# Cizzle Biotechnology expands CIZ1B lung cancer test licensing to Caribbean

- Link: https://www.directorstalkinterviews.com/cizzle-biotechnology-expands-ciz1b-lung-cancer-test-licensing-to-caribbean/4121181417
- Published: 2024-12-16T07:32:16+00:00
- Author: Amilia Stone

**Cizzle Biotechnology Holdings plc **(LON:CIZ), the UK based diagnostics developer,
has announced that it has signed an extension to its exclusive licensing and partnership
agreement for the USA and Canada, executed on 21 October 2024, with Cizzle Bio Inc(
BIO) for its proprietary CIZ1B biomarker test to help detect early-stage lung cancer,
to include the 14 Sovereign States of the Caribbean and the Cayman Islands.  As 
a result of this increased market opportunity to bring Cizzle’s non-invasive, cost
effective CIZ1B biomarker lung cancer blood test to market next year, BIO will make
early payments totalling US$500,000 in July and September 2025 of the advanced minimum
royalty of US$1 million previously all due on 21 January 2026.

Additionally, BIO have executed their first agreement with a CAP (College of American
Pathologists) accredited laboratory partner and expect to register the CIZ1B biomarker
as a CLIA (Clinical Laboratory Improvement Amendments) LDT (Laboratory Developed
Test) in January 2025.  Full product launch remains on track for April 2025.  Details
of this first agreement with a CAP accredited laboratory partner are confidential
at this time and BIO expects to complete further contracts with other laboratory
partners in due course.

**Key Highlights**

·    **Exclusive extension of North American license to include the Caribbean**:
The Agreement grants an extension to BIO’s exclusive rights to the CIZ1B biomarker
technology for early lung cancer detection in North America, to now include the 
Caribbean.

·    **Caribbean royalty payments**: same level as for the rest of North America
at 10% of gross sales less any taxes due in the Caribbean.

·    **Early Payment of Advanced Royalty Fees due under Existing Agreement for North
America**: Cizzle has already received an initial exclusivity fee of US$100,000 
and an upfront royalty payment of US$300,000 from BIO and is due a further minimum
US$1 million advanced royalty on 21 January 2026.  The extension and advance payment
is subject to BIO executing its first revenue bearing laboratory partner in the 
Caribbean by 31 July 2025 and provides an early payment of the US$1 million in tranches
of US$250,000 on 31 July 2025 and US$250,000 on September 2025, with the remaining
US$500,000 payable on 21 January 2026.  A further minimum royalty payment of US$
1 million is due in April 2027.  The July and September 2025 advances are only creditable
against royalties payable in North America and any royalties payable in the Caribbean
will be in addition.

·    **Revenue streams for growth:** Through the Extension, Cizzle is accelerating
its market entry timetable and revenue generation in a broader geographic region
as the Company delivers its strategic milestones.

·    **Value-creating partnership:** The Extension continues to strengthen the close
working relationship between Cizzle and BIO in bringing the CIZ1B biomarker test
to market.

·    **First laboratory contract**: BIO has executed its first and confidential 
agreement with a CAP approved clinical laboratory and intends to register the CIZ1B
biomarker as a CLIA accredited test in January 2025 with plans for commercial launch
in April 2025.

The Company continues to support BIO as it builds relationships with clinicians,
hospitals and US cancer centres of excellence in North America, and through their
investors were introduced to influential healthcare providers within the Caribbean
with a key interest in early cancer detection.  The Caribbean, including Antigua
and Barbuda, Bahamas, Barbados, Cuba, Dominica, Dominican Republic, Grenada, Haiti,
Jamaica, Saint Kitts and Nevis, Saint Lucia, Saint Vincent and the Grenadines and
Trinidad and Tobago and the Cayman Islands, has a diverse population of nearly 45
million people, representing an important opportunity to increase ethnic representation
in data sets and for commercial expansion.

**Further Information**

Cizzle’s vision is to meet the challenges of early lung cancer detection, reduce
premature cancer deaths, improve survival rates and increase quality of life for
cancer patients by helping detect cancer as early as possible through a simple blood
test.

It is widely considered that to beat cancer, early detection and diagnosis is arguably the
single most important and impactful objective, with patients diagnosed early having
the best chance of curative treatment and long-term survival, reducing patient stress
and improving healthcare economic performance.

By focussing on the systematic development and commercialisation of novel and proprietary
clinical non-invasive and cost effective diagnostic tests for the early detection
of cancer, particularly where there is an unmet clinical need, the Company now has
a platform technology based on the ability to detect a stable plasma biomarker, 
a variant of CIZ1 known as CIZ1B.  CIZ1 is a naturally occurring cell nuclear protein
involved in DNA replication, and the targeted CIZ1B variant is highly correlated
with early-stage lung cancer.

> **Commenting, Allan Syms, Executive Chairman of Cizzle Biotechnology, said:**
> _“We are delighted with the progress and developing partnership with Cizzle Bio.
> They have been working hard to deliver their milestones to bring our non-invasive,
> cost effective, CIZ1B biomarker lung cancer blood test to market in 2025.  The
> signing of their first CAP approved clinical laboratory is an important step in
> achieving CLIA accreditation and this will be expanded to other laboratories in
> due course.  The extension of our agreement to include the Caribbean was driven
> by BIO investor interest and connections within the healthcare sector in the Caribbean
> and represents a logical progression in our global licensing and partnership strategy,
> offering the Company a broader geographical region for sales and revenue, with
> the accelerated royalty payments supporting the Company’s cash flow and growth
> in other regions.  Working closely with_ _BIO’s executive team provides a transparent
> view of the excellent progress being made in North America and expanding activities
> in the Caribbean is both timely and permits BIO to bring forward our guaranteed
> royalty payments to positively impact our cashflow projections in 2025.”   _

> **Bill Behnke, Chairman and CEO of BIO, commented:**
> _“We have been making excellent progress in developing partnerships with clinicians,
> hospitals and clinical laboratories who have a need for early cancer diagnostics.
> Securing our first agreement with a CAP approved clinical laboratory is an important
> step to achieve CLIA accreditation for the CIZ1B biomarker and we have plans to
> sign further clinical laboratories next year.  The extension to the Caribbean 
> arises from specific interest from some of our investors with connections to hospital
> groups requiring early cancer diagnostic tests.  Our goal remains to screen patients
> for lung cancer early and save lives.  This has also created interest to add further
> tests for other cancers and we will work closely with Cizzle and other clinical
> groups to identify complimentary tests that may be required to provide a full 
> suite of cancer tests that will widen our customer base and thereby increase the
> uptake of the CIZ1B biomarker test.”_

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