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Check-Cap Reports Fourth Quarter and Full Year 2022 Financial Results

31 March 2023

ISFIYA, Israel, March 31, 2023 /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 fourth quarter and full year ended December 31, 2022.

2022 and Recent Highlights:

  • In March 2023, the Company announced that following the Company's internal assessment of the clinical data collected to date from its calibration studies, the Company has determined that the current efficacy results do not meet its goal to proceed to the powered portion of the U.S. pivotal study. As a result, the Company has adopted a plan of actions that includes conducting additional clinical data analysis and approaching the U.S. Food and Drug Administration ("FDA") to make amendments to the U.S. pivotal study protocol that are expected to be part of an IDE supplement submission to the FDA, and which are subject to FDA approval. In addition, the Company plans to continue conducting its calibration studies, albeit at a slower pace, to collect additional clinical data and the Company is also implementing a cost reduction plan in order to extend its cash runway for a longer period than initially planned. The initiation of the powered portion of the U.S. pivotal study that was expected in mid-2023 is therefore temporarily postponed.
  • In March 2022, the Company consummated a $10 million registered direct offering. Based on the abovementioned plan, the Company believes that current cash on hand will be sufficient to fund its ongoing operations and plans into the fourth quarter of 2024.
  • Intellectual Property: During the year 2022, the Company was granted two new patents: 
    • "Position Estimation of Imaging Capsule in Gastrointestinal Tract" granted in Israel, covering C-Scan's proprietary tracking technology, which enables real time tracking of the capsule and its activation when it moves throughout the colon. This functionality allows for optimal scanning along the gastrointestinal (GI) tract while maintaining low energy consumption during the procedure. The patent also covers the capsule positioning data recording utilized by the C-Scan analysis suite, which enables gastroenterologists to make a clinical decision and generate a report with their diagnosis and recommendations. Corresponding patents were granted in Japan, China, Europe and the United States.
    • "System and method for polyp detection through capsule dynamics" granted in Japan. This patent was submitted following analysis of hundreds of patients that showed that certain capsule dynamic properties correlate with increased likelihood for the presence of polyps. Corresponding patents were filed in Europe and the United States.

"Our current primary focus is to continue collecting additional clinical data, while analyzing the data collected thus far. In parallel, we intend to leverage our Breakthrough Designation and engage with the FDA with the aim to obtain feedback and determine next steps with respect to the powered portion of the U.S. pivotal trial," said Alex Ovadia, chief executive officer of Check-Cap.

Financial Results for the Fourth Quarter Ended December 31, 2022

Research and development expenses, net, were $3.0 million for the three months ended December 31, 2022 compared to $4.1 million for the same period in 2021.  The decrease is primarily due to (i) a $0.6 million reduction in salary and related expenses, mainly as a result of a reduction in bonuses expense in 2022 and currency exchange rate fluctuation, and (ii) a decrease of approximately $0.6 million in material expenses.

General and administrative expenses were $1.3 million for the three months ended December 31, 2022, compared to $1.5 million for the same period in 2021. The decrease is primarily due to a $0.3 million decrease in salary and related expenses, mainly as a result of a reduction in bonuses expense in 2022, offset in part by an increase of $0.1 million in other general and administrative expenses.

Operating loss was $4.2 million for the three months ended December 31, 2022, compared to an operating loss of $5.6 million for the same period in 2021.

Finance income, net, was approximately $502,000 for the three months ended December 31, 2022, compared to $101,000 for the same period in 2021. The change in finance income, net is primarily due to an increase of $470,000 of interest income on short-term deposits recorded for the three months ended December 31, 2022.

Net loss was $3.7 million for the three months ended December 31, 2022, compared to $5.5 million for the same period in 2021.

Cash and cash equivalents, restricted cash and short-term bank deposits as of December 31, 2022 were $42.1 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 1,000,000 of the Company's ordinary shares and accompanying warrants to purchase up to an aggregate of 750,000 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 number of outstanding ordinary shares as of December 31, 2022 was 5,844,463.

