More Than 200 Patients Enrolled in Ongoing SHIELD II Phase 3 Trial of D-PLEX₁₀₀for the Prevention of Abdominal Colorectal Surgical Site Infections

Approximately 50 Centers Currently Open

Unblinded Interim Analysis to be Conducted Once Approximately 400 Patients Complete Their 30-Day Follow-up; Top-line Results Expected in Second Half of 2024

Conference Call Scheduled for Today at 8:30 AM ET

PETACH TIKVA, Israel, May 08, 2024 (GLOBE NEWSWIRE) -- PolyPid Ltd. (NASDAQ:PYPD) ("PolyPid" or the "Company"), a late-stage biopharma company aiming to improve surgical outcomes, today provided a corporate update and reported financial results for the three months ended March 31, 2024.

Recent Corporate Highlights:

More than 200 patients have been enrolled to date in the ongoing SHIELD II Phase 3 trial that is recruiting patients undergoing colorectal abdominal surgery with large incisions.
- Approximately 50 centers are currently open in multiple countries, including the U.S., Germany, Italy, Ireland, Portugal, Hungary and Israel.
- Unblinded interim analysis is planned to be conducted once approximately 400 patients complete their 30-day follow up, which is expected to occur in mid-2024.
- Top-line results are anticipated in the second half of 2024.
- To date, the median age, male/female split and percentage of enrolled cancer patients in SHIELD II are similar to the patient population in the SHIELD I large incision pre-specified subgroup. Observing similar demographics between the two studies in this more focused patient population in which D-PLEX₁₀₀ has already generated highly positive data in SHIELD I could be an important de-risking factor for SHIELD II.
Closed a private placement financing ("PIPE") for $16 million of gross proceeds. The Company's cash runway now extends into the fourth quarter of 2024 and beyond the expected timing of the planned unblinded interim analysis.
- PolyPid has the potential to secure an additional $19 million if the results of the unblinded interim analysis are positive and all of the warrants issued in the PIPE are exercised, which would fund PolyPid to the start of a planned New Drug Application ("NDA") submission for D-PLEX₁₀₀.

"We are excited about the substantial momentum throughout our business, most importantly as it relates to enrollment in our ongoing SHIELD II pivotal Phase 3 trial for D-PLEX₁₀₀," stated Dikla Czaczkes Akselbrad, PolyPid's Chief Executive Officer. "With more than 200 patients, the SHIELD II study is now more than half enrolled for the interim analysis, which is planned to be conducted in mid-2024. We expect to continue enrollment at a pace of 1.5 patients per recruiting center per month. There are approximately 50 centers currently open in multiple countries and approximately 10 more centers are anticipated to open over the next couple of months."

Financial results for three months ended March 31, 2024

Research and development (R&D) expenses for the three months ended March 31, 2024, were $5.1 million, compared to $3.8 million for the same three-month period of 2023. The increase in R&D expenses in the most recently completed quarter was driven by the ramp up of the ongoing SHIELD II Phase 3 trial.
General and administrative (G&A) expenses for the three months ended March 31, 2024, were $1.0 million, compared to $1.6 million for the same period of 2023.
Marketing and business development expenses for the three months ended March 31, 2024, were $0.2 million, compared to $0.4 million for the same period of 2023.
For the three months ended March 31, 2024, the Company had a net loss of $6.4 million, or ($1.37) per share, compared to a net loss of $6.1 million, or ($8.47) per share, for the three-month period ended March 31, 2023.

Balance Sheet Highlights

As of March 31, 2024, the Company had cash and cash equivalents and short-term deposits in the amount of $14.5 million, compared to $5.3 million as of December 31, 2023. This includes the net proceeds of approximately $15 million generated from the PIPE financing closed in January 2024. PolyPid expects that its pro forma cash balance will be sufficient to fund operations into the fourth quarter of 2024.

