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Beyond Air: Strong Upcoming Catalysts Make this a must watch!

Beyond Air: Strong Upcoming Catalysts Make this a must watch!

30 Aug Beyond Air: Strong Upcoming Catalysts Make this a must watch!

Beyond Air, Inc. (NASDAQ: XAIR) formerly known as AIT Therapeutics, Inc, is a clinical-stage biopharmaceutical and medical device company that uses a proprietary technology to produce nitric oxide from ambient air through its LungFit System. The device enables the administration of ultra-high nitric oxide concentrations to direct tumors for treatment of respiratory conditions, severe lung infections and solid tumors.

The Company has submitted a premarket approval (PMA) application to the U.S. Food and Drug Administration (FDA) for use of the Company’s LungFit™ PH for the treatment of persistent pulmonary hypertension of the newborn (PPHN). The device is subject to a 180-day review period as per FDA guidelines. The technology has the potential to replace cumbersome nitric oxide cylinders and is looking at a potential launch in H2,2021.

Beyond Air, Inc. (NASDAQ: XAIR)

Market Cap: $272.77M; Current Share Price: 11.39 USDBeyond Air: Strong Upcoming Catalysts Make this a must watch!
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Technology
LungFit is a cylinder-free, phasic flow nitric oxide generator and delivery system that is ventilator compatible and can generate Nitric Oxide from ambient air at concentrations ranging from 1 part per million (ppm) to 80 ppm. The device provides a much-needed alternative to conventional large, high-pressure NO cylinders, by reducing inventory and storage requirements and simplifying and improving the delivery of NO based treatments. The Company is also seeking to expand to the home treatment market in the future.

The cutting-edge technology of the Company can generate up to 400 parts per million of nitric oxide, which can deliver NO to the patients’ lungs with the capacity to titrate on demand. The blend is administered through a ventilator or a face mask depending on the concentration. The device is user friendly and easy to understand and administer by medical staff.

Beyond Air: Strong Upcoming Catalysts Make this a must watch!

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The technology offers numerous benefits to hospitals as it eliminates the need for cumbersome storage and inventory management requirements, does not require additional NO2 buildup related safety measures or purging procedures and improves operational economies. Most importantly, its adoption does not require major capital investments for even hospitals that have not used NO previously.

Mallinckrodt’s INOmax has been the undisputed market leader since 1999 and generates more than $500 million in sales in the US alone. However, the monopoly was broken in 2019, with the entry of other competitors such as Vero’s GENOSYL and Praxair’s NOxBOX. However, the INOmax and NOxBOX systems are heavy, cumbersome to store and transport and potentially hazardous in case NO leaks out accidently. The GENOSYL uses cassettes of N204 liquid to convert liquid to NO, however these cassettes need to be stored at a specific temperature between 20-25 degrees and are toxic.

Pipeline
The Company’s research and development pipeline consists of an ongoing pilot study of LungFit PRO for the treatment of Acute Viral Pneumonia (including COVID), the interim data from which is expected to be released in the spring of 2021. Beyond Air is also evaluating LungFit GO for the treatment of Nontuberculous mycobacteria (NTM) lung infection, which is intended to be self-administered at home and is currently a subject of an ongoing pilot study. The interim data from the study is expected to be announced in mid-2021.

Beyond Air: Strong Upcoming Catalysts Make this a must watch!

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As part of the Company’s preclinical studies, Beyond Air is evaluating the efficacy of its technology in treating severe exacerbations due to lung infections in COPD patients and intends to initiate First in human trials in multiple solid tumors by the end of 2021.

The Company is also pursuing the treatment of Bronchiolitis, which is currently on hold, and intends to initiate a pivotal study in Q4,2022, based on the pandemic.

Beyond Air: Strong Upcoming Catalysts Make this a must watch!

Image Source: Company

Industry
A baby generally receives oxygen from the mother and the placenta during pregnancy. The blood vessels in the lung are not fully operational and open up completely only after childbirth. However, in some newborns, the blood vessels do not open up and this leads to a limited supply of oxygen to the brain and other main organs. The disease affects 1.9 per 1000 live births with mortality rate ranging between 4–33% as per the Company.

