Photocure ASA 1st Quarter 2025 Results
May 8, 2025
Dan Schneider, President and CEO Erik Dahl, CFO


Disclaimer

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Strategic Priorities & Initiatives




Continue to grow Hexvix®/Cysview® sales and increase Company profitability
- Provide and deliver on financial guidance, continue generating operating leverage
- Accelerate ForTec Mobile BLC usage
- Drive additional account reactivations in U.S. and image quality upgrades in Europe
- Increase penetration in Priority Growth Markets in Europe
- Leverage Olympus' launch of new HD BLC system in Nordics/EU
Develop BLC's role as a definitive diagnostic in bladder cancer care / Improve access
- Position BLC as the primary diagnostic tool to facilitate earlier use of new NMIBC therapeutics
- Support reclassification of BLC equipment in the U.S.: Citizen's petition/Partnerships
- Collaborate with BLC equipment manufacturers who plan to enter the U.S.
- Build adoption for Richard Wolf's interim Flex BLC solution in Europe; launch new HD Flex BLC system globally once developed
Expand product portfolio / Diversify global product offering in bladder cancer / uro-oncology
- Continue to assess opportunities within NMIBC & other uro-oncology indications: Biomarkers, AI, new technologies in precision medicine
- Leverage existing global commercial infrastructure in broader uro-oncology segment
1st Quarter 2025 Highlights:
Continued growth and execution on key initiatives

Regional Performance YoY
⁻ N America revenue up 2%, units down 6% due to 71% flex decline and customer order timing
Product Revenue +6%
Unit sales level in Q2 YoY; +3% YTD
⁻ European revenue up 11%, units up 1%
Increasing number of U.S. accounts: 337 (+17% Y-o-Y)
- ⁻ 8 new account towers installed
- ⁻ 13 upgrades from existing accounts
- ⁻ ForTec mobile BLC strategy: good momentum with 57 accounts
Executing on plan in Europe
⁻ 30 Olympus BLC Visera Elite-III systems installed since launch in Q1 2025
Product Revenue +7% EBITDA NOK 1.8 million
EBITDA NOK 27.8 million NOK 3.6 million ex-BD expense
NOK 29.2 million ex-BD expense
Continue forecasting operating leverage for FY 2025 and investing in revenue growth opportunities
Biz Dev expense NOK 1.8 million
Strong Balance Sheet
NOK 260 million in cash and equivalents, completed buy-back program of 500,000 shares; No term debt
Recent news and key milestone events
Richard Wolf Flex Agreement:
Flexible BLC interim solution availability in countries where System blue & components are cleared
High volume of valuable clinical data about BLC as the precision diagnostic in bladder cancer:
- New BRAVO Study Publication reinforces clinical benefits of BLC in reducing risk of bladder cancer recurrence
- EAU 2025: 2 clinical data presentations highlight the benefits of using BLC in bladder cancer
- ASCO-GU 2025 abstract: Upstaging and risk mitigation with BLC in NMIBC
- AUA post-period: 3 abstracts from the U.S. registry and 1 trial protocol

Segment Trends
North America and Europe markets
Strong Unit Sales Performance in Both Regions in Q1

Quarterly Hexvix/Cysview Unit Sales by Region (Last 3 Years)
0 2.000 4.000 6.000 8.000 10.000 12.000 14.000 16.000 North America Europe 0 500 1.000 1.500 2.000 2.500 3.000 3.500 4.000 4.500 Q1 Q2 Q3 Q4 2023 2024 2025 Q1 '25 unit sales impacted by –71% reduction in flex accounts units vs Q1 '24

Q1 2025 Trends in North America

- Sales in the U.S. were heavily impacted by 71% decline in sales to flex accounts and timing of key customer orders:
- Q1 2025 revenues increased 2%, in-market unit sales declined 6%. Revenues benefited from a higher average price.
- Q1 2025 vs Q1 2024 adjusted rigid segment growth is in line with prior quarters
- Installed base of rigid BLC equipment continues to expand; 21 Saphira installs (8 new towers, 13 upgrades).
- Active accounts in U.S. up ~17% YoY in Q1
- ForTec mobile BLC rollout in U.S. continues to gain traction: 57 accounts have used the service since roll-out.
- Access to BLC and reclassification of blue light cystoscopes in U.S. remains a high priority

Photocure booth at the AUA 2025 Congress in Las Vegas, USA April 26-28, 2025
7
Significant Growth in U.S. Accounts Actively Using Cysview
350 ~17% growth in Q1 YoY

