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Xspray Pharma

Quarterly Report May 4, 2023

3129_10-q_2023-05-04_3775b8ca-7caf-4ba4-b0ef-ba3f396d018f.pdf

Quarterly Report

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INTERIM REPORT January–March 2023

Overview – company vision

  • Financial and operational vision through 2030:
  • Net sales that exceed USD 400 million
  • Profit margin that exceeds 65 percent
  • Five commercialized products
  • Three product candidates under development

January–March 2023, Group

  • Net sales amounted to SEK 0 thousand (0)
  • Loss before tax amounted to SEK -34,827 thousand (-18,934)
  • Earnings per share before dilution amounted to SEK -1.54 (-0.92)
  • Cash flow from operating activities amounted to SEK -45,535 thousand (-27,613)
  • Cash flow from investing activities amounted to SEK -14,650 thousand (-47,541)

Amounts in parentheses refer to the same period in the previous year.

Significant events during the quarter

  • Xspray Pharma has entered into a partnership agreement with EVERSANA for the launch and commercialization of the company's product candidate XS004 in the US. Xspray Pharma retains financial and strategic control while granting EVERSANA exclusive rights to commercialize XS004. The goal is to be prepared to launch the product in the second half of 2023.
  • Xspray Pharma announced a new product candidate: XS008, which is based on the original substance axitinib, used in the treatment of kidney cancer.
  • Xspray's production partner NerPharMa obtained approval from AIFA, the Italian Medicines Agency, for commercial production of amorphous material for XS004.

Product candidates (XS004, XS003 and XS008):

• Launch of XS004 in the US is expected in H2 2023, conditional upon regulatory approval and a positive outcome in the ongoing legal dispute.

Significant events after the end of the reporting period

  • The US court has rejected Xspray Pharma's motion to dismiss in the ongoing patent dispute involving XS004. The lawsuit will thus continue with a review of the technical details of the case, which provides Xspray Pharma the opportunity to demonstrate that XS004 does not contain any patented crystalline substances.
  • The Board of Xspray Pharma announced a planned rights issue of units of approximately SEK 300 million, with two warrant series totaling an additional approximately SEK 300 million upon full exercise. An extraordinary general meeting is proposed to authorize the Board of Directors to resolve on the rights issue. Approximately 83 percent of the rights issue is secured by subscription commitments and intentions, as well as guarantee commitments.
  • The shareholders of Xspray Pharma were summoned to an extraordinary general meeting on Thursday, 25 May 2023 at 13.00 CEST at Advokatfirman Vinge's office on Smålandsgatan 20 in Stockholm.
Key performance indicators, Group Q1 2023 Q1 2022 Full year 2022
Net sales (SEK thousand)
Loss before tax (SEK thousand) -34,827 -18,934 -131,670
Earnings per share before dilution (SEK) -1.54 -0.92 -6.25
Earnings per share after dilution (SEK) -1.54 -0.92 -6.25
Research and development expenses as % of operating costs 35.8 8.7 16.4
Cash and cash equivalents (SEK thousand) 59,395 196,212 120,166
Total assets (SEK thousand) 547,840 592,430 585,430
Equity/assets ratio (%) 95.1 96.7 95.0
Average number of employees 26 24 25

A message from the CEO

Dear shareholders,

We have started the year with important preparations for the launch of Xspray Pharma's first commercial product: XS004, with the working name Dasynoc. Dasynoc, which is intended to treat the blood cancer diseases chronic myeloid leukemia (CML) and acute lymphoblastic leukemia (ALL), may provide clinical benefits by reducing the variability in uptake and enabling co-medication with proton-pump inhibitors. During the quarter, we entered into a partnership agreement with EVERSANA and continued to make preparations for launch of Dasynoc in the US, which is expected by July 2024, but with potential for launch as early as the second half of 2023. In addition, we have obtained approval from AIFA, the Italian Medicines Agency, for the production of commercial volumes of amorphous material for Dasynoc at NerPharMa's manufacturing facility in Italy.

Collaboration with commercial partner

As we announced previously, we have signed a partnership agreement with EVERSANA to market and sell our product candidate, Dasynoc, throughout the US. This partnership grants us exclusive access to a complete and cost-effective countrywide marketing and sales organization that is ready to go. EVERSANA has several skilled experts with years of experience in selling PKI drugs to the specific physicians, research companies, and other paying customers we are targeting. We pay for the service for the product launch, while the agreement enables us to retain financial and strategic control over Dasynoc.

