Capricor Therapeutics Q22019 Update

Capricor Therapeutics - Q2-2019 Update

18:52 EDT 6 Aug 2019 | Biotech Watcher


On Tuesday, August 6, 2019, Capricor Therapeutics (CAPR) announcedQ2-2019 results and held a conference call.

Abstract

Capricor Therapeutics (CAPR) is a small Beverly Hills biopharmaceutical developing innovative treatments to treat heart disease. Capricor’s lead product is CAP-1002, which consist of cardiosphere-derived regenerative cells (CDCs). These are taken from harvested cardiac stem cells and then cultured into enough doses for the clinical trial.
HOPE-2 focuses on treating early-stage, non-ambulatory, DMD patients. HOPE-2 involves a systemic, instead of local infusion of CAP-1002 cells. Patients also receive a redosingor “booster shot” every three months, and it’s a stronger dose than given in the earlier trial: HOPE-1.
On July 14, Capricor announced interim results from 6-month data. There are 18 patients currently advancing within the HOPE-2 trial, with only 13 having advanced beyond 6-months.At 6-months, the patients were measured after their 2nd“booster dose” or redosing.
The primary endpoint is the PUL 2.0, a measure of upper limb strength at 12 months. With this early look at 6-months and only 13 patients in both groups, the CAP-1002 patients performed better than those that received the placebos (p = 0.0389)!

Background Readings

If you want to get updated, you may wish to skim our commentary on Capricor’s previous financial report and guidance:
Our Commentary on the PPMD Webinar on the HOPE-2 Results (July 17, 2019)
Our Commentary on the HOPE-2 Trial Interim Results (July 15, 2019)

Financial Summary

Basic Facts for Quarter Ending June 30, 2019
(In Thousands unless otherwise noted)
Q2-2019
Q1-2019
Q2-2018
Grants & Other Revenue
410
231
287
Total Income
410
231
404
R&D Expense
1,644
1,811
3,389
G&A Expenses
832
976
1,178
Total Operating Expenses
2,476
2,788
4,567
Operating Income (Loss)
(2,066)
(2,557)
(4,163)
Net Income (Loss)
(2,519)
(2,519)
(4,124)
Comprehensive Income (Loss)
Inc. gains/losses on securities
(2,046)
(2,532)
(4,126)
Basic & diluted profit (loss) per share
(0.59)
(0.59)
(0.08)
(0.08)
(1.42)
(1.42)
Avg. Shares Outstanding (Basic)
3,458
3,290
2,903
Recent Price (per share)
$3.75
(8/6/19)
$4.20
(5/13/19)
$12.10
(7/27/18)
Market Capitalization
13M
14M
35M
Cash & Short-term Investments
$5,891
$7,170
$6,339
Marketable Securities
-
185
5,995
During July 2019, Capricor also raised $1.3M at an average price of $0.59 per share drawn from an at-the-market offering. CFO AJ Bergmann says Capricor has enough cash to last into Q1-2020.
The company hopes to file an IND for a phase 1 clinical trial on its exosomes product (CAP-2003) in the near future. The military is interested in a portable version. We think this to mean a lyophilized or powdered product.
Capricor management stated that a meeting with the FDA will occur in early Q4-2019 and they should receive guidance regarding the approval pathway for CAP-1002 to treat Duchenne muscular dystrophy. Until then, we should stay tuned.

