Ono Asset Purchase Agreement
Under that certain Asset Purchase Agreement, dated December 5, 2022 (the “Ono Agreement”), by and between Equillium, Inc. (the “Company”) and Ono Pharmaceutical Co., Ltd. (“Ono”), Ono made a strategic business decision to allow its option (the “Option”) to acquire the Company’s rights to itolizumab (EQ001) to lapse. As a result, effective October 30, 2024, the Option and the Ono Agreement automatically terminated pursuant to the terms of the Ono Agreement. The Company maintains all of its commercial rights to itolizumab (EQ001).
EQUATOR Study and Product Pipeline
On October 31, 2024, the Company announced it was temporarily pausing enrollment in its EQUATOR study, a Phase 3 clinical study of itolizumab (EQ001) in acute graft-versus-host disease, to review clinical options for the program, including the potential to accelerate the Company’s timeline to topline data to the first quarter of 2025 while preserving registrational integrity of the study. The accelerated timeline would be based on reduced enrollment to approximately 150 patients and unblinding after primary and key secondary endpoints at Day 29. To date, the Company has enrolled over 150 patients in EQUATOR.
The Company maintains orphan drug and fast track designations for first-line acute graft-versus-host disease, where currently no drugs are approved. In addition, in collaboration with the Company, Biocon SA has recently completed a robust placebo-controlled Phase 2 study of itolizumab in biologic-naïve patients with moderate to severe ulcerative colitis, and the Company expects topline data from this study in the first quarter of 2025.
The Company also announced that it has repositioned itolizumab (EQ001) as its top priority in its pipeline, and is taking operational steps to extend its cash runway, which measures are expected to provide operating runway into Q4 2025, assuming acceleration of EQUATOR study completion. As part of the operational steps, the Company is pausing further activities related EQ101 and EQ302.
Corporate Presentation
On October 31, 2024, the Company will host a conference call accompanied by a slide presentation to provide a corporate update focused on the Company’s retention of rights to itolizumab (EQ001), for analysts and institutional investors. A copy of the presentation is attached as Exhibit 99.1 to this Current Report on Form 8-K and incorporated herein by reference.
Forward-Looking Statements
This Current Report on Form 8-K contains “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995 that involve risks and uncertainties. Forward-looking statements may be identified by the use of words such as “anticipate”, “believe”, “could”, “continue”, “expect”, “estimate”, “may”, “plan”, “outlook”, “future,” “potential” and “project” and other similar expressions that predict or indicate future events or trends or that are not statements of historical matters. These statements include, but are not limited to, statements regarding the Company’s plans and strategies with respect to developing itolizumab (EQ001), including repositioning itolizumab (EQ001) as the top priority in the pipeline, anticipated upcoming milestones, timelines for topline data for itolizumab (EQ001), the temporary pausing and potential acceleration of the EQUATOR study, the pausing of further activities related to EQ101 and EQ302, the extension of the Company’s cash runway and related assumptions, including the acceleration of EQUATOR study completion, and the potential benefits of the Company’s product candidates. Because such statements are subject to risks and uncertainties, many of which are outside of the Company’s control, actual results may differ materially from those expressed or implied by such forward-looking statements. Risks that contribute to the uncertain nature of the forward-looking statements include: the Company’s ability to execute its plans and strategies; risks related to performing clinical and pre-clinical studies; whether the results from clinical and pre-clinical studies will validate and support the safety and efficacy of the Company’s product candidates; changes in the competitive landscape; changes in the Company’s strategic plans; uncertainties related to the Company’s capital requirements and ability to obtain sufficient financing to fund the