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TILS Tiziana Life Sciences Plc

58.50
0.00 (0.00%)
16 Apr 2024 - Closed
Delayed by 15 minutes
Share Name Share Symbol Market Type Share ISIN Share Description
Tiziana Life Sciences Plc LSE:TILS London Ordinary Share GB00BKWNZY55 ORD 3P
  Price Change % Change Share Price Bid Price Offer Price High Price Low Price Open Price Shares Traded Last Trade
  0.00 0.00% 58.50 45.00 60.00 0.00 01:00:00
Industry Sector Turnover Profit EPS - Basic PE Ratio Market Cap
0 0 N/A 0

Tiziana Life Sciences PLC Amended - Final Results (0209Z)

18/05/2021 12:18pm

UK Regulatory


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TIDMTILS

RNS Number : 0209Z

Tiziana Life Sciences PLC

18 May 2021

Tiziana Life Sciences PLC

("Tiziana" or the "Company")

Amended - Final Results for the Year Ended 31 December 2020

London / New York 18 May 2021 - Tiziana Life Sciences plc (Nasdaq: TLSA / AIM: TILS), (the "Company" or "Tiziana"), a biotechnology company focused on innovative therapeutics for oncology, inflammation, and infectious diseases, today announces its financial results for the year ended 31 December 2020.

For the complete Annual Report & Financial Statements year ended 31 December 2020 for Tiziana Life Sciences plc, go to https://ir.tizianalifesciences.com/financial-information/annual-reports

This announcement contains inside information for the purposes of Article 7 of Regulation 2014/596/EU (which forms part of domestic UK law pursuant to the European Union (Withdrawal) Act 2018 ("UK MAR"). Upon the publication of this announcement, this inside information (as defined in UK MAR) is now considered to be in the public domain. For the purposes of UK MAR, the person responsible for arranging for the release of this announcement on behalf of the Company is Keeren Shah, Chief Financial Officer.

For further enquiries:

 
Tiziana Life Sciences plc 
 Gabriele Cerrone, Chairman and founder   +44 (0)20 7493 2379 
 
Optiva Securities Limited (Broker) 
 Robert Emmet                               + 44 (0)20 3981 4173 
 

About Tiziana Life Sciences plc

Tiziana Life Sciences plc is a dual listed (NASDAQ: TLSA & UK LSE: TILS) biotechnology company that focuses on the discovery and development of novel molecules to treat human diseases in oncology, inflammation, and infectious diseases. In addition to Milciclib, the Company will be shortly initiating Phase 2 studies with orally administered Foralumab for Crohn's Disease and nasally administered Foralumab for progressive multiple sclerosis. Foralumab is the only fully human anti-CD3 monoclonal antibody ("mAb") in clinical development in the world. This Phase 2 compound has potential application in a wide range of autoimmune and inflammatory diseases, such as Crohn's Disease, multiple sclerosis, type-1 diabetes ("T1D"), inflammatory bowel disease ("IBD"), psoriasis and rheumatoid arthritis, where modulation of a T-cell response is desirable. The Company is accelerating development of anti-Interleukin 6 receptor ("IL6R") mAb, a fully human monoclonal antibody for treatment of IL6-induced inflammation, especially for treatment of COVID-19 patients.

For more information go to http://www.tizianalifesciences.com

EXECUTIVE CHAIRMAN'S STATEMENT

I am pleased to report on the Company (Tiziana Life Sciences PLC) and its subsidiaries, together the 'Group', results for the year ended 31 December 2020.

Tiziana Life Sciences is a dual-listed (NASDAQ: TLSA, LSE:TILS) clinical stage biotechnology company that specializes in the developing transformative therapies for autoimmune and inflammatory diseases, degenerative diseases and cancer related to the liver. Our clinical pipeline includes drug assets for Crohn's Disease, COVID-19, Secondary Progressive Multiple Sclerosis and Hepatocellular Carcinoma. Tiziana is led by a team of highly qualified executives with extensive drug development and commercialization experience.

Background

The Group is focused on the discovery and development of novel molecules and related diagnostics to treat high unmet medical needs in oncology and immunology. Our mission is to design and deliver next generation therapeutics and diagnostics for oncology and immune diseases of high unmet medical need by combining deep understanding of disease biology with clinical development expertise. We have a drug discovery pipeline of small molecule new chemical entities, or NCEs, and biologics. We employ a lean and virtual research and development, or R&D, model using highly experienced teams of experts for each business function to maximize value accretion by focusing resources on the drug discovery and development processes.

Development Pipeline

Foralumab (TZLS-401 / NI-0401)

Our lead product candidate in immunology is Foralumab (TZLS-401), which we believe is the only fully human anti-CD3 monoclonal antibody, or mAb, in clinical development. MAbs represent a single pure antibody produced by single clones and are an important class of human therapeutics for treating cancers and autoimmune diseases. We are developing Foralumab, for which we in-licensed the intellectual property from Novimmune, SA, a Swiss biotechnology company, or Novimmune, as a potential treatment for neurodegenerative diseases such as progressive Multiple Sclerosis, or MS, and Crohn's disease. As the only fully human engineered human anti-CD3 mAb in clinical development, Foralumab has significant potential advantages such as a shorter treatment duration and reduced immunogenicity. We believe that oral or intranasal administration of Foralumab has the potential to reduce inflammation while minimizing the toxicity and related side effects.

