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SECURITIES AND EXCHANGE COMMISSION
 
Washington, D.C.  20549
______________________
 
FORM 6-K
 
REPORT OF FOREIGN PRIVATE ISSUER
 
Pursuant to Rule 13a-16 or 15d-16 of the
Securities Exchange Act of 1934
 
For the month of May 2023
 
Commission File Number: 001-36349
 
                  MediWound Ltd.                   
(Translation of registrant’s name into English)
 
42 Hayarkon Street
Yavne, 8122745 Israel
 (Address of principal executive offices)

Indicate by check mark whether the registrant files or will file annual reports under cover Form 20-F or Form 40-F.
 
Form 20-F ☒          Form 40-F ☐
 
Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(1):   __
 
Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(7):   __
 

 
EXPLANATORY NOTE
 
On May 30, 2023, MediWound Ltd. (the “Company”) issued a press release entitled “MediWound Reports First Quarter 2023 Financial Results and Provides a Company Update”. A copy of this press release is attached to this Form 6-K as Exhibit 99.1.

The content of this report on Form 6-K (including the information contained in Exhibit 99.1, but excluding quotes of senior management of the Company), is hereby incorporated by reference into the Company’s Registration Statements on Form S-8 filed with the SEC on April 28, 2014, March 24, 2016, March 19, 2018, March 25, 2019, February 25, 2020, May 15, 2021 and August 9, 2022 (Registration Nos. No. 333-195517, 333-210375, 333-223767, 333-230487, 333-236635, 333-255784, and  333-266697, respectively) and on Form F-3 filed with the SEC on May 25, 2022 and March 31, 2023 (Registration Nos. 333-265203 and 333-268297, respectively).

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SIGNATURE
 
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
 
 
MEDIWOUND LTD.

 
Date: May 30, 2023
By:
/s/ Hani Luxenburg
 
 
Name:
Hani Luxenburg
 
 
Title:
Chief Financial Officer
 

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EXHIBIT INDEX

The following exhibit is filed as part of this Form 6-K:

Exhibit
Description
   

4

Exhibit 99.1
MediWound Reports First Quarter 2023 Financial Results and Provides a Company Update

On track to initiate EscharEx® Phase III study in fourth quarter 2023

NexoBrid® U.S. launch expected in early third quarter 2023

Cash of over $57 million; Operating cash runway through profitability
 
Conference call begins today at 8:30 a.m. Eastern Time
 
YAVNE, Israel, May 30, 2022 -- MediWound Ltd. (Nasdaq: MDWD), the global leader in next-generation enzymatic therapeutics for tissue repair, today announced financial results for the first quarter ended March 31, 2023 and provided a corporate update.

"This quarter has been extremely productive as our dedicated team has worked diligently to advance the key components of our strategic plan. The outcomes of our focused efforts are evident, as we are on track to initiate the Phase III study for our flagship product, EscharEx, in the fourth quarter of this year. This represents a significant commercial opportunity and addresses a major unmet need. Furthermore, we are excited to partner with Vericel for the upcoming U.S. launch of NexoBrid. Simultaneously we are making rapid progress in our manufacturing scale-up plan to meet the surging global demand. Importantly, MediWound is now in a strong financial position, with over $57 million in cash. This provides the company with ample resources to effectively execute its corporate initiatives and drive continuous innovation," stated Ofer Gonen, Chief Executive Officer of MediWound.

First Quarter 2023 Highlights and Recent Developments:
 

The Company’s global Phase III clinical study for EscharEx is expected to begin in the fourth quarter of 2023. The pivotal trial protocol is aligned with feedback from the U.S. Food and Drug Administration (FDA); protocol feedback from the European Medicines Agency (EMA) anticipated in mid-year 2023. This multicenter, prospective, randomized, placebo-controlled trial aims to evaluate the safety and efficacy of EscharEx in patients with venous leg ulcers (VLUs). Approximately 244 patients will be randomized to either EscharEx or gel vehicle (placebo control) in a 1:1 ratio. The treatment protocol will include a daily visit period of up to 14 days, during which EscharEx or gel vehicle will be applied once a day for a maximum of 8 applications. Patients will be followed for up to 22 weeks after treatment, during which all patients will be treated with standard of care. The co-primary endpoints are the incidence of complete debridement at the end of the daily visit period, and time to achieve wound closure.


