Quarterly Report • Feb 25, 2021
Quarterly Report
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"Our business model is different from traditional drug development. Instead of developing a new drug candidate that will have to undergo Phase I, Phase II and Phase III studies, our technology platform produces amorphous PKI versions that need to demonstrate bioequivalence with already marketed drugs. Several of the marketed PKI:s are highly variable and have low solubility, several studies may be required to achieve bioequivalence, which we see with HyNap-Dasa. Our development process is now established, and we will be able to work with several drug candidates in parallel to maximize the number of approved products. Repeated studies are a common procedure in generic drug development."
Per Andersson, CEO Xspray Pharma AB (publ)
| October - December 2020, Group | January - December 2020, Group |
|---|---|
| Net sales amounted to SEK 0 thousand (0) | Net sales amounted to SEK 0 thousand (0) |
| Earnings before tax amounted to SEK -14,972 thousand | Earnings before tax amounted to SEK -52,410 thousand |
| (-18,738) | (-45,771) |
| Earnings per share before dilution amounted to SEK | Earnings per share before dilution amounted to SEK |
| -0.81 (-1.20) | -3.05 thousand (-3.01) |
| Cash flow from operating activities amounted to SEK | Cash flow from operating activities amounted to SEK |
| -11,717 thousand (-11,546) | -47,792 thousand (-34,237) |
| Cash flow from investing activities amounted to SEK | Cash flow from investing activities amounted to SEK |
| -27,926 thousand (-24,147) | -96,828 thousand (-91,994) |
| Cash and cash equivalents and current investments at the end of the period totalled SEK 325,598 thousand (209,872) |
|
| October - December 2020, Parent Company | January - December 2020, Parent Company |
| Net sales amounted to SEK 0 thousand (0) | Net sales amounted to 0 thousand (0) |
| Earnings before tax amounted to SEK -14,951 thousand | Earnings before tax amounted to SEK -52,333 thousand |
| (-18,729) | (-45,796) |
| Earnings per share before dilution amounted to SEK | Earnings per share before dilution amounted to SEK |
| -0.81 (-1.20) | -3.04 (-3.01) |
| Cash flow from operating activities amounted to SEK | Cash flow from operating activities amounted to SEK |
| -11,948 thousand (-11,319) | -47,614 thousand (-33,338) |
| Cash and cash equivalents and current investments at the end of the period amounted to SEK 325,548 thousand (209,822) |
Amounts in brackets refer to the corresponding period for the previous year.
Per Andersson, CEO
Undoubtedly, 2020 was a different year. The start of studies with our generic version of Sprycel® was delayed due to the Covid-19 pandemic. The results of the clinical study in healthy volunteers under fed condition did show formal bioequivalence, but it was of course disappointing that the formal bioequivalence in fasted state as show in previous pilot studies was not achieved. A troubleshooting process followed by an action program was initiated and several adjusted formulations were prepared for studies to be conducted during the first half of 2021. In vitro models were developed to better predict the outcome in humans and the adjusted formulations were tested in these models with good results. Since the study result in a fasted state was very close to the goal, we also decided to repeat the study and were able to start it already after a couple of months. As for our improved version of Sprycel®, the next step will be to initiate a registrational study.
In the repeat study, our tablets again showed an even and consistent absorption on empty stomach. Unfortunately, Sprycel's absorption varies considerably more for which reason formal bioequivalence was not achieved. As a result, we need to reduce bioavailability of our tablets, i.e., the extent of the drug's absorption into the body.
We can conclude that our tablets are stable and of high quality and give an even uptake of the drug to the body. In fed studies where subjects have eaten a meal, HyNap-Dasa is absorbed into the body in
the same manner as the original drug Sprycel®, i.e., formal bioequivalence is achieved.
HyNap-Dasa is the first in a series of HyNap product candidates where we aim to achieve bioequivalence. I am very pleased with how the company's
acquired experience is being used in the development phase of our pipeline products. Because we have not yet achieved formal bioequivalence the patent window of HyNap-Dasa has been reduced. We are now in the second month of the patent window that totals 45-60 months, where Sprycel® sells for approximately SEK 850 million every month in
the USA alone. This very high value of the patent window justifies continued formulation work effort. The first of our new formulations carry little more risk but reaching our goal a little earlier justifies the risk especially since the development costs will be reimbursed after just a few days on the market.
Our supply chain is now established on a commercial scale, from the production of amorphous drug substances to the manufacture of the final tablets. The development of new product candidates follows the same path as for HyNap-Dasa. The pro-
cess is repeatable and effectively shortens the development time for future products in our pipeline. In addition, the technology makes it possible to quickly and in a controlled manner adjust the properties required to take each product candidate to a marketed
drug. The studies completed to date confirm that our product candidates can play a key role in improving established cancer drugs during the patent window period during which drug prices are still very high. There is a long list of protein kinase inhibitors compatible with our technology that can be developed as improved products in the future.
The process is repeatable and effectively shortens the development time for future products in our pipeline.