To date, Foralumab has been studied in one Phase 1 and two Phase 2a clinical trials conducted by Novimmune in 68 patients dosed by the intravenous route of administration. In these trials, Foralumab was observed to be safe and well-tolerated and produced immunologic effects consistent with potential clinical benefit while demonstrating mild to moderate infusion related reactions. With completion of the intravenous dosing for Phase 2a trial in Crohn's Disease, Foralumab's ability to modulate T-cell response enables potential extension into a wide range of other autoimmune and inflammatory diseases, such as graft versus host disease, ulcerative colitis, MS, type-1 diabetes, inflammatory bowel disease, psoriasis and rheumatoid arthritis.

Foralumab is being developed as both an immunosuppressive and immunomodulatory agent, with therapeutic benefits of rendering T-cells unable to orchestrate an immune response and induction of immune tolerance via maintenance of regulatory T-cells. There is further potential for Foralumab to be combined with our TZLS-501, a fully human anti-IL-6R mAB in development to target autoimmune and inflammatory diseases. In November 2016, we announced new data for oral efficacy in humanized mouse models with Foralumab, a major milestone and a potential breakthrough for the treatment of nonalcoholic steatohepatitis and autoimmune disease. This unique oral technology stimulates the natural gut immune system and potentially provides a therapeutic effect in inflammatory and autoimmune diseases with greatly reduced toxicity. Positive therapeutic effects with Foralumab were consistently demonstrated in animal studies conducted by Prof. Kevan Herold (Yale University) and Prof. Howard Weiner (Harvard University).

In April 2018, we entered into an exclusive license agreement with The Brigham and Women's Hospital, Inc. relating to a novel formulation of Foralumab dosed in a medical device for nasal administration. An investigational new drug application, or IND, for the first-in-human evaluation of the nasal administration of Foralumab in healthy volunteers for progressive MS indication was filed in the second quarter of 2018. Subsequent to IND approval, a single-site, double-blind, placebo-controlled, dose-ranging Phase 1 trial with nasally administered Foralumab at 10, 50 and 250 ug per day, consecutively for 5 days to evaluate biomarkers of immunomodulation of clinical responses was initiated in November 2018. The trial was conducted at the Brigham and Women's Hospital, Harvard Medical School, Boston, MA, in healthy volunteers in which 18 subjects received Foralumab treatment and 9 patients received placebo. The study was completed in September 2019, and data demonstrated that nasally administered Foralumab was well-tolerated and no drug-related safety issues were reported at any of the doses. No drug-related changes were observed in vital signs among subjects at predose during treatment and at discharge. Nasally administered Foralumab at the 50 ug dose suppressed cytotoxic CD8+ as well as perforin-secreting CD8+ cells, which have been implicated in neurodegeneration in MS. Treatment at 50 ug stimulated production of anti-inflammatory cytokine IL-10 and suppressed production of pro-inflammatory cytokine interferon-gamma (IFN-<GAMMA>). Taken together, the treatment showed significant positive effects on the biomarkers for activation of mucosal immunity, which are capable of inducing site-targeted immunomodulation to elicit anti-inflammatory effects. Based on the results we intend to conduct a Phase 2 trial in progressive MS patients starting in the third quarter of 2021.

On July 31, 2020, we announced that we had submitted a patent application for the potential use of nasally administered Foralumab, a fully human anti-CD3 mAb, for the treatment of COVID-19 either alone or in combination with other anti-viral drugs. Recent clinical studies implied that a combination of anti-inflammatory and anti-viral drugs may be more effective to treat patients at different stages of COVID-19 disease.

A collaborative clinical study was initiated on November 2, 2020, investigating nasally administered Foralumab either alone or in combination with orally administered dexamethasone in COVID-19 patients in Brazil. In view of the importance and urgency, scientific teams at the Harvard Medical School, Santa Casa de Misericórdia de Santos Hospital (Jabaquara, Santos, Brazil) and at our company closely collaborated to facilitate initiation of this study in expedited time frames. The clinical trial was coordinated by the team at INTRIALS, a leading, full-service Latin America Clinical Research Organization, (CRO) based in Sao Paulo City, Brazil. The trial was completed in January 2021, and the clinical data from this trial is expected to be available by the first quarter of 2021. This trial, the first-ever trial on nasal administration of Foralumab for treatment of COVID-19, is of enormous significance given the underlying scientific approach is to modulate the immune system, which is dysregulated and crippled to protect

against the virus. If successful, we believe this approach could be good for treatment of all COVID-19 variants and potentially other viruses.

An enteric-coated capsule formulation using a proprietary and novel technology has been developed for oral administration of Foralumab. cGMP manufacturing of clinical trial materials for a Phase 1 study has been completed and an IND was submitted in March 2019.

On September 9, 2019, the U.S. Food and Drug Administration, or FDA, granted approval to initiate the Phase 1 clinical trials to evaluate the safety and pharmacokinetics of oral Foralumab at 1.25, 2.5 and 5.0 mg/day as a single ascending dose study. The study was completed in December 2019 at the Brigham and Women's Hospital. Formulated Foralumab powder encapsulated in enteric-coated capsule was well-tolerated at all doses tested and there were no drug-related safety issues observed even at the highest dose of 5 mg in this trial. Based on successful Phase 1 data, we intend to conduct a Phase 2 study using Crohn's Disease patients starting in the third quarter of 2021.

