Company Description
Protalix BioTherapeutics, Inc. (NYSE American: PLX) is a biopharmaceutical company focused on the discovery, development, production and commercialization of therapeutics for rare diseases. The company develops recombinant therapeutic proteins that are expressed using its proprietary ProCellEx® plant cell-based protein expression system. According to company disclosures, Protalix is the first company to obtain U.S. Food and Drug Administration (FDA) approval for a therapeutic protein produced through a plant cell-based suspension expression system, positioning ProCellEx as a distinct platform for industrial-scale protein manufacturing without exposure to mammalian cells.
Core business and therapeutic focus
Protalix concentrates on rare diseases with significant unmet medical need, particularly in the areas of lysosomal storage disorders and other serious conditions. The company has researched, developed and currently manufactures two enzyme replacement therapies that are available in multiple markets. These therapies are recombinant proteins produced via ProCellEx and are used in the treatment of rare diseases such as Gaucher disease and Fabry disease, as described in its public communications.
The company has licensed to Pfizer Inc. the worldwide development and commercialization rights to taliglucerase alfa, marketed as Elelyso®, for the treatment of Gaucher disease, excluding Brazil, where Protalix retains full rights. Protalix’s second commercial product, Elfabrio® (pegunigalsidase alfa), for adult patients with Fabry disease, was approved by both the FDA and the European Medicines Agency (EMA) in May 2023. Protalix has partnered with Chiesi Farmaceutici S.p.A., through Chiesi Global Rare Diseases, for the global development and commercialization of Elfabrio.
ProCellEx® plant cell-based platform
At the center of Protalix’s business model is ProCellEx, its proprietary plant cell-based expression system. Company materials describe ProCellEx as a unique platform that enables the production of recombinant proteins in an industrial-scale manner, using plant cells in suspension culture and avoiding mammalian cell lines. This approach provides the technological basis for the company’s approved products and pipeline candidates, and underpins its collaborations with global pharmaceutical partners.
Commercial products and partnerships
Protalix generates revenue from the sale of drug products and substances associated with its enzyme replacement therapies. Public updates note revenues from sales of Elfabrio to Chiesi, Elelyso to Pfizer, and alfataliglicerase (Elelyso) to Fiocruz, an arm of the Brazilian Ministry of Health. The company describes these established revenue streams as a foundation that supports its research and development activities.
Through its collaboration with Chiesi Global Rare Diseases, Protalix participates in the commercial launch and ongoing market development of Elfabrio for Fabry disease in the United States, the European Union and additional geographies. The company has reported that core launch indicators, such as treated patient counts and market share in certain territories, are tracking to internal plans, and it views Elfabrio as the anchor of its future sales through its partner Chiesi.
In Gaucher disease, Protalix supplies Elelyso to Pfizer under a license and supply arrangement, while retaining full rights in Brazil, where it collaborates with Fundação Oswaldo Cruz (Fiocruz). These relationships illustrate a partnership-driven commercialization strategy, in which Protalix focuses on development and manufacturing while global and regional partners handle distribution and market access.
Pipeline and research strategy
Beyond its marketed products, Protalix reports a development pipeline that includes proprietary versions of recombinant therapeutic proteins targeting established pharmaceutical markets. Key disclosed product candidates include:
- PRX–115: a plant cell-expressed recombinant PEGylated uricase for the treatment of uncontrolled gout. Company communications describe PRX-115 as engineered for high specific activity, enhanced stability and reduced immunogenicity, and as a potential differentiated treatment option in a high-need indication.
- PRX–119: a plant cell-expressed long-acting DNase I intended for the treatment of NETs-related diseases. Protalix has highlighted PRX-119 as a long-acting DNase I designed to degrade neutrophil extracellular traps (NETs) and reduce downstream inflammation and fibrosis, and has identified it as a potential key pipeline asset, particularly in rare kidney disease indications.
In a letter to stockholders, Protalix emphasized a strategic focus on uncontrolled gout and rare kidney diseases. The company has advanced PRX-115 through a Phase 1 clinical trial, reporting that it was generally well tolerated, with a rapid and durable urate-lowering effect, and has submitted an Investigational New Drug (IND) application to the FDA for a planned Phase 2 trial. In parallel, Protalix is building a renal pipeline that includes PRX-119 and RNA-based programs for rare renal indications.
RNA collaboration and rare renal indications
Protalix has disclosed a collaboration and option agreement with Secarna Pharmaceuticals GmbH & Co. KG, a company focused on oligonucleotide therapeutics. Under this agreement, Protalix has selected pharmaceutical targets with fundamental biological roles in rare renal indications, and Secarna applies its AI-empowered OligoCreator® platform to design and profile antisense oligonucleotide (ASO) candidates against those targets. Protalix is granted an exclusive option to license active compounds derived from the research for potential clinical development and commercialization.
