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Beyond Air Presents Data in Hospitalized Patients with Viral Lung Infections (including COVID-19) from LungFit PRO Programs at ATS 2021 Interim analysis from the ongoing, open-label, randomized acute viral pneumonia (inc

Key Takeaway: Air Presents Data in Hospitalized Patients with Viral Lung Infections (including COVID-19) from LungFit PRO Programs at ATS analysis from the ongoing, open-label, randomized acute viral pneumonia (including COVID-19) pilot study shows 150 ppm nitric oxide (NO) administered with

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Air Presents Data in Hospitalized Patients with Viral Lung Infections (including COVID-19) from LungFit PRO Programs at ATS
analysis from the ongoing, open-label, randomized acute viral pneumonia (including COVID-19) pilot study shows 150 ppm nitric oxide (NO)
administered with LungFit PRO is well-tolerated with no treatment-related adverse events, and demonstrates encouraging efficacy
analysis of 3 previously reported pilot studies in bronchiolitis at 150-160 ppm NO demonstrates a favorable safety profile and consistent
efficacy across multiple endpoints
of data at 150-160 ppm NO in both adult and infant patient populations supports further development of LungFit PRO in patients hospitalized
with viral pneumonia
City, NY, May 13, 2021 - Beyond Air, Inc. (NASDAQ: XAIR), a clinical-stage medical device and biopharmaceutical company
focused on developing inhaled nitric oxide (NO) for the treatment of patients with respiratory conditions, including serious lung infections
and pulmonary hypertension, and gaseous NO (gNO) for the treatment of solid tumors, today announced the presentation of data at the American
Thoracic Society (ATS) International Conference 2021, which is being held virtually from May 14 - May 19. The data from both LungFit
PRO programs, acute viral pneumonia (including COVID-19) and bronchiolitis, show a favorable safety profile and encouraging efficacy
trends using high concentration inhaled NO for the treatment of acute viral lung infections in hospitalized patients.
have now demonstrated a consistently favorable safety profile at high concentrations of nitric oxide in both adult and infant populations
with acute viral lung infections," said Steve Lisi, Chairman and Chief Executive Officer of Beyond Air. "The new data from
the acute viral pneumonia pilot trial in adults, taken together with our three previously completed pilot clinical trials in bronchiolitis,
enable Beyond Air to prepare for a pivotal study for high concentration NO in a viral indication."
interim analysis of patients in the acute viral pneumonia (including COVID-19) pilot study shows a favorable safety profile and encouraging
efficacy signals in this adult patient population treated with 150 ppm NO generated and delivered by LungFit PRO," commented
Andrew Colin, M.D., Batchelor Family Professor of Cystic Fibrosis and Pediatric Pulmonology Director, Division of Pediatric Pulmonology,
Miller School of Medicine, University of Miami. "Given these current data, I believe the results support the continued development
of high concentration inhaled NO that can be delivered with ease by LungFit for the treatment of viral pneumonia including COVID-19.
LungFit PRO is a revolutionary device that can allow for the treatment of this diverse patient population on a large scale".
of Interim Results of Acute Viral Pneumonia (including COVID-19) Pilot Trial
ongoing acute viral pneumonia pilot study is a multi-center, open-label, randomized clinical trial in Israel with an emphasis on enrolling
patients infected with SARS-CoV-2. Patients are randomized in a 1:1 ratio to receive inhalations of 150 ppm NO given intermittently for
40 minutes four times per day for up to seven days in addition to standard supportive treatment (NO + SST) or standard supportive treatment
alone (SST, control group). At the time of the cut off for these data, a total of 23 COVID-19 subjects were enrolled. The intent-to-treat
(ITT) analysis population included 19 patients (9 NO + SST vs 10 SST).
150 ppm NO treatment administered via LungFit PRO was safe and well tolerated.
NO 2 levels were below 4 ppm at all timepoints (safety threshold is 5 ppm).
MetHb levels were below 4% at all times (safety threshold is 10%).
A total of 15 adverse events were reported in 8 subjects (5 NO + SST vs. 3 SST) and two serious adverse events were reported in the NO + SST group - both were related to the underlying condition of the subject and were assessed to be unrelated to study treatment.