In addition, on August 18, 2020 the United States Patent and Trademark Office, or USPTO, granted us a patent on use and methods of treatment of Crohn's disease with Foralumab, its proprietary fully human monoclonal antibody, and all other anti-CD3 mAbs. The CD3 (cluster of differentiation 3) is a protein complex on T-cells, which is important for the regulation of the immune system. The patent was published by the USPTO on September 1, 2020 as Patent No. 10,759,858. Recently, we also announced the issuance of the first-ever patent on oral administration of anti-CD3 mAbs for treatment of human diseases (Patent No. 10,688,186). We believe the grant of this additional composition-of-matter and use patent further strengthens our intellectual property, consisting of proprietary technologies on oral and nasal administration of Foralumab and other anti-CD3 mAbs for the treatment of human diseases.

On July 16, 2020, we announced that we had submitted a patent application on the potential use of Foralumab, a fully human anti-CD3 mAbs, to improve success of chimeric antigen receptor T-cell, or CAR-T, therapy for cancer and other human diseases. The patent application claims inventions related to lymphodepletion to improving CAR-T expansion and/or survival using anti-CD-3 mAbs administered either alone or in combination with other co-stimulatory molecules, such as an anti-IL-6R mAb, an anti-CD28 mAb or specific inhibitors of signaling pathways of phosphatidylinositol 3-kinase (PI3K), protein kinase B (AKT), or mammalian target of rapamycin (mTOR).

Milciclib (TZLS-201)

We are developing Milciclib, for which we in-licensed the intellectual property from Nerviano Medical Sciences S.r.l. in 2015, as a potential treatment for hepatocellular carcinoma, or HCC. A novel feature of Milciclib is its ability to reduce levels of microRNAs, miR-221 and miR-222. MicroRNAs are small RNA molecules that play a significant role in the regulation of gene expression. miR-221 and miR-222 are believed to be linked to the development of blood supply (angiogenesis) in cancer tumors. Levels of these microRNAs are consistently elevated in HCC patients and may contribute towards resistance to treatment with Sorafenib, a multikinase inhibitor (a drug which may inhibit the cellular division and proliferation associated with certain cancers) often prescribed to HCC patients as the Standard of Care.

To date, Milciclib has been studied in a total of eight completed Phase 1 and 2 clinical trials in 316 patients. In these trials, Milciclib was observed to be well-tolerated and showed initial signals of anti-tumor action. Prior to in-licensing, Milciclib was granted orphan designation by the European Commission and by the FDA for the treatment of malignant thymoma and an aggressive form of thymic carcinoma in patients previously treated with chemotherapy. In two Phase 2a trials, CDKO-125a-006 and CDKO125a-007, Milciclib showed signs of slowing disease progression and acceptable safety. We initiated a Phase 2a trial (CDKO-125a-010) of Milciclib safety and tolerability as a single therapy in Sorafenib-resistant patients with HCC in the first half of 2017. Typically, this population of patients have an advanced form of the disease with poor prognosis and an average overall survival expectancy of three to five months. In May 2018, the Independent Data Monitor committee, or IDMC, completed an interim analysis of tolerability data from the first eleven treated patients and recommended expansion of the initial cohort to an additional 20 patients to complete the trial enrolment, which was completed in December 2018. In March 2019, the IDMC reviewed safety data from patients as of February 26, 2019 and concluded that the administration of Milciclib to patients with advanced HCC was not associated with unexpected signs or signals of toxicity. 28 out of 31 treated patients were evaluable, 14 completed the 6-month duration study. The most frequent adverse events such as diarrhoea, ascites, nausea, fatigue, asthenia, fever, ataxia, headache, and rash were manageable. No drug-related deaths were recorded.

The Phase 2a trial was completed in June 2019 with clinical safety result reported in July 2019 and efficacy results reported in September 2019. The clinical activity assessment in evaluable patients was based on the independent radiological review using the modified Response Evaluation Criteria in Solid Tumors.

--14 out of 28 (50%) evaluable patients completed 6-month duration of the trial.

---- Both median TTP and PFS were 5.9 months (95% Confidence Interval ("CI") 1.5-6.7 months) out of the 6-months duration of the trial.

-- 16 of 28 (57.1%) evaluable patients showed 'Stable Disease'

-- One patient (3.6%) showed unconfirmed 'Partial Response' (PR).

--17 of 28 (60.7%) evaluable patients showed 'Clinical Benefit Rate' defined as CBR=CR+PR+SD (with CR representing Complete Remission).

Since overexpression of cyclin-dependent kinases, or CDKs, and dysregulation in pRB pathway (regulates transcription factors critical for cell cycle progression) are prominently associated with tumor cell resistance to certain chemotherapeutic drugs, inhibition of multiple CDKs is an appealing approach to improve clinical responses in cancer patient's refractory to existing treatment options. A Phase 1 dose-escalation study of Milciclib in combination with gemcitabine in patients with refractory solid tumors exhibited clinical activity in patients, including those who were refractory to gemcitabine. We plan to explore a combination treatment of Milciclib and a tyrosine kinase inhibitor (either Sorafenib or Regorafenib) in patients with HCC in the third quarter of 2021.

