Check-Cap Reports Third Quarter 2020 Financial Results and Corporate Highlights

Submitted Investigational Device Exemption (IDE) application to the FDA for Pivotal Study of C-Scan®

ISFIYA, Israel, Nov. 18, 2020 /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, today announced financial results for the third quarter and nine months ended September 30, 2020 and corporate highlights.

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Third Quarter and Recent Highlights:

    --  Investigational Device Exemption (IDE) application submitted to the U.S.
        Food and Drug Administration (FDA) on November 18, 2020 for pivotal
        study of C-Scan.
    --  Continuing preparation for the U.S pivotal study including progress in
        establishing supporting device manufacturing, supply chain and quality
        controls, while initiating the substantial expansion of the clinical
        dataset on average risk patients at leading Israeli sites.
    --  Strengthened balance sheet through gross proceeds of $9.6 million in a
        warrant exercise financing in July 2020.

"The IDE submission constitutes a major milestone towards the initiation of our U.S. pivotal study, " said Alex Ovadia, chief executive officer of Check-Cap. "We plan to provide a further investor update on the timelines for the initiation of the U.S. pivotal study, expected in 2021, following guidance from the FDA."

Mr. Ovadia added "The Check-Cap team remains laser-focused on the Company's goal of advancing C-Scan towards final clinical stages and market acceptance as a patient-friendly colorectal cancer (CRC) screening option for the detection of pre-cancerous polyps before they may transform into cancer."

"Despite the increasing rates of CRC in recent years, especially in the younger population, screening rates remain low mostly due to the invasiveness of the colonoscopy procedure and the required bowel preparation. Non-invasive biomarker tests currently available or in development, such as fecal or liquid biopsy tests, demonstrate low sensitivity in detecting pre-cancerous polyps. There is a great unmet need for a patient-friendly screening option that can help detect polyps before they may turn into cancer and prevent this disease."

COVID-19 Corporate Update

The Company has experienced disruptions to its operations as a result of the COVID-19 pandemic. During the third quarter of 2020, infection rates in Israel began to significantly increase and toward the end of the third quarter, the government mandated a lockdown for the second time this year. The Company has implemented several measures according to the Israel Ministry of Health's guidelines, including remote working whenever possible, physical separation between employees and daily employee health monitoring.

It is still too early to assess the full impact of the COVID-19 outbreak, but the COVID-19 pandemic has affected the Company's ability to initiate its planned pivotal study and commence pilot sales in Israel and Europe in its original timeframe. The extent to which the COVID-19 pandemic shall impact the Company's operations and planned timelines will depend on future developments, which are highly uncertain and cannot be predicted with confidence, including the duration and severity of the outbreak, the impact on the global economy, the impact of any further waves of COVID-19 and the actions that may be required to contain the COVID-19 pandemic or treat its impact. In particular, the continued spread of COVID-19 globally could materially adversely impact the Company's operations and workforce, including its research and clinical trials and its ability to continue raising capital. It could also affect the operations of key governmental agencies, such as the FDA, which may delay the Company's development plans, and could result in the inability of its suppliers to deliver components or raw materials on a timely basis or at all, each of which in turn could have a material adverse impact on its business, financial condition and results of operation.

Financial Results for the Third Quarter Ended September 30, 2020

Research and development expenses were approximately $2.7 million for the three months ended September 30, 2020, unchanged from the same period in 2019. The main fluctuations were primarily a decrease of approximately $0.2 million in clinical expenses associated with the pilot study in the U.S. and post CE study in 2019, and a decrease of approximately $0.2 million in other research and development expenses. The foregoing decrease was offset in part by an increase of approximately $0.1 million for materials and approximately $0.3 million in salaries and related expenses.

General and administrative expenses were approximately $1.0 million for the three months ended September 30, 2020, compared to approximately $0.8 million for the same period in 2019. The increase was primarily due to an increase of approximately $0.1 million in other general expenses and approximately $0.1 million in salaries and related expenses.

Operating loss was approximately $3.6 million for the three months ended September 30, 2020, unchanged from the operating loss in the same period in 2019.

Net loss was approximately $3.6 million for the three months ended September 30, 2020, compared to approximately $3.5 million for the same period in 2019.

Cash and cash equivalents, restricted cash and short-term bank deposits totaled approximately $21.7 million as of September 30, 2020, compared with approximately $16.4 million as of June 30, 2020 and approximately $8.0 million as of December 31, 2019. During the third quarter of 2020, the Company completed a warrant exercise financing resulting in gross proceeds of approximately $9.6 million (approximately $8.7 million net of offering expenses). The Company believes that it has sufficient capital to fund its ongoing operations and plans for approximately the next 12 months.

The number of outstanding ordinary shares as of September 30, 2020 was 46,233,296. As of November 17, 2020, the number of the Company's outstanding ordinary shares was 46,237,551.