Initiated the expansion of the Company’s manufacturing facility to address the increasing global demand for NexoBrid. This expansion project is scheduled for completion by the end of 2024 and will increase production capacity by five-fold. The Company is dedicated to ensuring the availability of NexoBrid, particularly in the United States, the largest market for this product.


Received a $7.5 million milestone payment from Vericel, triggered by the FDA’s approval of NexoBrid for eschar removal in adults with deep partial-thickness and/or full-thickness thermal burns. NexoBrid commercial launch in the U.S. is planned for early third quarter 2023.



Announced the award of an additional $10 million in funding from the Biomedical Advanced Research and Development Authority (BARDA) to support the $3 million replenishment of expired product previously procured for emergency preparedness, the pediatric indication sBLA submission to the U.S. FDA, and enrollment of an additional 50 patients in the ongoing expanded access treatment protocol (NEXT).
 

Strengthened its management team with the addition of highly experienced executives. The Company welcomed Hani Luxenburg as its new Chief Financial Officer, Barry Wolfenson as Executive Vice President of Strategy and Corporate Development, and Alicia Torrenova as Vice President of European Operations.


Raised gross proceeds of $27.5 million in a registered direct offering of ordinary shares, with participation from new and current institutional shareholders, including top-tier investors such as Point 72, Israel Biotech Fund, Deep Insight and aMoon.


Cash and short-term investments of $57.4 million as of March 31, 2023.
 
First Quarter 2023 Financial Highlights
 

Total revenues were $3.8 million, compared to $4.4 million for the first quarter of 2022. Revenues from development services were $2.6 million, compared to $3.1 million in the first quarter of 2022.  This decrease was primarily attributed to the NexoBrid approval in December 2022. Revenues from products were $1.2 million, compared to $1.1 million in the first quarter of 2022.


Gross profit was $0.8 million, or 22% of the total revenue, compared to a gross profit of $1.5 million, or 33% of the total revenue, for the first quarter of 2022. The decrease in gross profit was primarily due to changes in the revenue mix and nonrecurring production costs.


Research and development expenses were $2.1 million, compared to $2.4 million in the first quarter of 2022.


Selling, general and administrative expenses were $3.1 million, compared to $2.3 million in the first quarter of 2022. The increase was primarily due to the addition of personnel to support future growth, along with share-based compensation expenses.


Operating loss was $4.4 million, compared to a loss of $3.3 million in the first quarter of 2022.
 

The Company posted a net loss of $3.7 million, or $0.44 per share, compared to a net loss of $3.6 million, or $0.87 per share, for the first quarter of 2022.


Adjusted EBITDA, as defined below, was a loss of $3.4 million, compared to a loss of $2.6 million for the first quarter of 2022.


As of March 31, 2023, the Company had $57.4 million in cash and short-term investments, compared with $34.1 million as of December 31, 2022.  The Company utilized $1.8 million to fund its operating activities in the first quarter of 2023. Existing cash and cash equivalents are expected to provide sufficient funds for the Company’s current operating plan through profitability.
 


Conference Call

MediWound management will host a conference call for investors today, Tuesday, May 30, 2023, beginning at 8:30 a.m., Eastern Time to discuss these results and answer questions. Shareholders and other interested parties may participate in the conference call by dialing 1-833-630-1956 (in the U.S.), 1-80-921-2373 (Israel), or 1-412-317-1837 (outside the U.S. & Israel). The call will be available via webcast by clicking HERE or on the Events & Presentations page of Company’s website.

A replay of the call will be available on the Company’s website at www.mediwound.com.

Non-IFRS Financial Measures

To supplement consolidated financial statements prepared and presented in accordance with IFRS, the Company has provided a supplementary non-IFRS measure to consider in evaluating the Company's performance. Management uses Adjusted EBITDA, which it defines as earnings before interest, taxes, depreciation and amortization, impairment, one-time expenses, restructuring and share-based compensation expenses.

