DGAP-News: RedHill Biopharma Ltd.: RedHill Biopharma Announces National Cancer Institute Grant Supporting YELIVA(TM) Phase II Hepatocellular Carcinoma Study

DGAP-News: RedHill Biopharma Ltd. / Key word(s): Study/Funds
RedHill Biopharma Ltd.: RedHill Biopharma Announces National Cancer
Institute Grant Supporting YELIVA(TM) Phase II Hepatocellular Carcinoma
Study

17.05.2016 / 09:00
The issuer is solely responsible for the content of this announcement.

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Press Release

RedHill Biopharma Announces National Cancer Institute Grant Supporting
YELIVA Phase II Hepatocellular Carcinoma Study

– The $1.8 million U.S. National Cancer Institute (NCI) grant, awarded to
the Medical University of South Carolina (MUSC), is intended to support
a research program covering a variety of solid tumor cancers, including
a Phase II study with YELIVA(TM) (ABC294640) for the treatment of
advanced hepatocellular carcinoma, planned to be initiated in Q3/2016
at MUSC and collaborating institutions

– RedHill previously announced positive top-line results from a Phase I
study with YELIVA(TM) in patients with advanced solid tumors; A Phase
I/II study with YELIVA(TM) was initiated in the U.S. in patients with
refractory/relapsed diffuse large B-cell lymphoma (DLBCL)

– A Phase I/II study with YELIVA(TM) for refractory or relapsed multiple
myeloma is planned to be initiated in Q2/2016 and is supported by a $2
million NCI grant awarded to Apogee Biotechnology Corp. (Apogee); A
Phase II study to evaluate YELIVA(TM) as a radioprotectant to prevent
mucositis in cancer patients undergoing therapeutic radiotherapy is
planned to be initiated in H2/2016

– YELIVA(TM) is a proprietary, first-in-class, orally-administered,
sphingosine kinase-2 (SK2) selective inhibitor with anticancer and
anti-inflammatory activities, targeting multiple oncology, inflammatory
and gastrointestinal indications

– The development of YELIVA(TM) was funded to date primarily by grants
and contracts from U.S. federal and state government agencies awarded
to Apogee, including from the NCI, the Department of Health and Human
Services Biomedical Advanced Research and Development Authority
(BARDA), the Department of Defense and the FDA Office of Orphan
Products Development

TEL-AVIV, Israel, May 17, 2016 RedHill Biopharma Ltd. (NASDAQ: RDHL) (TASE:
RDHL) (“RedHill” or the “Company”), a biopharmaceutical company primarily
focused on development and commercialization of late clinical-stage,
proprietary, orally-administered, small molecule drugs for inflammatory and
gastrointestinal diseases and cancer, today announced that the U.S.
National Cancer Institute (“NCI”) has awarded the Medical University of
South Carolina (“MUSC”) a $1.8 million grant to support a broad range of
studies on the feasibility of targeting sphingolipid metabolism for the
treatment of a variety of solid tumor cancers. One component of the studies
includes a planned Phase II study with YELIVA(TM) (ABC294640) for the
treatment of advanced hepatocellular carcinoma (“HCC”), the most common
primary malignant cancer of the liver. YELIVA(TM) is a proprietary, first-
in-class, orally-administered sphingosine kinase-2 (SK2) selective
inhibitor.

The Phase II study, planned to be initiated in the third quarter of 2016,
will be conducted at MUSC and additional clinical sites and is intended to
evaluate the efficacy and safety of YELIVA(TM) as a second-line monotherapy
in patients with advanced HCC. The study is planned to enroll up to 39
patients who have experienced tumor progression following treatment with
first-line single-agent sorafenib (Nexavar(R)). Carolyn D. Britten, MD,
Director of Hematology/Oncology Division in the Department of Medicine at
MUSC and Associate Director for Clinical Investigations at the MUSC
Hollings Cancer Center, will act as Principal Investigator for the study.