Financial Results for the Nine Months Ended September 30, 2020

Research and development expenses were approximately $7.2 million for the nine months ended September 30, 2020, compared to approximately $7.7 million for the same period in 2019. The decrease is primarily due to (i) a decrease of approximately $0.7 million in clinical expenses mainly due to higher expenses for the pilot study in the U.S and post CE study in 2019, (ii) a decrease of approximately $0.3 million in other research and development expenses, and (iii) a decrease of approximately $0.2 million in share-based compensation. The foregoing decrease was offset in part by an increase of approximately $0.7 million in salaries and related expenses mainly as a result of an expansion in head count and currency exchange rate fluctuation.

General and administrative expenses were approximately $2.8 million for the nine months ended September 30, 2020, compared to approximately $2.6 million for the same period in 2019. The increase was primarily due to an increase of approximately $0.1 million in salaries and related expenses, approximately $0.1 million in share-based compensation and approximately $0.2 million in other general expenses, offset in part by a decrease of approximately $0.2 million in professional services expenses.

Operating loss was approximately $10.0 million for the nine months ended September 30, 2020, compared to approximately $10.2 million in the same period in 2019.

Finance income, net was approximately $62,000 for the nine months ended September 30, 2020, compared to approximately $215,000 for the same period in 2019. The decrease was mainly due to a decline in interest rates

Net loss was approximately $9.9 million for the nine months ended September 30, 2020, compared to approximately $10.0 million for the same period in 2019.

Net cash used in operating activities was approximately $9.6 million for the nine months ended September 30, 2020, compared to net cash used in operating activities of approximately $9.5 million for the same period in 2019.

[Financial Tables to Follow]

About Check-Cap

Check-Cap is a clinical stage medical diagnostics company aiming to redefine colorectal cancer (CRC) screening and prevention 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. The Company's disruptive capsule-based screening technology aims to significantly increase screening adherence worldwide and 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. C-Scan is non-invasive and requires no preparation or sedation, allowing the patients to continue their daily routine with no interruption as the capsule is propelled through the gastrointestinal tract by natural motility.

Legal Notice Regarding Forward-Looking Statements

This press release contains "forward-looking statements." 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, 2019 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


                                                              
            
              
                CHECK CAP LTD

                                                                                    ---

                                                  
            
              
                CONSOLIDATED UNAUDITED BALANCE SHEETS

                                                                                    ---

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




                                                                                                                          September 30, December 31,


                                                                                                                                   2020                      2019






       
              
                Assets

    ---




       
              Current assets



       Cash and cash equivalents                                                                                              6,354                     7,685



       Restricted cash                                                                                                          350                       350



       Short-term bank deposit                                                                                               15,016


        Prepaid expenses and other current
         assets                                                                                                                  288                       400

    ---


       
              Total current assets                                                                                       22,008                     8,435





       
              Non-current assets



       Property and equipment, net                                                                                              753                       540



       Operating leases                                                                                                         424                       454


                   Total non-current assets                                                                                    1,177                       994

    ---


       
              Total assets                                                                                               23,185                     9,429





       
              
                Liabilities and shareholders' equity

    ---






       
              Current liabilities



       Accounts payable and accruals



       Trade                                                                                                                    952                       989



       Other                                                                                                                    253                       490



       Employees and payroll accruals                                                                                         1,207                     1,101



       Operating lease liabilities                                                                                              247                       222

    ---

                   Total current liabilities                                                                                   2,659                     2,802





       
              Non-current liabilities



       Royalties provision                                                                                                      188                       182



       Operating lease liabilities                                                                                              142                       211


                   Total non-current liabilities                                                                                 330                       393

    ---



                                Shareholders' equity

    ---

        Share capital, Ordinary shares, 2.4 NIS par value (90,000,000
         authorized shares as of September 30, 2020 and December


        31, 2019, respectively; 46,233,296 and 8,272,908 shares issued and
         outstanding as of September 30, 2020 and December



       31, 2019, respectively)                                                                                               31,642                     5,407



       Additional paid-in capital                                                                                            75,628                    77,964



       Accumulated deficit                                                                                                 (87,074)                 (77,137)


                   Total shareholders' equity                                                                                 20,196                     6,234

    ---



                   Total liabilities and shareholders'
                    equity                                                                                                    23,185                     9,429


                           
              
                
                  CHECK CAP LTD

                                                    ---

        
            
                
                  CONSOLIDATED UNAUDITED STATEMENTS OF COMPREHENSIVE LOSS

                                                    ---

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




                                                                            Nine months ended September                       Three months ended
                                                                             30,                             September 30,


                                                           2020                    2019                     2020                2019

                                                                                                                              ---



          Research and development
           expenses, net                                  7,177                   7,655                    2,664               2,746


