EDT Spectral Medical Inc

Spectral Medical Inc. (“Spectral” or the “Company”) (TSX: EDT), a late-stage theranostic company advancing therapeutic options for sepsis and septic shock, today announced its financial results for the third quarter ended September 30, 2023 and provided a corporate update.

During the third quarter, the Company continued to experience momentum in Tigris Trial enrollment. Management is pleased to report positive progress on these initiatives to increase Tigris Trial enrollment, specifically:

• During and subsequent to the third quarter the Company enrolled an additional eleven patients, of which nine or approximately 80% came from new sites opened for enrollment in 2023;
• 76 patients enrolled to date and the Company continues to close in on its interim target of 90 patients, an important milestone as Spectral’s strategic commercial partner, Baxter (BAX:NYSE), will have the opportunity to view the data as well as provide a second milestone payment to Spectral;
• Addition of two new trial sites, the Mayo Clinic and Emory Healthcare, subsequent to the third quarter bringing current total trial sites to 20;
• During the third quarter, full transition from the incumbent CRO, Beaufort was completed;

• Spectral Medical was featured in an episode of the ‘The Balancing Act’ airing on Lifetime TV (Advancing Therapeutic Options for Sepsis and Endotoxic Septic Shock - The Balancing Act) focused on advancing therapeutic options for sepsis and endotoxic septic shock, which was aired during the quarter; and
• On September 7, 2023, Spectral completed a private placement of convertible notes for gross proceeds of USD$4,553,000 led by the Company’s strategic investors Baxter and Pinnacle Island LP.

Dr. John Kellum, Chief Medical Officer of Spectral Medical, stated, “We continue to experience patient enrollment momentum supported by new sites we have onboarded during 2023. We continue to make progress opening additional sites, which should positively impact the pace of enrollment. Overall, we are rapidly advancing our Tigris trial and remain highly encouraged by the outlook, given the fact preliminary mortality data continues to exceed our expectations.”

“We are taking measured, yet rapid action to maintain and even increase momentum in patient enrollment with a view to enrolling our interim count of 90 patients, which is expected to play as a major catalyst for the Company,” said Chris Seto, Chief Executive Officer of Spectral Medical. “Based on the pace of patient enrollment in the past number of months, and our activities around site additions, we continue to drive towards the 90 patient interim milestone.”

Financial Review

Revenue for three months ended September 30, 2023, was $397,000 compared to $362,000 for the same period last year, representing an increase of $35,000, or 9.7%. Revenue for six months ended September 30, 2023, was $1,233,000 and $1,114,000 for the same period last year, representing an increase of $119,000, or 10.7%. This increase was mainly due to an increase in proprietary biochemicals product revenue.

Operating expenses for the three months ended September 30, 2023, were $3,658,000, compared to $2,705,000 for the same period in the prior year, an increase of $953, or 35.2%. The change is primarily due to an increase in consulting and professional fees by $265,000 primarily due to increased site and patient fees related to the Tigris trial and Eden observational study. Interest expense increased $167,000 primarily related to the Notes Payable, which was not outstanding in the same period in the prior year. Foreign exchange loss increased by $127,000 over the same period in the prior year, primarily related to FX loss on USD cash balances. Operating expenses for the nine months ended September 30, 2023, were $10,215,000, compared to $7,552,000 for the same period in the preceding year, an increase of $2,663, or 35.2%. The change is due to an increase in share-based compensation of $295,000. In addition, consulting and professional fees increased by $1,240,000 primarily due to increased site and patient fees related to the Tigris trial and Eden observational study. Interest expense increased $410,000 primarily related to the Notes Payable, which was not outstanding in the same period in the prior year. Lastly, loss incurred on joint arrangement was $205,000 which was not incurred for the same period in the prior year.  

Loss for the three months ended September 30, 2023 was $3,391,000, or $0.01 per share, compared to a loss of $3,135,000, or $0.01 per share, for the same quarter last year. The increased loss of $256,000 was due to increased operating expenses, partially offset by a reduction in loss from discontinued operations of $662,000 related to the reduction in Dialco operating expenses. Loss for the nine months ended September 30, 2023 was $9,107,000, or $0.02 per share, compared to a loss of $8,778,000, or $0.01 per share, for the same period last year. The increased loss of $329,000 was due to increased operating expenses, partially offset by a reduction in loss from discontinued operations of $2,215,000 related to the prior Dialco operating expenses.

The Company concluded the third quarter of 2023 with cash of $5,031,000 compared to $8,414,000 of cash on hand as of December 31, 2022.  