Financial Results for the Twelve Months Ended December 31, 2022

Research and development expenses, net, were approximately $14.3 million for the twelve months ended December 31, 2022, compared to $12.3 million for the same period in 2021. The increase in research and development expenses, net between 2022 and 2021 was primarily due to (i) an increase of approximately $0.8 million in salary and related expense, mainly as a result of an expansion in head count that was offset in part by a reduction in bonuses expense in 2022 and by exchange rate fluctuations, (ii) an increase of approximately $0.6 million in subcontractors and consultants, including regulatory consultants, (iii) an increase of approximately $0.2 million in share-based compensation, (iv) an increase of approximately $0.8 million in other research and development expenses, including clinical study expenses, and (iv) a $0.2 million decrease in the participation of the Israel Innovation Authority in research and development expenses. The increase in research and development expenses, net between 2022 and 2021, was offset in part by a $0.8 million decrease in material expenses.

General and administrative expenses were approximately $5.8 million for the twelve months ended December 31, 2022, compared to approximately $5.0 million for the same period in 2021. The increase in general and administrative expenses is primarily due to (i) a $0.4 million increase in professional services expenses, (ii) a $0.2 million increase in share-based compensation expenses, and (iii) a $0.4 million increase in other general expenses, mainly associated with directors' and officers' liability insurance, offset in part by a $0.3 million decrease in salaries and related expenses, mainly due to a reduction in bonuses expense in 2022.

Operating loss was $20.0 million for the twelve months ended December 31, 2022, compared to $17.3 million for the same period in 2021.

Finance income, net, was approximately $926,000 for the twelve months ended December 31, 2021, compared to approximately $119,000 for the same period in 2021. The change in our finance income, net is primarily due to an increase of $946,000 of interest income on short-term deposits recorded for the year ended December 31, 2022, as compared to the year ended December 31, 2021, offset in part by a $173,000 decrease in fair value of derivatives recorded for the year ended December 31, 2022, as compared to the year ended December 31, 2021.

Net loss was approximately $19.1 million for the twelve months ended December 31, 2022, compared to approximately $17.2 million for the same period in 2021.

Net cash used in operating activities was $18.7 million for the twelve months ended December 31, 2022, compared to $16.3 million for the same period in 2021.

A copy of the Company's annual report on Form 20-F for the year ended December 31, 2022 has been filed with the U.S. Securities and Exchange Commission at www.sec.gov and posted on the Company's investor relations website at http://ir.check-cap.com/home. The Company will deliver a hard copy of its annual report, including its complete audited consolidated financial statements, free of charge, to its shareholders upon request to Mira Rosenzweig, chief financial officer, at This email address is being protected from spambots. You need JavaScript enabled to view it..

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, 2022 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
This email address is being protected from spambots. You need JavaScript enabled to view it.

Meirav Gomeh-Bauer
LifeSci Advisors, LLC 
+972(0)-54-476-4979
This email address is being protected from spambots. You need JavaScript enabled to view it.

Media Contact
Mónica Rouco Molina
Associate Director - Europe
LifeSci Communications
This email address is being protected from spambots. You need JavaScript enabled to view it.

CHECK CAP LTD.

CONSOLIDATED BALANCE SHEETS

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

     
     
   

December 31,

 
   

2 0 2 2

  

2 0 2 1

 

Assets

       

Current assets

       

Cash and cash equivalents

 

$

 

4,090

  

$

26,457

 

Restricted cash

   

352

   

350

 

Short-term bank deposit

   

37,609

   

25,104

 

Prepaid expenses and other current assets

   

579

   

839

 

Total current assets

   

42,630

   

52,750

 
          

Non-current assets

         

Property and equipment, net

   

1,751

   

1,793

 

Operating leases

   

1,060

   

1,116

 

Total non-current assets

   

2,811

   

2,909

 

Total assets

 

$

 

45,441

 

$

 

55,659

 
          

Liabilities and shareholders' equity

         

Current liabilities

         

Accounts payable and accruals

         

Trade

 

$

 

952

  

$

1,050

 

Other

   

802

   

680

 

Employees and payroll accruals

   

1,261

   