Prof. Ran Oren, MD, Head of the Institute of Gastroenterology and Liver
Diseases at Hadassah University Hospital, Ein Kerem, and a Member of
RedHill’s Advisory Board, Said: “Hepatocellular carcinoma (HCC) is one of
the most common malignancies worldwide, with one of the highest mortality
rates among cancers. It arises most frequently in patients suffering from
chronic liver disease and poses an increasing problem in the Western world
due to hepatitis B and hepatitis C virus infections, alcoholic cirrhosis
and non-alcoholic steatohepatitis resulting from high obesity rates.
Curative treatments, such as hepatic resection and liver transplant, are
available only to patients diagnosed with early HCC. While these treatments
offer good prognosis, they are extremely limited in their application. Over
two-thirds of HCC patients in the developed world are diagnosed at advance
stages of the disease, emphasizing the strong need for novel therapeutic
treatments for both early and late stage HCC.”

The NCI grant covers a five-year period. The Phase II HCC study will be
further supported by additional funding from RedHill, which acquired the
exclusive worldwide rights to YELIVA(TM) from Apogee Biotechnology Corp.
(“Apogee”).

HCC is the most common primary malignant cancer of the liver. It is the
sixth most prevalent cancer and the third most frequent cause of cancer-
related death worldwide. Annual worldwide incidence of liver cancer was
estimated to have reached 782,000 cases in 2012, with mortality of 746,000;
the corresponding U.S. numbers are 30,000 and 24,000, respectively. Most
patients with HCC suffer from liver cirrhosis, which develops following
long periods of chronic liver disease. The majority of HCC cases are
associated with hepatitis B and hepatitis C virus infections. Additional
causes for HCC include heavy alcohol consumption, obesity, diabetes,
tobacco smoking, metabolic syndrome leading to fatty liver and
hemachromatosis. The prognosis of patients with HCC is affected by the
disease stage at diagnosis and by the underlying liver function. Few
treatment options exist for patients diagnosed at an advanced stage,
representing the majority of HCC patients. Sorafenib (Nexavar(R)) is a
targeted drug approved for the treatment of HCC in patients who are not
candidates for surgery and do not have severe cirrhosis. The worldwide and
U.S. markets for the treatment of HCC are estimated to reach approximately
$895 million and $471 million in 2017, respectively.

RedHill previously announced positive top-line results from a Phase I study
with YELIVA(TM) in patients with advanced solid tumors, the majority of
which were gastrointestinal cancer patients, including pancreatic,
colorectal and cholangiocarcinoma cancers. Top-line results demonstrated
that YELIVA(TM) can be safely administered to cancer patients at doses that
provide circulating drug levels that are predicted to have therapeutic
activity, based on levels required in preclinical models. Final results are
expected in the coming weeks. The Phase I study included the first-ever
longitudinal analysis of plasma sphingosine-1-phosphate (S1P) levels as a
potential pharmacodynamic biomarker for activity of a sphingolipid-targeted
drug. The administration of YELIVA(TM) resulted in a rapid and pronounced
decrease in S1P levels over the first 12 hours, with return to baseline at
24 hours, consistent with clearance of the drug, with several patients
having prolonged stabilization of disease.

A Phase I/II clinical study was initiated in June 2015 in the U.S.
evaluating YELIVA(TM) in patients with refractory/relapsed diffuse large B-
cell lymphoma (DLBCL), including in patients with HIV-related DLBCL. The
study is being conducted at the Louisiana State University Health Sciences
Center (LSUHSC) in New Orleans and is supported by a grant awarded to
Apogee from the NCI Small Business Technology Transfer (STTR) program, as
well as additional support from RedHill.

A Phase I/II study with YELIVA(TM) for the treatment of refractory or
relapsed multiple myeloma is planned to be initiated in the second quarter
of 2016. The study will be conducted at Duke University Medical Center. The
study is supported by a $2 million grant from the NCI Small Business
Innovation Research Program (SBIR) awarded to Apogee in conjunction with
Duke University, with additional support from RedHill.