In addition to the partnership with EVERSANA, we carried out a number of market surveys in the US that confirm our view of Dasynoc's potential, and that the benefits of the product compared with competing PKI drugs are relevant for physicians, nurses, and patients. To give an early indication of the financial potential in our product,

there are currently 11,000 patients receiving Sprycel® as their cancer treatment. Up to 47 percent1 of these patients need to be treated with proton pump inhibitors (PPIs), which is recommended not to be taken during treatment with Sprycel®. We can thus offer clear benefits for the several thousand patients in this group.

Continued efforts toward launch in the US in the second half of 2023

Xspray Pharma's partner NerPharMa is preparing the production of commercial volumes of amorphous material for Dasynoc after approval from the Italian Medicines Agency AIFA. The amorphous material is produced by NerPharMa and is then shipped to the US for production of finished tablets.

The lawsuit concerning patent infringement of the drug Sprycel® and its secondary patents is in progress. The patent protects Sprycel's crystalline form. Our product candidate Dasynoc has an amorphous form with no traces of crystalline properties. We therefore feel certain that Dasynoc does not infringe any patent. In the early stages of the lawsuit, Xspray Pharma submitted a motion to dismiss based on legal grounds. On April 25, the court denied our motion, indicating that the lawsuit will proceed and the case will be litigated based on technical details. The company stands firm on its assessment that the case can be resolved within the current year but at the latest by July 2024, when according to court practices the dispute will have to be resolved.

The FDA review of Xspray Pharma's application for approval for Dasynoc is expected to conclude in the summer of 2023. Our communication with the FDA has proceeded in accordance with plans, and they have inspected the plant in Italy. We believe that the application will lead to a market approval for Dasynoc, which will make it easier for patients to receive a relevant and improved treatment compared to crystalline dasatinib in the fight against CML and ALL.

Capital raise

On May 2nd, we announced plans for a rights issue of units of approximately SEK 300 million, consisting of ordinary shares and two warrant series that total an additional SEK 300 million upon full exercise. The rights issue is intended to be decided based on authorization from the Extraordinary General Meeting which will be held on May 25, 2023. The reason for including warrants in the offering is to increase visibility for investors since the warrants can be exercised at a later point in time when the company is expected to have achieved key milestones, primarily the launch of Dasynoc. Approximately 83 percent of the rights issue is secured by subscription commitments and intentions, as well as guarantee commitments.

The proceeds will be used to finance the pre-launch activities for Dasynoc in the US as well as general corporate purposes, ongoing operating costs and the continued development of product candidates XS003 and XS008.

Continued development of other product candidates

The development of XS003 is proceeding according to plan, and clinical trials are in progress. The current market preparations being carried out for Dasynoc are creating meaningful synergistic benefits for XS003. Introducing Dasynoc first, with its benefits for physicians and paying parties, will make the introduction of XS003 easier and less expensive since both product candidates are built on our patented HyNap technology.

During the quarter, we announced a new product candidate: XS008, which is based on the original substance axitinib, used in the treatment of kidney cancer. The PKI market for kidney cancer in the US had roughly USD 3 billion in sales in 2022. We thus now have three product candidates with announced substances in different phases of development.

Our HyNap technology has great potential to improve PKIs in the treatment of cancer. We are continuing to evaluate new product candidates, where key parameters include clinical need and market potential. We have exciting times before us, and I look forward to Xspray now being able to initiate the next stage of its journey toward becoming a commercial pharmaceutical company and a world leader in improved versions of established protein kinase inhibitors.

Per Andersson CEO, Xspray Pharma

1 Gunnar Larfors Et Al 3013 ASH 2022

Financial performance

Unless otherwise indicated, the comments below pertain to the Group. Comparison figures are presented in parentheses and pertain to the same period for the previous year. Since the Group consists of the Parent Company and two dormant subsidiaries, the differences between the Parent Company and consolidated statements consist of the existing differences between RFR2 and IFRS.

Net sales

Net sales for the company amounted to SEK 0 thousand in the first quarter. The application for market approval of company's first product, XS004 dasatinib, was filed in the fourth quarter of 2021 and was supplemented with additional dosage strengths in the second quarter of 2022. Further information on XS004 is available under the Product candidate section on page 18.