On August 21, 2020 we announced that the USPTO had granted us a patent on use of Milciclib in combination with tyrosine kinase inhibitors, or TKIs, such as Sorafenib (Nexavar(R)), Regorafenib (Stivarga(R)) and Lenvatinib (Lenvima(R)) for the treatment of hepatocellular carcinoma, or HCC, and other cancers in humans. This patent was published by the USPTO on September 1, 2020 as Patent No. 10,758,541. Like most human cancers, HCC is a complex multi-factorial cancer with multiple underlying mechanisms causing enormous heterogeneity in patient populations. Consequently, patients with HCC often develop resistance towards the monotherapies of existing therapeutics. Thus, there is an urgent need for combination drug treatment approaches targeting different mechanisms to achieve better clinical outcomes. We are planning to conduct a Phase 2b trial with Milciclib in combination with a TKI or immunotherapy in sorafenib-resistant HCC patients. We also successfully completed a Phase 1 trial in patients with refractory solid cancers. The patients enrolled in this trial had demonstrated resistance to the mainstream chemotherapies for refractory solid cancer. The trial data showed that Milciclib in combination with gemcitabine provided 36% clinical response to these patients who had shown no response to gemcitabine when administered alone. These data suggest that Milciclib may be able to overcome drug-resistance. This novel attribute of Milciclib may have application as an adjuvant therapy in combination with chemotherapies for treatment of refractory, malignant and advanced cases of cancers. The data from this trial also showed that the combination treatment delayed onset in a patient with non-small cell lung carcinoma (NSCLC). The preclinical data from an animal study also suggest that orally administered Milciclib might also be effective in Kras+ (G12C) mutants of NSCLC cancer. We are further exploring the use of Milciclib in combination with other drugs for treatment of Kras+ (G12C) NSCLC, which is an unmet medical need.

Anti-IL6R (TZLS-501)

TZLS-501 is a fully human engineered mAb targeting the interleukin-6 receptor (IL-6R). Tiziana Life Sciences licensed the intellectual property from Novimmune in January 2017. This fully human mAb has a unique mechanism of action that binds to both the membrane-bound and soluble forms of the IL-6R resulting in lowering of circulating levels of IL-6 in the blood. Excessive production of IL-6 is regarded as a key driver of chronic inflammation, associated with autoimmune diseases such as multiple myeloma, oncology indications and rheumatoid arthritis, and the Group believes that TZLS-501 may have potential therapeutic value for these indications.

In preclinical studies, TZLS-501 demonstrated the potential to overcome limitations of other IL-6 blocking pathway drugs. Compared to Tocilizumab and Sarilumab, while binding to the membrane-bound IL-6R complex TZLS-501 has shown a higher affinity for the soluble IL-6 receptor as seen from the antibody binding studies conducted in cell culture. TZLS-501 also demonstrated the potential to block or reduce IL-6 signaling in mouse models of inflammation. The soluble form of IL-6 has been implicated to have a larger role in disease progression compared to the membrane-bound form. (Kallen, K.J. (2002). "The role of trans signaling via the agonistic soluble IL-6 receptor in human diseases". Biochimica et Biophysica Acta. 1592 (3): 323-343.).

Recently, chronic inflammation is believed to be associated with severe lung damage observed with COVID-19 infections and acute respiratory illness. China's National Health Commission has recommended the use of anti-IL6-R mAbs for treatment of inflammation and elevated cytokine levels ("cytokine storm") in COVID-19 patients.

On April 9, 2020 The Company announced that it had developed investigational new technology to treat COVID-19 infections, consisting of direct delivery of anti-IL-6 receptor (anti-IL-6R) monoclonal antibodies (mAbs) into the lungs using a handheld inhaler or nebulizer for treatment of patients infected with COVID-19 (SARS-CoV-2) coronavirus. On June 29, 2020 the Company announced that it was advancing GMP manufacturing of TZLS-501 with STC Biologics concurrently with the development of inhalation technology using a hand-held nebulizer with Sciarra Laboratories and safety toxicology studies in Cynomolgus monkeys with ITR Canada Laboratories. GMP batches were initiated in January 2021 and completed in March 2021. Safety inhalation toxicology studies were initiated in November 2020 and completed in March 2021. Technological assessment of nebulizers for inhalation treatment of patients was initiated in September 2020 and completed in February 2021.

StemPrintER

StemPrintER is a multi-gene signature assay intended for use in patients diagnosed with estrogen-receptor positive ER+/HER2 negative breast cancers. The Group believes this in-vitro prognostic test will be used in conjunction with clinical evaluation to identify those patients at increased risk for early and/or late metastasis. StemPrintER is designed to help physicians distinguish ER+/HER2 negative patients:

-- with an elevated risk of early recurrence (<5 years) who could benefit from chemotherapy in addition to hormonal therapy

-- with a high risk of late recurrence who could benefit from prolonged endocrine treatment up to 10 years

-- with a low risk of early recurrence who might be spared chemotherapy or be eligible for less aggressive treatments

The diagnostic has a unique biological basis, being based on the detection of cancer stem cell markers, uses a reliable platform (qRT- PCR, FFPE), and has been evaluated in an initial retrospective validation study using a consecutive cohort of approximately 2,400 patients with breast cancer. The development team is preparing for a retrospective validation study using an independent cohort and has conducted a pre- submission meeting with the FDA.

Recently, StemPrintER results were announced, from a poster selected for discussion session at the American Society of Clinical Oncology (ASCO) Virtual Conference, demonstrating the favourable performance of the StemPrintER stem cell based genomic prognostic tool versus the market leader, Oncotype DX, in predicting recurrence in ER+/HER2- postmenopausal breast cancer patients

Tiziana has during this year demerged the StemPrintER technology by the transfer of the Intellectual Property rights and patents to its wholly owned subsidiary, Stemprinter Sciences Ltd, which was then sold to Accustem Sciences Ltd. The process was effected by way of a Court sanctioned capital reduction and statutory demerger. Accustem will develop and commercialise the StemPrintER diagnostic tester.

Financial summary

Consolidated Statement of Comprehensive Income

The Group has made a loss for the year of GBP20,162k (2019: GBP7,177k). The loss is detailed in the consolidated statement of comprehensive income on page 39.