Although Adjusted EBITDA is not a measure of performance or liquidity calculated in accordance with IFRS, we believe the non-IFRS financial measures we present provide meaningful supplemental information regarding our operating results primarily because they exclude certain non-cash charges or items that we do not believe are reflective of our ongoing operating results when budgeting, planning and forecasting and determining compensation, and when assessing the performance of our business with our senior management.
 
However, investors should not consider these measures in isolation or as substitutes for operating income, cash flows from operating activities or any other measure for determining the Company's operating performance or liquidity that is calculated in accordance with IFRS. In addition, because Adjusted EBITDA is not calculated in accordance with IFRS, it may not necessarily be comparable to similarly titled measures employed by other companies. The non-IFRS measures included in this press release have been reconciled to the IFRS results in the tables below.
 
About MediWound

MediWound Ltd. (Nasdaq: MDWD) is the global leader in next-generation enzymatic therapeutics focused on non-surgical tissue repair. Specializing in the development, production and commercialization of solutions that seek to replace existing standards of care, the Company is committed to providing rapid and effective biologics that improve patient experiences and outcomes, while reducing costs and unnecessary surgeries.

MediWound’s first drug, NexoBrid®, is an FDA-approved orphan biologic for eschar removal in severe burns that can replace surgical interventions and minimize associated costs and complications. Utilizing the same core biotherapeutic enzymatic platform technology, MediWound has developed a strong R&D pipeline including the Company’s lead drug under development, EscharEx®. EscharEx is a Phase III biologic for debridement of chronic wounds with significant advantages over the $300 million monopoly legacy drug and an opportunity to expand the market. The Phase III study is expected to start in Q4 2023. Additionally, MediWound has a Phase I/II biologic for basal cell carcinoma, MW005, with results expected in Q3 2023.

For more information, please visit www.mediwound.com and follow the Company on LinkedIn.


Cautionary Note Regarding Forward-Looking Statements

MediWound cautions you that all statements other than statements of historical fact included in this press release that address activities, events, or developments that we expect, believe, or anticipate will or may occur in the future are forward-looking statements. Although we believe that we have a reasonable basis for the forward-looking statements contained herein, they are based on current expectations about future events affecting us and are subject to risks, assumptions, uncertainties, and factors, all of which are difficult to predict and many of which are beyond our control.  Actual results may differ materially from those expressed or implied by the forward-looking statements in this press release.  These statements are often, but are not always, made through the use of words or phrases such as “anticipates,” “intends,” “estimates,” “plans,” “expects,” “continues,” “believe,” “guidance,” “outlook,” “target,” “future,” “potential,” “goals” and similar words or phrases, or future or conditional verbs such as “will,” “would,” “should,” “could,” “may,” or similar expressions.
Specifically, this press release contains forward-looking statements concerning the anticipated progress, development, study design, expected data timing, objectives anticipated timelines, expectations and commercial potential of our products and product candidates, including EscharEx® and NexoBrid®. Among the factors that may cause results to be materially different from those stated herein are the inherent uncertainties associated with the uncertain, lengthy and expensive nature of the product development process; the timing and conduct of our studies of our products and product candidates, including the timing, progress and results of current and future clinical studies, and our research and development programs; the approval of regulatory submission by the FDA, the European Medicines Agency or by any other regulatory authority, our ability to obtain marketing approval of our products and product candidates in the U.S. or other markets; the clinical utility, potential advantages and timing or likelihood of regulatory filings and approvals of our products and products; our expectations regarding future growth, including our ability to develop new products; risks related to our contracts with BARDA; market acceptance of our products and product candidates; our ability to maintain adequate protection of our intellectual property; competition risks; the need for additional financing; the impact of government laws and regulations and the impact of the current global macroeconomic climate on our ability to source supplies for our operations or our ability or capacity to manufacture, sell and support the use of our products and product candidates in the future.
These and other significant factors are discussed in greater detail in MediWound’s annual report on Form 20-F for the year ended December 31, 2022, filed with the Securities and Exchange Commission (“SEC”) on March 16, 2023 and Quarterly Reports on Form 6-K and other filings with the SEC from time-to-time. These forward-looking statements reflect MediWound’s current views as of the date hereof and MediWound undertakes, and specifically disclaims, any obligation to update any of these forward-looking statements to reflect a change in their respective views or events or circumstances that occur after the date of this release except as required by law.