There were no treatment-related, or possibly related, adverse events or severe adverse events.
on Duration of Hospital Stay
LungFit 150 ppm NO + SST SST
Duration of hospital stay (days) N 9 10
Mean 2.7 3.1
Median 2.2 2.1
Min 1.2 0.1
Max 4.9 7.9
to Treat Population with Exclusion of Extreme Values*
LungFit 150 ppm NO + SST SST*
Duration of hospital stay (days) N 9 8
Mean 2.7 3.8
Median 2.2 2.2
Min 1.2 1.0
Max 4.9 7.9
subjects discharged from hospital within 6 hours of study enrollment were excluded from analysis.
on Oxygen Support Requirements
LungFit 150 ppm NO + SST SST
( Duration of Oxygen Support days) N 9 10
Mean 3.2 5.2
Median 1.9 4.9
Min 0.0 0.0
Max 12.0 16.7
detailed study results will be submitted for presentation at an upcoming scientific meeting.
of Analysis of 3 Completed Bronchiolitis Pilot Trials
date, over 90 patients hospitalized with a viral lung infection have received 150-160 ppm inhaled NO, dosed intermittently, without any
reported treatment-related serious adverse events," said Asher Tal, M.D. Professor Emeritus, Pediatrics, Soroka University Medical
Center; Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel. "Overall, the data show that 150 ppm
NO given intermittently via inhalation is effective in the treatment of patients with bronchiolitis, while data at the lower concentration
of 85 ppm show no benefits. I look forward to further development of the program using a minimum concentration of 150 ppm NO, noting
that a reduction in time spent in the hospital by these patients would be clinically meaningful."
Air has assessed inhaled NO in three pilot clinical trials in bronchiolitis. 198 infants (43% females; 57% males) participated across
the three programs, with a mean age of 3.9 months (range 0.3 - 11.9 months). Inhaled NO treatments were given intermittently for
30 to 40 minute durations, from 4 to 5 times daily for up to 5 days. Data from patients in the SST group were pooled across the 3 studies
for safety analysis.
Included in the Analysis
Trial 1 Trial 2 Trial 3
Treatment groups 160 ppm NO + SST SST alone (control) 160 ppm NO + SST SST alone (control) 150 ppm NO + SST 85 ppm NO + SST SST alone (control)
Total Intent to Treat (ITT) Subjects Enrolled & Evaluated as the Safety Population 43 68 87
Study Treatment Protocol Inhaled NO was given for 30 minutes, 5 times per day for up to 5 days Inhaled NO was given for 30 minutes, 5 times per day for up to 5 days Inhaled NO was given for 40 minutes, 4 times per day for up to 5 days
Primary objective Safety Efficacy (Length of Stay) Efficacy (Time to Fit for Discharge)
SST (N=82) 85 ppm NO + SST (N=32) 150 ppm NO + SST (N=29) 160 ppm NO + SST (N=55) All (N=198)
N % N % N % N % N %
Any AE 45 54.9 % 20 62.5 % 18 62.1 % 25 45.5 % 108 54.5 %
Any SAE 10 12.2 % 1 3.1 % 3 10.3 % 11 20.0 % 25 12.6 %
Trial 2 Trial 3
Comparison Hazard Ratio 1 (p value) Comparison Hazard Ratio 1 (p value)
Dose 160 ppm NO vs. SST 150 ppm NO vs. SST
Time to Fit for Discharge N/A 2 2.32 (0.049)*
Hospital Length of Stay (LOS) 1.92 (0.048)* 2.28 (0.043)*
Time to Oxygen Saturation of 92% 2.23 (0.057) 2.62 (0.039)*
statistical significance (p<0.05)
hazard ratio estimate greater than one represents a higher probability of achieving success on each endpoint in the NO group relative
to fit for discharge was not measured in Trial 2
Analysis across the studies demonstrated that a short course of treatments with intermittent high concentration inhaled NO (150 - 160 ppm) was effective in shortening hospital length of stay and accelerating time to fit for discharge - a composite endpoint of clinical signs and symptoms to indicate readiness to be evaluated for hospital discharge.
Inhaled NO (150 -160 ppm) was also effective in accelerating time to stable oxygen saturation without supplemental oxygen - measured as SpO 2 92% in room air.
In Trial 3, NO at a dose of 85 ppm NO showed no difference compared to control for all efficacy endpoints, while 150 ppm NO showed statistical significance when compared to control. Statistical significance was seen on time to fit for discharge and LOS when 150 ppm NO was compared to 85 ppm NO, while the p value for time to oxygen saturation was 0.055.
By reducing the times to improvement in hospital length of stay, fit for discharge, and SpO 2 , 150 - 160 ppm NO given intermittently via inhalation demonstrates clinically meaningful efficacy for the treatment of infants with bronchiolitis.
