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BiondVax's Innovative Inhaled Anti-SARS-CoV-2 NanoAb Virtually Prevented Illness When Administered Prophylactically in Preclinical In Vivo Study COVID-19 illness was virtually prevented in hamsters administered BiondVax'

Key Takeaway: BiondVax Pharmaceuticals has announced promising results from a preclinical study of its inhaled NanoAb for COVID-19. In trials, hamsters receiving the NanoAb prophylactically showed no significant weight loss, while untreated controls lost an average of 12%. The NanoAb has the potential to serve as both a preventive and therapeutic agent, addressing a growing demand for COVID prophylactics. Following these results, BiondVax plans to advance to a first-in-human clinical trial later this year.

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POSITIVE FACTORS

  • Reported preclinical study results indicate no significant weight loss in treated hamsters compared to controls.
  • NanoAb demonstrated potential for simultaneous therapeutic and prophylactic use against COVID-19.
  • Anticipated ease of self-administration could appeal to at-risk populations seeking proactive COVID protection.

Full Press Release Details

BiondVax's Innovative Inhaled Anti-SARS-CoV-2
NanoAb Virtually Prevented Illness When Administered Prophylactically in Preclinical In Vivo Study
Israel - Jan. 23, 2023 - BiondVax Pharmaceuticals Ltd. (Nasdaq: BVXV), a biotechnology company focused on
developing, manufacturing and commercializing innovative immunotherapeutic products primarily for the treatment of infectious and autoimmune
diseases, today announced additional results in a preclinical proof-of-concept study of its innovative inhaled NanoAb COVID-19 drug. Using
an industry-standard animal model, the study compared weight loss in two groups of hamsters. Hamsters administered a mid-sized 0.66mg
dose of the NanoAb three hours prior to infection experienced no significant weight loss over the six-day trial, whereas the untreated
control group's weight declined 12% on average, a highly statistically significant difference (p<0.0005).
The study's design is intended to mimic
a real-world situation in which at-risk groups, such as the elderly, people with comorbidities, the immunocompromised, travelers, those
attending densely packed social situations such as weddings, sporting events and flights, and front-line health care professionals, may
proactively protect themselves ahead of potential exposure to SARS-CoV-2 using BiondVax's self-administered inhaled NanoAb therapy.
These promising prophylactic results follow previously
reported data from the same study indicating that compared to the control (placebo) group, hamsters treated with a 2mg dose of BiondVax's
inhaled NanoAb one day after infection had negligible (below detection level) SARS-CoV-2 viral titers in their lungs, and experienced
a milder and shorter illness in comparison to the placebo group that had at least 30-times higher viral titers in their lungs at the end
of the trial. Furthermore, and being reported here for the first time, lung histopathology revealed that therapeutic inhalation of NanoAbs
reduced damage to alveoli, pulmonary vessels, and the conductive system.
"We continue to be thrilled with the
results of this ongoing trial," stated Amir Reichman, BiondVax's CEO. "There is strong market demand for
COVID prophylactics as evidenced by AstraZeneca's reported Q1 through Q3 2022 EVUSHELD revenues of $1.5 billion1.
EVUSHELD is currently the only prophylactic COVID medication with FDA approval, under emergency use authorization. Our inhaled NanoAb
is designed to be self-administered at the time of choosing to generate rapid protection from COVID illness. In contrast, EVUSHELD must
be administered via two separate consecutive intramuscular (IM) injections in a health care setting, and the FDA has confirmed it does
not effectively neutralize recent Omicron variants of concern.2"
"Data from our trial indicate that our
NanoAb may effectively serve as both a therapeutic and protective prophylactic drug, which further enhances its value proposition. COVID
vaccine uptake is declining, effectiveness wanes over a short period of time, and vaccination campaigns demand vast health care system
resources. The way forward must include effective prophylactic and therapeutic drugs. We believe the additional biobetter'
value provided by our NanoAb potentially positions it to capture significant market share both for treatment and prevention of COVID illness,"
Mr. Reichman concluded.
BiondVax's Chief Science Officer (CSO) Dr.
Tamar Ben-Yedidia explained, "We anticipate that our convenient self-administered inhaled NanoAbs will be highly attractive
to at-risk people wishing to proactively, effectively, conveniently, and safely protect themselves. This builds on the trial's exciting
data indicating that our NanoAbs can also treat COVID illness after infection. We look forward to completing this preclinical trial and
moving towards a first-in-human Phase 1/2a clinical trial later this year."
The study is using an industry-standard animal
model for COVID-19 prophylactics, therapeutics, and vaccines. Weight loss is the key parameter for assessing disease severity in hamsters
used as experimental animals in development of therapeutics and vaccines for COVID-19 disease. As noted in the paper titled Hamsters
as a Model of Severe Acute Respiratory Syndrome Coronavirus-2, hamsters are "an ideal animal model of SARS-CoV-2 infections
because they recapitulate many aspects of human infections." The paper noted that weight loss in hamsters was reduced when treated
with REGN-COV2, a human mAb combination therapy that ultimately received FDA approval for SARS-CoV-2 treatment. A similar model was also
used by Pfizer when developing Paxlovid, as noted in the paper titled The oral protease inhibitor (PF-07321332) protects Syrian hamsters
against infection with SARS-CoV-2 variants of concern.
The study is being conducted by two world-renowned
institutions: The Fraunhofer Institute for Toxicology and Experimental Medicine (ITEM) and The University of Veterinary Medicine Hannover
Next steps: This preclinical trial is continuing
