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Biocartis Group NV

Interim / Quarterly Report Sep 5, 2019

3919_ir_2019-09-05_007fdddc-82da-499c-90a5-d15c50c4fa86.pdf

Interim / Quarterly Report

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1. Message from the CEO
2 - Responsibility statement
3. Principal risks related to the business activities
4. Business review of the first half of 2019
5. Condensed consolidated interim financial statements for the period ended 30 June 2019
6. Notes to the condensed consolidated interim financial statements
7. Review report of the auditor
8 Disclaimer and additional information
9. Glossary

MESSAGE FROM THE CEO

Dear Shareholder, Dear Stakeholder

I am pleased to present to you our financial report for the first six months of 2019.

During H1 2019, we realized continued commercial growth in Europe and our RoW! distributor markets and we maintain a good outlook for full year installed base growth. Despite the number of new high profile US customers that we attracted in the first half of this year, we encountered a delay in the actual US commercial cartridge volume ramp-up. While we take all actions to address this

situation, our total cartridge volume growth for 2019 will be impacted.

Good progress was made on other fronts. We added another CE-marked IVD test to our menu, further progressed work on US FDA filings and ventured into the immuno-oncology space, one of our strategic focus areas, with BMS and Kite as partners. Furthermore, with the closing of our commercialization deal for Japan, our commercial footprint is now covering all major markets worldwide. Finally, we significantly strengthened our financial position for the upcoming years thanks to a successful equity raise and a convertible bonds issuance.

Overall, despite the delay incurred in US commercialization, we significantly strengthened our business in H1 2019 and feel confident about continuing our efforts for the remainder of the supporting our ambitions towards building a leading global oncology business around the Idylla™ platform.

Herman Verrelst CEO Biocartis

2. RESPONSIBILITY STATEMENT

The undersigned hereby declare that to the best of their knowledge: a) the condensed consolidated financial statements for the six-months' period ended 30 June 2019, which have been prepared in accordance with IAS 34 'Interim Financial Reporting' as adopted by the European Union, give a true and fair view of the net equity, financial position and results of the Company and the companies included in the consolidation, and fair view of the main events and the impact thereof on the condensed consolidated financial statements c) as well as a description of the main risks and uncertainties with respect to the remaining months of the fiscal year, and the main transactions with related parties and the impact thereof on the condensed consolidated financial statements.

Herman Verrelst

Christian Reinaudo

CEO

Chairman

1 RoW = Rest of World. RoW is defined as the world excluding Europe, US, China and Japan

3. PRINCIPAL RISKS RELATED TO THE BUSINESS ACTIVITIES

The principal risks related to Biocartis' business activities are outlined in Biocartis' 2018 Annual Report, p. 58-64, available on the Biocartis website. In summary, the principal risks and uncertainties faced by Biocartis relate to strategic and commercial risks, regulatory risks and financial risks. The principal risks have not materially changed from the ones outlined in the 2018 Annual Report.

4. BUSINESS REVIEW OF THE FIRST HALF OF 2019

H1 2019 IN A NUTSHELL

156 Idylla™ instruments added to the installed base, bringing the total to 1,129 as per 30 June 2019.

Commercial cartridge volume of 72k Idylla™ cartridges, representing a year-over-year increase of 24%. Commercial cartridge volume growth in H1 2019 was below expectations driven by a slower than foreseen pick-up in US cartridge volumes.

Successful CE marking of the Idylla™ MSI Test on 28 February 2019, further strengthening Biocartis' colorectal cancer (CRC) Idylla™ test menu.

Establishment immuno-oncology menu through new partnerships with BMS and Kite.

Total operating income increased year-over-year with 36% to EUR 17.3m driven by higher collaboration and product revenues.

Commercialization partnership announced for Japanese market with Nichirei Biosciences Inc.: the Biocartis commercial footprint is now covering all major markets worldwide. Post the reporting period, Biocartis and Fisher Healthcare announced the termination of their distribution collaboration for the US market.