The company describes this collaboration as its first expansion into the rare kidney disease space leveraging RNA technologies, consistent with its updated research strategy to broaden its footprint as a rare disease therapeutics company. This RNA-based work complements Protalix’s protein-based pipeline and reinforces its stated focus on rare renal conditions.
Regulatory and clinical context for Elfabrio®
Elfabrio (pegunigalsidase alfa) is approved in the United States and the European Union for adult patients with Fabry disease at a dosing regimen of 1 mg/kg every two weeks (E2W). Protalix and Chiesi have sought to expand the European label to include a 2 mg/kg every four weeks (E4W) dosing regimen. Company filings report that the Committee for Medicinal Products for Human Use (CHMP) of the EMA issued a negative opinion on the proposed E4W regimen, and that Protalix and Chiesi have requested a re-examination of that opinion. Protalix has stated that this process does not affect the existing bi-weekly label, which remains in place.
Corporate and capital markets profile
Protalix BioTherapeutics, Inc. is incorporated in Delaware and lists its common stock on the NYSE American under the ticker symbol PLX, as reflected in its SEC filings. The company has reported that it was added to the Russell 3000® and Russell 2000® Indexes as part of an annual reconstitution, which can increase visibility among institutional investors that track or benchmark against these indices.
The company has also disclosed the use of an at-the-market equity offering program under a Sales Agreement with H.C. Wainwright & Co., LLC, allowing it to offer and sell shares of common stock from time to time through a designated sales agent. Amendments to this agreement have been filed via Form 8-K in connection with the effectiveness of a new shelf registration statement.
Governance and shareholder matters
Protalix’s SEC filings describe routine corporate governance events such as annual meetings of stockholders, director elections, advisory votes on executive compensation, and ratification of the company’s independent registered public accounting firm. The company has also reported the resolution of a stockholder class action in the Delaware Court of Chancery related to certain bylaw provisions, noting that it amended its bylaws, the plaintiff agreed the claims were moot, and the action was dismissed with prejudice as to the plaintiff.
In addition, Protalix has disclosed leadership changes in its finance function, including the appointment of a new Senior Vice President and Chief Financial Officer under a written employment agreement, and the planned transition from the prior CFO. These disclosures outline compensation terms, option grants and change-of-control provisions, reflecting the company’s approach to executive recruitment and retention.
Position within the biopharmaceutical and manufacturing sector
Within the broader biological product manufacturing and biopharmaceutical sector, Protalix presents itself as a company that combines a proprietary plant cell-based expression technology with a focus on rare diseases. Its business model, as described in public communications, centers on developing enzyme replacement therapies and other biologics using ProCellEx, partnering with larger pharmaceutical companies for global commercialization, and reinvesting revenues into a pipeline that targets indications such as uncontrolled gout, Fabry disease, Gaucher disease, NETs-related diseases and rare renal disorders.
According to its communications, Protalix’s priorities include supporting Chiesi’s commercial performance with Elfabrio, advancing PRX-115 in clinical development for uncontrolled gout, and building a rare renal disease pipeline through both internal programs like PRX-119 and external collaborations such as the Secarna agreement. Investors evaluating PLX stock can review the company’s SEC filings, press releases and clinical disclosures for detailed information on product performance, regulatory status and pipeline progress.
Key business segments and revenue drivers
Based on company statements, Protalix’s activities can be viewed across several functional areas:
- Commercial enzyme replacement therapies: manufacturing and supplying Elfabrio for Fabry disease and Elelyso (taliglucerase alfa) for Gaucher disease under long-term agreements with Chiesi, Pfizer and Fiocruz.
- ProCellEx platform operations: operating and further developing the plant cell-based expression system that underlies both marketed and pipeline products.
- Clinical development: advancing PRX-115 and PRX-119 through preclinical and clinical stages, with a focus on uncontrolled gout and NETs-related or rare renal diseases.
- Collaborations and licensing: managing partnerships such as those with Chiesi, Pfizer, Fiocruz and Secarna, including license, supply and option agreements.
Revenues described in recent financial updates are primarily derived from product sales to partners and customers, supplemented by license and R&D services revenues associated with collaboration agreements. The company has indicated that, aside from potential regulatory milestone payments, it expects limited additional revenues from license and R&D services now that clinical development of Elfabrio has been completed.
Risk and regulatory considerations
In its forward-looking statements and risk factor summaries, Protalix highlights uncertainties common to drug development and commercialization. These include risks related to market acceptance, reimbursement and regulatory actions affecting Elfabrio; the outcome of regulatory reviews such as EMA evaluations of new dosing regimens; the success of clinical trials for product candidates like PRX-115; and operational risks related to geopolitical events, supply chains and third-party service providers. The company also notes exposure to changes in tax law and accounting treatment for research and development expenditures, as well as potential litigation and intellectual property challenges.
Investors and other stakeholders can refer to Protalix’s filings with the U.S. Securities and Exchange Commission for a full discussion of these risks, as well as detailed financial statements and management commentary on the company’s performance and strategy.