Persistent pulmonary hypertension in the neonate (PPHN) forces the heat to use fetal circulation pathways that may allow low-oxygen blood to mix and contaminate the blood pumped to the rest of the body. The disorder manifests in the form of breathing difficulties, blue colored skin, low blood pressure and low blood oxygen levels. Although the exact cause of PPHN is unknown, it is believed to be caused by meconium aspiration, respiratory distress syndrome, lack of oxygen during birth and diaphragmatic hernia.

The current treatment options include supply of oxygen through special ventilators, use of intravenous medicine to support blood pressure, Opening the pulmonary vasculature through use of Nitric Oxide and extracorporeal membrane oxygenation (ECMO).

According to a report by FutureWise Market Research and Reports, the global market for Inhaled Nitric Oxide is projected to reach over USD 1.5 billion by 2027, growing at a CAGR of 7.8% from 2020.

Key Takeaways  

  • The Company estimates that the market potential for its LungFit PH is over $ 900 million in PPHN alone. In addition, the LungFit Pro thar targets Pneumonia Hospitalizations and Bronchiolitis Hospitalizations offers a market opportunity of nearly $4.5 billion and $1.25 billion respectively. Beyond Air is also targeting the NTM patient population and severe exacerbations due to lung infections in COPD patients through its LungFit Go that present a market potential of more than $3.5 billion and $8.5 billion respectively. Furthermore, the Company is developing a pipeline focused on Solid Tumors that translates to a more $23 billion checkpoint inhibitor market globally.
  • Beyond Air is gearing up for a potential launch in the second half of 2021 and is awaiting FDA approval. The Company has prepared the groundwork such as commercial scale manufacturing, calibrated gas supply, service centers, Multiple respiratory therapists (RTs) on staff for training. The Company is also looking forward to the grant of a CE mark in H2, 2021 and is aiming to launch in 2022 in partnership with a suitable company.
  • The Company has built a robust patent portfolio with more than 20 issued patents expiring through 2033 that cover the NO generator, breathing circuit, NO concentration, dosing, filter and method of use among others. In addition, there are 10 patents pending that may extend the last expiration through 2040.
  • Major upcoming catalysts include the US FDA approval of LungFit® PH ventilator compatible and interim data readouts from Acute viral pneumonia (including COVID19) and Nontuberculous mycobacteria (NTM) lung infection. The Company intends to launch e first in human studies in Multiple Solid Tumors by the end of 2021.
  • In May 2021, the Company reached an agreement with Circassia Group plc, a former LungFit® PH commercial licensee. The terms of the agreement give the company the rights to United States and China commercialization rights, in exchange of returning the upfront and milestone payments paid by Circassia Group plc in 2019. In addition, the Company will pay a quarterly royalty payment equal to 5% of LungFit® PH net sales in the US, till the aggregate payment reaches $6 million. Beyond Air now holds full global rights to LungFit® PH.
  • Clinical Trials are fraught with risk and uncertainty. There is a possibility that the candidates in the Company’s developmental pipeline may not be able to meet their clinical endpoints in trials. However, a diverse pipeline will help mitigate the risk in case of adverse results or the failure to meet endpoints in any of its ongoing trials. The success of its clinical trials will help the Company advance its pipeline but it should also be prepared to face any setbacks, in case its ongoing trials fail to meet their endpoints.
  • Disclosure: I/we have no positions in any stocks mentioned, and no plans to initiate any positions within the next 72 hours.

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    References

    https://my.clevelandclinic.org/health/diseases/16020-persistent-pulmonary-hypertension-in-the-neonate-pphn

    https://www.futurewiseresearch.com/healthcare-market-research/Inhaled-Nitric-Oxide/5595

    https://www.beyondair.net/news-and-events/press-releases/detail/124/beyond-air-submits-premarket-approval-application-to-fda

    https://www.beyondair.net/technology

    https://d1io3yog0oux5.cloudfront.net/_4f01d71fba722ea867ec3c37629260fc/beyondairinc/db/276/1831/pdf/Beyond+Air+Corp+Presentation+June+2021_vFinal.pdf

    https://www.beyondair.net/news-and-events/press-releases/detail/138/beyond-air-reaches-settlement-agreement-with-circassia

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