COMMERCIAL HIGHLIGHTS

  • Installed base The Idylla'" installed base increased with 156 instruments in H1 2019 driven by a continued growth across markets. The number of realized new placements in Europe and RoW2 geographies exceeded expectations. On 26 February 2019, Biocartis announced to have added its 1,000th Idylla™ instrument to its installed base, placed in the US with the Diagnostic Medicine Institute at Geisinger2. End of June 2019, the total installed base amounted to 1,129 Idylla™ instruments. End of June 2019, the total installed base amounted to 1,129 Idylla™ instruments.
  • Commercial cartridge volume H1 2019 commercial cartridge volume amounted to 72k cartridges, representing a 24% year-over-year growth. Realized cartridge volume growth in HI 2019 was below expectations driven by a slower pick-up of US RUO3 cartridge volumes.
  • European commercialization European direct markets performed well in H1 2019 with in cartridge volumes and an installed base growth that exceeded expectations. This was mainly driven by an increased usage of Idylla™ in first line testing in amongst others the UK, France and Italy, as well as a strong overall contribution from pharma collaborations.
  • US commercialization During H12019, the US customer base was further expanded with new high profile customers. While efforts were made to accelerate the Idylla™ implements at these new customers, cartridge volume pick-up was below expectations due to a more gradual increase of cartridge orders after the ldylla™ instrument implementation. The latter is related to a variety of reasons including education on amended standard operational procedures and a gradual switch from current testing methodologies to Idylla™. A number of US customers is currently completing ldylla™ implementation which is expected to drive cartridge volume ramp-up over the course of H2 2019. We expect to accelerate further growth of the US customer base once the operational transition from Fisher Healthcare (see paragraph post-period events below) is completed and the expansion of the Biocartis US direct sales team is further progressed.
  • Distribution markets RoW- Biocartis' RoW distribution markets realized a solid performance in H1 2019 with new instrument placements exceeding expectations and significant continued cartridge volume growth. This was driven by a strong customer base expansion in Canada, Asia, Eastern Europe and North Africa and new market authorizations for products in amongst others Colombia and Thailand.
  • China commercialization: Completion of the closing of the joint venture with Wondfo ("China JV") in Q1 2019 resulted in the first capital contribution by both partners and subsequently the China JV of a license fee to Biocartis.
  • Japan commercialization: On 7 January 2019, Biocartis announced the signing of an agreement with Nichirei Biosciences Inc., a leading supplier of biological and diagnostics products in Japan, for the product registrations and distribution of the Idylla™ platform in Japan. Upon successful registration, Nichirei Biosciences' sales force is expected to commercialize the Idylla™ platform across its network of approximately 2,000 pathology laboratories. During Hi 2019, Biocartis and Nichirei Biosciences further progressed registration for the Idylla™ instrumentation and assays for the Japanese market.

MENU AND PARTNERSHIP HIGHLIGHTS

  • Colorectal cancer menu:
    • o CE-marking Idylla™ MSI Test On 28 February 2019, Biocartis announced the CE-marking of its fully automated ldylla™ MSI Test. MSI testing is currently recommended for all colorectal and endometrial cancers4 but is still underused since current methods are highly complex. The Idylla™ MSI Test has been developed to overcome these drawbacks. The test provides information on the MSI status (i.e. Microsatellite Instability-High (MSH) or

² Source: www.geisinger.org, last consulted on 26 August 2019

3 All Idylla™ assays sold in the US are for Research Use Only (RUO), not for use in diagnostic procedures

4 Source: ASCO quidelines, www.asco.org/endorsements/HereditaryCRC

" Clinical Performance Study showed 9.7% testing vs Promega (unpublished data); De Creene et al. (2018) Journal of Clinical Oncology 3615 suppl, e1653; De Craene et al. (2017) Annals of Oncology 28 (suppl_5): v209+268; Maertens et al. (2017) Annals of Oncology 28 (suppl_5): v22-v42

Microsatellite Stable (MSS)) of colorectal cancer (CRC) tumors within approximately 150 minutes from just one slice of FFPE® tumor tissue, without the need for a reference sample. The Idylla™ MSI Test7 shows high concordance (>97%) and lower failure rates compared to standard methods. The unique aspects of the ldylla™ MSI Test could enable a broader penetration of MSI testing, and make this test a key addition to Biocartis' Idylla™ CRC test menu.

  • o US FDA submission of MSI assay During H1 2019, further progress was made in the regulatory US FDA submission documentation of the Idylla™ MSI Assay, which is expected in 2020, subject to further feedback from the US FDA
  • o US FDA submission of RAS tests During H1 2019, further progress was made in the preparation of Idylla" RAS PMA® submission documentation with the US FDA which is expected in 2020, subject to further feedback from US FDA.