Our business model is different from traditional drug development. Instead of developing a new drug candidate that will have to undergo Phase I, Phase II and Phase III studies, our technology platform produces amorphous PKI versions that need to demonstrate bioequivalence with already marketed drugs. Several of the marketed PKI:s are highly variable and have low solubility, several studies may be required to achieve bioequivalence, which we see with HyNap-Dasa. Our development process is now established, and we will be able to work with several drug candidates in parallel to maximize the number of approved products.
Repeated studies are a common procedure in generic drug development. Although negative results are not necessarily expected, since we work with PKI:s, they are a part of our development process. Even if our process entails lower risk than many other biotech business models it has still an unusually high value. For HyNap-Dasa, this has meant that we have been motivated to start new studies as quickly as possible to demonstrate formal bioequivalence before submission for market approval. The studies are fast and relatively inexpensive, and with the high value of the patent window we are willing and motivated to work with this risk-reward profile.
As for our improved version of Sprycel®, the next step will be to initiate a registrational study. The positive results from the bioavailability study with and without omeprazole communicated before Q4 2020 showed that the uptake of HyNap-Dasa is independent of the gastric pH value. It confirms that this product will have clinically relevant advantages compared to Sprycel®.
Our next product candidate HyNap-Nilo is an improved version of Tasigna® (nilotinib) for the treatment of chronic myeloid leukemia (CML). Based on the potential clinical benefit of the product we have obtained orphan drug status for it. Orphan drug classification gives several benefits during the development, including the possibility of market
exclusivity for seven years, provided clinical benefit over the original drug has been demonstrated upon approval. Tasigna® has significant food interaction described in a so-called "blackbox warning", designed to draw attention to serious risks associated with food consumption concomitantly with Tasigna® administration. In a previously reported study, the uptake of HyNap-Nilo was practically unaffected by food intake, which would be beneficial to the patients. The next step will be to carry out pilot studies in 2021.
In October, we strengthened our financial position through a directed new share issue that provided the company with approximately SEK 265 million before transaction costs. The shares were subscribed for by several Swedish and international institutional investors, including the Third Swedish National Pension Fund, Handelsbanken Fonder, the Second Swedish National Pension Fund, Swedbank Robur Fonder, the Fourth Swedish National Pension Fund and TIN Ny Teknik. The loss for the year for the Group was SEK -52 million and is in line with our expectations. The loss is attributable to the continued investments in the projects, the production facility in Malta and the increased workforce.
The expansion of our production capacity together with our new CMO partner in Malta will make it possible to work simultaneously and at full speed with several product candidates. The production unit in Malta is now under construction.
Our already strong patent position was further strengthened in 2020 paving the way for a favourable market establishment and strengthening our ability for making attractive deals with our projects. The possibilities are many and the ambitions are high. I look forward to an eventful 2021 and welcome you to share our journey!
Solna, February 2021 Per Andersson, CEO

Xspray Pharma AB (publ) is a product development company with multiple product candidates in clinical development phase. Xspray Pharma uses its innovative, patented RightSize technology to develop improved and generic versions of marketed drugs, primarily protein kinase inhibitors (PKIs) for the treatment of cancer. Sales of the PKI drugs constitute around 25 percent of the total oncology market in a segment where drug prices are extremely high.
The innovative RightSize technology allows Xspray Pharma, through licensing to suitable pharmaceutical companies, to gain entry as the first competitor to today's original drugs before secondary patents expire. Xspray Pharma's goal is to become the leader in the development of improved drugs or generic versions of PKIs already marketed for the treatment of cancer.
At the end of 2020, there were 55 approved PKI:s in the U.S. market. The technology has been tested on
more than twenty PKI:s with good results. The Company's first product candidates, HyNap-Dasa, HyNap-Nilo and HyNap-Sora, are stable amorphous versions of the three blockbuster cancer drugs Sprycel® (dasatinib), Tasigna® (nilotinib), and Nexavar® (sorafenib). HyNap-Dasa, the leading product candidate, is in the final stages of the development of a generic as well as an improved version of the original drug. The U.S substance patent for the original drug Sprycel® (dasatinib) expired at the end of 2020, and the secondary patents in 2026, which offers HyNap-Dasa a period of several years in a unique position before other competitors gain access to the market. A careful selection process determines which new PKI:s will become future product candidates and be included in the Company's pipeline when manufacturing capacity is possible. The Company has patented the manufacturing technology, the equipment, and the resulting products.