Other operating income

Other operating income amounted to SEK 904 thousand (170) in the first quarter, and the increase was attributable to advisory services and development efforts performed by Xspray during the period. Except for the income from advisory services, other operating income consists entirely of exchange rate gains arising in conjunction with payments abroad and translations of the currency account.

Research and development costs

During the quarter, total expenditure for research and development amounted to SEK -26,873 thousand (-27,707), of which SEK -13,006 thousand (-1,694) was expensed and recognized in profit or loss, and SEK -13,867 thousand (-26,013) was capitalized as development expenses and is presented in the company's balance sheet. A large part of the research and development in the quarter was expensed since XS004 has transitioned into a new phase, including validation efforts and other consulting, that have not been capitalized. Costs are also attributable to the company's two other product candidates, XS003 nilotinib and XS008 axitinib.

Administration and sales expenses

Administrative and sales costs totaled SEK -22,853 thousand (-17,021) in the first quarter. Of these, personnel costs amounted to SEK -8,940 thousand (-6,315). The cost increase for the first quarter is attributable primarily to the company's continued market preparation activities as a result of the impending launch in the US. Legal counsel costs in the US have also increased as a result of the lawsuit brought by the reference company in February 2022. Moreover, the company's personnel increased by two full-time positions compared with the same period last year, which impacts the cost base.

Other operating expenses

Other operating expenses for the quarter amounted to SEK -434 thousand (-737). Other operating expenses consist of exchange rate losses arising in conjunction with payments abroad and translations of the currency account.

Loss for the period

Loss for the period totaled SEK -34,827 thousand (-18,934) for the first quarter. This corresponds to earnings per share before dilution of SEK -1.54 (-0.92). The earnings decrease for the quarter is attributable primarily to increased administration and sales costs as a result of the market preparation activities stemming from the forthcoming launch in the US.

Cash flow

Cash flow from operating activities amounted to SEK -45,535 thousand (-27,613) in the quarter, of which the effect from working capital comprised SEK -12,690 thousand (-10,956). The negative cash flow is in accordance with the company's plan, and is primarily attributable to continued strengthening of the organization, project costs, and legal and other advisory services prior to the company's forthcoming launch of XS004 dasatinib.

Cash flow from investing activities amounted to SEK -14,650 thousand (-47,541). The item includes capitalized development expenses of SEK -13,622 thousand (-25,752). The main reason for the decrease is that XS004 dasatinib has transitioned from a research and development-intensive project to making preparations for the launch of XS004.

No new investments were made in property, plant and equipment during the period, and investments in property, plant and equipment thus totaled SEK 0 thousand (-20,779). During the quarter, advances continued to be paid as a result of the construction of the company's new production unit in Malta. Cash flow from investing activities is in line with expectations. Cash flow from financing activities amounted to SEK -586 thousand (-515), attributable in its entirety to amortization of lease liability.

Total cash flow was SEK -60,771 thousand (-75,669) for the period. The Group had SEK 59,395 thousand (196,212) in cash and cash equivalents at March 31, 2023.

Intangible assets

Development expenditures for the projects have been capitalized according to plan. Capitalized development expenditures totaled SEK 13,867 thousand (26,013) for the quarter. The Group's total capitalized development costs amounted to SEK 399,464 thousand (322,249) as of March 31, 2023. The item is associated with the company's product candidates XS004 dasatinib, XS003 nilotinib and XS008 axitinib.

Financial position

On May 2nd, the company announced plans for a rights issue of units of approximately SEK 300 million, with two warrant series, which total an additional SEK 300 million The raised capital will be used to finance the pre -launch activities for Dasynoc in the US as well as general corporate purposes, ongoing operating costs and the continued development of product candidates XS003 nilotinib and XS008 axitinib .

The equity/assets ratio for the Group was 95.0 per cent (96.7) at March 31, 2023.

Group structure

guarantee commitments.

The Group structure comprises the Parent Company, Xspray Pharma AB (publ), corporate identity number 556649 -3671, and its wholly owned subsidiaries Xspray Pharma Futurum AB, corporate identity number 559178 - 7642, and Xspray Pharma Inc. The two Swedish limited liability companies have their offices in Solna, Sweden, and the US subsidiary has its offices in Delaware. The address of the head office is Råsundavägen 12, SE -169 67 Solna, Sweden.