  • Lung cancer menu: ●
    • o ctEGFR During H1 2019, further progress was made in the development of the liquid biopsy version of the ldylla™ EGFR Mutation Test. This test is planned for RUO® launch in Q4 2019 and is an important addition to Biocartis' lung cancer menu for liquid biopsy EGFR testing. Liquid biopsy EGFR testing is included in the guidelines(0 for situations where no tumor tissue is available for EGFR testing.
    • o GeneFusion During H1 2019, further progress was made in the Idyla™ GeneFusion Panel. This assay is expected to be launched in 2020 and covers, together with the Idylla™ EGFR Mutation Test (CE-IVD), the majority of actionable lung cancer mutations.
  • Immuno-oncology menu: .
    • o Partnership BMS On 12 March 2019, Biocartis announced the signing of a collaboration agreement with Bristol-Myers Squibb Company (NYSE: BMY), a global biopharmaceutical company, focused on MSI testing in connection with immuno-oncology therapies. Bristol-Myers Squibb's Opdivo® (nivolumab) plus low-dose Yervoy®1 (ipiiimumab) is the first immuno-oncology combination treatment approved by the US FDA for MS-High or mismatch repair deficient (dMMR) metastatic colorectal cancer (mCRC) that has progressed following treatment with certain chemotherapies?. The collaboration agreement allows for joint developments and registrations of the Idylla™ MSI test for use in a variety of indications, commercial settings and geographies. The first focus under

6 FFPE = formalin fixed, paraffin embedded

? The loyla" MS Test uses a new set of short home ACVR2A, BTBDT, DDO1, MRZ1, RYR3, SECJIA & SULF 2 genes, which were excusively licensed to Biocaris in 2005 from VIB, the life sciences research institute in the research of the group of Pof. Diether Lambrechts (VI-KU Leven, Belgium). These MS biomarkers are tumor-specific, show a high retrial cances and are stable acoss different ethnicities ensuring excellent specificity of the assav

8 PMA = Pre-Market Approval

9 RUO = Research Use Only, not for use in diagnostic procedures

^ Source: D. Planchard et al., 'Metastation of SMO Clinical Practice Guidelines for diagnosis, treatment and follow-up', published online 3 October 2019 updated 26 January 2019

11 3 mg/kg Opdivo® plus 1 mg/kg Yervoy

12 Treatment with fluoropyrimidine, oxaliplatin and irinotecan

the agreement is expected to be the registration in the US of the Idylla™ MSI assay as a companion diagnostid3 (CDx) device in mCRC.

  • o Partnership Kite On 1 June 2019, Biocartis announced a master development and commercialization agreement with Kite Pharma, Inc., a Gilead Company (NASDAQ: GILD), a pharmaceutical company engaged in the development of innovative cancer cell therapies. The collaboration aims at the development of molecular-based assays on the Idylla™ platform that are supportive to Kite's therapies.
  • Breast cancer menu
    • o Partnership Genomic Health Inc. During H1 2019, the development of an Idylla™ version of the Oncotype DXi IVD Breast Recurrence Score® Test was further progressed. Moreover, preparations were initiated for Idylla™ instrument placements at early access sites for the validation studies in Europe, beginning in France and Germany. Importantly, on 20 June 2019, Genomic Health announced that the German Federal Joint Committee (G-BA) issued a positive reimbursement decision for the Oncotype DX Breast Recurrence Score® Test. This decision makes the Oncotype DX® the only multigene test reimbursed by statutory sick funds with wide national coverage in Germany, for use in all patients with primary node-negative, hormone receptor-positive, HER2negative early-stage breast cancer when a decision for or against chemotherapy cannot be made based on clinical and pathological parameters alone14.
  • Covance partnership: On 23 April 2019, Biocartis announced the global strategic commercialization agreement with Covance, LabCorp's Drug Development business, aimed at offering the Idylla™ oncology assay menu to Covance's customer base globally to support customer needs for clinical trials and, when appropriate, to validate and implement companion diagnostic applications.
  • Idylla™ publications: During H1 2019, approx. 30 abstracts, posters and publications were published on the Idylla™ platform and its assays, of which 12 in the US. Several were selected for publication at large scientific conferences, including:
    • o Idylla™ MSI performance study at ASCO On 16 May 2019, a multi-centered study® on the performance of the ldylla™ MSI Test (CE IVD) in comparison with the Promega MSI Test') was selected for publication at the renowned ASCO (American Society of Clinical Oncology) Annual Meeting. This study showed high performance and a low invalid rate of the Idylla™ MSI Test, as such demonstrating the possibility of rapid, fully automated MSI testing with Idylla™.
    • o USCAP Idylla™ studies A total of six Idylla™ studies were presented by four different US customers at the United States and Canadian Academy of Pathology ('USCAP') Annual Meeting in Maryland, US: (1) Dartmouth Hitchcock Medical Center (a CRC focused prospective study and a melanoma focused study with comparison to NGS), (2) Medical College of Wisconsin (a CRC focused study with comparison to PCR® and IHC7 for Microsatellite Instability Status and a multiple cancers focused study using challenging FFPE samples not suitable for conventional sanger and NGS testing), (3) Memorial Sloan Kettering Cancer (a hairy cell leukemia focused study using different sample types including stained smear slides, blood and bone marrow without preextraction) and (4) Wake Forest Baptist Health (a melanoma focused study using pigmented melanomas). The posters of the referenced studies can be found here.

