Protalix BioTherapeutics - Earnings Call - Q4 2024
March 17, 2025
Executive Summary
- Record year in revenues from selling goods ($52.981M, +31% YoY), with strength across Chiesi, Pfizer and Brazil; FY 2024 net income was $2.932M ($0.04 basic/diluted).
- PRX-115 completed First-in-Human Phase I with encouraging uric acid-lowering and tolerability; management targets Phase II initiation in H2 2025 and top-line ~2 years from Mar-2025, with third-party costs “north to $20M”.
- EMA validated Elfabrio (pegunigalsidase alfa) variation to add 2 mg/kg every 4 weeks dosing in EU—an incremental label expansion catalyst.
- Balance sheet improved: 7.5% notes repaid in Sep-2024; warrants exercised and expired Mar-11-2025; cash and short-term deposits were ~$34.8M at year-end.
- No formal 2025 revenue guidance; management emphasized Chiesi uptake and royalty high-margin revenue trajectory but cited inventory shipment lumpiness and Chiesi’s private status as constraints on disclosure.
What Went Well and What Went Wrong
What Went Well
- “2024 was a record year in revenues from selling goods” driven by increases in all three revenue streams (Chiesi +$11.8M, Brazil +$0.6M, Pfizer +$0.1M).
- PRX-115 Phase I data: single-dose reduced plasma uric acid rapidly; mean uric acid stayed <6.0 mg/dL for up to 12 weeks at the highest dose; generally well-tolerated with mostly mild/moderate transient AEs—supports Phase II in H2 2025.
- Deleveraging and equity cleanup: convertible notes fully repaid; no warrants outstanding; “our balance sheet is stronger and we are well-positioned”.
What Went Wrong
- License and R&D revenues fell 98% YoY to $0.418M (vs. $25.076M in 2023) as the $20M Elfabrio FDA milestone rolled off; FY total revenue declined to $53.399M (from $65.494M).
- Tax expense rose to ~$1.2M (+300% YoY) driven by GILTI and Section 174 capitalization under TCJA (R&D capitalization/amortization).
- Safety signal noted in PRX-115 FIH: one anaphylactic reaction resolved; underscores need for robust monitoring in Phase II design.
Transcript
Operator (participant)
Good morning, ladies and gentlemen, and welcome to the Protalix BioTherapeutics Fiscal Year 2024 Financial and Business Results Conference Call. As a reminder, this conference call is being recorded. I'll now turn the conference over to your host, Mr. Mike Moyer, of LifeSci Advisors Investor Relations for Protalix. You may begin your conference.
Mike Moyer (Managing Director)
Thank you, Operator, and welcome to the Protalix BioTherapeutics Fiscal Year 2024 Financial Results and Business Update Conference Call. With me today are Dror Bashan, President and CEO of Protalix, and Eyal Rubin, Senior Vice President and Chief Financial Officer. A press release announcing the financial results and corporate updates was issued this morning and is available now on the Protalix website. Please take a moment to read the disclaimer about forward-looking statements in the press release. The earnings release and this teleconference include forward-looking statements. These forward-looking statements are subject to known and unknown risks and uncertainties that may cause actual results to differ materially from the statements made. Factors that could cause actual results to differ are described in the disclaimer and in Protalix's filings with the U.S. Securities and Exchange Commission. I will now turn the call over to Mr. Bashan. Dror?
Dror Bashan (President and CEO)
Thank you, Mike, and thank you, everyone, for joining the Fiscal Year 2024 Financial Results and Business Update Call. I will begin by reviewing our accomplishments over the past year and recent progress. Following my remarks, Eyal will provide a detailed review of our financial results. We will then open the line for questions, of course.
2024 was a very good year for Protalix. As we brought record revenues from our partners, fully repaid our outstanding debt, and continued to focus R&D efforts on PRX-115, PRX-119, and other early-stage candidates. I would like to start with PRX-115, which is our recombinant pegylated uricase candidate in development for the treatment of uncontrolled gout. We produce PRX-115 through our ProCellEx platform. As we have announced last quarter, we completed all cohorts in the first in-human phase I clinical trial of PRX-115.
This study was a double-blind, placebo-controlled, single-ascending dose study designed to evaluate safety, tolerability, pharmacokinetics, and pharmacodynamics following a single dose of PRX-115 in subjects with elevated uric acid levels. The results from this study were presented in the late-breaking poster at ACR Convergence Conference in November of 2024. A copy of the poster is available in the publications section of the Protalix website. We are pleased with the results from this first in-human study and believe they support moving forward into patients. To that end, we have been preparing for a phase II clinical trial of PRX-115 and have been in dialogue with regulatory authorities in the U.S. regarding such a proposed trial. Our goal is to initiate the phase II study during the second half of this year.