The total number of common shares outstanding for the Company was 278,576,261 at September 30, 2023.

About Spectral        

Spectral is a Phase 3 company seeking U.S. FDA approval for its unique product for the treatment of patients with septic shock, Toraymyxin™ (“PMX”). PMX is a therapeutic hemoperfusion device that removes endotoxin, which can cause sepsis, from the bloodstream and is guided by the Company’s Endotoxin Activity Assay (EAA™), the only FDA cleared diagnostic for the risk of developing sepsis.

PMX is approved for therapeutic use in Japan and Europe, and has been used safely and effectively on more than 340,000 patients to date. In March 2009, Spectral obtained the exclusive development and commercial rights in the U.S. for PMX, and in November 2010, signed an exclusive distribution agreement for this product in Canada. In July 2022, the U.S. FDA granted Breakthrough Device Designation for PMX for the treatment of endotoxic septic shock. Approximately 330,000 patients are diagnosed with septic shock in North America each year.

Spectral is listed on the Toronto Stock Exchange under the symbol EDT. For more information please visit www.spectraldx.com.

Forward-looking statement

Information in this news release that is not current or historical factual information may constitute forward-looking information within the meaning of securities laws. Implicit in this information, particularly in respect of the future outlook of Spectral and anticipated events or results, are assumptions based on beliefs of Spectral's senior management as well as information currently available to it. While these assumptions were considered reasonable by Spectral at the time of preparation, they may prove to be incorrect. Readers are cautioned that actual results are subject to a number of risks and uncertainties, including the company’s ability to raise capital and the availability of funds and resources to pursue R&D projects, the recruitment of additional clinical trial sites, the rate of patient enrollment, the successful and timely completion of clinical studies, the success of Baxter’s commercialization efforts, the ability of Spectral to take advantage of business opportunities in the biomedical industry, the granting of necessary approvals by regulatory authorities as well as general economic, market and business conditions, and could differ materially from what is currently expected.

The TSX has not reviewed and does not accept responsibility for the adequacy or accuracy of this statement.

For further information, please contact:

Ali Mahdavi	David Waldman/Natalya Rudman	Blair McInnis
Capital Markets & Investor Relations	US Investor Relations	CFO
Spinnaker Capital Markets Inc.	Crescendo Communications, LLC	Spectral Medical Inc.
416-962-3300	212-671-1020	416-626-3233
am@spinnakercmi.com	edt@crescendo-ir.com	bmcinnis@spectraldx.com

Spectral Medical Inc.Condensed Interim Consolidated Statements of Financial PositionIn CAD (000s), except for share and per share data(Unaudited)

	September 30,2023		December 31, 2022
	$		$
Assets
Current assets
Cash	5,031		8,414
Trade and other receivables	720		1,056
Inventories	304		340
Prepayments and other assets	912		276
	6,967		10,086
Non-current assets
Right-of-use-asset	598		464
Property and equipment	165		237
Intangible asset	192		211
Investment in iDialco	794		998
Total assets	8,716		11,996
Liabilities
Current liabilities
Trade and other payables	2,314		3,167
Current portion of contract liabilities	757		696
Current portion of lease liability	121		96
	3,192		3,959
Non-current liability
Lease liability	535		420
Non-current portion of contract liabilities	3,509		4,011
Notes payable	11,631		6,129
Total liabilities	18,867		14,519
Shareholders’ deficiency
Share capital	87,061		87,050
Contributed surplus	8,916		8,773
Share-based compensation	10,197		8,908
Warrants	2,526		2,490
Deficit	(118,851	)	(109,744	)
Total shareholders’ deficiency	(10,151	)	(2,523	)
Total liabilities and shareholders’ deficiency	8,716		11,996

Spectral Medical Inc.Condensed Interim Consolidated Statements of Loss and Comprehensive LossIn CAD (000s), except for share and per share data(Unaudited)