| Q4 | Jan-Dec | |||
|---|---|---|---|---|
| Key figures group | 2020 | 2019 | 2020 | 2019 |
| Net sales (SEK thousand) | - | - | - | - |
| Loss before Income tax (SEK thousand) | -14,972 | -18,738 | -52,410 | -45,771 |
| Earnings per share before dilution (SEK) | -0.81 | -1.20 | -3.05 | -3.01 |
| Earnings per share after dilution (SEK) | -0.81 | -1.20 | -3.05 | -3.01 |
| Research and development expenses as % of operating expenses | 10.4 | 6.9 | 11.9 | 7.3 |
| Cash and cash equivalents (SEK thousand) | 325,598 | 209,872 | 325,598 | 209,872 |
| Total assets (SEK thousand) | 605,303 | 400,672 | 605,303 | 400,672 |
| Equity/assets ratio (%) | 96.2 | 93.3 | 96.2 | 93.3 |
| Average number of employees | 20 | 17 | 20 | 17 |
Total research and development expenditures for the quarter amounted to SEK -26,094 thousand, of which SEK -1,642 thousand is expensed and SEK -24,452 thousand recorded as capitalized development cost.
Total research and development expenditures for the period January - September amounted to SEK -96,653 thousand of which SEK -6,549 thousand is expensed and SEK -90,104 thousand is recorded as capitalized development cost.
| Q4 | Jan-Dec | |||
|---|---|---|---|---|
| Key figures parent company | 2020 | 2019 | 2020 | 2019 |
| Net sales (SEK thousand) | - | - | - | - |
| Loss before Income tax (SEK thousand) | -14,951 | -18,729 | -52,333 | -45,796 |
| Earnings per share before dilution (SEK) | -0.81 | -1.20 | -3.04 | -3.01 |
| Earnings per share after dilution (SEK) | -0.81 | -1.20 | -3.04 | -3.01 |
| Research and development expenses as % of operating expenses | 10.1 | 6.7 | 11.7 | 7.2 |
| Cash and cash equivalents (SEK thousand) | 325,548 | 209,822 | 325,548 | 209,822 |
| Total assets (SEK thousand) | 600,472 | 395,316 | 600,472 | 395,316 |
| Equity/assets ratio (%) | 97.0 | 94.5 | 97.0 | 94.5 |
| Average number of employees | 20 | 17 | 20 | 17 |
At the end of December 2018, Xspray Pharma AB (publ) acquired a newly incorporated subsidiary company, dormant for the time being. No business activity has taken place in the subsidiary; all business is pursued in the Parent Company Xspray Pharma AB (publ).

The comments below refer to the Group. As the Group consists of the Parent Company and a dormant subsidiary, the differences between the Parent Company and the consolidated accounts are the difference between RFR2 and IFRS. Net sales for the Company are still SEK 0. The submission for market approval of the first product is planned to take place in 2021.
The Group´s operating expenses for the period amounted to SEK -15,294 thousand (-18,969). The costs consist mainly of administrative and sales costs which amounted to SEK -13,970 thousand of the total operating costs. Of these, personnel costs classified as administrative and sales costs amount to SEK -2,296 thousand (-5,603).
The Group´s expensed research and development costs for the period were SEK-1,642 (-1,952) thousand and capitalized development expenses were SEK 24,452 thousand (22,802).
The Group´s operating expenses for the four quarters amounted to SEK -53,457 thousand (-46,564). The costs consist mainly of administrative and sales costs, which amount to SEK -47,101 thousand (-42,327) of the total operating costs. Of these, personnel costs that are classified as administrative and sales costs amount to SEK -17,961 thousand (-12,354).
Net sales for the year and the quarter amounted to SEK 0. Sales are not expected to increase until the Company according to the current business plan obtains market approval of its first product or a business agreement is made.
The Group´s operating losses for the year amounted to SEK -52,410 thousand (-45,771), which is slightly higher than the previous year. The number for fourth quarter amounted to SEK -15,294 thousand (-18,969). The corresponding figure for the Parent Company is SEK -15,273 thousand (-18,960). The operating costs are attributable to the planned increase in costs for the Company's clinical program, strengthened organization, investment in production facility and other related advising costs for the future strategic positioning.
The Company's operations are mainly financed by equity. In the beginning of the fourth quarter, a directed new issue of shares was made at a subscription price of SEK 142.50. The issue raised approximately SEK 265 million before transaction costs and increased the number of shares by 1,861,291. The Board assesses that the financial position of the company is thus sufficient for the coming twelvemonth period with an acceptable and manageable level of risk in the product portfolio. The Board evaluates the company's financial needs and financial position on an ongoing basis and reviews the best capital structure for the company.
The equity/assets ratio was 96.2 percent (93.3) as of September 30, 2020 in the Group and the corresponding figure for the Parent Company was 97.0 percent (94.5).
Total cash flow for the Group during the year amounted to SEK 115,726 thousand (-11,396). The corresponding figure for the fourth quarter amounted to SEK 208,976 thousand (79,215). The positive outcome is attributable to the new issue of shares that had an effect of SEK 249,132 thousand after transaction costs. Cash flow from operating activities amounted to SEK -47,792 thousand (-34,237) during the year and SEK -11,717 thousand (-11,546) during the fourth quarter. The effect of working capital was SEK -1,315 thousand (8,894)