Conference Call Dial-In & Webcast Information:

Date:	Wednesday, May 8, 2024
Time:	8:30 AM Eastern Time
Q&A Participants:	https://register.vevent.com/register/BI6c0218de1fe64ed5b4d221783eb70bba
Webcast:	https://edge.media-server.com/mmc/p/34fyspqn

About SHIELD II

SHIELD II (Surgical site Hospital acquired Infection prEvention with Local D-PLEX) is a prospective, multinational, randomized, double blind Phase 3 trial designed to assess the efficacy and safety of D-PLEX₁₀₀ administered concomitantly with standard of care ("SoC"), which includes prophylactic systemic antibiotics, compared to SoC alone arm, in the prevention of post abdominal-surgery incisional infection in patients undergoing abdominal colorectal surgeries with large incisions. The primary endpoint of the trial is measured by the proportion of subjects with either a surgical site infection ("SSI") event as determined by a blinded and independent adjudication committee, reintervention, or mortality for any reason within 30 days post-surgery. Patient safety will be monitored for an additional 30 days. The trial will enroll patients in centers in the United States, Europe and Israel.

About D-PLEX₁₀₀

D-PLEX_100,PolyPid's lead product candidate, is designed to provide local prolonged and controlled anti-bacterial activity directly at the surgical site to prevent SSIs. Following the administration of D-PLEX₁₀₀ into the surgical site, the PLEX (Polymer-Lipid Encapsulation matriX) technology pairs with Active Pharmaceutical Ingredients, enabling a prolonged and continuous release of the broad-spectrum antibiotic doxycycline, resulting in a high local concentration of the drug for a period of 30 days for the prevention of SSIs, with additional potential to prevent SSIs caused by antibiotic-resistant bacteria at the surgical site. D-PLEX₁₀₀received Breakthrough Therapy Designation from the U.S. Food and Drug Administration for the prevention of SSIs in patients undergoing elective colorectal surgery. D-PLEX₁₀₀is currently in Phase 3 SHIELD II trial for the prevention of surgical site infections in patients undergoing abdominal colorectal surgery with large incisions.

About PolyPid

PolyPid Ltd. (Nasdaq: PYPD) is a late-stage biopharma company aiming to improve surgical outcomes. Through locally administered, controlled, prolonged-release therapeutics, PolyPid's proprietary PLEX (Polymer-Lipid Encapsulation matriX) technology pairs with Active Pharmaceutical Ingredients (APIs), enabling precise delivery of drugs at optimal release rates over durations ranging from several days to months. PolyPid's lead product candidate D-PLEX₁₀₀ is in Phase 3 clinical trial for the prevention of abdominal colorectal surgical site infections. In addition, the Company is currently in preclinical stages to test the efficacy of OncoPLEX for the treatment of solid tumors, beginning with glioblastoma.

For additional Company information, please visit http://www.polypid.com and follow us on Twitter and LinkedIn.

Forward-looking Statements

This press release contains "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act and other securities laws. Words such as "expects," "anticipates," "intends," "plans," "believes," "seeks," "estimates" and similar expressions or variations of such words are intended to identify forward-looking statements. For example, the Company is using forward-looking statements when it discusses the expected timing for top-line results from the SHIELD II trial and of the unblinded interim analysis, that observing similar demographics between SHIELD I and SHIELD II in large incision pre-specified subgroup could be an important de-risking factor for SHIELD II, the expected enrollment pace, the expectation to add approximately 10 more centers over the next couple of months, the planned NDA submission for D-PLEX₁₀₀, the Company's expected cash runway and the potential to receive additional funds if the results of the unblinded interim analysis are positive and all of the warrants issued through the PIPE are exercised. Forward-looking statements are not historical facts, and are based upon management's current expectations, beliefs and projections, many of which, by their nature, are inherently uncertain. Such expectations, beliefs and projections are expressed in good faith. However, there can be no assurance that management's expectations, beliefs and projections will be achieved, and actual results may differ materially from what is expressed in or indicated by the forward-looking statements. Forward-looking statements are subject to risks and uncertainties that could cause actual performance or results to differ materially from those expressed in the forward-looking statements. For a more detailed description of the risks and uncertainties affecting the Company, reference is made to the Company's reports filed from time to time with the Securities and Exchange Commission, including, but not limited to, the risks detailed in the Company's Annual Report on Form 20-F filed on March 6, 2024. Forward-looking statements speak only as of the date the statements are made. The Company assumes no obligation to update forward-looking statements to reflect actual results, subsequent events or circumstances, changes in assumptions or changes in other factors affecting forward-looking information except to the extent required by applicable securities laws. If the Company does update one or more forward-looking statements, no inference should be drawn that the Company will make additional updates with respect thereto or with respect to other forward-looking statements.