Air, Inc. is a clinical-stage medical device and biopharmaceutical company developing a revolutionary NO Generator and Delivery System,
LungFit , that uses NO generated from ambient air to deliver precise amounts of NO to the lungs for the potential treatment of a
variety of pulmonary diseases. LungFit can generate up to 400 ppm of NO, for delivery either continuously or for a fixed amount
of time and has the ability to either titrate dose on demand or maintain a constant dose. The Company is currently applying its therapeutic
expertise to develop treatments for pulmonary hypertension in various settings, in addition to treatments for respiratory tract infections
that are not effectively addressed with current standards of care. Beyond Air is currently advancing its revolutionary LungFit for
clinical trials for the treatment of severe lung infections such as SARS-CoV-2 and nontuberculous mycobacteria (NTM). Additionally, Beyond
Air is using ultra-high concentrations of NO with a proprietary delivery system to target certain solid tumors in the pre-clinical setting.
For more information, visit www.beyondair.net.
Oxide (NO) is a powerful molecule, naturally synthesized in the human body, proven to play a critical role in a broad array of biological
functions. In the airways, NO targets the vascular smooth muscle cells that surround the small resistance arteries in the lungs. Currently,
exogenous inhaled NO is used in adult respiratory distress syndrome, post certain cardiac surgeries and persistent pulmonary hypertension
of the newborn to treat hypoxemia. Additionally, NO is believed to play a key role in the innate immune system and in vitro studies suggest
that NO possesses anti-microbial activity not only against common bacteria, including both gram-positive and gram-negative, but also
against other diverse pathogens, including mycobacteria, viruses, fungi, yeast and parasites, and has the potential to eliminate multi-drug
Air's LungFit is a cylinder-free, phasic flow nitric oxide generator and delivery system and has been designated as a medical
device by the US Food and Drug Administration (FDA). The ventilator compatible version of the device can generate NO from ambient air
on demand for delivery to the lungs at concentrations ranging from 1 part per million (ppm) to 80 ppm. LungFit system could potentially
replace large, high-pressure NO cylinders providing significant advantages in the hospital setting, including greatly reducing inventory
and storage requirements, improving overall safety with the elimination of NO2 purging steps, and other benefits. LungFit can also
deliver NO at concentrations at or above 80 ppm for potentially treating severe acute lung infections in the hospital setting (e.g. COVID-19,
bronchiolitis) and chronic, refractory lung infections in the home setting (e.g. NTM). With the elimination of cylinders, Beyond Air
intends to offer NO treatment in the home setting.
Beyond Air's LungFit is not approved for commercial use. Beyond Air's LungFit is for investigational use only.
Beyond Air is not suggesting NO use over 80 ppm or use at home.
majority of hospital admissions of infants with bronchiolitis are caused by respiratory syncytial virus (RSV). RSV is a common and highly
transmissible virus that infects the respiratory tract of most children before their second birthday. While most infants with RSV present
with minor respiratory symptoms, a small percentage develop serious lower airway infections, termed bronchiolitis, which can become life-threatening.
The absence of treatment options for bronchiolitis limits the care of these sick infants to largely supportive measures. Beyond Air's
system is designed to effectively deliver 150 - 400 ppm NO, for which preliminary studies indicate may eliminate bacteria, viruses, fungi
and other microbes from the lungs.
Acute Viral Pneumonia
adults, viruses have been identified as the causative agents in approximately 100 million cases of community-acquired pneumonia per year.
While viral pneumonia in adults is most commonly caused by rhinovirus, respiratory syncytial virus (RSV) and influenza virus, newly emerging
viruses (including SARS-CoV-1, SARS-CoV-2, avian influenza A, and H1N1 viruses) have been identified as pathogens contributing to the
overall burden of adult viral pneumonia. Patients aged 65 years or older are at particular risk for death from the disease, as are patients
with other underlying health conditions or weakened immune systems. There is no consensus regarding the use of antiviral drugs to treat
viral pneumonia, and specific preventative measures are currently limited to the influenza vaccine. Given that current treatment recommendations
are largely limited to supportive care, there is an unmet medical need for effective treatment options.
(coronavirus disease 2019) is an infectious disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). COVID-19
first emerged in December of 2019. Those affected develop fever, cough, shortness of breath and/or difficulty breathing. While the majority
of cases result in mild symptoms, some can progress to pneumonia and multi-organ failure. Older adults and people who have serious chronic
medical conditions are at an increased risk of developing severe complications from COVID-19. There is no specific treatment approved
Last updated: May 13, 2021