Tuesday's Small Cap Biopharma Catalyst Trade List

Trading biophama stocks before a catalyst event, if done correctly, can be a very profitable proposition. Some traders and investors who enjoy bringing more risk into play often times will hold through the actual catalyst event. While this does bring more risk into play, the reward from engaging in this can be a massive one.

Today, I list five small-cap companies and their respective catalyst events for traders to consider. Small-cap biopharmas can experience very volatile price moves, so it's wise to take this into consideration before engaging into a trade with them.

Synta Pharma (SNTA)

Catalyst 1: Synta expects results from its Phase I compassionate use trial, where a single patient was treated with Elesclomol.

The study was designed as a dose-escalation of Elesclomol sodium in a single patient with relapsed or refractory acute myeloid leukemia (AML). The primary objectives of the study are to characterize safety, tolerability, and pharmacokinetics.

Elesclomol is a first-in-class, investigational drug candidate that triggers programmed cell death (apoptosis), in cancer cells by disrupting cancer cell energy metabolism. This is done by selectively targeting the electron transport chain in cancer cell mitochondria.

Catalyst 2: In September, Synta provided an update from an interim analysis of the Phase IIb portion of its GALAXY trial. This trial is a global, randomized, multi-center Phase IIb/III study designed to evaluate the efficacy and safety of the company's lead Hsp90 inhibitor, ganetespib, as second-line treatment for advanced non-small cell lung cancer (NSCLC). The results showed good tolerability for the combination of ganetespib and docetaxel, as well as meaningful improvements in overall survival in adenocarcinoma patients receiving both drugs compared to those receiving docetaxel alone.

The company expects to complete enrollment in the trial by the end of this year, and also expects the final progression-free survival (PFS) primary endpoint data in the first half of 2013. Synta also plans to meet with the FDA for transition to the Phase III portion of the GALAXY trial before the end of this year.

Catalyst 3: Preliminary results from the Phase II CHIARA trial are expected by the end of this year. The trial is evaluating ganetespib monotherapy for the treatment of Anaplastic Lymphoma Kinase (ALK) + Non-Small Cell Lung Cancer (NSCLC) patients not previously treated with a direct ALK inhibitor such as crizotinib.

Catalyst 4: Data from Phase II proof-of-concept trial of single-agent ganetespib in HER2+ or triple negative breast cancer patients is expected in by the end of this year.

With 4 near term catalysts approaching for Synta, I consider this one to be the best trade of the bunch. I believe the stock price could easily be touching the $10 mark within the next 4 to 6 weeks.

To date, the company has met its goals in all of the above programs. I see no reason why things should change now. Investors might want to keep a close eye on this company a year or so down the road, as Synta might become a good long-term investment vehicle.

Alexza Pharma (ALXA)

Catalyst 1: Adasuve (Staccato loxapine) is Alexza's lead program, which is being developed for the acute treatment of agitation associated with schizophrenia or bipolar I disorder in adults. Alexza completed and announced positive results from both of its Phase III clinical trials and initially submitted the Adasuve NDA in December 2009. In October 2010, the company received a Complete Response Letter (CRL) from the FDA regarding the application.

The company completed an end-of-review meeting with the FDA in December 2010, a REMS guidance meeting with the FDA in April 2011, and the Adasuve NDA was resubmitted in August 2011. In December 2011, the Adasuve NDA was the subject of an advisory committee meeting.

In January of this year, Alexza received notice of a 90-day extension of the PDUFA goal date, from February 4, 2012 to May 4, 2012. In May 2012, Alexza received a second CRL from the FDA regarding the Adasuve NDA and on June 22, 2012, the company resubmitted the Adasuve NDA. The resubmitted Adasuve NDA has a PDUFA goal date of December 21, 2012.

Catalyst 2: Alexza is expecting a decision on its Marketing Authorization Application (MAA) submitted to the European Medicines Agency (EMA) for Adasuve. This decision is scheduled for the middle of December, 2012.

If the FDA rejects Adasuve again, it's likely Alexza as a company will not survive because they will simply run out of cash. At the very least, the company would have to engage in dilutive financing to survive. While I believe this will not occur, Holding Alexza through the FDA catalyst date has to be considered very high risk. However, a high reward can be expected as I believe the stock will double on FDA approval.

