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      Check-Cap Reports First Quarter 2022 Financial Results and Corporate Update

      Check Cap Logo

      News provided by

      Check-Cap Ltd.

      Jun 01, 2022, 08:00 ET

      Share this article

      Share this article


      Company initiated first part of its U.S. pivotal study in early May 2022

      ISFIYA, Israel, June 1, 2022 /PRNewswire/ -- Check-Cap Ltd. (the "Company" or "Check-Cap") (NASDAQ: CHEK), (NASDAQ: CHEKZ), a clinical stage medical diagnostics company advancing the development of C-Scan®, the first and only patient-friendly, preparation-free screening test to detect polyps before they may transform into colorectal cancer (CRC), today announced financial results for the first quarter ended March 31, 2022.

      Q1 2022 and Recent Highlights:

      • Earlier in May ,after successfully obtaining Institutional Review Board approval, the Company announced the initiation of the first part of its U.S. pivotal study of C-Scan that focuses on device calibration and enhancement of C-Scan algorithms among the average risk U.S. population at Mayo Clinic in Rochester, Minnesota. Elizabeth Rajan, M.D., gastroenterologist, and professor of medicine at Mayo Clinic, is the principal investigator of the study at this site. The Pivotal Study is expected to enroll approximately 1,000 subjects ages 50-75 and will be conducted at up to 15 clinical sites in the U.S. The first part of the trial will enroll up to 200 subjects. The Company is working to enroll new additional study sites in the U.S. and plans to provide updates in the future. The second portion of the trial, anticipated to begin in Q4 2022, will enroll approximately 800 subjects and will compare performance of C-Scan to traditional colonoscopy. Data from this second comparative portion of the study will be analyzed for statistical significance and are intended to serve as the basis for the Company's filing for FDA approval in the U.S.
      • In March 2022, the Company consummated a $10 million registered direct offering. The Company believes that it has sufficient capital to fund its ongoing operations and plans into the first quarter of 2024.

      "The initiation of the U.S pivotal study in May 2022 represents a key milestone in our path to demonstrate the clinical potential of C-Scan and gather final data to support regulatory approval in the U.S.," said Alex Ovadia, chief executive officer of Check-Cap. "We are progressing towards agreements with additional reputable gastroenterology centers in the U.S. to expand patient enrollment across different U.S. geographies. We believe that C-Scan system has the potential to address a significant unmet need, through the introduction of potentially the first patient-friendly and preparation-free screening test to detect polyps before they may transform into cancer, and look forward to advancing to the final clinical stages of research."

      Financial Results for the First Quarter Ended March 31, 2022

      Net research and development expenses were $4.1 million for the three months ended March 31, 2022 compared to $2.4 million for the same period in 2021.  The increase is primarily due to (i) an increase of approximately $0.7 million in salary and related expenses, mainly as a result of increased employee head count, (ii) an increase of approximately $0.4 million in other research and development expenses, including clinical related expenses, (iii) a $0.2 million increase in material, subcontractors and consultants' expenses, and (iv) an increase of approximately $0.1 million in share-based compensation.  The Company expects that clinical related expenses will increase in the upcoming quarters as it progresses in its ongoing U.S. pivotal study.

      The increase in net research and development expenses between 2022 and 2021 is also due to a $0.3 million grant from the Israel Innovation Authority, which amount was recorded as a deduction from research and development expenses in the three months ended March 31, 2021.

      General and administrative expenses were $1.8 million for the three months ended March 31, 2022, compared to $1.2 million for the same period in 2021. The increase is primarily due to a $0.4 million increase in professional services, a $0.1 million increase in other general expenses, mainly associated with directors' and officers' liability insurance, and a $0.1 million increase in share-based compensation. 

      Operating loss was $5.9 million for the three months ended March 31, 2022, compared to an operating loss of $3.6 million for the same period in 2021.

      Net finance income was $51,000 for the three months ended March 31, 2022, compared to net finance expenses of $9,000 for the same period in 2021.  

      Net loss was $5.8 million for the three months ended March 31, 2022, compared to $3.6 million for the same period in 2021.

      Cash and cash equivalents, restricted cash and short-term bank deposits as of March 31, 2022 were $55.7 million as compared to $51.9 million as of December 31, 2021. On March 3, 2022, the Company consummated a registered direct offering for the sale of 20,000,000 of the Company's ordinary shares and accompanying warrants to purchase up to an aggregate of 15,000,000 of the Company's ordinary shares. The registered direct offering resulted in gross proceeds to the Company of $10.0 million or approximately $8.9 million net of offering expenses. The Company believes that it has sufficient capital to fund its ongoing operations and plans into the first quarter of 2024.

