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Onvansertib effectively targets the once “undruggable” KRAS-mutation present in 50% of colorectal cancerNew Podcast

Turning the Tide on Cancer

Investing in Cardiff Oncology to Provide New Treatment Options for Cancers with the Greatest Medical Need

Press Releases

Cardiff Oncology Announces Third Quarter 2020 Results and Highlights

SAN DIEGO, Nov. 5, 2020 /PRNewswire/ -- Cardiff Oncology, Inc. (Nasdaq: CRDF), a clinical-stage biotechnology company developing drugs to treat cancers with the greatest medical need for new treatment options, including KRAS-mutated colorectal cancer, castration-resistant prostate cancer and leukemia, today announced company highlights and financial results for the third quarter ended September 30, 2020. The Company is issuing this press release in lieu of conducting a conference call.

"Cardiff Oncology has seen robust growth over the past few months, which has been driven primarily by clinical data sets demonstrating safety and efficacy of onvansertib in solid tumor indications," said Dr. Mark Erlander, chief executive officer of Cardiff Oncology. "Data from our lead KRAS-mutated metastatic colorectal cancer (mCRC) program presented at the European Society for Medical Oncology (ESMO) conference, shows that the addition of onvansertib to standard-of-care therapy has led to durable responses and a significant improvement in the objective response rate (ORR) versus historical ORR's of standard-of-care alone, highlighting onvansertib's ability to address a critical unmet need in second-line treatment. We have also seen progress in our metastatic castration-resistant prostate cancer (mCRPC) program, presenting positive biomarker and efficacy data demonstrating onvansertib's ability to overcome Zytiga® resistance across known androgen receptor resistance mechanisms, at the Prostate Cancer Foundation (PCF) Scientific Retreat."

Dr. Erlander continued, "alongside our recent clinical achievements, we also executed on a major corporate milestone in early October with the Company closing an underwritten public offering of its common stock for gross proceeds of approximately $100 million. These funds will enable us to continue executing on our current programs and also initiate new clinical programs in other cancer indications."

Program highlights for the quarter ended September 30, 2020 include:

KRAS-mutated Metastatic Colorectal Cancer (mCRC) Program:

Presented clinical data at the European Society for Medical Oncology (ESMO) Virtual Congress 2020 confirming the efficacy of onvansertib and the durability of response in second line KRAS-mutated mCRC patients

Newly announced data from a Phase 1b/2 clinical trial evaluating onvansertib in combination with FOLFIRI/bevacizumab in second line KRAS-mutated mCRC were featured in an electronic poster at the ESMO Virtual Congress 2020. These data further demonstrate the safety, efficacy and durability of response of onvansertib in combination with FOLFIRI/bevacizumab and suggest that changes in plasma KRAS mutation levels may serve as a predictive biomarker of patient response. Data highlights from the presentation included:

  • 10 of 11 (91%) patients achieved disease control (SD – stable disease plus PR – partial response), with only 1 patient progressing in <6 months while on treatment
  • 5 of 11 (45%) patients achieved a PR; 4 patients had a confirmed PR with 1 patient going on to curative surgery; 1 patient with an initial PR went off study prior to confirmatory scan due to a non-treatment related event
  • 8 of 11 (73%) patients demonstrated durable response ranging from 6 to >12 months, and 4 patients remain on treatment
  • Patients achieving a PR showed the greatest decreases in plasma KRAS mutation levels (ranging from -78% to -100%) after one cycle of therapy
  • Data demonstrated that onvansertib in combination with FOLFIRI/bevacizumab is safe and well tolerated

Hosted a Key Opinion Leader (KOL) call discussing KRAS-mutated colorectal cancer and highlighting data from the onvansertib Phase 1b/2 trial

The call featured KOLs Afsaneh Barzi, M.D., Ph.D. (City of Hope Comprehensive Cancer Center) and Heinz-Josef Lenz, M.D., FACP (USC Norris Comprehensive Cancer Center). In addition to a discussion of the latest data from the Phase 1b/2 trial of onvansertib in KRAS-mutated mCRC, the call also included an overview of the history of KRAS in clinical practice, the challenges of drug development and targeting of KRAS and the value of KRAS as a biomarker for patient selection and predicting response to treatment. You may access a replay of the event by clicking here. 

Highlights for the period subsequent to the quarter end include:

Corporate Milestones:

Strengthened balance sheet with gross proceeds of approximately $100 million in offering of common stock

On October 2nd, Cardiff Oncology closed an underwritten offering of 6,500,000 shares of its common stock at a public offering price of $13.50 per share, before deducting underwriter discounts and commissions and estimated offering expenses. The underwriters also exercised an option to purchase an additional 975,000 shares at the public offering price (less underwriting discounts and commissions). Cardiff Oncology intends to use the net proceeds from this offering for clinical development of onvansertib, working capital and for other general corporate purposes.