with additional arms testing lower therapeutic doses (0.66mg and 0.22mg). The study will also evaluate safety parameters. Results of the
dosing study will inform the design of future studies of BiondVax's anti-COVID-19 inhaled NanoAb. Specifically, in 2023, BiondVax
is expected to conduct a preclinical toxicity study to assess safety as required by regulatory authorities for approval of human clinical
trials. The Company is also expected to scale up its manufacturing processes to produce, at its GMP manufacturing site in Jerusalem, the
NanoAbs for the first-in-human Phase 1/2a clinical trial, which is planned for Q4 2023.
NanoAb as mAb biobetter: As part of a strategic
research collaboration with the Max Planck Institute for Multidisciplinary Sciences and the University Medical Center G ttingen,
BiondVax is developing a pipeline of innovative alpaca-derived nanosized
VHH-antibody (NanoAb) therapies addressing diseases with large underserved medical needs and attractive commercial opportunities, such
as COVID-19, asthma, psoriasis, psoriatic arthritis, and macular degeneration. While these diseases are currently treated with conventional
monoclonal antibodies (mAbs), NanoAbs exhibit the potential to capture significant market share as biobetters. In particular, as reported
by Pfizer, Paxlovid has shown the demand for COVID-19 therapeutic treatments with ~$22 billion in sales projected for the year ended Dec.
31, 2022, even with significant limitations of use due to adverse cross-reactions with other drugs and several other comorbidity contraindications
that limit its use. In contrast, NanoAbs exhibit strong potential for superior patient convenience, safety, and clinical outcomes, at
lower costs. For example, as demonstrated by this preclinical study, BiondVax's NanoAb is efficacious when administered through
inhalation rather than by injection as with currently available COVID-19 mAb therapies. In addition, most of the currently approved mAbs
for the treatment of COVID-19 are not sufficiently efficacious against the Omicron variants of concern (VoCs) while BiondVax's lead
drug candidate demonstrated strong neutralization of all SARS-CoV-2 VoCs from Wuhan through Omicron, including the recent BA4/5 and BQ1
BiondVax Pharmaceuticals Ltd. (Nasdaq: BVXV) is
a biotechnology company focused on developing, manufacturing, and commercializing innovative immunotherapeutic products primarily for
the treatment of infectious and autoimmune diseases. Since its inception, BiondVax has executed eight clinical trials including a seven-country,
12,400-participant Phase 3 trial of its prior vaccine candidate and has built a state-of-the-art manufacturing facility for biopharmaceutical
products. With highly experienced pharmaceutical industry leadership, BiondVax is aiming to develop a pipeline of diversified and commercially
viable products and platforms beginning with an innovative nanosized antibody (NanoAb) pipeline. www.biondvax.com.
Investor Relations | +972 8 930 2529 | ir@biondvax.com
Forward-Looking Statements
This press release contains forward-looking
statements within the meaning of the Private Litigation Reform Act of 1995. Words such as "expect," "believe,"
"intend," "plan," "continue," "may," "will," "anticipate," and
similar expressions are intended to identify forward-looking statements. All statements, other than statements of historical facts, included
in this communication regarding strategy, future operations, future financings, future financial position, future revenue, projected expenses,
prospects, plans and objectives of management are forward-looking statements. Examples of such statements include, but are not limited
to, the therapeutic and commercial potential of nanosized antibodies (NanoAbs); and the timing of NanoAb proof-of-concept studies and
clinical trials. These forward-looking statements reflect management's current views with respect to certain current and future
events and are subject to various risks, uncertainties and assumptions that could cause the results to differ materially from those expected
by the management of BiondVax Pharmaceuticals Ltd. Risks and uncertainties include, but are not limited to, the risk of a delay in preclinical
trials and the commencement of clinical trials for NanoAbs, if any; the risk that the therapeutic and commercial potential of NanoAbs
will not be met; the risk that preclinical or clinical trials relating to NanoAbs will fail in whole or in part; the risk that the Company
will not be able to scale up its manufacturing processes; the risk that BiondVax may not be able to secure additional capital on attractive
terms, if at all; risks relating to the COVID-19 (coronavirus) pandemic; BiondVax's ability to acquire rights to additional product
opportunities; BiondVax's ability to enter into collaborations on terms acceptable to BiondVax or at all; timing of receipt of regulatory
approval of BiondVax's manufacturing facility in Jerusalem, if at all or when required; the risk that the manufacturing facility
will not be able to be used for a wide variety of applications and other vaccine and treatment technologies, and the risk that drug development
involves a lengthy and expensive process with uncertain outcomes. More detailed information about the risks and uncertainties affecting
the Company is contained under the heading "Risk Factors" in the Company's Annual Report on Form 20-F filed with the Securities
and Exchange Commission on March 28, 2022. BiondVax undertakes no obligation to revise or update any forward-looking statement for any

Frequently Asked Questions

What is BiondVax's new anti-COVID drug?

BiondVax's new drug is an inhaled NanoAb targeting SARS-CoV-2.

How effective is the NanoAb in studies?

In preclinical studies, prophylactic use prevented significant weight loss in hamsters.

What makes NanoAb different from EVUSHELD?

NanoAb is self-administered, while EVUSHELD requires healthcare provider injections.

What are the next steps for BiondVax?

BiondVax plans a toxicity study and a Phase 1/2a clinical trial in Q4 2023.

What diseases could NanoAbs potentially treat?

NanoAbs may address COVID-19, asthma, psoriasis, and macular degeneration.

Last updated: Jan 23, 2023