Research and development costs were GBP4.7 million for the year ended December 31, 2020 as compared to GBP2.9 million for the year ended December 31, 2019, an increase of GBP1.8 million. The increase in cost is a result of

the development of anti-IL-6R   monoclonal antibodies (mAbs) compounds. 

Operating expenses were GBP19.01 million for the year ended December 31, 2020 as compared to GBP4.9 million for the year ended December 31, 2019, an increase of GBP14.11 million. The increase in cost is a result of a realisation bonus that became payable for GBP10.29m, additional fair value charges of GBP2.7m relating to modification of existing options and the issuance of additional options, plus additional compliance, professional fees and legal costs of GBP1.12m due to increased activity in the Company.

Consolidated Statement of Financial Position

At the end of the year the Group cash balance amounted to GBP48,217k (2019: GBP153k) and the total assets of the Group amounted to GBP51,766k (2019: GBP1,808k). To bolster our cash reserves, the Group raised GBP52.1m via a public offering of American Depositary Shares ("ADSs") on the NASDAQ Global Market during 2020.

Fund raising

In the year, the Group successfully raised funds to further progress its on-going clinical and pre-clinical pipeline.

During the year to 31 December 2020, Tiziana raised GBP62.1m funds: GBP52.1m was raised through a public offering on the NASDAQ Global Market, GBP6.2m through an 'At the market' sales agreement, GBP0.1m through the issuance of a Convertible Loan Note and GBP3.7m through the exercise of warrants and options. Funds raised by Tiziana will be used to fund the development of the Group's clinical stage assets Milciclib and Foralumab, to meet the Group's ongoing liabilities in respect of license agreements, and for general working capital purposes.

Going Concern

The Group has experienced net losses and significant cash outflows from cash used in operating activities over the past years, and as of December 31, 2020, had an accumulated loss of GBP62,313k, a net loss for the year ended December 31, 2020 of GBP20,348k and net cash used in operating activities of GBP9,297k.

Based upon the current forecasts prepared by Management, the potential use of cash flows from operations for the next 20 months is GBP38.6 million. When compared to the current cash balance at April 30, 2021 including the anticipated receipts for R&D tax credits for 2020, the Group has enough cash to sustain operations to December 2022. The Group noted that included in its cash projections to December 2022 was GBP21.8m of uncommitted expenditure, which Management could repurpose or delay the expenditure as required.

Appointments

Non-Executive Directors

On 21 January 2020, the Group announced the appointment of Mr. Gregor MacRae to its Board as a Non-executive Director.

On 20 July 2020, the Group announced the appointment of Mr. John Brancaccio to its Board as a Non-executive Director. Mr Brancaccio will Chair the Audit, Risk and Disclosure Committee.

Mr. Brancaccio, retired CPA, is a financial executive with extensive international and domestic experience in pharmaceutical and biotechnology for privately and publicly held companies. From 2000 to 2002, Mr. Brancaccio was the Chief Financial Officer/Chief Operating Officer of Eline Group, an entertainment and media company. From May 2002 until March 2004, Mr. Brancaccio was the Chief Financial Officer of Memory Pharmaceuticals Corp., a biotechnology company. From April 2004 until May 2017, Mr. Brancaccio was the Chief Financial Officer of Accelerated Technologies, Inc., an incubator for medical device companies. Mr. Brancaccio is currently a director of Cardiff Oncology, Inc.,Rasna Therapeutics, Inc., OKYO Pharma LTD and Hepion Pharmaceuticals, Inc.

Resignations

Non-Executive Directors

On 18 June 2020, the Group announced that Mr. Gregor MacRae was standing down as a director of the Company with immediate effect to concentrate on his other business interests and activities; Mr MacRae felt his position was better filled by an individual with a background and greater experience in life sciences sector.

COVID-19

We remain cognisant of the potential impact of coronavirus (COVID-19) on our operations and have taken the steps necessary to maintain the integrity of the Company's assets and the health and wellbeing of our employees. The Company is well financed, resilient and well positioned to weather any financial downturn occurring as a result of the outbreak. Indeed, the Company has raised additional funds through an "At the Market" or "ATM" Sales Agreement with Think Equity (a division of Fordham Financial Management, Inc.) which raised $7.7m from the sale of ADSs.

We are also aware of the responsibility we have as a member of the global healthcare community to develop investigational new technologies to treat COVID-19 infections.

Outlook and strategy

We have continued to progress our pipeline of drugs to treat rare cancers and autoimmune and inflammatory diseases.

We are developing investigational new technology to treat COVID-19 infections, which consists of direct delivery of anti-IL-6 receptor (anti-IL-6R) monoclonal antibodies (mAbs) into the lungs using a nasal delivery system. Preclinical studies are ongoing and we hope to commence a trial investigating the direct delivery of an anti-IL-6R mAb to the lungs using a portable nasal delivery system. This treatment could be useful for different variants of COVID-19 and we are exploring these in an upcoming preclinical study.

The Company also plans to develop subcutaneous delivery of anti_IL-6R mAb for treatment of ARDS and other inflammatory conditions.

We have outlined our clinical development plan for Foralumab and anticipate to commence Phase 1b and 2 trials for oral administered Foralumab in Crohn's disease patients and nasally administered Foralumab in multiple sclerosis patients.

For Milciclib, we are planning to initiate a Phase 2b clinical trial in HCC patients with Milciclib in combination with a Tyrosine kinase inhibitors such as Regorafenib or Sorafenib. The Company also intends to evaluate milciclib in combination with standard of care treatments for other solid tumour indications.