1,961

 

Operating lease liabilities

   

337

   

350

 

Other current liabilities

   

56

   

-

 

Total current liabilities

   

3,408

   

4,041

 
          

Non-current liabilities

         

Royalties provision

   

94

   

132

 

Operating lease liabilities

   

627

   

795

 

Total non-current liabilities

   

721

   

927

 
          

Shareholders' equity

         

Share capital, Ordinary shares 48 NIS par value (18,000,000 authorized shares as
of December 31, 2022 and 2021;
5,844,463 and 4,840,089 shares issued and
outstanding as of December 31, 2022 and 2021, respectively) (1)

   

83,664

   

68,787

 

Additional paid-in capital

   

84,941

   

90,089

 

Accumulated deficit

   

(127,293)

   

(108,185)

 

Total shareholders' equity

   

41,312

   

50,691

 
          

Total liabilities and shareholders' equity

 

$

 

45,441

 

$

 

55,659

 
 

(1) All share amounts have been retroactively adjusted to reflect a 1-for-20 share reverse split, see Note
1(A)(6) to the Company's financial statements.

CHECK CAP LTD.

CONSOLIDATED STATEMENTS OF OPERATIONS

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

 
 
 

Twelve months ended
December 31,

 

Three months ended
December
31,

 

2022

 

2021

 

2022

 

2021

Research and development expenses, net

$

14,271

$

12,349

 

$

2,956

$

4,126

General and administrative expenses

 

5,763

 

4,972

  

1,259

 

1,452

Operating loss

 

20,034

 

17,321

  

4,215

 

5,578

Finance Income, net

 

926

 

119

  

502

 

101

Net loss for the period

$

19,108

$

17,202

 

$

3,713

$

5,477

Loss per share:

         

Net loss per ordinary share basic and diluted

 

3.37

 

4.15

  

0.635

 

1.13

          

Weighted average number of ordinary

shares outstanding - basic and diluted

 

5,671,786

 

4,159,870

  

5,844,163

 

4,839,930

                  

CHECK-CAP LTD.

CONSOLIDATED STATEMENTS OF CASH FLOWS

 (U.S. dollars in thousands)

 
 
  

Year ended

  

Three months ended

  

December 31,

  

December 31,

  

2022

 

2021

  

2022

 

2021

CASH FLOWS FROM OPERATING
ACTIVITIES

         

Net loss

$

(19,108)

$

(17,202)

 

$

(3,713)

$

(5,477)

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

         

Depreciation and amortization

 

404

 

205

  

150

 

66

Share-based compensation

 

879

 

491

  

100

 

223

Financial expense (income), net

 

(624)

 

-

  

(329)

 

47

Changes in assets and liabilities items:

         

Decrease (increase) in prepaid and other
current assets and non-current assets

 

273

 

(549)

  

25

 

270

Increase (decrease) in trade accounts payable,
accruals and other current liabilities

 

207

 

362

  

201

 

119

Increase (decrease) in employees and payroll
accruals

 

(700)

 

451

  

(573)

 

414

Decrease in royalties provision

 

(38)

 

(22)

  

(8)

 

(46)

Net cash used in operating activities

$

(18,707)

$

(16,264)

 

$

(4,147)

$

(4,384)

          

CASH FLOWS FROM INVESTING
ACTIVITIES

         

Purchase of property and equipment

 

(486)

 

(1,006)

  

(91)

 

(263)

Investment in short-term bank
and other deposits

 

(12,022)

 

(15,000)

  

(1,022)

 

(8,300)

Net cash used in investing
activities

$

(12,508)

$

(16,006)

 

$

(1,113)

$

(8,563)

          

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

 

8,850

 

31,801

  

-

 

(207)

Options exercise

 

-

 

4

  

-

 

4

Net cash provided by financing activities

$

8,850

$

51,024

 

$

-

$

(203)

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

 

(22,365)

 

18,754

  

(5,260)

 

(13,150)

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

 

26,807

 

8,053

  

9,702

 

39,957

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

$

4,442

$

26,807

 

$

4,442

$

26,807

          

 

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