Parent Company

All activities were conducted in the Parent Company, Xspray Pharma AB (publ). The Parent Company's cash and cash equivalents totaled SEK 59,345 thousand (196,162) and the equity/assets ratio was 95.4 percent (97.2) at March 31, 2023.

Employees

During the quarter, the organization increased by two full -time positions compared with the same period last year. The number of employees in the Group on the balance sheet date totaled 26 (24).

Related -party transactions

Related parties are those associated with the management group in the Parent Company or the Boards of Directors in the Parent Company or subsidiaries. Purchase of services from senior executives pertain to consultant fees from InterCon HB, owned by Andreas Konar, who is part of the company's management group. The total fees amounted to SEK -252 thousand ( -252).

Corporate governance

The Audit and Remuneration Committees continued to assist the Board of Directors regarding monitoring assignments and remuneration issues .

Financial statements

Consolidated income statement

Amounts in SEK thousand Q1 2023 Q1 2022 Full year 2022
Net sales
Other operating income 904 170 2,180
Research and development costs -13,006 -1,694 -22,219
Administration and sales expenses -22,853 -17,021 -109,601
Other operating expenses -434 -737 -3,433
Operating loss -35,389 -19,282 -133,073
Finance income 562 348 1,415
Finance costs -12
Net financial items 562 348 1,403
Loss before tax -34,827 -18,934 -131,670
Tax
Loss for the period -34,827 -18,934 -131,670
Earnings per share before dilution, SEK -1.54 -0.92 -6.25
Earnings per share after dilution, SEK -1.54 -0.92 -6.25
Average number of shares before dilution 22,680,408 20,680,408 21,070,518
Average number of shares after dilution 22,680,408 20,680,408 21,070,518

Consolidated statement of comprehensive income

Amounts in SEK thousand Q1 2023 Q1 2022 Full year 2022
Loss for the period -34,827 -18,934 -131,670
Other comprehensive income
Total comprehensive income for the period -34,827 -18,934 -131,670

Profit for the period and comprehensive income are attributable in their entirety to Parent Company shareholders.

Consolidated balance sheet

Amounts in SEK thousand 31 Mar 2023 31 Mar 2022 31 Dec 2022
ASSETS
Non-current assets
Intangible assets
Capitalized development costs 399,464 322,249 385,597
Total intangible assets 399,464 322,249 385,597
Property, plant and equipment
Machinery and installations 13,488 19,270 15,407
Right-of-use assets 1,918 3,299 2,477
Equipment 120 467 147
Fixed assets under construction and prepayments 47,862 41,273 46,573
Total property, plant and equipment 63,389 64,310 64,603
Financial assets
Financial investments 1 1 1
Other long-term receivables 2,999 2,999
Total financial assets 3,000 1 3,000
Total non-current assets 465,852 386,560 453,200
Current assets
Inventories 18,591 6,199 8,552
Current receivables 2,422 2,138 2,362
Accounts receivable 355
Prepaid expenses and accrued income 1,224 1,322 1,150
Cash and cash equivalents 59,395 196,212 120,166
Total current assets 81,988 205,871 132,229
TOTAL ASSETS 547,840 592,430 585,430

Consolidated balance sheet cont.

Amounts in SEK thousand 31 Mar 2023 31 Mar 2022 31 Dec 2022
EQUITY AND LIABILITIES
Equity
Share capital 22,680 20,680 22,680
Other contributed capital 907,420 813,483 907,420
Reserves 976 976 976
Retained earnings including profit/loss for the period -409,885 -262,322 -375,057
Total equity attributable to the Parent Company's
shareholders
521,191 572,818 556,019
Non-current liabilities
Lease liabilities 475 878 560
Total non-current liabilities 475 878 560
Current liabilities
Trade payables 12,941 8,127 14,786
Lease liabilities 1,065 2,121 1,566
Other current liabilities 3,346 1,052 1,043
Accrued expenses and deferred income 8,822 7,435 11,456
Total current liabilities 26,174 18,734 28,851
TOTAL EQUITY AND LIABILITIES 547,840 592,430 585,430