during the full year and SEK 1,237 thousand (5,987) in the actual quarter.
The total cash flow for the Parent Company during all quarters amounted to SEK 115,726 thousand (-11,394), the number for the fourth quarter amounted to SEK 208,976 thousand (79,216). Cash flow from operating activities amounted to SEK - 47,614 thousand (-33,338) during the year and SEK -11,948 thousand (-11,319) during the quarter. The effect from changes in working capital amounted to SEK -1,463 thousand (8,892) during the full year and SEK 1,229 thousand (5,985) during the fourth quarter.
Cash flow from investing activities in the Group amounted to SEK -97,942 thousand (-93,005) during the year, and SEK -27,926 thousand (-24,147) during the quarter. The costs consists mainly of capitalized development costs of SEK -90,098 thousand (- 69,902) respectively SEK -24,172thousand (-20,089) related to the last quarter. The investing activities costs are related to the Company's investments in production lines and the new production facility. The cash flow from investing activities are in line with expectations.
The full year cash flow from financing activities amounted to SEK 260,345 thousand (114,837) SEK, the effect is mainly related e to the new issue of shares that was raised in October and the redemption of warrants. During the fourth quarter the cash flow from financing activities amounted to SEK248,619 thousand (114,908) for the Group, which is a solely effect of the new issue of shares. In total, the number of shares increased by 1,861,291 at a subscription price of SEK 142.50.
The Group had SEK 325,598 thousand (209,872) in cash and cash equivalents as of December 31, 2020 and the corresponding figure for the Parent Company was SEK 325,548 thousand (209,822).
Development expenses related to the projects have been capitalized according to plan. Capitalized development costs for the fourth quarter in the Group amounted to SEK 24,452 thousand (17,084) and the corresponding figure for the Parent Company amounted to SEK 24,454 thousand (17,017). As of December 31, 2020, the Group's capitalized expenses for development work and similar work amounted to SEK 231,618 thousand (141,515) and the corresponding figure for the Parent Company was SEK 231,512 thousand (141,414).
No business activity took place in the subsidiary during the period; all business is pursued in the Parent Company Xspray Pharma AB (publ).
During the quarter, the organization has increased with one employee. At the end of the quarter the number of employees in the Group was 20 (17). The subsidiary has still no employees at the period end.
The Company´s Chairman of the Board carries out consultancy assignments in business development and legal advice for the company. The cost for this in the quarter was SEK -19 thousand (-91) and SEK -249 thousand (-234) during the full year.
The Audit and Remuneration Committees have continued to assist the Board with oversight tasks and remuneration issues.

Xspray Pharma's shares are listed on Nasdaq Stockholm with the short name XSPRAY since March 27, 2020. Before that, the share was traded on Nasdaq First North Growth Market since September 28, 2017.
During the fourth quarter, the shares and votes increased as a result of the new issue of shares. The number of shares increased by 1,861,291. On December 31, 2020, the number of shares in the Company totalled 18,892,504 and the latest share price for the period was SEK 194.00.
The Company has issued four series of warrant programs to senior executives and employees.
The fourth warrant program (LTI 2020) was resolved at an Extraordinary General Meeting on March 26, 2020 and comprised 79,074 warrants linked to the company´s value growth, to create a stronger link between the employees and shareholder's interest. The fourth program involved 5 persons, including the CFO. The warrants were subscribed on market terms at a price determined on the basis of an estimated market valuation (Black & Scholes) by an independent valuation institution. The value of the warrant was calculated at SEK 4.86 based on a subscription price per share of SEK 89.10. The program provides a maximum dilution effect of 0.47 percent on the current number of shares. The warrant program is conditional upon the holder remaining as an employee.
During the current quarter, no warrant programs have been exercised.
See the 2019 Annual Report for details regarding the three previous warrant programs.
| Number of | ||
|---|---|---|
| Owners as of December 31, | Number of | shares & |
| 2020 | shares | votes |
| Östersjöstiftelsen | 2,500,826 | 13.20% |
| Anders Bladh | 2,050,000 | 10.90% |
| Swedbank Robour Fonder | 1,530,806 | 8.10% |
| Fjärde AP-Fonder | 1,498,500 | 7.90% |
| TiN Fonder | 835,590 | 4.40% |
| Avanza Pension | 762,068 | 4.00% |
| Unionen | 726,000 | 3.80% |
| Handelsbanken Fonder | 427,144 | 2.30% |
| Futur Pension | 402,890 | 2.10% |
| Andra AP-fonden | 394,738 | 2.10% |
| Total, ten largest owners | 11,128,562 | 58.90% |
| Total, other shareholders | 7,763,942 | 40.10% |
| Total number of shares | 18,892,504 | 100.00% |
| Annual report, 2020 | March 19, 2021 |
|---|---|
| Interim report Q1 | May 6, 2021 |
| Annual General Meeting | May 20, 2021 |
| Interim report Q2 | August 6, 2021 |
| Interim report Q3 | November 4, 2021 |
| Year-end report 2021 | February 18, 2022 |
Financial reports will be available on Xspray Pharma's website on the above reporting date, www.xspraypharma.com.
Ludvig Svensson, Redeye