ORGANIZATIONAL AND OPERATIONAL HIGHLIGHTS

  • Management team In light of the Company's further international growth, expansion of its partner network and associated scaling of the organization, several changes to the Company's management team were effectuated:
    • o Appointment Chief Operating Officer Piet Houwen joined Biocartis as its Chief Operating Officer in April 2019.
    • o Appointment Global Head Pharma Collaborations and Partnering Dirk Zimmermann joined Biocartis in May 2019 as Global Head of Pharma Collaborations and Partnering.
    • o Changes in the Chief Commercial Officer role Biocartis and Hilde Eylenbosch, the Company's Chief Commercial Officer, have agreed to terminate their collaboration as per the end of April 2019. The tasks of the CCO have been

16 Polymerase Chain Reaction

14 an IV D companion dagnostic device is an in vitro dial in survives information that is essential for the safe and effective use of a correspording therapeutic product. Source: US FDA, last consulted on 16 August 2019

44 The G-BA decision will become effective following its Ministry of Helth in the Federal Gazette (Bundesarzeiger), Source: Genornic Health website, https://newsroom.cheath.com/news-release-details/german-federal-joint-committee-g-ba-issues-exclusive-nationwide, last consulted on 26 August 2019 Pauwels P. et al. "The loylia" MS Test multi-center study, microsatellte instability detection in colorectal cancer samples, first published at ASCO Anual Meeting of the American Society of Clinical Oncology, 30 May - 4 June 2019, Chicago (IL), US

17 Immunohistochemistry

-

-

-

had an initial duration of 5 years and was due July 2021. The cash out related to the early repayment amounted to EUR 18.5m based on the nominal amount of the loan and capitalized interest.

  • Net cash flow and cash position Total net cash flow in H1 2019 amounted to EUR 145.8m versus EUR -21.4m in H1 2018. Biocartis' cash position as per end June 2019 amounted to EUR 209m.
  • Additional details See 'key figures for H1 2019' below for more details on the H1 2019 financials.

H1 2019 FINANCIAL RESULTS

Income statement

Collaboration revenues in H1 2019 increased year-over-year to EUR 6.8m driven by a strong growth in R&D services and license revenues, partially offset by the absence of milestone payments. R&D services, consisting of invoiced services to pharma and content partners, increased from EUR 2.6m in H1 2019 as a consequence of new partnerships closed in H2 2018 and H1 2019. License revenues increased from EUR 75k in H1 2019 and included a EUR 2m revenue recognition of a EUR 4m license payment from the China joint venture that was received in HI 2019 following the formal closing of that joint venture. No milestones revenues were recorded in H1 2019 versus EUR 0.8m of milestones in H1 2018.

Product sales revenues increased year-over-year with 17% to EUR 10.0m driven by an increase in cartridge sales and instrument revenues. Cartridge sales increased from EUR 6.6m in H1 2019, a year-over-year increase of 13%. Instrument revenues amounted to EUR 2.5m in H1 2019, a year-over-year increase of 28% as the consequence of the increase in installed base in H1 2019 and of an increased revenue contribution from instruments placed at clients under leasing contracts in previous periods. Year-over-year, commercial product revenues increased with approx. 20% whereas R&D product revenues decreased with 29%.

Service revenues increased year-over with 40% to EUR 0.4m. Grants and other income amounted to EUR 0.2m in H1 2019. Consequently, total operating income amounted to EUR 12.7m in H1 2018, a year-over-year increase of 36%.