Turning now to Elfabrio. Throughout 2024, our commercial partner, Chiesi Global Rare Diseases, continued to increase its focus on Elfabrio and invest heavily in its medical and commercial program. In December of 2024, we and Chiesi announced that the European Medicines Agency, or EMA, validated the variation submission for pegunigalsidase alfa to label an additional, less frequent dosing regimen of 2 mg per kg, administered every four weeks in adult patients with Fabry disease in the European Union. The currently approved dose is 1 mg per kg, administered every two weeks.
This application was supported by a revised population PK model and a new exposure response analysis from the clinical data from the previously completed BRIGHT phase III program, as well as its extension study. We look forward to working closely with both Chiesi and the EMA throughout their review process. I would like to emphasize that Chiesi deserves our sincere gratitude for their partnership with Protalix and their dedication to patients with Fabry disease.
Our next pipeline candidate, also being expressed through ProCellEx, is PRX-119. PRX-119 is a pegylated recombinant human DNase I product candidate in development for the potential treatment of diseases associated with neutrophil extracellular traps, or NETs. Preclinical studies are ongoing. As we have been discussing throughout the past year, we have been focusing our R&D efforts on early-stage development assets to expand our product development pipeline. This includes leveraging our ProCellEx platform and pegylation capabilities, evaluating drug delivery systems that may allow protective delivery of different modalities, and focusing our therapeutic areas to renal rare diseases. We intend to continue these efforts throughout 2025 and hope to provide you with further updates as these programs become more mature.
For now, let me say that I'm excited about our R&D efforts, and we are laying the groundwork for future developments that may be truly transformative. Finally, in September of 2024, we repaid in full all of the outstanding principal and interest under our 7.5% senior secured convertible promissory notes. The repayment was financed entirely with available cash. In addition, since December 31, 2024, we have issued 908,000 shares of our common stock in connection with the exercise of warrants we issued in 2020, generating proceeds of approximately $2.1 million. The warrants expired on March 11, 2025. Accordingly, no warrants remain outstanding. This is significant for Protalix, making our balance sheet stronger and enables us to continue executing our strategy. With that, it is now my pleasure to turn the call over to Eyal for review of our financials. Eyal, please.
Eyal Rubin (SVP and CFO)
Thank you, Dror. Thank you, everyone, for joining today's call. Let me review our fiscal year 2024 financials. We recorded revenues from selling goods of $53 million for the year ended December 31, 2024, an increase of $12.6 million, or 31%, compared to revenues of $40.4 million for the year ended December 31, 2023. The increase resulted primarily from an increase of $11.8 million in sales to Chiesi, an increase of $0.6 million in sales to Brazil, and an increase of $0.1 million in sales to Pfizer. We recorded revenues from licensed and R&D services of $0.4 million for the year ended December 31, 2024, a decrease of $24.7 million, or 98%, compared to revenues of $25.1 million for the year ended December 31, 2023. Revenues from licensed and R&D services are comprised primarily of revenues we recognized in connection with our license and supply agreements with Chiesi.
The revenues from licensed and R&D services for the year ended December 31, 2023, included the $20 million regulatory milestone payment from Chiesi in connection with the approval by the U.S. Food and Drug Administration, the FDA, of Elfabrio, granted during the debt period. The remaining decrease resulted from the completion of our revenue-generating research and development obligation with respect to Elfabrio and, as Elfabrio was approved in the United States and the European Union in May 2023, from the completion of the regulatory process related to the review of the biologic license application, the BLA, and the marketing authorization application, the MAA, for Elfabrio by the FDA and the EMA, respectively. As a result of the completion of the Fabry clinical program in 2023, we expect to generate minimal revenues from licensed and R&D services other than potential regulatory and commercial milestone payments.
Cost of goods sold was $24.3 million for the year ended December 31, 2024, an increase of $1.3 million, or 6%, compared to cost of goods sold of $23 million for the year ended December 31, 2023. The increase in cost of goods sold was primarily the result of the increase in sales to Chiesi. In addition, during the year ended December 31, 2023, a portion of the costs for certain drug substance sold were recognized as research and development expenses, not cost of goods sold as such drug substance was produced as part of our research and development activities. For the year ended December 31, 2024, our total research and development expenses were approximately $30 million, comprised of approximately $7.1 million of salary-related expenses, approximately $2.4 million subcontractor-related expenses, approximately $0.9 million of materials-related expenses, and approximately $2.6 million of other expenses.
For the year ended December 31, 2023, our total research and development expenses were approximately $17.1 million, comprised of approximately $7.8 million of salary-related expenses, approximately $6.3 million subcontractor-related expenses, approximately $0.6 million of materials-related expenses, and approximately $2.4 million of other expenses. Total decrease in research and development expenses was $4.1 million, or 24%, for the year ended December 31, 2024, compared to the year ended December 31, 2023. The decrease in research and development expenses resulted primarily from the completion of our Fabry clinical program and the regulatory process related to the BLA and the MAA review of Elfabrio by the applicable regulatory agency. Selling general administrative expenses were $12.2 million for the year ended December 31, 2024, a decrease of $2.8 million, or 19%, from $15 million for the year ended December 31, 2023.