At the end of December 2018, Xspray Pharma AB (publ) acquired a newly incorporated subsidiary company, dormant for the time being. No business activity has taken place in the subsidiary; all business is pursued in the Parent Company Xspray Pharma AB (publ).
| Q4 | Jan-Dec | Full year | |||
|---|---|---|---|---|---|
| SEK thousand | 2020 | 2019 | 2020 | 2019 | 2019 |
| Net sales | - | - | - | - | - |
| Other operating income | 502 | 291 | 1,364 | 374 | 374 |
| Research and development expenses | -1,642 | -1,328 | -6,549 | -3,429 | -3,429 |
| Administration and sales expenses | -13,970 | -17,725 | -47,101 | -42,327 | -42,327 |
| Other operating expenses | -184 | -207 | -1,171 | -1,182 | -1,182 |
| Operating loss | -15,294 | -18,969 | -53,457 | -46,564 | -46,564 |
| Finance income | 322 | 255 | 1,053 | 862 | 862 |
| Finance costs | -0 | -24 | -6 | -69 | -69 |
| Finance net | 322 | 231 | 1,047 | 793 | 793 |
| Loss before Income tax | -14,972 | -18,738 | -52,410 | -45,771 | -45,771 |
| Tax | - | - | - | - | - |
| Loss for the period | -14,972 | -18,738 | -52,410 | -45,771 | -45,771 |
| Earnings per share for the period before dilution, SEK | -0.81 | -1.20 | -3.05 | -3.01 | -3.01 |
| Earnings per share for the period after dilution, SEK | -0.81 | -1.20 | -3.05 | -3.01 | -3.01 |
| Average number of shares before dilution | 18,503,883 | 15,634,847 | 17,211,467 | 15,216,057 | 15,216,057 |
| Average number of shares after dilution | 18,971,879 | 16,089,438 | 17,679,463 | 15,670,648 | 15,670,648 |
| Q4 | Jan-Dec | Full year | |||
|---|---|---|---|---|---|
| SEK thousand | 2020 | 2019 | 2020 | 2019 | 2019 |
| Loss for the period | -14,972 | -18,738 | -52,410 | -45,771 | -45,771 |
| Other comprehensive income | - | - | - | - | - |
| Total comprehensive income for the period | -14,972 | -18,738 | -52,410 | -45,771 | -45,771 |
The profit for the period and the profit of the comprehensive income are entirely attributable to the Parent Company's shareholders.

| SEK thousand | 31 Dec 2020 | 31 Dec 2019 |
|---|---|---|
| ASSETS | ||
| Non-current assets | ||
| Intangible assets | ||
| Capitalized development costs | 231,618 | 141,515 |
| Patent | - | - |
| Total intangible assets | 231,618 | 141,515 |
| Property, plant and equipment | ||
| Machinery and installations | 20,746 | 26,465 |
| Right-of-use assets | 5,207 | 6,831 |
| Equipment | 970 | 1,266 |
| Fixed assets under construction and prepayments | 15,746 | 8,467 |
| Total Property, plant and equipment | 42,669 | 43,030 |
| Financial assets | ||
| Financial investments | 1 | 1 |
| Total financial assets | 1 | 1 |
| Total non-current assets | 274,288 | 184,545 |
| Current assets | ||
| Current tax asset | 546 | 421 |
| Current receivables | 2,121 | 5,017 |
| Prepaid expenses and accured income | 2,750 | 816 |
| Cash and cash equivalents | 325,598 | 209,872 |
| Total current assets | 331,015 | 216,126 |
| TOTAL ASSETS | 605,303 | 400,672 |

| SEK thousand | 31 Dec 2020 | 31 Dec 2019 |
|---|---|---|
| EQUITY AND LIABILITIES | ||
| Equity | ||
| Share capital | 18,893 | 16,752 |
| Other contributed capital | 709,407 | 450,266 |
| Reserves | 976 | 976 |
| Retained earnings including profit/loss for the period | -146,689 | -94,279 |
| Total equity attributable to the Parent Company's shareholders | 582,587 | 373,715 |
| Non–current liabilities | ||
| Lease liabilities | 2,898 | 4,454 |
| Total non-current liabilities | 2,898 | 4,454 |
| Current liabilities | ||
| Trade accounts payable | 8,438 | 11,876 |
| Lease liabilities | 1,985 | 876 |
| Other current liabilities | 768 | 743 |
| Accrued expenses and deferred income | 8,627 | 9,007 |
| Total current liabilities | 19,818 | 22,503 |
| TOTAL EQUITY AND LIABILITIES | 605,303 | 400,672 |
| Other | Retained earnings | ||||
|---|---|---|---|---|---|
| Amount in SEK thousand | Share capital | contributed capital |
Reserves | incl profit/loss for the period |
Total equity |
| Opening balance as of Janary 1, 2019 | 15,076 | 336,991 | 976 | -51,327 | 301,716 |
| Correction of misstatement | - | - | - | 2,821 | 2,821 |
| Adjusted balance as of Janary 1, 2019 | 15,076 | 336,991 | 976 | -48,506 | 304,537 |
| Loss of the period | - | - | - | -45,771 | -45,771 |
| Other comprehensive income for the period | - | - | - | - | - |
| Total comprehensive income for the period | - | - | - | -45,771 | -45,771 |
| New share issue | 1,675 | 120,612 | - | - | 122,287 |
| Transaction costs | - | -7,337 | - | - | -7,337 |
| Closing balance as of December 31, 2019 | 16,751 | 450,266 | 976 | -94,279 | 373,715 |
| Opening balance as of January 1, 2020 | 16,752 | 450,266 | 976 | -94,279 | 373,715 |
| Loss for the period | - | - | - | -52,410 | -52,410 |
| Other comprehensive income for the period | - | - | - | - | - |
| Total comprehensive income for the period | - | - | - | -52,410 | -52,410 |
| New share issue | 1,861 | 263,373 | - | - | 265,234 |
| Transaction costs | - | -16,102 | - | - | -16,102 |
| Redemption of warrants | 280 | 11,560 | - | - | 11,840 |
| Warrant program | - | 310 | - | - | 310 |
| Closing balance as of December 31, 2020 | 18,893 | 709,407 | 976 | -146,689 | 582,587 |