We recently announced an agreement we have entered into with Takanawa Japan K.K, Pharma Team, (Takanawa) for a strategic business development plan to Identify a clinical partner in Japan and other Asian countries for further clinical development of Milciclib for treatment in advanced hepatocellular carcinoma (HCC) patients. We believe the positive clinical activity in advanced HCC and other cancers warrant immediate further development in Japan and other Asian countries where the prevalence of this cancer is relatively high, and the current available therapies are not entirely satisfactory.

Looking ahead, Tiziana is confident that it is well positioned to advance these programs to their next respective value inflection points.

Gabriele Cerrone

Executive Chairman

May 17, 2021

CONSOLIDATED STATEMENT OF COMPREHENSIVE INCOME

FOR THE YEARED 31 DECEMBER 2020

 
 Continuing Operations                   Note      GBP'000     GBP'000 
 
 
 Research and development costs                    (4,667)     (2,910) 
 Operating expenses                                (8,724)     (4,864) 
 Realisation bonus                        5       (10,290)           - 
 Impairment of asset                      17         (217)           - 
 Gain on disposal of Intellectual 
  Property                                4          2,074           - 
 
 Operating loss                           5       (21,824)     (7,774) 
 
 
 Finance costs                            10         (243)        (72) 
 
 Loss before taxation                             (22,067)     (7,846) 
 
 Taxation                                 11         1,719         540 
 
 
 Loss for the year attributable to 
  equity owners                                   (20,348)     (7,306) 
                                               ===========  ========== 
 
 Other comprehensive income that 
  may be classified to profit and 
  loss in subsequent periods 
  Exchange differences on translation 
  of foreign operations                                186         129 
 
 Total comprehensive loss for the 
  year attributable to equity owners              (20,162)     (7,177) 
                                               ===========  ========== 
 
 Loss per share 
 Basic and diluted (loss) per share 
  on continuing operations                12       (12.0p)      (5.4p) 
                                               ===========  ========== 
 

CONSOLIDATED STATEMENT OF FINANCIAL POSITION

AS AT 31 DECEMBER 2020

 
 
                                                         2020       2019 
                                             Note     GBP'000    GBP'000 
 
 ASSETS 
 Non-Current assets 
 Property, plant and equipment                13            1          5 
 Finance lease receivable                     16            -        113 
 Intangible asset                             14           97          - 
 Right of use asset                           28          262        329 
 Other non-current assets                     17            -        217 
                                                    ---------  --------- 
 Total non-current assets                                 360        664 
                                                    ---------  --------- 
 
 Current assets 
 
 Finance lease receivable                     16          111        109 
 Related party receivable                     27          270        245 
 Other receivables                            15          576        124 
 Taxation receivable                          11        2,232        513 
 Cash and cash equivalents                             48,217        153 
                                                    ---------  --------- 
 Total current assets                                  51,406      1,144 
                                                    ---------  --------- 
 
 TOTAL ASSETS                                          51,766      1,808 
                                                    =========  ========= 
 
 EQUITY AND LIABILITIES 
 Equity 
 Capital and reserves attributable 
  to equity holders of the company 
 Called up share capital                      19        5,838      4,099 
 Share premium                                         81,227     25,194 
 Capital reduction reserve                    22       31,958     31,183 
 Shares to be issued reserve (convertible 
  notes)                                      21            -      1,099 
 Share based payment reserve (options)       19,22      6,319      3,850 
 Share based payment reserve (warrants)      19,22        475      1,812 
 Shares to be issued                         5,22      10,290          - 
 Other reserve                                22     (28,286)   (28,286) 
 Translation reserve                                      201         15 
 Retained earnings                            22     (62,313)   (43,146) 
 
 Total equity                                          45,709    (4,180) 
 
 Liabilities 
  Non-Current liabilities 
 Lease Liability                              27          212        411 
 
 
   Current liabilities 
 Trade and other payables                     26        4,095      4,851 
 Lease liability                              28          195        212 
 Related party payable                        27        1,493        451 
 Other liabilities                                         62         63 
 
 Total current and non-current 
  liabilities                                           6,057      5,988 
                                                    ---------  --------- 
 
 TOTAL EQUITY AND LIABILITIES                          51,766      1,808 
                                                    =========  ========= 
 

CONSOLIDATED STATEMENT OF CASH FLOWS

FOR THE YEARED 31 DECEMBER 2020

 
                                                2020       2019 
                                             GBP'000    GBP'000 
   Cash flows from operating activities 
 
 Loss for the year before taxation          (22,067)    (7,846) 
 Adjustments for: 
 Convertible loan interest accrued               216         39 
 Shares issued in lieu of fees                   360         82 
 Share based payment - options                 3,740        992 
 Share based payment - warrants                   20          - 
 Options forfeited/cancelled in                 (26)          - 
  the year 
 Bonus to be settled in equity                10,290          - 
 Net (increase) in related party 
  receivables                                   (24)      (225) 
 Net increase in related party 
  payables                                       892        342 
 Net decrease/(increase) in other 
  receivables                                  (340)        125 
 Net (decrease)/increase in trade 
  and other payables                           (757)       (17) 
 Depreciation of property, plant 
  and equipment                                    4          4 
 Depreciation of right-of-use 
  asset                                           67        194 
 (Gain)/Loss on foreign exchange                 185        129 
 Loss on disposal of right of 
  use asset                                        -         56 
 Impairment of SharDNA Spa                       217          - 
 Gain from disposal of intellectual                           - 
  property                                   (2,074) 
 
 CASH USED IN OPERATING ACTIVITIES           (9,297)    (6,125) 
 Cash inflow from taxation                         -        800 
 