The decrease resulted primarily from a decrease of $1.8 million in professional fees and approximately $1 million in salaries and related expenses. Financial income net was $0.2 million for the year ended December 31, 2024, compared to financial expenses net of $1.9 million for the year ended December 31, 2023. The difference resulted primarily from a decrease of approximately $1.4 million in lower interest and related expenses due to the conversion of notes in 2023 and the September 2024 repayment in full of the outstanding principal and interest payable under the remaining notes, as well as an increase in interest income net of $0.7 million. For the year ended December 31, 2024, we recorded income taxes of approximately $1.2 million, an increase of $0.9 million, or 300%, compared to income taxes of $0.3 million for the year ended December 31, 2023.
The income taxes resulted primarily from the provision for the current taxes on income mainly derived from GILTI income, mainly in respect of Section 174 of the U.S. Tax Cuts and Jobs Act, or the TCJA. Effective in 2022, Section 174 of the TCJA requires all U.S. companies, for tax purposes, to capitalize and subsequently amortize R&D expenses that fall within the scope of Section 174 over five years for research activities conducted in the U.S. and over 15 years for research activities conducted outside of the U.S., rather than deducting such costs in the current year. Cash, cash equivalents, and short-term bank deposits were approximately $34.8 million at December 31, 2024.
Net income for the year ended December 31, 2024, was approximately $2.9 million, or $0.04 per share, basic and diluted, compared to $8.3 million, or $0.12 per share, basic and $0.09 per share, diluted for the same period in 2023. I will now turn the call back to you, Dror.
Dror Bashan (President and CEO)
Thank you, Eyal. To conclude, 2024 was an exciting year for Protalix as we are building our foundation for the future. We are gearing up for our anticipated phase II study of our gout candidate, PRX-115, and we continue to make progress on our early-stage R&D efforts. I'm confident that our strategy, balance sheet, and three streams of revenues will enable the next phase of pipeline development for Protalix. We look forward to updating you on our progress as we continue to drive innovation and create long-term value for both patients and stockholders. Now, I would like to ask the operator to open the call for questions, please.
Operator (participant)
Thank you. If you'd like to ask a question, please press star one on your telephone keypad. A confirmation tone will indicate your line is in the question queue. You may press star two if you'd like to remove your question from the queue. For participants using speaker equipment, it may be necessary to pick up your handset before pressing the Star keys. Our first question comes from the line of Ram Selvaraju with H.C. Wainwright. Please proceed with your question.
Ram Selvaraju (Managing Director)
Hi. Thank you very much for taking my questions, and congratulations on what has been an excellent and landmark year for Protalix. I wanted to, first of all, ask about, in the long run, what you expect to be able to provide in terms of revenue guidance, based in particular on the royalty stream from Elfabrio, and what you anticipate Chiesi would permit you to say about how the revenues from Elfabrio are progressing.
Dror Bashan (President and CEO)
The line was back, can you repeat the question, please?
Ram Selvaraju (Managing Director)
Yes. It was specifically about revenue guidance, when you expect you might be able to be in a position to provide such guidance, particularly as it pertains to the royalty-based revenue coming from Elfabrio, and what you expect Chiesi to permit you to say about how revenues from Elfabrio are progressing.
Dror Bashan (President and CEO)
First, thank you. Chiesi is a private company. We have discussed it in the past, so we are not revealing data on the number of patients and/or, I would say, estimated revenues from Chiesi. What we can say is that they do well. Actually, every week that passes, they add patients onto Elfabrio globally. We have reported now, if I may say, we think a nice outcome of revenues from different three streams, including Chiesi. Chiesi, along the years, will grow. Clearly, you can, I mean, royalty, and most of the revenues will be based on royalty from Chiesi to Protalix, which is a higher margin. We say it also on our website. It is written over there that we estimate north to $100 million in revenues from Chiesi at 2030, estimation, of course, under what we see in front of our eyes.
If the once in four weeks we fly, it's a nice upside. It will be higher, of course. We can, as I mentioned, it's a higher margin revenue. As time goes by, and it cannot be, I think, judged by the quarter. We have to understand that we sell to Chiesi's inventory. We do not sell to their, I would say, direct sales. In time, in a year and a half, two years, it will be more ongoing, if I may say, and then we can see a growing, I assume, we expect at least, steady stream of revenues of higher margin than what we sell to Brazil or to Pfizer from Elelyso. We will not, and we cannot give guidance for 2025.
As I mentioned, we sell to inventory. Again, just to emphasize, Chiesi does well. We are pleased with the picture, and we consider this collaboration as positively strategic to Protalix.