	Three-months ended September 30, 2023		Three-months ended September 30, 2022		Nine-months ended September 30, 2023		Nine-months ended September 30, 2022
	$		$		$		$
Revenue	397		362		1,233		1,114
Expenses
Changes in inventories of finished goods and work-in-process	-		71		-		160
Raw materials and consumables used	305		121		722		357
Salaries and benefits	987		891		2,918		2,555
Consulting and professional fees	1,198		933		3,300		2,060
Regulatory and investor relations	109		123		414		442
Travel and entertainment	63		78		245		197
Facilities and communication	81		81		245		218
Insurance	102		119		290		357
Depreciation and amortization	57		55		172		171
Interest expense	173		6		429		19
Foreign exchange (gain) loss	146		19		(89	)	30
Share-based compensation	340		217		1,300		1,005
Other expense (income)	56		(9	)	64		19
Net Loss on joint arrangement	41		-		205		-
	3,658		2,705		10,215		7,552
Loss and comprehensive loss for the year from continuing operations	(3,261	)	(2,343	)	(8,982	)	(6,438		)
Income (loss) from discontinued operations	(130	)	(792	)	(125	)	(2,340		)
Loss and comprehensive loss for the year	(3,391	)	(3,135	)	(9,107	)	(8,778		)
Basic and diluted loss from continuing operations per common share	(0.01	)	(0.00	)	(0.02	)	(0.01		)
Basic and diluted income (loss) from discontinued operations per common share	(0.00	)	(0.00	)	(0.00	)	(0.00		)
Basic and diluted loss per common share	(0.01	)	(0.01	)	(0.02	)	(0.02		)
Weighted average number of common shares outstanding – basic and diluted	278,604,718		268,283,387		278,569,902		268,064,079

Spectral Medical Inc.Condensed Interim Consolidated Statements of Changes in Shareholders’ DeficiencyIn CAD (000s)(Unaudited)

	Number of shares		Share Capital		Contributed surplus		Share-based compensation		Warrants		Deficit		Total Shareholders’ (deficiency)
			$		$		$		$		$		$
Balance, January 1, 2022	267,886,408		84,357		7,985		7,984		2,251		(98,494	)	4,083
Share options exercised	268,797		157		-		(69	)	-		-		88
RSUs released	284,072		174		-		(174	)	-		-		-
Warrants expired	-		-		788		-		(788	)	-		-
Loss and comprehensive loss for the period	-		-		-		-		-		(8,778	)	(8,778		)
Share-based compensation	-		-		-		1,005		-		-		1,005
Balance, Sep 30, 2022	268,439,277		84,688		8,773		8,746		1,463		(107,272	)	(3,602
Bought deal offering	10,061,250		2,313		-		-		1,027		-		3,340
RSU Released	47,277		49		-		(30	)	-		-		19
Loss and comprehensive loss for the period	-		-		-		-		-		(2,472	)	(2,472
Share-based compensation	-		-		-		192		-		-		192
Balance, December 31, 2022	278,547,804		87,050		8,773		8,908		2,490		(109,744	)	(2,523

Balance, January 1, 2023	278,547,804	87,050	8,773	8,908		2,490		(109,744	)	(2,523	)
RSUs released	28,457	11	-	(11	)	-		-		-
Warrants issued	-	-	-	-		179		-		179
Warrants expired	-	-	143	-		(143	)	-		-
Loss and comprehensive loss for the period	-	-	-	-		-		(9,107	)	(9,107	)
Share-based compensation	-	-	-	1,300		-		-		1,300
Balance, September 30, 2023	278,576,261	87,061	8,916	10,197		2,526		(118,851	)	(10,151	)

Spectral Medical Inc.Condensed Interim Consolidated Statements of Cash FlowsIn CAD (000s)(Unaudited)        

	Nine-months ended Sep 30, 2023		Nine-months ended Sep 30, 2022
	$		$
Cash flow provided by (used in)
Operating activities
Loss and comprehensive loss for the period	(9,107	)	(8,778	)
Adjustments for:
Depreciation on right-of-use asset	73		71
Depreciation on property and equipment	72		123
Amortization of intangible asset	19		13
Amortization of deferred financing Fees	147		-
Interest expense	429		19
Unrealized foreign exchange gain	(38	)	(33	)
Share-based compensation	1,479		1,005
Write down of property and equipment to fair value			91
Loss on investment in iDialco	205		-
Changes in items of working capital:
Trade and other receivables	336		129
Inventories	36		(367	)
Prepayments and other assets	(636	)	77
Trade and other payables	(1,253	)	493
Contract liabilities	(648	)	(485	)
Net cash used in operating activities	(8,886	)	(7,642	)
Investing activities
Property and equipment acquisitions	-		(90	)
Net cash used in investing activities	-		(90	)
Financing activities
Lease liability payments	110		(88	)
Note payable	6,213
Financing charges paid	(820	)
Share options exercised	-		88
Net cash provided by financing activities	5,503		-
Decrease in cash	(3,383	)	(7,732	)
Effects of exchange rate changes on cash	-		33
Cash, beginning of period	8,414		8,890
Cash, end of period	5,031		1,191