* Active account is defined as an account with at least one order during the last 12 months Accounts include rigid-only, multi- or dual-towers, flex-only, mobile tower, and evaluation
Congress presence & continuing support to KOLs and medical education: EAU well attended and increasingly focused on precision diagnostics + 2 abstract presentations.
Olympus upgrading to include blue light: 30 Visera Elite III systems added throughout 2025
- Strengthened Guidelines:
- French AFU guidelines strengthened: Recommending blue light cystoscopy for every first TURBT
- Italian SIU recommendations include BLC: Recommended in certain patient populations for first and recurrent NMIBC
- Q1 2025 Trends in Europe
- Q1 2025 marks the highest revenue quarter ever for Photocure Europe.
- Q1 revenues increased 11% year-over-year, in-market unit sales grew 1%. Increases driven primarily by strong growth in DACH (5%), impacted by varying order patterns and tough Q1 2024 comparator.
- installed across Europe during Q1 with healthy pipeline of new towers to be



Growth initiatives
Growth initiatives

Accelerating BLC through Mobile Capability in the U.S.: ForTec
- Nationwide sales collaboration doubling BLC's footprint with new ForTec customers
- On Demand capability: Ondemand utilization of BLC via operating budgets
- 18 Mobile towers deployed and building demand, 57 accounts and over 100 MDs have used service since launch in mid-2024
- Teams leveraging both partners' customer infrastructure
Flexible BLC equipment to unlock the global surveillance market: Richard Wolf
- Strategic agreement to jointly develop and commercialize a next generation 4K LED HD reusable flexible blue light cystoscope
- IP and Regulatory responsibilities remain with RW
- Interim solution bringing flexible BLC to international centers while developing optimized solution
- Estimated Total Addressable Global Market: 1.3B USD 1
Positioning BLC as the precision diagnostic in the rapidly evolving NMIBC treatment landscape
- BLC to play an important role in supporting new "bladder sparing" therapies: patient selection, staging, marker lesion identification
- 3 new FDA approved products / Multiple drug companies conducting 20+ clinical trials: multiple MOAs/ drug targets
- Tumor resection, biopsies and pathology will still be required for definitive staging and grading
Value-generating Asieris Programs:

Hexvix: Commercial partnership in China
Past Progress
Phase III Trial Endpoint successfully met.
1st Data presented at SIU Congress in Oct 2023
Strong Results (p<0.0001)
First RCT Trial Conducted with High Def. BLC equipment
Chinese Authorities' (NMPA) Review of NDA ongoing since Nov 2023 (Typically 18 Months!)
Recent News & Expectations
Market Authorization Granted Early in China (November 5, 2024)
Regulatory Approval of BL Equipment
Commercialization
Potential for Photocure
Photocure/Asieris Joint Steering Committee Development of Hexvix Brand in China/Taiwan Milestone, Royalty, and Manufacturing Revenue on Sales
Cevira: Out-licensed worldwide rights to Asieris for development/commercialization
Past Progress
1st Non-Invasive Candidate for Cervical HSIL;
Phase III Endpoint met. Results China & Europe
Phase III Trial Results presented at the EUROGIN 2024 HPV Congress in March 2024
NDA accepted in China May 2024, review by NMPA ongoing
Recent News & Expectations
Regulatory review and commercialization in China
U.S. FDA discussions and EU pre-submission discussions took place in Q4 2024
Potential for Photocure
Regulatory Milestones; Royalties and Sales Milestones, for primary and secondary indications

Q1 Financials
Consolidated Income Statement First Quarter 2025

Revenue
Q1 Hexvix/Cysview product revenue increased 7% YoY. The revenue growth was negatively impacted by an expected decline in kits used for flexible cystoscopy in US as well as the negative impact of timing of sales of rigid kit orders of major accounts in US
Operating Expenses
- Total Operating expenses including Business Development expenses increased YoY NOK 12.0 million to NOK 114.4 million. NOK 3.9 million of the increase was due to FX. Remaining increase was driven by the timing of congresses and business meetings, FTE adjustments, merit and inflation
- Operating expenses within business development, NOK 1.8 million in Q1, relate mainly to life cycle management for Hexvix/Cysview and efforts that can diversify our business
EBITDA
Q1 EBITDA including BD expenses was NOK 1.8 million
Net Financial Items
Ipsen earn-out payment offset mainly by interest income and FX gain

Segment Performance First Quarter 2025
North America Segment
Amounts in NOK million |
Q1 '25 |
Q1 '24 |
Change |
FY '24 |
| Total revenues |
48.6 |
47.5 |
2% |
202.3 |
| Gross profit |
46.4 |
46.1 |
1% |
196.4 |
% of revenue |
95% |
97% |
|
97% |
| Direct costs |
-44.4 |
-41.8 |
6% |
-175.5 |
| Contribution (1) |
2.0 |
4.3 |
|
21.0 |
| EBITDA |
-10.6 |
-5.1 |
|
-21.1 |
of % revenue |
-22% |
-11% |
|
-10% |
- Q1 revenue growth was negatively impacted by an expected decline in kits used for flexible cystoscopy as well as the negative impact of timing of sales of rigid kit orders of major accounts
- In-market unit sales decreased 6%, average price increased 4%
- Q1 direct costs increased 6% YoY including foreign exchange impact of 5%
- Q1 Contribution NOK 2.0 million