| Q4 | Jan-Dec | |||
|---|---|---|---|---|
| SEK thousand | 2020 | 2019 | 2020 | 2019 |
| Operating activities | ||||
| Operating loss | -15,294 | -18,969 | -53,457 | -46,565 |
| Non-cash adjustments | ||||
| Depreciation | 1,927 | 1,599 | 7,689 | 4,803 |
| Capital gains | - | - | -113 | - |
| Dissolved prepaid leasing costs, during the period | - | -473 | -1,262 | -1,892 |
| Interest received | 413 | 334 | 674 | 591 |
| Interest paid | -0 | -24 | -8 | -69 |
| Cash flow from operating activities before changes in working capital | -12,954 | -17,533 | -46,477 | -43,131 |
| Changes in working capital | - | - | ||
| Change in operating receivables | -2,415 | -284 | 2,479 | -1,963 |
| Change in operating liabilities | 3,652 | 6,271 | -3,794 | 10,857 |
| Cash flow from operating activities | -11,717 | -11,546 | -47,792 | -34,237 |
| Investing activities | - | - | ||
| Capitalized development costs | -24,172 | -20,089 | -88,983 | -68,891 |
| Acquisition of property, plant and equipment | -98 | -4,058 | -4,572 | -23,103 |
| Sales of tangible fixed assets | - | - | 383 | - |
| Prepayments | -3,656 | - | -3,656 | - |
| Cash flow from investing activities | -27,926 | -24,147 | -96,828 | -91,994 |
| Financing activities | ||||
| New share issue | 249,320 | 114,949 | 249,320 | 114,949 |
| Transaction costs | -188 | - | -188 | - |
| Payment of lease liability | -513 | -41 | -936 | -112 |
| Redemption of warrants | - | - | 11,840 | - |
| Repurchased warrants | - | - | -74 | - |
| Allocated warrants | - | - | 384 | - |
| Cash flow from financing activities | 248,619 | 114,908 | 260,345 | 114,837 |
| Cash flow for the period | 208,976 | 79,215 | 115,726 | -11,394 |
| Cash and cash equivalents at the beginning of the period | 116,622 | 130,657 | 209,872 | 221,266 |
| Cash and cash equivalents at the end of the period | 325,598 | 209,872 | 325,598 | 209,872 |

| Q4 | Jan-Dec | ||||
|---|---|---|---|---|---|
| SEK thousand | 2020 | 2019 | 2020 | 2019 | |
| Net sales | - | - | - | - | |
| Other operating income | 502 | 291 | 1,364 | 374 | |
| Research and development expenses | -1,598 | -1,296 | -6,379 | -3,363 | |
| Administration and sales expenses | -13,993 | -17,748 | -47,194 | -42,417 | |
| Other operating expenses | -184 | -207 | -1,172 | -1,182 | |
| Operating loss | -15,273 | -18,960 | -53,381 | -46,589 | |
| Finance income | 322 | 255 | 1,053 | 862 | |
| Finance costs | -0 | -24 | -5 | -69 | |
| Finance net | 322 | 231 | 1,048 | 793 | |
| Loss before Income tax | -14,951 | -18,729 | -52,333 | -45,796 | |
| Tax | - | - | - | - | |
| Loss for the period | -14,951 | -18,729 | -52,333 | -45,796 |
Earnings per share for the period before dilution, SEK -0.81 -1.20 -3.04 -3.01 Earnings per share for the period after dilution, SEK -0.81 -1.20 -3.04 -3.01 Average number of shares before dilution 18,503,883 15,634,847 17,211,467 15,216,057 Average number of shares after dilution 18,971,879 16,089,438 17,679,463 15,670,648