A Phase II clinical study to evaluate YELIVA(TM) as a radioprotectant to
prevent mucositis in cancer patients undergoing therapeutic radiotherapy is
planned to be initiated in the U.S. during the second half of 2016, subject
to regulatory and other conditions.

The Phase I/II clinical studies in patients with DLBCL and multiple
myeloma, as well as the Phase I clinical study in cancer patients with
advanced solid tumors are registered on www.ClinicalTrials.gov, a web-based
service by the U.S. National Institute of Health which provides public
access to information on publicly and privately supported clinical studies.

About YELIVA(TM) (ABC294640):
YELIVA(TM) (ABC294640) is a Phase II-stage, proprietary, first-in-class,
orally-administered, sphingosine kinase-2 (SK2) selective inhibitor with
anticancer and anti-inflammatory activities, targeting multiple oncology,
inflammatory and gastrointestinal indications. By inhibiting the SK2
enzyme, YELIVA(TM) blocks the synthesis of sphingosine 1-phosphate (S1P), a
lipid signaling molecule that promotes cancer growth and pathological
inflammation. SK2 is an innovative molecular target for anticancer therapy
because of its critical role in catalyzing the formation of S1P, which is
known to regulate cell proliferation and activation of inflammatory
pathways. YELIVA(TM) was originally developed by U.S.-based Apogee
Biotechnology Corp. and completed multiple successful pre-clinical studies
in oncology, inflammation, GI and radioprotection models, as well as the
ABC-101 Phase I clinical study in cancer patients with advanced solid
tumors. A Phase I/II clinical study evaluating YELIVA(TM) in patients with
refractory/relapsed diffuse large B-cell lymphoma (DLBCL) has been
initiated in the U.S. The development of YELIVA(TM) was funded to date
primarily by grants and contracts from U.S. federal and state government
agencies awarded to Apogee Biotechnology Corp., including the U.S. National
Cancer Institute, the U.S. Department of Health and Human Services’
Biomedical Advanced Research and Development Authority (BARDA), the U.S.
Department of Defense and the FDA Office of Orphan Products Development.

About RedHill Biopharma Ltd.:
RedHill Biopharma Ltd. (NASDAQ/TASE: RDHL) is a biopharmaceutical company
headquartered in Israel, primarily focused on the development and
commercialization of late clinical-stage, proprietary, orally-administered,
small molecule drugs for the treatment of inflammatory and gastrointestinal
diseases, including cancer. RedHill’s current pipeline of proprietary
products includes: (i) RHB-105 – an oral combination therapy for the
treatment of Helicobacter pylori infection with successful results from a
first Phase III study; (ii) RHB-104 – an oral combination therapy for the
treatment of Crohn’s disease with an ongoing first Phase III study and an
ongoing proof-of-concept Phase IIa study for multiple sclerosis; (iii)
BEKINDA(TM) (RHB-102) – a once-daily oral pill formulation of ondansetron
with an ongoing Phase III study in the U.S. for acute gastroenteritis and
gastritis and a Phase II study for IBS-D; (iv) RHB-106 – an encapsulated
bowel preparation licensed to Salix Pharmaceuticals, Ltd.; (v) YELIVA(TM)
(ABC294640) – a Phase II-stage, orally-administered, first-in-class SK2
selective inhibitor targeting multiple oncology, inflammatory and
gastrointestinal indications with a Phase I/II study initiated for
refractory/relapsed diffuse large B-cell lymphoma (DLBCL); (vi) MESUPRON(R)
– a Phase II-stage first-in-class uPA inhibitor, administered by oral
capsule, targeting gastrointestinal and other solid tumors; (vii) RP101 –
currently subject to an option-to-acquire by RedHill, RP101 is a Phase II-
stage first-in-class Hsp27 inhibitor, administered by oral tablet,
targeting pancreatic and other gastrointestinal cancers; (viii)
RIZAPORT(TM) (RHB-103) – an oral thin film formulation of rizatriptan for
acute migraines, with a U.S. NDA currently under discussion with the FDA
and marketing authorization received in Germany in October 2015; and (ix)
RHB-101 – a once-daily oral pill formulation of the cardio drug carvedilol.