Milestones

CAP-1002 –Duchenne Muscular Dystrophy & Adult Heart Diseases
Cardiac tissue is extracted from cadavers and then explants are extracted and cultured in the lab. The aggregated cells are cardiospheres. These cardiospheres are efficiently multiplied and implanted into the patients. These implanted cells are called “cardiosphere-derived cells” or CDCs.
Duchenne Muscular Dystrophy – HOPE-2 Trial - Repeat Dosing & Chronic Administration - Skeletal Muscle Function
Capricor is expanding from the heart to skeletal muscle recovery in DMD patients. This will require systemic infusion, and thus a greater dose. The recent interim study results showed that a single dose to the heart results provides measurable advantages at 3 months, and that it largely dissipates at 6 months.The trial redoses every 3 months. The primary endpoint is based on the middle PUL (Performanceof the UpperLimb) scores at 12 months.
The animal models did not display a meaningful immune response to the allogeneic cells. It will be crucial for the “booster shots” to show safety and prolonged efficacy.
The ongoing trial, HOPE-2, has a randomized, double-blind, placebo-controlled design The majority of the 18 DMD patients are early-stage non-ambulatory (wheelchair). The redosing interval will be 3-months.The mid-PUL test at baseline vs. 12 months is the primary efficacy endpoint.
Capricor received an RMAT designation as well as Orphan and Rare Pediatric Disease designations from the FDA.
FDA Meeting over 6-Month HOPE-2 TrialResults and Guidance
Q4-2019
Top-line 12-Month Results -HOPE-2 Trial in 17 DMD Patients
Receive 150M cells of CAP-1002 or Placebo at every 3 months
1H-2020
Independent Investigator Trials – Adult Heart Diseases
Capricor’s co-Founder, Eduardo Marban, is the lead investigator in these trials. He is the Cardiology Chief at Cedars-Sinai Medical Center in West Los Angeles. The studies advance the clinical development of CAP-1002 in different cardiovascular diseases: heart failure with preserved ejection fraction and pulmonary arterial hypertension (PAH). In both trials, CAP-1002 is infused through the coronary arteries.
With good results, Capricor may advance these indications through in-house programs.
Top-line Results – Phase 2a Regress-HFPEF Trial – 40 Pts with Heart Failure with Preserved Ejection Fraction – Randomized, double-blind, placebo-controlled study. The endpoints focus on functional measures as well as MRI-assessed fibrosis.
January 2020*
ALlogeneic Cardiosphere-derived Stem Cells (CDCs) for Pulmonary Hypertension therApy
The open-label, single-arm dose escalation phase 1a part has 6 patients
Double-blind, placebo-controlled Phase 1b part has 20 patients
1H-2020
CAP-2003 (Exosomes) – Organ Diseases
Exosomes serve as a primitive, robust way for intercellular communication.It is a lipid bilayer that is secreted by cells and in Capricor’s case, it contains some microRNA growth factors that transmit regenerative instructions to cells.The goal is to recreate the rejuvenation and tissue repair of present stem-cell therapies without its associated hazards (e.g. immunogenicity).
Capricor and affiliated scientists have established that the exosomes are the regenerative source within CAP-2003. Exosomes elicit a weaker immune response than CAP-2003 and have a lower cost of goods coupled with a greater ease of manufacturing. CAP-2003 is an especially promising (future) candidate for retreatment dosing in future trials.
Hypoplastic Left Heart Syndrome (HLHS)
HLHS occurs in about 1,000 patients in the United States. It is a serious, pediatric orphan disease. In Phase I and II trials, Japanese investigators reportedsuccessusingcardiosphere-derived cells(CDCs) in HLHS patients. This provides proof of concept as Capricor advances its CDC-derived exosomes.
IND Submission
TBA
Launch Phase 1 Trial
TBA
Inflammatory Disease TBA
   IND Submission
TBA
U.S. Army Institute of Surgical Research (USAISR)
The military surgical research team is studying CAP-2003 for possible use with severely injured soldiers. It desires a formulation that is stable at room temperature, which implies a lyophilized (freeze-dried) preparation.
Capricor may then receive solid data that extends well beyond the usual reach for a Phase 1 trial.
Ongoing Research & Clinical Application
TBA
*Guesstimate

Our Thoughts

Our thoughts haven’t changed since our recent update. Although Capricor has raised $1.3M, we think a larger infusion of capital is on the docket. Is the management hoping to interest strong hands? Is it hoping to raise the funds after receiving guidance from the FDA for its approval pathway?
Until then, we will stay tuned.
(At the time this was written, one or more BioWatch staff owned a long position in CAPR)
This blog post is fromThe Biotech Watcher
And about us, see http://alanhobbes.blogspot.com/2014/12/welcome-to-my-personal-thoughts-about.html

Original Article: Capricor Therapeutics - Q2-2019 Update

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