| SEK thousand | 31 Dec 2020 | 31 Dec 2019 |
|---|---|---|
| ASSETS | ||
| Non-current assets | ||
| Intangible assets | ||
| Capitalized development costs | 231,512 | 141,414 |
| Patent | - | - |
| Total intangible assets | 231,512 | 141,414 |
| Property, plant and equipment | ||
| Machinery and installations | 20,747 | 26,464 |
| Equipment | 970 | 1,266 |
| Fixed assets under construction and prepayments | 15,746 | 8,467 |
| Total Property, plant and equipment | 37,463 | 36,198 |
| Financial assets | ||
| Shares in subsidiaries | 50 | 50 |
| Financial investments | 1 | 1 |
| Total financial assets | 51 | 51 |
| Total non-current assets | 269,026 | 177,663 |
| Current assets | ||
| Current receivables | ||
| Current tax asset | 545 | 421 |
| Other current receivables | 2,121 | 5,017 |
| Prepaid expenses and accured income | 3,232 | 2,393 |
| Total current receivables | 5,898 | 7,831 |
| Cash and bank | 325,548 | 209,822 |
| Total current assets | 331,446 | 217,653 |
| TOTAL ASSETS | 600,472 | 395,316 |

| SEK thousand | 31 Dec 2020 | 31 Dec 2019 |
|---|---|---|
| EQUITY AND LIABILITIES | ||
| Equity | ||
| Restricted equity | ||
| Share capital | 18,893 | 16,752 |
| Statutory reserve | 976 | 976 |
| Development expenditure reserve | 231,512 | 141,414 |
| Total restricted equity | 251,381 | 159,142 |
| Non-restricted equity | ||
| Other contributed capital | 709,408 | 450,266 |
| Accumulated earnings | -325,816 | -189,922 |
| Profit/loss for the period | -52,333 | -45,796 |
| Total non-restricted equity | 331,259 | 214,548 |
| Total equity | 582,640 | 373,690 |
| Current liabilities | ||
| Trade accounts payable | 8,437 | 11,876 |
| Other current liabilities | 768 | 743 |
| Accrued expenses and deferred income | 8,627 | 9,007 |
| Total current liabilities | 17,832 | 21,626 |
| TOTAL EQUITY AND LIABILITIES | 600,472 | 395,316 |
| Q4 | Jan-Dec | ||||
|---|---|---|---|---|---|
| SEK thousand | 2020 | 2019 | 2020 | 2019 | |
| Operating activities | |||||
| Operating loss | -15,273 | -18,960 | -53,381 | -46,589 | |
| Non-cash adjustments | |||||
| Depreciation | 1,683 | 1,346 | 6,694 | 3,837 | |
| Captial gains | - | - | -113 | - | |
| Interest received | 413 | 334 | 674 | 591 | |
| Interest paid | -0 | -24 | -5 | -69 | |
| Cash flow from operating activities before changes in working capital | -13,177 | -17,304 | -46,131 | -42,230 | |
| Changes in working capital | |||||
| Change in operating receivables | -2,423 | -284 | 2,311 | -1,965 | |
| Change in operating liabilities | 3,652 | 6,269 | -3,794 | 10,857 | |
| Cash flow from operating activities | -11,948 | -11,319 | -47,614 | -33,338 | |
| Investing activities | |||||
| Purchase of intangible assets | -24,454 | -20,356 | -90,098 | -69,902 | |
| Acquisition of property, plant and equipment | -98 | -4,058 | -4,571 | -23,103 | |
| Sales of tangible fixed assets | - | - | 383 | - | |
| Prepayments | -3,656 | - | -3,656 | - | |
| Cash flow from investing activities | -28,208 | -24,414 | -97,942 | -93,005 | |
| Financing activities | |||||
| New share issue | 249,320 | 114,949 | 249,320 | 114,949 | |
| Transaction costs | -188 | - | -188 | - | |
| Redemption of warrants | - | - | 11,840 | - | |
| Repurchased warrants | - | - | -74 | - | |
| Allocated warrants | - | - | 384 | - | |
| Cash flow from financing activities | 249,132 | 114,949 | 261,282 | 114,949 | |
| Cash flow for the period | 208,976 | 79,216 | 115,726 | -11,394 | |
| Cash and cash equivalents at the beginning of the period | 116,572 | 130,607 | 209,822 | 221,216 | |
| Cash and cash equivalents at the end of the period | 325,548 | 209,822 | 325,548 | 209,822 |

This interim report was prepared according to the Swedish Annual Accounts Act and IAS 34 Interim Financial Reporting. The same accounting principles and methods as used in the annual report 2019 are valid for this interim report.
The interim financial information for the Group has been prepared in accordance with International Accounting Standard IAS 34 Interim Financial Reporting issued by the International Accounting Standards Board (IASB) and the Swedish Annual Accounts Act. The interim report for the Parent Company has been prepared in accordance with Chapter 9 of the Annual Accounts Act, Interim Report.
The Group and the Parent Company have applied the same accounting principles and calculation bases, in accordance with the 2019 Annual Report.
The amendments to IFRS standards that apply from 1 January 2020 had no impact on the financial statements for the four quarters of 2020.
Amounts in brackets refer to the corresponding period for the previous year.
Xspray Pharma AB (publ) acquired a newly formed subsidiary, which is currently dormant, at the end of December 2018 to prepare the Group structure for possible future structural needs. No operations in the subsidiary have taken place, all operations are conducted in the Parent Company Xspray Pharma AB (publ).
Earnings per share is calculated as net income divided by the average number of shares during the period. The equity/assets ratio is equity in relation to total assets.
Research and development expenses as a percentage of operating expenses comprised the expensed research and development expenses, divided by operating expenses. Total operating expenses consist of operating profit minus net sales and other operating income.
The carrying amount of receivables, cash and cash equivalents, accounts payable and other liabilities constitute a reasonable approximation of fair value.