Contacts:
 
Hani Luxenburg
Chief Financial Officer
MediWound Ltd.
ir@mediwound.com
Monique Kosse
Managing Director, LifeSci Advisors
212-915-3820
monique@lifesciadvisors.com



MediWound Ltd.
CONDENSED CONSOLIDATED STATEMENT OF FINANCIAL POSITIONS
U.S. dollars in thousands

   
March 31,
   
December 31,
 
   
2023
   
2022
   
2022
 
   
Un-audited
   
Audited
 
Cash, cash equivalents
   
51,020
     
16,651
     
33,895
 
Restricted deposits
   
-
     
185
     
-
 
Short‑term bank deposits
   
6,184
     
-
     
-
 
Trade receivables
   
2,520
     
2,348
     
9,332
 
Inventories
   
2,536
     
1,920
     
1,963
 
Other receivables
   
1,011
     
852
     
650
 
Total current assets
   
63,271
     
21,956
     
45,840
 
                         
Trade and other receivables
   
305
     
230
     
364
 
Property, plant and equipment, net
   
3,724
     
2,471
     
2,366
 
Right of use assets, net
   
1,151
     
1,429
     
1,215
 
Intangible assets, net
   
215
     
281
     
231
 
Total non-current assets
   
5,395
     
4,411
     
4,176
 
                         
Total assets
   
68,666
     
26,367
     
50,016
 
                         
Current maturities of long-term liabilities
   
2,139
     
2,572
     
2,242
 
Trade payables and accrued expenses
   
3,403
     
5,623
     
5,656
 
Other payables
   
3,722
     
3,055
     
4,159
 
Total current liabilities
   
9,264
     
11,250
     
12,057
 
                         
Deferred revenues
   
-
     
91
     
-
 
Warrants, net
   
14,674
     
-
     
15,606
 
Liabilities in respect of IIA grants
   
7,580
     
7,897
     
7,445
 
Liabilities in respect of TEVA
   
2,660
     
3,642
     
2,788
 
Lease liabilities
   
743
     
1,239
     
846
 
Severance pay liability, net
   
445
     
303
     
360
 
Total non-current liabilities
   
26,102
     
13,172
     
27,045
 
                         
Shareholders' equity
   
33,300
     
1,945
     
10,914
 
Total liabilities & shareholder equity
   
68,666
     
26,367
     
50,016
 


MediWound Ltd.
CONDENSED CONSOLIDATED STATEMENT OF COMPREHENSIVE LOSS (UNAUDITED)
U.S. dollars in thousands

   
Three months ended
March 31,
   
Year ended
December 31,
 
   
2023
   
2022
   
2022
 
                   
Revenues
   
3,799
     
4,407
     
26,496
 
Cost of revenues
   
2,973
     
2,947
     
13,331
 
Gross profit
   
826
     
1,460
     
13,165
 
Operating expenses:
                       
Research and development
   
2,102
     
2,408
     
10,181
 
Selling, general and administrative
   
3,088
     
2,336
     
10,645
 
Other expenses, net
   
-
     
-
     
684
 
Operating loss
   
(4,364
)
   
(3,284
)
   
(8,345
)
                         
Financial income (expenses), net
   
676
     
(301
)
   
(11,176
)
Loss before taxes on income
   
(3,688
)
   
(3,585
)
   
(19,521
)
Taxes on income
   
(5
)
   
(4
)
   
(78
)
Net loss
   
(3,693
)
   
(3,589
)
   
(19,599
)
                         
Foreign currency translation adjustments
   
(9
)
   
5
     
14
 
Total comprehensive loss
   
(3,702
)
   
(3,584
)
   
(19,585
)
                         
Basic and diluted loss per share:
                       
Net loss per share
   
(0.44
)
   
(0.87
)
   
(3.93
)
                         
Weighted average number of ordinary shares used in the computation of basic and diluted loss per share:
   