This press release contains “forward-looking statements” within the meaning
of the Private Securities Litigation Reform Act of 1995. Such statements
may be preceded by the words “intends,” “may,” “will,” “plans,” “expects,”
“anticipates,” “projects,” “predicts,” “estimates,” “aims,” “believes,”
“hopes,” “potential” or similar words. Forward-looking statements are based
on certain assumptions and are subject to various known and unknown risks
and uncertainties, many of which are beyond the Company’s control, and
cannot be predicted or quantified and consequently, actual results may
differ materially from those expressed or implied by such forward-looking
statements. Such risks and uncertainties include, without limitation, risks
and uncertainties associated with (i) the initiation, timing, progress and
results of the Company’s research, manufacturing, preclinical studies,
clinical trials, and other therapeutic candidate development efforts; (ii)
the Company’s ability to advance its therapeutic candidates into clinical
trials or to successfully complete its preclinical studies or clinical
trials; (iii) the extent and number of additional studies that the Company
may be required to conduct and the Company’s receipt of regulatory
approvals for its therapeutic candidates, and the timing of other
regulatory filings, approvals and feedback; (iv) the manufacturing,
clinical development, commercialization, and market acceptance of the
Company’s therapeutic candidates; (v) the Company’s ability to establish
and maintain corporate collaborations; (vi) the Company’s ability to
acquire products approved for marketing in the U.S. that achieve commercial
success and build its own marketing and commercialization capabilities;
(vii) the interpretation of the properties and characteristics of the
Company’s therapeutic candidates and of the results obtained with its
therapeutic candidates in research, preclinical studies or clinical trials;
(viii) the implementation of the Company’s business model, strategic plans
for its business and therapeutic candidates; (ix) the scope of protection
the Company is able to establish and maintain for intellectual property
rights covering its therapeutic candidates and its ability to operate its
business without infringing the intellectual property rights of others; (x)
parties from whom the Company licenses its intellectual property defaulting
in their obligations to the Company; (xi) estimates of the Company’s
expenses, future revenues capital requirements and the Company’s needs for
additional financing; (xii) competitive companies and technologies within
the Company’s industry; and (xiii) the impact of the political and security
situation in Israel on the Company’s business. More detailed information
about the Company and the risk factors that may affect the realization of
forward-looking statements is set forth in the Company’s filings with the
Securities and Exchange Commission (SEC), including the Company’s Annual
Report on Form 20-F filed with the SEC on February 25, 2016. All forward-
looking statements included in this Press Release are made only as of the
date of this Press Release. We assume no obligation to update any written
or oral forward-looking statement unless required by law.


Company contact:                                      IR contact (U.S.):
Adi Frish                                             Marcy Nanus
Senior VP Business Development &                      Senior Vice President
Licensing                                             The Trout Group
RedHill Biopharma                                     +1-646-378-2927
+972-54-6543-112                                      Mnanus@troutgroup.com
adi@redhillbio.com


1 Gomma AI et al., Hepatocellular carcinoma: epidemiology, risk factors and
pathogenesis, World J Gastroenterol, 2008 Jul 21; 14(27): 4300-8.

2 Forner A et al., ‘Hepatocellular Carcinoma’, Lancet, 2012 Mar 31;
379(9822): 1245-55.

3 World Health Organization International Agency for Research on Cancer,
GLOBOCAN 2012: Estimated Cancer Incidence , Mortality and Prevalence
Worldwide in 2012.

4 Datamonitor

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service of EQS Group AG.
The issuer is solely responsible for the content of this announcement.

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