Preparing the financial statements in accordance with IFRS requires Management to make judgements and estimates, and to make assumptions that affect the application of accounting policies and the carrying amounts of assets, liabilities, revenues, and expenses. Actual outcomes may differ from these estimates. The estimates and assumptions are evaluated regularly. Changes to estimates are recognized in the period that the change is made.
The sources of uncertainty and estimates that involve a significant risk that the value of assets or liabilities may require restatement to a material extent during the forthcoming financial year are impairment testing of intangible assets with indefinite useful lives. Whether the requirements for capitalization of development expenditure is satisfied requires estimates. After capitalization, whether the accounting requirement for development expenses remain satisfied, and whether there are indications that the capitalized expenditure may have been exposed to impairment is assessments both initially and on an ongoing basis. There is an ongoing analysis of whether the capitalized expenses may be subject to a depreciation. The capitalized intangible assets that are not yet complete, which are subject to yearly impairment tests or as soon as there is an indication of impairment. Impairment tests involve estimates of future cash flows attributable to the asset or the cash-generating unit to which the asset relates when it is complete. These estimates and judgements involve expectations primarily regarding the selling price of products, market penetration, remaining development, sales and marketing expenses, and the likelihood that the product passes through the remaining development phases. These assumptions involve sector and market-specific data, are made by Management, then reviewed by the Board of Directors.
Xspray Pharma's operations are associated with both industry-related risks, and company-specific risks. The Company develops drug candidates and there will always be regulatory, market and financial risks in the business. There have been no significant changes in risks and uncertainties during the period compared to those published by the Company in the 2019 Annual Report and in connection with its listing on Nasdaq Stockholm on March 27, 2020
Xspray Pharma has continually adapted the business for the current circumstances as a result of the Covid-19 pandemic. The start of studies with the generic version of Sprycel® was slightly delayed due to the pandemic. Beside the delay, the Company has been able to continue its planned work with its product candidates. Xspray Pharma takes the necessary steps to reduce the impact of the pandemic on the business and continuously follows the recommendations of the Swedish Public Health Authority (Folkhälsomyndigheten).

The Board of Directors and the CEO hereby certify that this interim report provides a true and fair view of the Group's and the Parent Company's operations, position and results and describes significant risks and uncertainties facing the Company.
Solna, February 25, 2021
Michael Wolff Jensen Chairman
Gunnar Gårdemyr Member
Maris Hartmanis Member
Torbjörn Koivisto Member
Christine Lind Member
Carl-Johan Spak Member
Per Andersson Chief Executive Officer
The report has not been reviewed by the Company´s auditors.

505(b)(2) • Application for a US drug approval for an improved version of an existing licensed or approved drug. Amorphous • Amorphous structure is a chemical term that describes substances whose molecules lack an organized structure.
ANDA • An Abbreviated New Drug Application is an application for a U.S. generic drug approval for an existing licensed medication or approved drug.
Bioequivalence • A term used to describe whether two different drugs have similar uptake and elimination from the body and thus can be expected to have a similar equivalent medical effect. If two drugs compared can be found to be bioequivalent, they can be expected to have the same efficacy and safety.
CRO • Contract Research Organization. A service provider that performs assignment research and drug development services.
CMO • Contract Manufacturing Organization
FDA • Food and Drug Administration. The USA's food and drug regulator whose responsibilities cover food, dietary supplements, drugs, cosmetics, medical equipment, radiation emission products and bio products.
Generic • Generic drugs are replacement drugs with the same function, quality, and safety as the original drug. GMP • Good Manufacturing Practice. Good Manufacturing Practice rules describe how the drug industry must produce medications such that patients can always be sure they are getting the correct and high-quality product. The rules govern the production, including packaging, of drugs, foods – and nutritional supplements. GMP is a system for ensuring that products are always manufactured and controlled for compliance with current quality standards. They are designed to minimize the risks in drug production that cannot be eliminated through testing of the end product.
Protein kinase inhibitors (PKI) • Drugs that block protein kinases. Protein kinase inhibitors act by blocking the activity of enzymes that drive the development and growth of cancer cells.
This interim report for Xspray Pharma AB (publ) has been submitted following approval by the Board of Directors.
Per Andersson, CEO Telephone: +46 (0)8 730 37 00 Email: [email protected] www.xspraypharma.com
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