Consolidated statement of changes in equity

Amounts in SEK thousand Share
capital
Other
contributed
capital
Reserves Retained
earnings
Total
equity
Opening balance as of January 1, 2022 20,680 813,483 976 -243,387 591,752
Loss for the period -131,670 -131,670
Other comprehensive income for the period
Total comprehensive income for the period -131,670 -131,670
New share issue 2,000 98,000 100,000
Transaction costs -4,876 -4,876
Redemption of warrants -52 -52
Warrant program 865 865
Closing balance as of December 31, 2022 22,680 907,420 976 -375,057 556,019
Opening balance as of January 1, 2023 22,680 907,420 976 -375,057 556,019
Loss for the period -34,827 -34,827
Other comprehensive income for the period
Total comprehensive income for the period -34,827 -34,827
New share issue
Transaction costs
Redemption of warrants
Warrant program
Closing balance as of March 31, 2023 22,680 907,420 976 -409,885 -521,191

Consolidated cash flow statement

Amounts in SEK thousand Q1 2023 Q1 2022 Full year 2022
OPERATING ACTIVITIES
Operating loss -35,389 -19,282 -133,073
Non-cash adjustments
Depreciation 2,321 9,533
Disposable of intangible fixed assets 15,472
Interest received 286 345 1,611
Interest paid -25 -41 -147
Cash flow from operating activities before changes in
working capital
-32,845 -16,657 -106,604
Changes in working capital
Change in operating receivables -10,514 350 -2,942
Change in operating liabilities -2,176 -11,306 -633
CASH FLOW FROM OPERATING ACTIVITIES -45,535 -27,613 -110,179
INVESTING ACTIVITIES
Capitalized development costs -13,622 -25,752 -103,820
Investment in property, plant and equipment -20,779 -24,466
Prepayments -1,028 -1,010 -7,059
CASH FLOW FROM INVESTING ACTIVITIES -14,650 -47,541 -135,345
FINANCING ACTIVITIES
New share issue 100,000
Transaction costs -4,876
Payment of lease liability -586 -515 -2,128
Repurchased warrants -52
Allocated warrants 865
CASH FLOW FROM FINANCING ACTIVITIES -586 -515 93,809
CASH FLOW FOR THE PERIOD -60,771 -75,669 -151,715
Cash and cash equivalents at the beginning of the period 120,166 271,881 271,881
Cash and cash equivalents at the end of the period 59,395 196,212 120,166

Parent Company income statement

Amounts in SEK thousand Q1 2023 Q1 2022 Full year 2022
Net sales
Other operating income 904 170 2,180
Research and development costs -13,087 -1,780 -22,592
Administration and sales expenses -22,884 -17,047 -109,710
Other operating expenses -452 -738 -3,500
Operating loss -35,518 -19,396 -133,622
Finance income 317 169 617
Finance costs -12
Net financial items 317 169 605
Loss before tax -35,201 -19,227 -133,017
Tax
Loss for the period -35,201 -19,227 -133,017

Parent Company balance sheet

Amounts in SEK thousand 31 Mar 2023 31 Mar 2022 31 Dec 2022
ASSETS
Non-current assets
Intangible assets
Capitalized development costs 398,726 321,913 384,944
Total intangible assets 398,726 321,913 384,944
Property, plant and equipment
Machinery and installations 13,488 19,270 15,407
Equipment 120 467 147
Fixed assets under construction and prepayments 46,411 40,769 45,383
Total property, plant and equipment 60,019 60,506 60,936
Financial assets
Shares in subsidiaries 50 50 50
Financial investments 1 1
Other long-term receivables 2,999 2,999
Total financial assets 3,050 51 3,050
Total non-current assets 461,795 382,470 448,930
Inventories 18,591 6,199 8,552
Current receivables
Current receivables 2,422 2,138 2,362
Other current receivables 1,706 1,804 1,632
Total non-current receivables 4,484 3,942 3,994
Cash and bank balances 59,345 196,162 120,116
Total current assets 82,420 206,302 132,661
TOTAL ASSETS 544,215 588,773 581,592

Parent Company balance sheet cont.