      The number of outstanding ordinary shares as of March 31, 2022 was 116,411,949. As of May 30, 2022, the number of outstanding ordinary shares was 116,411,949.

      About Check-Cap

      Check-Cap is a clinical stage medical diagnostics company aiming to redefine colorectal cancer (CRC) screening through the introduction of C-Scan®, the first and only patient-friendly preparation-free screening test to detect polyps before they may transform into colorectal cancer and enable early intervention and cancer prevention. The Company's disruptive capsule-based screening technology aims to help millions of people to stay healthy through preventive CRC screening. C-Scan uses an ultra-low dose X-ray capsule, an integrated positioning, control and recording system, as well as proprietary software to generate a 3D map of the inner lining of the colon as it travels naturally along the gastrointestinal tract. C-Scan is non-invasive and requires no sedation. It requires no bowel preparation, allowing the patients to continue their daily routine with no interruption. C-Scan is not intended to replace colonoscopy. A positive C-Scan result should be followed by colonoscopy.  C-Scan is an investigational device and is not available for sale in the United States.

      Legal Notice Regarding Forward-Looking Statements

      This press release contains "forward-looking statements" about the Company's expectations, beliefs or intentions regarding, among other things, its product development efforts, business, financial condition, results of operations, strategies or prospects. Words such as "may," "should," "could," "would," "predicts," "potential," "continue," "expects," "anticipates," "future," "intends," "plans," "believes," "estimates," and similar expressions, as well as statements in future tense, often signify forward-looking statements. Forward-looking statements should not be read as a guarantee of future performance or results and may not be accurate indications of when such performance or results will be achieved. Forward-looking statements are based on information that the Company has when those statements are made or management's good faith belief as of that time with respect to future events, and are subject to risks and uncertainties that could cause actual performance or results to differ materially from those expressed in or suggested by the forward-looking statements. For a discussion of these and other risks that could cause such differences and that may affect the realization of forward-looking statements, please refer to the "Forward-looking Statements" and "Risk Factors" in the Company's Annual Report on Form 20-F for the year ended December 31, 2021 and other filings with the Securities and Exchange Commission (SEC). Investors and security holders are urged to read these documents free of charge on the SEC's web site at http://www.sec.gov. The Company assumes no obligation to publicly update or revise its forward-looking statements as a result of new information, future events or otherwise

      Investor Contacts

      Irina Koffler 
      LifeSci Advisors, LLC 
      646.970.4681
      ikoffler@lifesciadvisors.com

      Meirav Gomeh-Bauer
      LifeSci Advisors, LLC 
      +972(0)-54-476-4979
      Meirav@lifesciadvisors.com

      Media Contact

      Mónica Rouco Molina
      Account Supervisor - Europe
      LifeSci Communications
      mroucomolina@lifescicomms.com

      CHECK CAP LTD.

      CONSOLIDATED UNAUDITED BALANCE SHEETS

       (U.S. dollars in thousands except share and per share data)



      March 31,


      December 31,



      2 0 2 2


      2 0 2 1

      Assets





      Current assets





      Cash and cash equivalents

      $

      11,263

      $

      26,457

      Restricted cash


      350


      350

      Short-term bank deposit


      44,127


      25,104

      Prepaid expenses and other current assets


      860


      839

      Total current assets


      56,600


      52,750






      Non-current assets





      Property and equipment, net


      1,828


      1,793

      Operating leases


      1,162


      1,116

      Total non-current assets


      2,990


      2,909

      Total assets

      $

      59,590

      $

      55,659






      Liabilities and shareholders' equity





      Current liabilities





      Accounts payable and accruals





      Trade

      $

      970

      $

      1,050

      Other


      1,102


      680

      Employees and payroll accruals


      2,257


      1,961

      Operating lease liabilities


      370


      350

      Total current liabilities


      4,699


      4,041






      Non-current liabilities





      Royalties provision


      134


      132

      Operating lease liabilities


      800


      795

      Total non-current liabilities


      934


      927






      Shareholders' equity





      Share capital, Ordinary shares, 2.4 NIS par value (360,000,000
      authorized shares as of March 31, 2022 and December 31,
      2021; 116,411,949 and 96,411,949 shares issued and
      outstanding as of March 31, 2022 and December 31, 2021, respectively)






      83,602


      68,787

      Additional paid-in capital


      84,374


      90,089

      Accumulated deficit


      (114,019)


      (108,185)

      Total shareholders' equity


      53,957


      50,691






      Total liabilities and shareholders' equity

      $

      59,590

      $

      55,659












      CHECK CAP LTD.