Europe Segment
million Amounts in NOK |
Q1 '25 |
Q1 '24 |
Change |
FY '24 |
| Total revenues |
76.8 |
69.3 |
11% |
285.6 |
| Gross profit |
69.8 |
63.4 |
10% |
262.3 |
of % revenue |
91% |
92% |
|
92% |
| Direct costs |
-31.6 |
-27.3 |
16% |
-123.4 |
| Contribution (1) |
38.2 |
36.1 |
|
139.0 |
| EBITDA |
19.0 |
19.0 |
|
64.1 |
of % revenue |
25% |
27% |
|
22% |
- Q1 revenue increased 11% YoY, growth mainly driven by Germany and Austria
- In-market unit sales increased 1%, wholesaler stock and order patterns positively impacted revenue growth
- Q1 direct costs increased 16% YoY driven by the timing of expenses related to congresses, merit, inflation and FX
- Q1 Contribution NOK 38.2 million, 50% of revenue
Cash Flow & Balance Sheet First Quarter 2025
Amounts in NOK million |
Q1 '25 |
Q1 '24 |
FY '24 |
| Operations Cash Flow |
4.1 |
5.1 |
76.8 |
| Earnings before tax |
-9.4 |
-4.0 |
8.4 |
| Depreciation & amortization |
7.4 |
7.1 |
28.8 |
| Working capital |
2.7 |
-7.0 |
3.0 |
| Other |
3.4 |
8.9 |
36.6 |
| Investments Cash Flow |
0.7 |
0.2 |
1.4 |
| Financing Cash Flow |
-39.0 |
-6.5 |
-43.8 |
| Net Change in Cash |
-34.3 |
-1.2 |
34.4 |
|
|
|
|
Amounts in NOK million |
31.03.25 |
31.03.24 |
31.12.24 |
| Non-current assets |
316.4 |
333.8 |
315.1 |
| Inventory & receivables |
132.6 |
122.6 |
130.1 |
| Cash & short-term deposits |
259.5 |
258.3 |
293.9 |
Equity 471.8 483.1 501.7 Long-term liabilities 133.8 151.3 139.7 Current liabilities 102.9 231.5 97.7 Total balance 708.6 714.6 739.1
Cash Flow
- Q1 cash flow from operations was NOK 4.1 million, driven by EBITDA adjusted for non-cash expenses and working capital
- Q1 cash flow from investments includes interest received and paid, and investments in tangible and intangible assets
- Q1 cash flow from financing of NOK -39.0 million includes earnout payments to Ipsen of NOK 9.6 million and the share buy-back program of NOK 27.5 million
- Net cash flow in Q1 was NOK -34.3 million, cash balance end of Q1 was NOK 259.5 million
Financial position
- Non-current assets include intangibles and goodwill from Ipsen transaction totaling NOK 235.7 million
- Long-term liabilities includes deferred Ipsen earnout totaling NOK 113.4 million
- Equity at December 31, 2024 was NOK 471.8 million, 67% of total assets


Summary
Summary of Q1 2025 results

- 7% product rev. growth, unit sales level YoY; executing on key initiatives to increase sales growth
- EBITDA of NOK 1.8M (NOK 3.6 Ex-BD); forecasting FY 2025 operating leverage while funding growth initiatives
- Growth of rigid (TURBT) kit sales in U.S. outweighed Flex headwinds, ForTec mobile tower momentum building
- 17% active account growth in U.S. for rolling 12 months through Q1 2025
- 5% in-market unit growth in DACH markets
- Strong momentum for BLC; KOL support & new data positioning BLC as the precision diagnostic in the rapidly evolving NMIBC treatment landscape
- Cash balance of NOK 260M at end of Q1 2025, buy-back program of 500,000 shares completed; no term debt
- Anticipating minimum impact of potential tariffs in the U.S. due to high gross margin
Anticipated Milestones & Corporate Objectives

- Financial guidance: 7-11% product revenue growth and YoY EBITDA improvement in 2025. The Company also expects continued operating leverage flow-through in its commercial business and significant growth in milestones this year
- Continue increasing Hexvix/Cysview kit throughput and tower upgrades & installations: collaborate with ForTec on mobile tower national rollout in U.S. / focus on growth markets & Olympus equipment launch in Europe
- Advance partnership with Richard Wolf to develop and commercialize a next-generation Flexible BLC system for the global markets as soon as possible.
- Present/publish additional data from real world evidence patient registries and other studies supporting the use of BLC® with Hexvix/Cysview; leverage Photocure's U.S. registry with NMIBC therapeutic companies
- Increasing access to BLC by getting additional equipment manufacturers into the U.S. market (Citizen's Petition, other expedited pathways to market entry)
- Asieris progress: Hexvix early approval in China; NDA for Cevira undergoing regulatory review.
Leading change in bladder cancer
Q&A