Amounts in SEK thousand 31 Mar 2023 31 Mar 2022 31 Dec 2022
EQUITY AND LIABILITIES
Equity
Restricted equity
Share capital 22,680 20,680 22,680
Statutory reserve 976 976 976
Development expenditure reserve 398,726 321,913 384,944
Total restricted equity 422,383 343,570 408,601
Non-restricted equity
Share premium reserve 907,420 813,483 907,420
Retained earnings -775,496 -565,666 -628,697
Loss for the period -35,201 -19,227 -133,017
Total restricted equity 96,723 228,589 145,705
Total equity 519,106 572,159 554,306
Current liabilities
Trade payables 12,941 8,127 14,786
Other current liabilities 3,346 1,052 1,043
Accrued expenses and deferred income 8,822 7,435 11,456
Total current liabilities 25,109 16,614 27,285
TOTAL EQUITY AND LIABILITIES 544,215 588,773 581,592

Parent Company cash flow statement

Amounts in SEK thousand Q1 2023 Q1 2022 Full year 2022
OPERATING ACTIVITIES
Operating loss -35,518 -19,396 -133,622
Non-cash adjustments
Depreciation 1,945 2,034 8,341
Disposable of intangible fixed assets 15,472
Interest received 41 647
Interest paid -12
Cash flow from operating activities before changes in
working capital
-33,532 -17,362 -109,174
Changes in working capital
Change in operating receivables -10,253 693 -1,911
Change in operating liabilities -2,176 -11,303 -631
CASH FLOW FROM OPERATING ACTIVITIES -45,961 -27,972 -111,716
INVESTING ACTIVITIES
Capitalized development costs -13,782 -25,908 -104,411
Investment in property, plant and equipment -20,779 -24,466
Prepayments -1,028 -1,010 -7,059
CASH FLOW FROM INVESTING ACTIVITIES -14,810 -47,697 -135,936
FINANCING ACTIVITIES
New share issue 100,000
Transaction costs -4,876
Repurchased warrants -52
Allocated warrants 865
CASH FLOW FROM FINANCING ACTIVITIES 95,937
CASH FLOW FOR THE PERIOD -60,771 -75,669 -151,715
Cash and cash equivalents at the beginning of the period 120,116 271,831 271,831
Cash and cash equivalents at the end of the period 59,345 196,162 120,116

Notes

Note 1. Accounting and measurement policies

The interim report for the Group has been prepared in accordance with IAS 34 Interim Financial Reporting, issued by the International Accounting Standards Board (IASB) and with the applicable provisions in the Swedish Annual Accounts Act. The interim report for the Parent Company has been prepared in accordance with Chapter 9, "Interim Reports", of the Annual Accounts Act. For the Parent Company and the Group, the same accounting policies and bases for calculation as in the Annual Report for 2022 have been applied. The changes in IFRS applied as of January 1, 2023 have not had any impact on the financial statements for the first quarter of 2023. Comparison figures are presented in parentheses and pertain to the same period in the previous year.

Definitions of key performance indicators

Earnings per share are calculated as earnings for the period divided by the average number of shares during the period. The equity/assets ratio is equity as a percentage of the balance sheet total. Research and development costs as a percentage of operating expenses equate to expensed research and development expenditures divided by operating expenses. Total operating expenses consist of operating profit less net sales and other operating income. The carrying amount of receivables, cash and cash equivalents, trade payables and other liabilities constitute a reasonable approximation of fair value.

Note 2. Key estimates and assessments

Preparing the financial statements in accordance with IFRS requires management to make assessments and estimates, and to make assumptions that impact the application of the accounting policies and the recognized amounts of assets, liabilities, revenue and expenses. The real outcome may deviate from these estimates and assumptions. The estimates and assumptions are routinely evaluated. Changes to estimates are recognized in the period the changes are made.

The source of uncertainty in estimations that entail a significant risk for the need to significantly adjust the value of assets or liabilities during the coming financial year is the carrying amount of "Capitalized development expenses". Determining whether the requirements for capitalization of development expenditures have been met requires both initial and routine assessments. The capitalized expenditures are regularly tested as to whether they could be exposed to a decrease in value. The company holds capitalized intangible assets that have not yet been completed and are impairment tested either yearly or as soon as there is an indication of a potential decrease in value. Impairment testing involves estimating future cash flows attributable to the asset, or to the cash-generating unit that the asset will be attributed to, once it is complete. These estimates and assumptions encompass expectations pertaining primarily to the selling price of the products, market penetration, and remaining development, sales and marketing costs as well as the probability that the product will successfully pass through the remaining development stages. The assumptions involve industry- and market-specific data produced by corporate management and reviewed by the Board of Directors.