Alexza has a very small float of which over 17% of it is held short. An FDA approval for Adasuve would also likely cause a short squeeze. It's a good bet the smarter shorts will be covering their positions as we draw close to both catalyst event dates.

BioLineRx (BLRX)

Catalyst: The company's lead product candidate, BL-1020 (GABA-enhanced dopamine antagonist anti-psychotic agent) is being evaluated in a Phase IIb/III (CLARITY) clinical trial in Romania and India with a planned interim analysis during Q1 2013 and final results expected H2 2013.

The CLARITY study is evaluating the safety and effectiveness (cognitive function) of BL-1020 at six weeks and six months compared to approved drug, RISPERDAL, and placebo. The benefits of this drug were demonstrated in patients during a previously completed Phase IIb (EAGLE) clinical trial.

BL-1020 is a first in class, orally available, GABA-enhanced antipsychotic for the treatment of schizophrenia. The interim analysis will be performed on data of approximately 235 randomized patients from 27 sites in Romania and India. The primary endpoint of the analysis will be the six-week effect of the drug on cognitive function, which is a principal deficit in schizophrenia patients.

A recent re-analysis of the results of the Phase IIb EAGLE clinical trial of BL-1020 showed that, when taking into account effects of the circadian rhythm (i.e., 24-hour time cycle) on cognitive function of the subjects, BL-1020 is even more potent in improving cognitive function than initially thought. The ramifications of this re-analysis have been taken into account in the execution of the CLARITY trial.

With a tiny trading float of around 12m shares, positive data results that should provoke strong buying volume, would move the stock considerably higher. BioLine is an interesting little company I feel traders and high risk investors should take a closer look at as this catalyst event date draws closer.

Keryx Biopharma (KERX)

Catalyst: Zerenex, the company's oral, ferric iron-based drug candidate for the treatment of hyperphosphatemia in end-stage renal disease patients on dialysis, is currently in Phase III clinical development pursuant to a Special Protocol Assessment (SPA) agreement with the FDA. The Zerenex Phase III registration program is comprised of an already completed Phase III short-term study, and an ongoing Phase III long-term study.

The data results are set to be announced by the end of this year, with a planned NDA filing for the first quarter of 2013.

In the U.S., according to data from the U.S. Renal Data System, there are approximately 485,000 patients with end-stage renal disease, or ESRD. The number of ESRD patients is projected to rise 60% to approximately 785,000 by 2020. The vast majority of ESRD patients, over 350,000, require dialysis.

Phosphate retention and the resulting hyperphosphatemia in patients with ESRD on dialysis are usually associated with secondary hyperparathyroidism, renal osteodystrophy, soft tissue mineralization and the progression of renal failure. ESRD patients usually require treatment with phosphate-binding agents to lower and maintain serum phosphorus at acceptable levels.

Obviously, there is large market potential for Zerenex, but the company needs the drug to show positive data since earlier this year, Top-Line Data from its clinical drug Perifosine, failed to meet its endpoint in treating patients with refractory advanced colorectal cancer versus placebo.

If Zerenex fails to show positive data here, this would be a death blow to the company. Positive results however will certainly rally the stock, potentially surpassing its 52 week high.

Hemispherx Biopharma (HEB)

Catalyst: The FDA has scheduled an Advisory Committee Members Meeting (ADCOMM) to discuss the Ampligen New Drug Application for Chronic Fatigue Syndrome (CFS) which is currently under review by the FDA. The date of the ADCOMM review has been tentatively set for December 20, 2012. As previously announced, the PDUFA goal for the FDA to complete its review is February 2, 2013.

Currently, there are no approved treatments for CFS and patient advocacy groups are pushing hard to have one available that is both a safe and effective treatment.

However, as many point out, Hemispherx's Phase III studies here might not be up to what the FDA wants to see in order to approve the drug. I do think it's entirely possible the agency might make an exception here because as mentioned prior, there are no Rx treatments for CFS. A recommendation for approval here of Ampligen by the ADCOMM would surprise many. This surprise would lead to a huge gap up as much as 200% in my estimation, if the ADCOMM does in fact give the drug the green light.

Hemispherex is the riskiest trade out of five mentioned in this write-up. I feel Synta has the most short-term upside potential, while Alexza see the largest stock percentage gain, if Adasuve is approved.

Disclosure: I am long SNTA.