Ram Selvaraju (Managing Director)
Great. With respect to PRX-119, I was wondering if you could briefly delineate the differences between PRX-119 and your historical program that I believe was designated PRX-110, and also if you could provide us with some framework, some frame of reference regarding the size of the market opportunity in NETs that you previously mentioned for PRX-119 going forward. Thank you.
Dror Bashan (President and CEO)
Sure. What I can say is that PRX-119 is actually a long-acting DNase. PRX-110 was an acute one. We are finalizing, as we speak, if I may say, the indication selection. We would like to finalize a couple of activities in addition to another, I would say, preclinical model, and then we will update the market, I hope, within the coming one or two quarters. On the size, once we have the indication, we can update about the potential size at least.
Ram Selvaraju (Managing Director)
Okay. Lastly, with respect to PRX-115, I was just wondering if you could provide us with any details regarding the total aggregate cost of the phase II study that you are running, as well as the timeline to release of potential top-line data, as well as strategically what you anticipate doing, assuming positive results from this study. Would you expect to take forward clinical development of this asset yourself, or at that juncture, look to identify a potential development and commercialization partner? Thank you.
Dror Bashan (President and CEO)
Currently, we plan to finance the phase II with our current means. We have the means, as we mentioned. We have sufficient, if I may say, resources to finance our operations, including the early R&D and the phase II of the 115. About the cost, we see something, I would say, north to $20 million on the third party's expenses or expected payments. This is not including labor internally. Do not forget, we produce it with our own ProCellEx. There is a portion which we do, a significant portion by ourselves. As for top-line results, we estimate something like two years from today. It depends on the pace of enrollment, of course.
Please understand, first patient in will be the second planned to be in the second half of this year. I assume that if indeed the outcomes will be positive, it makes sense that we look for a commercial partner.
Ram Selvaraju (Managing Director)
Thank you very much.
Dror Bashan (President and CEO)
Of course.
Operator (participant)
Thank you. As a reminder, if you'd like to ask a question, please press star one on your telephone keypad. Our next question comes from the line of John Vandermosten with Zacks SCR. Please proceed with your question.
John Vandermosten (Senior Biotechnology Research Analyst)
Thank you. Eyal, do you have the fourth quarter Elfabrio revenue number handy?
Eyal Rubin (SVP and CFO)
Yeah. I can pull them up. Go on, John.
John Vandermosten (Senior Biotechnology Research Analyst)
Yeah. I'll ask another one while you're pulling that up.
Eyal Rubin (SVP and CFO)
Okay.
John Vandermosten (Senior Biotechnology Research Analyst)
On 115, I saw you guys had a poster out, and I was wondering if you could elaborate on the mechanism of action for 115 and its impact on the uric crystals. Does it actually go after them, or? I just wanted some clarity on how that mechanism is.
Dror Bashan (President and CEO)
John, I don't fully understand what you mean. Maybe you can define it differently.
John Vandermosten (Senior Biotechnology Research Analyst)
Sure. PRX-115, I was reading through the poster, and it provided a small amount of detail on how it works. I assume it eliminates the urate crystals, or does it have some other mechanism of action of how it affects gout? I wanted to see if you had some clarity on that.
Dror Bashan (President and CEO)
What we use is uric acid from a certain source, which is different than KRYSTEXXA, for the sake of our discussion. We have our, I would say, specific peg to cover the enzyme, which is covered, I would say, almost completely. What we see so far, and I want to be careful, in humans with hyperuricemia, which participated in the phase I study, that we reduce the uric acid in, I would say, quickly, of course, and we see pretty long periods of time that actually the, I would say, the level of the uric acid is very low. Once we get into patients with, I would say, refractory gout or severe gout and have results, we can update about the effect of how it does with the tophi and the overall disease.
John Vandermosten (Senior Biotechnology Research Analyst)
Okay. Great. Eyal, were you able to find that? I know you're going to file the 10K later. I just was going to put it in my model.
Eyal Rubin (SVP and CFO)
10-K was filed already, by the way.
John Vandermosten (Senior Biotechnology Research Analyst)
Oh, it was? Oh, okay. I didn't see it. All right. I'll just find it there. That's all I have this morning. Thank you.
Eyal Rubin (SVP and CFO)
Okay.
Dror Bashan (President and CEO)
Thank you. Ladies and gentlemen, there are no other questions at this time. I'll turn the floor back to Mr. Bashan for any final comments.
Mike Moyer (Managing Director)
Thank you, and thank you, everybody that joined the call. We hope to continue and provide good results in the following quarters, of course. We see, with high probability, I would say, a bright future for Protalix. Thank you very much.
Dror Bashan (President and CEO)
Thank you. This concludes today's conference call. You may disconnect your lines at this time. Thank you for your participation.