Clinical Milestones:

Metastatic Castration Resistant Prostate Cancer (mCRPC) Program:

Presented positive efficacy and biomarker data from Phase 2 mCRPC trial demonstrating ability of onvansertib to overcome Zytiga® resistance at the 27th Prostate Cancer Foundation (PCF) Scientific Retreat

An electronic poster presented at the PCF retreat featured new data and analyses related to an ongoing Phase 2 trial evaluating onvansertib in combination with Zytiga® (abiraterone acetate) and prednisone in mCRPC patients. The poster included efficacy data demonstrating success in achieving the primary endpoint of disease control in patients showing initial resistance to Zytiga®; safety across three different dose and dosing schedules, as well as the potential clinical benefit for patients with the basal molecular tumor subtype. Additional highlights from the presentation included:

  • 8 of 26 (31%) evaluable patients achieved the primary endpoint of disease control (defined by a lack of prostate specific antigen progression) after 12 weeks of treatment
  • 14 of 26 (54%) evaluable patients had stable disease (SD) after 12 weeks of treatment
  • 8 of 26 (31%) evaluable patients had a durable SD (>7 months)
  • Of 8 patients harboring androgen receptor alterations associated with Zytiga® resistance, 3 achieved disease control at 12 weeks, 4 had SD at 12 weeks and 3 had a durable SD (>7 months)
  • Median time on treatment was 9.2 months for patients with a decrease in circulating tumor cell (CTC) count (n=5) vs. 4.9 months for patients with a CTC increase (n=5)
  • Genetic analyses identified a gene signature (biomarker) associated with onvansertib and Zytiga® synergy in prostate cancer cells that is significantly enriched in the basal molecular subtype of prostate cancer patients
  • Data shows that the combination of onvansertib and Zytiga® is safe across all evaluated dosing schedules

Third Quarter 2020 Financial Results:

As of September 30, 2020, Cardiff Oncology had approximately $36.4 million in cash and cash equivalents.

Total operating expenses were approximately $4.5 million for the three months ended September 30, 2020, an increase of $0.2 million from $4.3 million for the same period in 2019. The increase in operating expenses is attributed to an increase in costs associated with clinical programs and outside services, stock-based compensation and staff costs.

Net cash used in operating activities in the third quarter of 2020 was $3.5 million, an increase of $0.3 million from $3.2 million for the same period in 2019.  The increase is attributed to increases in operating expenses and the net changes in our operating assets and liabilities.

Research and development expenses increased by approximately $0.1 million to $2.9 million for the three months ended September 30, 2020, from $2.8 million for the same period in 2019. The increase in research and development expenses was primarily due to expenses associated with clinical programs and outside services.

Selling, general and administrative expenses increased by approximately $0.2 million to $1.6 million for the three months ended September 30, 2020 from $1.4 million for the same period in 2019. The increase is primarily due to an increase in stock-based compensation, staff costs and facilities, off-set by a decrease in outside services.

About Cardiff Oncology, Inc.
Cardiff Oncology (formerly Trovagene, Inc.) is a clinical-stage biotechnology company with the singular mission of developing new treatment options for cancer patients in indications with the greatest medical need.  Our goal is to overcome resistance, improve response to treatment and increase overall survival.  We are developing onvansertib, a first-in-class, third-generation Polo-like Kinase 1 (PLK1) inhibitor, in combination with standard-of-care chemotherapy and targeted therapeutics.  Our clinical development programs incorporate tumor genomics and biomarker technology to enable assessment of patient response to treatment. We have three ongoing clinical programs that are demonstrating the safety and efficacy of onvansertib: a Phase 1b/2 study of onvansertib in combination with FOLFIRI/Avastin® in KRAS-mutated metastatic colorectal cancer (mCRC); a Phase 2 study of onvansertib in combination with Zytiga® (abiraterone)/prednisone in metastatic castration-resistant prostate cancer (mCRPC); and a Phase 2 study of onvansertib in combination with decitabine in relapsed or refractory acute myeloid leukemia (AML). For more information, please visit https://www.cardiffoncology.com.  

Forward-Looking Statements
Certain statements in this press release are forward-looking within the meaning of the Private Securities Litigation Reform Act of 1995. These statements may be identified by the use of words such as "anticipate," "believe," "forecast," "estimated" and "intend" or other similar terms or expressions that concern Cardiff Oncology's expectations, strategy, plans or intentions. These forward-looking statements are based on Cardiff Oncology's current expectations and actual results could differ materially. There are a number of factors that could cause actual events to differ materially from those indicated by such forward-looking statements. These factors include, but are not limited to, our need for additional financing; clinical trials involve a lengthy and expensive process with an uncertain outcome, and results of earlier studies and trials may not be predictive of future trial results; our clinical trials may be suspended or discontinued due to unexpected side effects or other safety risks that could preclude approval of our product candidates; risks related to business interruptions, including the outbreak of COVID-19 coronavirus, which could seriously harm our financial condition and increase our costs and expenses; uncertainties of government or third party payer reimbursement; dependence on key personnel; limited experience in marketing and sales; substantial competition; uncertainties of patent protection and litigation; dependence upon third parties; our ability to develop tests, kits and systems and the success of those products; regulatory, financial and business risks related to our international expansion and risks related to failure to obtain FDA clearances or approvals and noncompliance with FDA regulations. There are no guarantees that any of our technology or products will be utilized or prove to be commercially successful. Additionally, there are no guarantees that future clinical trials will be completed or successful or that any precision medicine therapeutics will receive regulatory approval for any indication or prove to be commercially successful. Investors should read the risk factors set forth in Cardiff Oncology's Form 10-K for the year ended December 31, 2019, and other periodic reports filed with the Securities and Exchange Commission. While the list of factors presented here is considered representative, no such list should be considered to be a complete statement of all potential risks and uncertainties. Unlisted factors may present significant additional obstacles to the realization of forward-looking statements. Forward-looking statements included herein are made as of the date hereof, and Cardiff Oncology does not undertake any obligation to update publicly such statements to reflect subsequent events or circumstances.