      CONSOLIDATED UNAUDITED STATEMENTS OF OPERATIONS

      (U.S. dollars in thousands, except share and per share data)


      Three months ended

      March 31,



      2022

      2021

      Research and development expenses, net


      $

      4,128

      $

      2,406

      General and administrative expenses



      1,757


      1,151

      Operating loss



      5,885


      3,557

      Finance Income (loss), net



      51


      (9)

      Net loss for the period


      $

      5,834

      $

      3,566

      Loss per share:






      Net loss per ordinary share basic and diluted



      0.06


      0.05







      Weighted average number of ordinary
      shares outstanding - basic and diluted



      102,634,171


      68,071,059









      CHECK CAP LTD.

      CONSOLIDATED UNAUDITED STATEMENTS OF CHANGES IN SHAREHOLDERS' EQUITY

      (U.S. dollars in thousands, except share and per share data)


      Number of ordinary
      shares


      Amount

      Additional
      paid-in capital

      Accumulated
      deficit

      Total
      shareholders'
      equity

      Balance as of January 1, 2022

      96,411,949

      $

      68,787

      $

      90,089

      $

      (108,185)

      $

      50,691

      Issuance of ordinary shares
      and warrants in March 2022
      registered direct offering, net
      of issuance expenses in an
      amount of $1,150

      20,000,000


      14,815


      (5,965)


      -


      8,850

      Share-based compensation

      -


      -


      250


      -


      250

      Net loss

      -


      -


      -


      (5,834)


      (5,834)

      Balance as of March 31, 2022

      116,411,949

      $

      83,602

      $

      84,374

      $

      (114,019)

      $

      53,957












      Number of ordinary
      shares

      Amount

      Additional
      paid-in
      capital

      Accumulated
      deficit

      Total shareholders'
      equity

      Balance as of January 1, 2021

      46,239,183

      $

      31,646

      $

      75,715

      $

      (90,983)


      $

      16,378

      Issuance of ordinary shares in
      private placement, net of
      issuance expenses in an
      amount of $30

      24,204,682


      18,099


      1,120


      -



      19,219

          RSUs vesting

      24,395


      18


      (18)


      -



      -

      Share-based compensation

      -


      -


      73


      -



      73

      Net loss

      -


      -


      -


      (3,566)



      (3,566)

      Balance as of March 31, 2021

      70,468,260

      $

      49,763

      $

      76,890

      $

      (94,549)


      $

      32,104















      CHECK-CAP LTD.

      CONSOLIDATED  STATEMENTS OF CASH FLOWS 

        (U.S. dollars in thousands)



      Three months ended



      March 31,



      2022


      2021

      CASH FLOWS FROM OPERATING ACTIVITIES





      Net loss

      $

      (5,834)

      $

      (3,566)

      Adjustments required to reconcile net loss to net
      cash used in operating activities:





      Depreciation


      76


      43

      Share-based compensation


      250


      73

      Financial income, net


      (51)


      (57)

      Changes in assets and liabilities items:





      Increase in prepaid and other current assets and non-
      current assets


      (18)


      (142)

      Increase in trade accounts payable, accruals and other
      current liabilities


      389


      85

      Increase in employees and payroll accruals


      296


      208

      Increase in royalties provision


      3


      42

      Net cash used in operating activities

      $

      (4,889)

      $

      (3,314)






      CASH FLOWS FROM INVESTING ACTIVITIES





      Purchase of property and equipment


      (200)


      (33)

      Investment in short-term bank and other deposits, net


      (18,999)


      (8,381)

      Net cash used in investing activities

      $

      (19,199)

      $

      (8,414)






      CASH FLOWS FROM FINANCING ACTIVITIES





      Exercise of warrants into ordinary shares, net of issuance
      expenses


      -


      19,219

      Issuance of ordinary shares in the registered direct offerings,
      net of issuance expenses


      8,894


      -

      Net cash provided by financing activities

      $

      8,894

      $

      19,219

      Net (decrease) increase in cash, cash equivalents
      and restricted cash


      (15,194)


      7,491

      Cash, cash equivalents and restricted cash at the
      beginning of the period


      26,807


      8,053

      Cash, cash equivalents and restricted cash at the end
      of the period

      $

      11,613

      $

      15,544






      Supplemental disclosure of non-cash flow
      information:





      Purchase of property and equipment included in accounts
      payable and accrued expenses

      $

      71

      $

      32

      Payable due to issuance costs


      45


      -

      Assets acquired under operating leases


      129


      916

      Supplemental disclosure of cash flow information:





      Cash paid for taxes


      1


      -

      Interest received


      $         61


      $            6

      SOURCE Check-Cap Ltd.

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