 NET CASH USED IN OPERATING ACTIVITIES       (9,297)    (5,325) 
                                           ---------  --------- 
 
 Cash flows from investing activities 
 Acquisition of property, plant 
  and equipment                                  (2)        (3) 
 Acquisition of intangible asset                (97)          - 
 
 NET CASH GENERATED FROM INVESTING 
  ACTIVITIES                                    (99)        (3) 
 
 Cash flows from financing activities 
 Proceeds from issuance of ordinary           57,283          - 
  shares 
 Fundraising costs                           (3,136)          - 
 Proceeds from issuance of convertible 
  loan notes                                     120      1,473 
 Proceeds from exercise of warrants            2,682          - 
 Proceeds from conversion of options             727          - 
 Repayment of leasing liabilities              (216)      (157) 
 
 NET CASH GENERATED FROM FINANCING 
  ACTIVITIES                                  57,460      1,316 
 
 NET INCREASE/(DECREASE) IN CASH 
  AND CASH EQUIVALENTS                        48,064    (4,012) 
 
 Cash and cash equivalents at 
  beginning of year                              153      4,165 
 
 CASH AND CASH EQUIVALENTS AT OF YEAR                                 48,217        153 
                                           =========  ========= 
 

CONSOLIDATED STATEMENT OF CHANGES IN EQUITY

FOR THE YEARED 31 DECEMBER 2020

 
                           Share     Share     Capital      Share       Share      Convertible    Other     Shares    Translation   Retained     Total 
                          Capital   Premium   Reduction     Based       Based       Loan Note     Reserve    to be      Reserve     Earnings     Equity 
                                               Reserve     Payment     Payment       Reserve                issued 
                                                           Reserve     Reserve                              Reserve 
                                                          (options)   (warrants) 
                          GBP'000   GBP'000    GBP'000     GBP'000     GBP'000       GBP'000     GBP'000    GBP'000     GBP'000     GBP'000     GBP'000 
 Balance at 1 January 
  2019                      4,094    25,117      31,183       2,857        1,399             -   (28,286)         -         (113)   (35,840)        411 
 
 Issue of share capital 
  (private placement 
  and IPO)                      5        77           -           -            -             -          -         -             -          -           82 
 Warrants issued with 
  CLN                           -         -           -           -          413         (413)          -         -             -          -            - 
 Share based payment 
  (options)                     -         -           -         993            -             -          -         -             -          -          992 
 Convertible loan notes 
  issued                        -         -           -           -            -         1,472          -         -             -          -        1,473 
 Convertible loan note 
  interest                      -         -           -           -            -            39          -         -             -          -           39 
 Total                          5        77           -         993          413         1,099          -         -             -          -        2,586 
 Comprehensive income 
 Exchange differences 
  on translating 
  foreign 
  operations                                                                                                                  128                     129 
 Comprehensive loss 
  for the year                                                                                                                       (7,306)      (7,306) 
                         --------  --------  ----------  ----------  -----------  ------------  ---------  --------  ------------  ---------  ----------- 
 Total comprehensive 
  income                        -         -           -           -            -             -          -         -           128    (7,306)      (7,177) 
                         --------  --------  ----------  ----------  -----------  ------------  ---------  --------  ------------  ---------  ----------- 
 
 Balance as at 31 
  December 
  2019                      4,099    25,194      31,183       3,850        1,812         1,099   (28,286)         -            15   (43,146)      (4,180) 
 
 Issue of share capital 
  (Fundraise & ATM)         1,319    56,964           -           -            -             -          -         -             -          -       58,283 
 Issue of share capital 
  (Warrants)                  191     2,491           -           -            -             -          -         -             -          -        2,682 
 Issue of share capital 
  (in lieu of fees)             9       351           -           -            -             -          -         -             -          -          360 
 Issue of share capital 
  (exercise of options)        88       640           -           -            -             -          -         -             -          -          728 
 Issue of share capital 
  (Loan conversion)           132     1,716           -           -            -       (1,848)          -         -             -          -            - 
 Cost of fundraise              -   (3,136)           -           -            -             -          -         -             -          -      (3,136) 
 Convertible loan notes 
  issued                        -         -           -           -            -           120          -         -             -          -          120 
 Convertible loan note 
  interest                      -         -           -           -            -           216          -         -             -          -          216 
 Share based payments 
  charge (warrants)             -         -           -                      259         (240)          -         -             -          -           19 
 Share based payment 
  charge (options)              -         -           -       3,740            -             -          -         -             -          -        3,740 
 Options 
  forfeited/cancelled 
  in the year                   -         -                    (26)            -             -          -         -             -          -         (26) 
 Exercise of options            -        64                 (1,245)            -             -          -         -             -      1,181            - 
 Exercise of warrants           -       943                              (1,596)           653          -         -             -          -            - 
 Shares issued in lieu 
  of cash for 
  realisation 
  bonus                         -         -           -           -            -             -          -    10,290             -          -       10,290 
 Reduction in share 
  capital                       -   (4,000)       4,000           -            -             -          -         -             -          -            - 
 Capital distribution           -               (3,225)           -            -             -          -         -             -          -      (3,225) 
 Total                      1,739    56,033         775       2,469      (1,337)       (1,099)          -    10,290             -      1,181       70,051 
 