Material risks and uncertainties

Xspray Pharma's operation is associated with both industry-related and company-specific risks. The company develops product candidates, and there will always be regulatory, market-related and financial risks in the operation. No material changes have occurred in the risks and uncertainties during the period compared with those the company reported in the Annual Report for 2022.

Financing risk and going concern

On May 2nd, the company announced plans for a rights issue of units of approximately SEK 300 million, with two warrant series, which total an additional SEK 300 million upon full exercise. The decision is conditional upon approval from an Extraordinary General Meeting to be held on May 25, 2023. The reason for including warrants in the offering is to increase visibility for investors since the warrants can be exercised at a later point in time when the company is expected to have achieved key milestones, primarily the launch of Dasynoc. The raised capital will be used to finance preparations ahead of Dasynoc's planned launch in the US as well as general corporate purposes, ongoing operating costs and the continued development of product candidates XS003 nilotinib and XS008 axitinib. In total, approximately 83 percent of the rights issue is secured by subscription commitments and intentions, as well as guarantee commitments, corresponding to approximately SEK 251 million.

The company's capital requirements depend on several factors, including the launch date of its first product candidate, XS004, and the earnings from and costs for ongoing and future product development. In light of this, the Board of Directors routinely monitors the company's capital situation and evaluates various financing alternatives. If the financing secured is not sufficient, it would suggest material uncertainties that could lead to significant doubt regarding the company's capacity to continue its operations. In accordance with the policy by the Board of Directors, the Group must maintain a strong financial position, which will help the company retain investor and market confidence. This will further facilitate the development of company operations, with continued long-term support for a desirable return for the company's owners. Until the company has achieved long-term and sustainable profitability, it is the company's policy to maintain a low level of indebtedness and a high level of equity.

Xspray Pharma in brief

Xspray Pharma AB (publ) is a pharmaceutical company with a number of product candidates under clinical development. Xspray Pharma uses its innovative, patented HyNap technology to develop improved versions of marketed protein kinase inhibitors (PKIs) for the treatment of cancer. The segment is the largest in the field of oncology, and drug prices are extremely high.

Using the company's innovative technology, Xspray Pharma can step in as the first competitor to the current original drugs before the originator company's secondary patents expire and the market opens up to generics. Xspray Pharma's goal is to be a leader in developing drugs that are improvements to PKIs being sold for the treatment of cancer, of which there were just over 80 in the US at the end of 2022.

Market

Protein kinase inhibitors (PKIs) have quickly become some of the most efficacious treatments of cancer, and for certain forms PKIs are one of few treatments to be had. The segment is the largest in the field of oncology with over 600 drug candidates in clinical development, of which around 230 are in the late clinical phase (Phase II or III), and just over 80 of them are approved drugs in the US market. The sale of PKI drugs in the US market in 2021 totaled roughly USD 33 billion. To date, Xspray Pharma has conducted initial testing on some twenty PKIs with the company's patented HyNap technology, with positive results.

Product candidates

Xspray Pharma's pipeline contains three product candidates where the substance has been announced. These are based on the company's HyNap technology: XS004 dasatinib, XS003 nilotinib and XS008 axitinib. These product candidates are stable amorphous and non-crystalline versions of the three highly-sold cancer drugs Sprycel® (dasatinib), Tasigna® (nilotinib) and Inlyta® (axitinib). Many protein kinase inhibitors in the market are difficult to dissolve and their uptake in the body is pH-dependent, which often leads to a high degree of variability in uptake and unnecessarily high dose strengths for the patients. An amorphous formulation increases solubility, which leads to lesser variation in uptake and permits lower dosages to be administered to patients with retained efficacy but with potentially lower levels of side effects.