References and links to websites have been provided as a convenience, and the information contained on such websites is not incorporated by reference into this press release. PolyPid is not responsible for the contents of third-party websites.

Contacts:

PolyPid Ltd.

Ori Warshavsky

COO – US

908-858-5995

IR@Polypid.com

Investors:

Brian Ritchie

LifeSci Advisors

212-915-2578

britchie@lifesciadvisors.com

CONSOLIDATED BALANCE SHEETS
U.S. dollars in thousands
	March 31,		December 31,
	2024		2023
	(Unaudited)		(Audited)
ASSETS

CURRENT ASSETS:
Cash and cash equivalents	$	3,844	$	5,309
Restricted cash		166		300
Short-term deposits		10,612		-
Prepaid expenses and other current assets		471		458

Total current assets		15,093		6,067

LONG-TERM ASSETS:
Property and equipment, net		7,201		7,621
Operating lease right-of-use assets		2,883		1,597
Other long-term assets		218		87

Total long-term assets		10,302		9,305

Total assets	$	25,395	$	15,372

CONSOLIDATED BALANCE SHEETS
U.S. dollars in thousands (except share and per share data)
	March 31,			December 31,
		2024				2023
	(Unaudited)				(Audited)
LIABILITIES AND SHAREHOLDERS' EQUITY (DEFICIT)

CURRENT LIABILITIES:
Current maturities of long-term debt	$	4,436			$	4,003
Accrued expenses and other current liabilities		2,609				1,971
Trade payables		1,288				772
Current maturities of operating lease liabilities		862				540

Total current liabilities		9,195				7,286

LONG-TERM LIABILITIES:
Long-term debt		4,288				6,379
Deferred revenues		2,548				2,548
Long-term operating lease liabilities		1,816				857
Other liabilities		403				398

Total long-term liabilities		9,055				10,182

COMMITMENTS AND CONTINGENT LIABILITIES

SHAREHOLDERS' EQUITY (DEFICIT):
Ordinary shares, no par value *) -
Authorized: 107,800,000 shares at March 31, 2024 (Unaudited) and December 31, 2023; Issued and outstanding: 4,797,252 and 1,653,559 shares at March 31, 2024 (Unaudited) and December 31, 2023, respectively		-				-
Additional paid-in capital		251,902				236,213
Accumulated deficit		(244,757	)			(238,309	)

Total shareholders' equity (deficit)		7,145				(2,096	)

Total liabilities and shareholders' equity (deficit)	$	25,395			$	15,372

*) Prior period results have been retroactively adjusted to reflect the 1-for-30 reverse share split affected on September 18, 2023.

CONSOLIDATED STATEMENTS OF OPERATIONS
U.S. dollars in thousands (except share and per share data)
	Three Months Ended March 31,
	2024		2023
	(Unaudited)		(Unaudited)
Operating expenses:
Research and development, net	$	5,050	$	3,794
Marketing and business development expenses		236		385
General and administrative		1,015		1,609

Operating loss		6,301		5,788
Financial expense, net		140		255

Loss before income tax		6,441		6,043
Income tax expense		7		25

Net loss	$	6,448		6,068

Basic and Diluted loss per Ordinary share *)	$	1.37	$	8.47

Weighted average number of Ordinary shares used in computing basic and diluted loss per share *)		4,691,445		716,555

*) Prior period results have been retroactively adjusted to reflect the 1-for-30 reverse share split affected on September 18, 2023.

PolyPid Provides Corporate Update and Reports First Quarter 2024 Financial Results