          General and administrative
           expenses                                       2,822                   2,567                      967                 818


                       Operating loss                     9,999                  10,222                    3,631               3,564

    ---                                                                                                                       ---



          Finance income, net                                62                     215                       13                  62

                                                                                                                              ---



                       Net loss                           9,937                  10,007                    3,618               3,502

                                                                                                                              ===




         
                Other comprehensive loss:




          Change in fair value of
           cash flow hedge                                                          13                                           -


                       Comprehensive loss                 9,937                  10,020                    3,618               3,502

    ---                                                                                                                       ---



          Net loss per ordinary
           share -basic and diluted                        0.40                    1.27                     0.09                0.42




          Weighted average number of
           ordinary shares
           outstanding -basic and
           diluted                                   25,017,699               7,862,530               41,518,827           8,254,013

                                                                                                                              ---


                                                                                                                            
             
                
                  CHECK CAP LTD.

                                                                                                                                                    ---

                                                                                                           
        
             
                CONSOLIDATED UNAUDITED STATEMENTS OF CHANGES IN SHAREHOLDERS' EQUITY

                                                                                                                                                    ---

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




                                                                                                 Number of                                                                             Additional                    Othe
              r                                                                         Total


                                                                                                 Ordinary                                                                                paid-in                       comprehensive                      Accumulated       shareholders'


                                                                                                   Shares    Amount                                                                                         capital                                   los
              s                        deficit                     equity






     
                Balance as of January 1, 2020                                                 8,272,908           $
            
                5,407                                                             $
        
                77,964             
           
             $                              $
       
         (77,137)        $
          
              6,234



     Issuance of ordinary shares in private



     placement, net of issuance expenses in



     an amount of approximately $30                                                             2,720,178                      $
              1,894                                                                     $
              2,837                                                                                                  $
            4,731



     Issuance of ordinary shares and warrants



     in the April - May 2020 Financings, net



     of issuance expenses in an amount of


                                                                                       
     $1,361 19,166,670                     $
              13,039                                                                   $
              (2,900)                                                                                                $
            10,139



     Issuance of ordinary shares and warrants in a warrant exercise financing, net of



     Issuance expenses in an amount of $920                                                    16,054,223                     $
              11,290                                                                   $
              (2,578)                                                                                                 $
            8,712



         RSU vesting                                                                               19,317                         $
              12                                                                      $
              (12)



     Share-based compensation                                                                                                                                                                                        $
              317                                                                                                    $
            317



     
                Net loss                                                                                                                                                                                                                                                                              $
       (9,937)               $
            (9,937)




     
                Balance as of September 30, 2020                                             46,233,296          $
            
                31,642                                                             $
        
                75,628                                                              $
       
         (87,074)       $
          
              20,196







                                                                                                 Number of                                                                             Additional                                       Other                                                               Total


                                                                                                 Ordinary                                                                              paid-in                       comprehensive      Accumulated     shareholders'


                                                                                                 Shares                                  Amount                                                                      capital                                                loss                            deficit                           equity






     
                Balance as of January 1, 2019                                                 5,330,684           $
            
                3,456                                                             $
        
                72,888                                 $
     
                (13)         $
       
         (63,301)       $
          
              13,030



     Issuance of ordinary shares and warrants



     in the 2019



     registered direct offering, net of issuance



     expenses in an amount of $987                                                              2,906,376                      $
              1,928                                                                     $
              4,583                                                                                                  $
            6,511



     Exercise of warrants into ordinary shares                                                        734



         RSU vesting                                                                               28,268                         $
              18                                                                      $
              (18)



     Share-based compensation                                                                                                                                                                                        $
              406                                                                                                    $
            406



     Other comprehensive loss                                                                                                                                                                                                                                             $
              13                                                 $
            13



     
                Net loss                                                                                                                                                                                                                                                                             $
       (10,007)              $
            (10,007)




     
                Balance as of September 30, 2019                                              8,266,062           $
            
                5,402                                                             $
        
                77,859                                                              $
       
         (73,308)        $
          
              9,953


                                                                                                         
        
                
                  CHECK CAP LTD.