The original drugs have secondary patents expiring between 2026 and 2032, and their total annual sales for 2022 exceeded USD 3.4 billion in the US market and USD 5.1 billion globally.2

Product candidate Patent Development phase
Project Substance Key indication Regulatory
process
Substance IP
expiration
date
Secondary IP
expiration
date
New product
evaluation
Development
formulation
Pilot
studies
Pivotal studies Regulatory
review
Original
product/
Company
XS004 dasatinib Leukemia
(CML, ALL)
505(b)(2) Dec 2020 Sep 2026 Sprycel®/
BMS
XS003 nilotinib Leukemia
(CML)
505(b)(2) Jan 2024 Oct 2032 Tasigna®/
Novartis
XS008 axitinib Kidney
cancer (RCC)
505(b)(2) Apr 2025 Dec 2030 Inlyta®/
Pfizer
XS00Y Not communicated

2 The information regarding annual sales has been taken from the reference companies' quarterly reports.

Share information

Xspray Pharma's share has been listed on Nasdaq Stockholm in the Mid-Cap segment under the symbol XSPRAY since March 27, 2020. Prior to that, the share was traded on Nasdaq First North Growth market beginning September 28, 2017. The number of shares in the company at March 31, 2023 was 22,680,408 and the closing price on that date was SEK 68.9.

Owners as of Number of Number of
March 31, 2023 shares shares & votes
Flerie Invest 3,439,378 15.16%
The Foundation for Baltic
And East European Studies
2,742,626 12.09%
Anders Bladh
(private & Ribbskottet)
2,644,886 11.66%
Fourth Swedish National
Pension Fund
1,995,806 8.80%
Nordnet Pension Insurance 838,730 3.70%
Unionen 806,000 3.55%
Third Swedish National
Pension Fund
800,000 3.53%
Avanza Pension 754,842 3.33%
Second Swedish National
Pension Fund
622,320 2.74%
TIN Funds 600,000 2.65%
Total, 10 largest owners 15,244,588 67.21%
Other shareholders 7,435,820 32.79%
Total 22,680,408 100.00%
Financial calendar
Interim Report Q2 2023 August 2, 2023
Interim Report Q3 2023 November 8, 2023
Year-end Report Q4 2023 February 14, 2024

The financial reports are available on the Xspray Pharma website, www.xspraypharma.com.

Analysts covering the company

Filip Einarsson, Redeye AB

Dan Akschuti, Pareto Securities AB

Share price performance

Assurance from the Board

The Board of Directors and the CEO declare that this quarterly report provides a true and fair overview of the Group's and Parent Company's business operations, financial position and performance and describes principal risks and uncertainties faced by the company.

Solna, May 4, 2023

Anders Ekblom Chairman of the Board

Anders Bladh Robert Molander Board member Board member

Maris Hartmanis Torbjörn Koivisto Board member Board member

Christine Lind Carl-Johan Spak Board member Board member

Per Andersson CEO

This report has not been reviewed by the company's auditors.

Glossary

505(b)(2) NDA • Application for drug approval in the US for an improved version of an existing
licensed or approved drug.
Amorphous • An amorphous structure is a chemical term that describes substances whose
molecules lack an ordered structure.
Bioequivalence • Term used to describe whether two different drugs are processed in a similar
manner by the body and are thereby expected to have a similar and equivalent
medicinal effect. If it can be confirmed that two drugs being compared are
bioequivalent, they can be expected to have the same effect and safety.
Bioavailability • (Biological availability), a concept in pharmacology that shows how large a portion
of the drug reaches the blood.
CRO • Contract Research Organization. A service company active in contract research
and service in the development of drugs.
FDA • Food and Drug Administration. The US food and drug authority responsible
for foodstuffs, nutritional supplements, drugs, cosmetics, medical equipment,
radiation-emitting equipment and blood products.
GMP • Good Manufacturing Practice. Rules that describe how the drug industry is to
manufacture medicines so that patients can always be sure that they are taking the
right product with a high level of quality. The rules govern manufacturing and
packaging of drugs, foodstuffs and nutritional supplements. GMP is a system for
ensuring that the products are always produced and checked in accordance with
quality norms. The system has been designed to minimize the risks in drug
production that cannot be eliminated by testing the final product.
Pilot study • An initial study conducted on a smaller scale than a full study. A pilot study can be
used both to check whether the arrangement of the study is a functional one, and
to collect data that can later be used as control values in the full study.
Protein kinase inhibitor (PKI Drugs that block protein kinases. Protein kinase inhibitors work by blocking activity
in enzymes that push the development and growth of cancer cells.
Variability • The scope of the distribution in the form of many or few low and high values
around the average value as regards the body's uptake of drugs.

For more information, please contact

Kerstin Hasselgren, CFO Phone: +46 (0) 70 311 16 83 E-mail: [email protected] www.xspraypharma.com

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