Lineage Cell Therapeutics, Inc. (LCTX): Advancing Groundbreaking Cell Therapies with Promising Clinical Data and Expanded Collaboration

Lineage Cell Therapeutics, Inc. (LCTX) is a clinical-stage biotechnology company at the forefront of developing novel allogeneic, or "off-the-shelf", cell therapies to address unmet medical needs. The company's proprietary cell-based technology platform and associated development and manufacturing capabilities have enabled the design, development, and testing of specialized human cells with anatomical and physiological functions similar or identical to cells found naturally in the human body.

Business Overview

Impressive Clinical Data for Lead Program OpRegen

Lineage's lead cell therapy program, OpRegen, is being developed for the treatment of geographic atrophy (GA) secondary to age-related macular degeneration (AMD), also known as dry AMD. In a recent presentation, Lineage's partner Roche reported 24-month results from the Phase I/IIa trial of OpRegen, which were highly encouraging. Among the 12 patients in Cohort 4 who were not legally blind at baseline, 10 patients showed an average gain of 5.5 letters of visual acuity at 24 months. This is a remarkable outcome, especially when compared to the 7-9 letter loss experienced by patients on the best available treatment with FDA-approved complement inhibitors.

Furthermore, some OpRegen-treated patients exhibited imaging evidence of retaining or even gaining critical layers of the retina, a phenomenon that never occurs in the natural course of this degenerative disease. These positive results were observed across multiple clinical sites, surgeons, and delivery techniques, underscoring the consistency and robustness of the data.

Expanded Collaboration with Roche and Genentech

Lineage's partnership with Roche and Genentech has been further strengthened with the announcement of a new services agreement. Under this agreement, Lineage will provide additional clinical, technical, training, and manufacturing support to advance the OpRegen program. This expanded collaboration is a testament to Roche and Genentech's confidence in Lineage's cell therapy expertise and their commitment to the successful development of OpRegen.

The new agreement will fund activities to support the ongoing Phase I/IIa and Phase IIa studies, as well as provide technical training and materials related to Lineage's cell therapy technology platform. This collaboration underscores the value that Lineage's proprietary platform and know-how bring to the table, even as Roche and Genentech assume greater responsibility for the clinical development and commercialization of OpRegen.

Diversified Pipeline and Promising Spinal Cord Injury Program

While OpRegen is Lineage's lead program, the company has a diversified pipeline of allogeneic cell therapy candidates targeting various indications. One of the most advanced unpartnered programs is OPC1, an allogeneic oligodendrocyte progenitor cell therapy designed to improve recovery following spinal cord injury (SCI).

Lineage plans to initiate the DOSED (Delivery of Oligodendrocyte Progenitor Cells for Spinal Cord Injury: Evaluation of a Novel Device) clinical study, which will evaluate the safety and utility of a novel spinal cord delivery device to administer OPC1 to the spinal parenchyma in both subacute and chronic SCI patients. This will be a significant milestone for the OPC1 program, as it will be the first time the therapy is evaluated in chronic SCI patients, potentially expanding the addressable patient population.

Financials

Lineage reported total revenues of 1.4 million for the first quarter of 2023, a decrease from 2.4 million in the same period of 2022. The decrease was primarily driven by lower collaboration and licensing revenue recognized from deferred revenues under the Roche agreement. The company's net loss for the quarter was 6.5 million, or 0.04 per share, compared to a net loss of 4.4 million, or 0.03 per share, in the prior-year period.

As of March 31, 2023, Lineage had 43.6 million in cash, cash equivalents, and marketable securities, which the company believes will be sufficient to fund its planned operations through at least the third quarter of 2024.

Risks and Challenges

While Lineage's cell therapy platform and pipeline hold significant promise, the company faces several risks and challenges common to the biotechnology industry. These include the inherent uncertainties of clinical development, regulatory approvals, manufacturing complexities, and competition from other cell therapy and pharmaceutical companies. Additionally, Lineage's manufacturing operations are currently based in Jerusalem, Israel, which exposes the company to potential disruptions from the ongoing Israel-Hamas conflict.

Outlook

Lineage's progress with its lead program OpRegen, the expanded collaboration with Roche and Genentech, and the advancement of its diversified pipeline, including the upcoming DOSED study for OPC1, demonstrate the company's commitment to developing transformative cell therapies. With a strong financial position and a focus on strategic partnerships and internal R&D, Lineage is well-positioned to continue its momentum and create value for shareholders.

Conclusion

As the company navigates the challenges of the biotechnology industry, its innovative approach and experienced team provide a solid foundation for long-term success.