Cardiff Oncology Contact:
Vicki Kelemen
Chief Operating Officer
858-952-7652
vkelemen@cardiffoncology.com  

Investor Contact:
Joyce Allaire
LifeSci Advisors
212-915-2569
jallaire@lifesciadvisors.com  

Media Contact:
Karen O'Shea, Ph.D.
LifeSci Communications
929-469-3860
koshea@lifescicomms.com

 

Cardiff Oncology, Inc.

Condensed Statements of Operations

(in thousands, except for per share amounts)

(unaudited)



Three Months Ended September 30,


Nine Months Ended September 30,


2020


2019


2020


2019

Revenues:








Royalties

$

136



$

52



$

247



$

151


Services







1


Total revenues

136



52



247



152


Costs and expenses:








Research and development

2,855



2,819



8,036



8,298


Selling, general and administrative

1,644



1,440



4,800



4,243


Total operating expenses

4,499



4,259



12,836



12,541










Loss from operations

(4,363)



(4,207)



(12,589)



(12,389)










Interest income

16



54



67



188


Gain (loss) from change in fair value of derivative
financial instruments—warrants

(144)



13



(186)



27


Other income (expense), net

(6)



(1)



(2)



2


Net loss

(4,497)



(4,141)



(12,710)



(12,172)


Preferred stock dividend

(6)



(6)



(18)



(18)


Deemed dividend on preferred stock





(3,266)



(268)


Net loss attributable to common stockholders

$

(4,503)



$

(4,147)



$

(15,994)



$

(12,458)










Net loss per common share — basic and diluted

$

(0.19)



$

(0.69)



$

(1.00)



$

(2.40)










Weighted-average shares outstanding — basic and
diluted

23,341



6,025



15,942



5,180


 

Cardiff Oncology, Inc.

Condensed Balance Sheets

(in thousands)

(unaudited)



September 30, 2020


December 31, 2019

Assets




Current assets:




Cash and cash equivalents

$

36,405



$

10,195


Accounts receivable and unbilled receivable

205



204


Prepaid expenses and other current assets

1,579



955


Total current assets

38,189



11,354


Property and equipment, net

683



878


Operating lease right-of-use assets

423



697


Other assets

156



158


Total Assets

$

39,451



$

13,087






Liabilities and Stockholders' Equity




Current liabilities:




Accounts payable

$

610



$

656


Accrued expenses

3,643



3,260


Note payable

305




Operating lease liabilities

884



866


Total current liabilities

5,442



4,782


Derivative financial instruments—warrants

190



4


Operating lease liabilities, net of current portion

207



861


Other Liabilities

89



129


Total Liabilities

5,928



5,776






Stockholders' equity

33,523



7,311


Total liabilities and stockholders' equity

$

39,451



$

13,087


 

Cardiff Oncology, Inc.

Condensed Statements of Cash Flows

(in thousands)

(unaudited)



Nine Months Ended September 30,


2020


2019

Operating activities




Net loss

$

(12,710)



$

(12,172)


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




Impairment loss

34




Depreciation

349



373


Stock based compensation expense

821



615


Change in fair value of derivative financial instruments—warrants

186



(27)


Release of clinical trial funding commitment

868



509


Changes in operating assets and liabilities

(739)



712


Net cash used in operating activities

(11,191)



(9,990)






Investing activities:




Capital Expenditures

(154)



(68)


Net cash used in investing activities

(154)



(68)






Financing activities:




Proceeds from sales of common stock, preferred stock and warrants, net of expenses

18,279



4,386


Costs related to the clinical trial funding commitment

(8)



(40)


Proceeds from exercise of options

7




Proceeds from exercise of warrants, net of expenses

18,972



3,291


Borrowings under note payable

305




Net cash provided by financing activities

37,555



7,637


Net change in cash and cash equivalents

26,210



(2,421)


Cash and cash equivalents—Beginning of period

10,195



11,453


Cash and cash equivalents—End of period

$

36,405



$

9,032


 

SOURCE Cardiff Oncology, Inc.