tumours (eg liver, breast, colon, lung). Cleveland is conducting a Phase I study of Entolimod in 48-patients with unresectable solid tumours, with results due in H114. Two further oncology candidates (CBL0137 and CBL0102) are also undergoing Phase I studies through a Russian subsidiary, Incuron.

Valuation: Undemanding $35m EV
With $35m cash after a $13.8m public offering in October 2012, Cleveland’s EV of $35m is undemanding with potential upside from a BARDA contract in H113. The stock may also offer an attractive entry point with a view to Cleveland’s future in oncology. We intend to initiate full coverage of Cleveland BioLabs in due course.

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