 Comprehensive loss 
  (Items that will be 
  reclassified to the 
  Statement of Income 
  in future periods) 
 Exchange differences 
  on translating 
  foreign 
  operations                    -         -           -           -            -             -          -         -           186          -          186 
 Net loss for the year          -         -           -           -            -             -          -         -             -   (20,348)     (20,348) 
 Total Comprehensive 
  loss for the year             -         -           -                        -             -          -         -           186   (20,348)     (20,162) 
 Balance as at 31 
  December 
  2020                      5,838    81,227      31,958       6,319          475             -   (28,286)    10,290           201   (62,313)       45,709 
-----------------------  --------  --------  ----------  ----------  -----------  ------------  ---------  --------  ------------  ---------  ----------- 
 

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS

FOR THE YEARED 31 DECEMBER 2020

   1.     GENERAL INFORMATION 

Tiziana Life Sciences PLC is a public limited company incorporated in the United Kingdom under the Companies Act and quoted on the AIM market of the London Stock Exchange (AIM: TILS) and on the NASDAQ Capital Market (NDAQ: TLSA). The Company delisted from AIM on 21(st) January 2021 and is now trading on the main market of the London Stock Exchange (LSE: TILS). The address of its registered office is given on page 1. The principal activities of the Company and its subsidiaries (the Group) are that of a clinical stage biotechnology company focussed on targeted drugs to treat diseases in oncology and immunology.

These financial statements are presented in thousands of pounds sterling (GBP'000) which is the functional currency of the primary economic environment in which the Company operates.

   2.     FINANCE INCOME AND COSTS 
 
 Group                                             2020      2019 
                                                GBP'000   GBP'000 
 Finance Income 
 Finance income received on net investment 
  in lease                                            6         1 
                                               --------  -------- 
 Total finance income                                 6         1 
 Finance Expenses 
 Finance charge accrued on convertible loan 
  notes                                             236        49 
 Interest expense on lease liabilities               13        24 
                                               --------  -------- 
 Total finance expenses                             249        73 
 
 Net finance expense recognised in Statement 
  of Comprehensive Income                           243        72 
                                               ========  ======== 
 
 
   3.     TAXATION 
 
                                                   2020        2019 
                                                GBP'000     GBP'000 
 Group 
 Current year tax (credit)                      (1,204)       (518) 
 Adjustments in respect of prior 
  periods                                         (515)        (22) 
 
 
 Deferred tax 
 Origination and reversal of timing                 Nil         Nil 
  differences 
 
 Total tax (credit) for period                  (1,719)       (540) 
                                             ==========  ========== 
 
 The tax charge for the year is different 
  from the standard rate of corporation 
  tax in the United Kingdom of 19%. 
  The difference can be reconciled 
  as follows: 
 
 Loss before taxation                          (22,067)     (7,846) 
                                             ==========  ========== 
 
   Loss charged at standard rate of 
   corporation tax 19%                          (4,193)     (1,491) 
 Movement in unrecognised deferred 
  tax                                             1,025       (189) 
 Expenses not deductible for taxation             3,883       1,353 
 Adjustments due to prior periods                 (515)        (22) 
 Research and development claim                   (518)       (223) 
 Income not taxable for tax purposes            (1,356)           - 
 Consolidation adjustment in relation 
  to foreign exchange movements                    (45)          32 
                                             ----------  ---------- 
                                                (1,719)       (540) 
                                             ==========  ========== 
 

No deferred tax asset has been recognised in respect of trading losses carried forward because of uncertainty as to when these losses will be recoverable.

The amount of tax losses for which no deferred tax assets has been recognised is GBP4,814k (2019: GBP2,756k).

   4.     LOSS PER SHARE 

Basic loss per share is calculated by dividing the loss attributable to equity holders of the company by the weighted average number of ordinary shares in issue during the year.

 
                                                       2020          2019 
 
 (Loss) attributable to equity holders of 
  the Company (GBP)                            (20,348,519)   (7,306,423) 
 
 Weighted average number of ordinary shares 
  in issue                                      169,065,390   136,482,627 
 
 
 Basic loss per share (pence per share)              (12.0)         (5.4) 
                                              =============  ============ 
 

As the Group is reporting a loss from continuing operations for the year then, in accordance with IAS 33, the share options are not considered dilutive because the exercise of the share options would have an anti-dilutive effect. The basic and diluted earnings per share as presented on the face of the Income Statement are therefore identical. All earnings per share figures presented above arise from continuing and total operations and therefore no earnings per share for discontinued operations are presented.

   5.     OTHER RECEIVABLES 
 
                                       2020      2019 
                                    GBP'000   GBP'000 
 Group 
 VAT Receivable                          61        16 
 Funds due for options exercised        140         - 
 Security deposits receivable            99        87 
 Prepayments                            276        21 
                                   -------- 
 
                                        576       124 
                                   ========  ======== 
 
   6.     SHARE CAPITAL 
 
 Company and Group             2020          2019        2020     2019 
                                 Ordinary Shares        GBP000   GBP000 
 
 In issue at 1 January      136,654,516   136,463,818   4,099      4,094 
 Issued for cash            43,979,245         -        1,319       - 
 Issued in lieu of 
  consultancy fees            281,250       190,698       9         5 
 Conversion of warrants      6,365,428         -         191        - 
 Conversion of Loan          4,406,125         -         132        - 
 Exercise of options         2,925,725         -          88        - 
 Commission and Interest                       -                    - 
                           ------------  ------------  -------  -------- 
 
 In issue at 31 December    194,612,289   136,654,516   5,838      4,099 
                           ============  ============  =======  ======== 
 
   7.     TRADE AND OTHER PAYABLES 
 
 Group                   2020      2019 
                       GBP000    GBP000 
 
   Trade payables       2,466     3,178 
 Accruals               1,629     1,673 
 
 
                        4,095     4,851 
                     ========  ======== 
 

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