                                                                                                                            ---

                                                                                            
     
           
            CONSOLIDATED UNAUDITED STATEMENTS OF CHANGES IN SHAREHOLDERS' EQUITY

                                                                                                                            ---

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




                                                             Number of                          Additional                                                                Other                                    Total


                                                             Ordinary                             paid-in                      comprehensive                           Accumulated    shareholders'


                                               
              
        Shares              Amount                                         Capital                                                             loss        deficit                 equity





                  Balance as of June 30,
                   2020                                     30,172,943 $
      
             20,348                    $
              
                78,110                                      
       
               $      $
      
         (83,456) $
         
            15,002


     Issuance of ordinary shares and warrants in a warrant
      exercise financing, net of


     Issuance expenses in an
      amount of $920                                        16,054,223      $
           11,290                                $
              (2,578)                                                                                        $
          8,712


         RSU vesting                                             6,130          $
            4                                    $
              (4)


     Share-based compensation                                        -                                                       $
              100                                                                                           $
          100


                  Net loss                                           -                                                                                                                                        $
       (3,618)        $
          (3,618)



                  Balance as of September
                   30, 2020                                 46,233,296 $
      
             31,642                    $
              
                75,628                                                             $
      
         (87,074) $
         
            20,196







                                                             Number of                          Additional                                                             Other                                     Total


                                                             Ordinary                           paid-in                        comprehensive                           Accumulated    shareholders'


                                             
              
        Shares                Amount                                      Capital                                                                loss       deficit                  equity





                  Balance as of June 30,
                   2019                                      8,238,462  $
      
             5,384                    $
              
                77,740                                      
       
               $      $
      
         (69,806) $
         
            13,318


     Exercise of warrants into
      ordinary shares                                              734


         RSU vesting                                            26,866         $
            18                                   $
              (18)


     Share-based compensation                                        -                                                       $
              137                                                                                           $
          137


                  Net loss                                           -                                                                                                                                        $
       (3,502)        $
          (3,502)



                  Balance as of September
                   30, 2019                                  8,266,062  $
      
             5,402                    $
              
                77,859                                                             $
      
         (73,308)  $
         
            9,953


                                      
              
                
                  CHECK-CAP LTD.

                                                               ---

                     
              
                
                  CONSOLIDATED UNAUDITED STATEMENTS OF CASH FLOWS

                                                               ---

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




                                                                                               Nine months ended


                                                                                           September 30,



                                                                                                    2020              2019



                  CASH FLOWS FROM OPERATING ACTIVITIES


     Net loss for the
      period                                                                                     (9,937)         (10,007)


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


     Depreciation                                                                                    107                84


     Share-based
      compensation                                                                                   317               406


     Financial (income)
      expenses, net                                                                                 (27)             (45)


                  Changes in assets and liabilities items:


     Decrease (increase)
      in prepaid and
      other current
      assets and non-
      current assets                                                                                 106              (37)


     Increase (decrease)
      in trade accounts
      payable, accruals
      and other current
      liabilities                                                                                  (295)              104


     Increase (decrease)
      in employees and
      payroll accruals                                                                               106              (24)


     Increase in
      royalties provision                                                                              6                 7


                  Net cash used in
                   operating
                   activities                                                                    (9,617)          (9,512)




                  CASH FLOWS FROM INVESTING ACTIVITIES


     Purchase of property
      and equipment                                                                                (293)            (131)


     Proceeds from
      (investment in)
      short-term bank
      and other deposit                                                                         (15,003)            1,673


                  Net cash used in
                   investing
                   activities                                                                   (15,296)            1,542




                  CASH FLOWS FROM FINANCING ACTIVITIES


     Issuance of ordinary
      shares and warrants
      in the 2019
      registered direct
      offering, net of
      issuance expenses                                                                                             6,511


     Issuance of ordinary
      shares in the
      private placement,
      net of issuance
      expenses                                                                                     4,731


     Issuance of ordinary
      shares and warrants
      in the 2020
      registered direct
      offerings, net of
      issuance expenses                                                                           10,139


     Issuance of ordinary
      shares and warrants
      in a warrant
      exercise financing,
      net of issuance
      expenses                                                                                     8,712


                  Net cash provided by
                   financing
                   activities                                                                     23,582             6,511




                  Net increase
                   (decrease) in cash,
                   cash equivalents
                   and restricted cash                                                           (1,331)          (1,459)


                  Cash, cash
                   equivalents and
                   restricted cash at
                   the beginning of
                   the period                                                                      8,035             8,922


                  Cash, cash
                   equivalents and
                   restricted cash at
                   the end of the
                   period                                                                          6,704             7,463


                        
        
                
                  CHECK-CAP LTD.

                                           ---

                                        CONSOLIDATED UNAUDITED STATEMENTS OF CASH FLOWS

                                           ---

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


                                        Supplemental information for Cash Flow:

                                       ---



                                                            Nine months ended


                                                            September 30,


                                        2020                            2019



        Supplemental
         disclosure of
         non-cash flow
         information

    ---

        Purchase of
         property and
         equipment
         included in
         accounts
         payable and
         accrued
         expenses                         22


        Recognition of
         operating
         leases and
         operating
         lease
         liabilities
         from adoption
         of


        ASU 2016-02                                                                     490


        Assets acquired
         under
         operating
         leases                          140                   106

    ---

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SOURCE Check-Cap Ltd.