8,388
     
4,105
     
4,987
 


MediWound Ltd.
ADJUSTED EBITDA
U.S. dollars in thousands

   
Three months ended
   
Year ended
 
   
March 31,
   
December 31,
 
   
2023
   
2022
   
2022
 
Loss for the period
   
(3,693
)
   
(3,589
)
   
(19,599
)
Adjustments:
                       
Financial income (expenses), net
   
676
     
(301
)
   
(11,176
)
Other expenses, net
   
-
     
-
     
(684
)
Tax expenses
   
(5
)
   
(4
)
   
(78
)
Depreciation and amortization
   
(303
)
   
(321
)
   
(1,272
)
Share-based compensation expenses
   
(619
)
   
(345
)
   
(1,946
)
Total adjustments
   
(251
)
   
(971
)
   
(15,156
)
Adjusted EBITDA
   
(3,442
)
   
(2,618
)
   
(4,443
)


MediWound Ltd.
CONDENSED CONSOLIDATED STATEMENT OF CASH FLOWS (UNAUDITED)
U.S. dollars in thousands

 
Three months ended
   
Year Ended
 
   
March 31,
   
December 31,
 
   
2023
   
2022
   
2022
 
Cash Flows from Operating Activities:
                 
Net loss
   
(3,693
)
   
(3,589
)
   
(19,599
)
                         
Adjustments to reconcile net loss to net cash provided by (used in) operating activities:
                       
Adjustments to profit and loss items:
                       
Depreciation and amortization
   
303
     
321
     
1,272
 
Share-based compensation
   
619
     
345
     
1,946
 
Revaluation of warrants accounted at fair value
   
(932
)
   
-
     
8,977
 
Issuance expenses of warrants through profit and loss
   
-
     
-
     
1,911
 
Revaluation of contingent liabilities in respect of IIA grants
   
259
     
234
     
(132
)
Revaluation of liabilities in respect of TEVA
   
122
     
137
     
533
 
Revaluation of lease liabilities
   
(13
)
   
(14
)
   
(109
)
Increase in severance liability, net
   
77
     
20
     
109
 
Net financing income
   
(246
)
   
-
     
(74
)
Un-realized foreign currency loss
   
345
     
245
     
525
 
     
534
     
1,288
     
14,958
 
Changes in asset and liability items:
                       
Decrease (Increase) in trade receivables
   
6,822
     
(579
)
   
(7,582
)
Increase in inventories
   
(583
)
   
(710
)
   
(721
)
Decrease (Increase) in other receivables
   
(313
)
   
125
     
364
 
Increase (Decrease) in trade payables & accrued expenses
   
(1,948
)
   
283
     
414
 
Increase (Decrease) in other payables & deferred revenues
   
(167
)
   
(883
)
   
281
 
     
3,811
     
(1,764
)
   
(7,244
)
Net cash provided by (used in) operating activities
   
652
     
(4,065
)
   
(11,885
)
                         
Cash Flows from Investment Activities:
                       
Purchase of property and equipment
   
(1,505
)
   
(160
)
   
(555
)
Interest received
   
302
     
-
     
74
 
Investment in short term bank deposits, net
   
(6,240
)
   
-
     
-
 
Net cash used in investing activities
   
(7,443
)
   
(160
)
   
(481
)
                         
Cash Flows from Financing Activities:
                       
Repayment of lease liabilities
   
(177
)
   
(178
)
   
(701
)
Repayment of liabilities in respect of TEVA
   
(417
)
   
-
     
(1,667
)
Repayment of contingent liabilities in respect of IIA grants
   
(310
)
   
(162
)
   
(258
)
Proceeds from issuance of shares and warrants, net
   
25,157
     
10,417
     
38,390
 
Net cash provided by financing activities
   
24,253
     
10,077
     
35,764
 
                         
Exchange rate differences on cash and cash equivalent balances
   
(337
)
   
(247
)
   
(549
)
Increase in cash and cash equivalents
   
17,125
     
5,605
     
22,849
 
Balance of cash and cash equivalents at the beginning of the period
   
33,895
     
11,046
     
11,046
 
Balance of cash and cash equivalents at the end of the period
   
51,020
     
16,651
     
33,895