Total operating expenses (including cost of sales) amounted to EUR 44.0m in HI 2019 versus EUR 33.9m in H1 2018, an increase of 30%. Cost of sales increased year-over-year with 27% to EUR 8.7m in H1 2019 driven by higher cartridge as well as instrument volumes. Expenses for R&D amounted to EUR 20.0m in H1 2019, a year-over-year increase of 25% that was predominantly driven by higher staffing costs and allocated depreciation expenses (see comment below on adoption IFRS 16). Expenses for sales and marketing increased year-over-year with 23% and amounted to EUR 88m. This increase was mainly driven by higher staffing costs, as a consequence of an expansion of Biocartis' US sales team and higher expenses for consultancy and subcontracting. G&A expenses increased year-over-year with 68% to EUR 6.4m due to overall organizational growth as a general cost allocation that is shifting more towards a commercial stage organizational structure.

The above resulted in an operational result for H1 2019 equal to EUR -26.7m compared to EUR -21.1m in H1 2018. Following a net financial result for the period of EUR -2.8m, of which EUR 1.1 m is related to accrued interest of the outstanding convertible bond and EUR 1.0m related to interest and repayment of the Company's subordinated loan, the net result for H1 2019 equaled to EUR -29.7m compared to EUR -21.8m in H1 2018.

Balance sheet

As required, Biocartis has adopted the new IFRS 16 standard for lease accounting with date of initial application on 1 January 2019. This standard introduces a single lessee accounting model and requires a lessee to recognize assets and liabilities for all leases with a term of more than 12 months, eliminating the en operating and finance leases. The first time adoption of IFRS 16 has an impact on the Group's balance sheet as well as results in a reclassification of operational expenses in the Group's income statement. Concretely, as of 1 January 2019, Biocartis also recognizes its operational leasing contracts (i.e. for buildings, company cars and office furniture) on its balance sheet in addition to the Group's financial leasing contracts (i.e. for manufacturing equipment). This resulted in a one-off increase in property, plant and equipment and lease liabilities of EUR 14.3m on 1 January 2019. Furthermore, as property, plant and equipment is depreciated over time, the income statement recognizes deprecation charges and financing expenses for all the recognized leases versus previously the recognition of lease payments as e.g. building rent or facility & office expenses.

Property, plant and equipment increased in H1 2019 to EUR 43.7m as per end of June 2019 from EUR 30.4m at the end of 2018, an increase of EUR 13.3m. This increase was driven by a EUR 15.3m impact of IFRS 16 (as per 30 June 2019), EUR 2.8m of actual capital expenditures (mainly related to capitalization of instrumentation placed at clients under leasing or rental contracts) and a depreciation charge of around EUR 4.9m. Investments in associates and joint ventures was added to the balance sheet in H1 2019 in relation to the China joint venture and amounts to EUR 2.6m as per end of June 2019.

Inventory increased in H1 2019 to EUR 11.9m per end 2018), predominantly driven by an increase in finished products of both cartridges and Idylla™ instrumentation. Trade and other receivables decreased in H1 2019 with EUR 1.14m due to lower trade receivables. On the balance sheet, trade payables decreased with EUR 2.8m to EUR 5.2m. Deferred income decreased with EUR 0.6m and accrued charges decreased with EUR 1.5m, the latter mainly driven by the first time adoption of IFRS 16.

The Group's cash and cash equivalents end of Hi 2019 amounted to EUR 209.2m compared to EUR 63.5m end of 2018. Total financial debt end of H1 2019 amounted to EUR 166.7m, representing an increase of EUR 131.4m compared to end of 2018. This was the result of the issuance of a convertible bond, an increase in lease liabilities in the first time adoption of IFRS 16 and the repayment of the Company's subordinated loan. Please note that the IFRS accounting treatment of the Company's convertible bond has resulted in an allocation of the EUR 150m nominal amount to financial debt (EUR 134m) and equity (EUR 12m, adjusted for related transaction costs) as per the end of H1 2019.

Cash flow statement

The cash flow from operating activities in H1 2019 amounted to EUR -28.4m compared to EUR -20.3m in H1 2018. This increase is the result of a higher operating loss for the period, an increase in investments in working capital as well as higher interest and other financial expenses for H1 2019. The cash flow from investing activities in H1 2019 amounted to EUR -5.3m (compared to EUR -2.3m in H1 2018) and consisted of the initial capital contribution made to the China joint venture and capitalized Idylla™ systems. The cash flow from financing activities in H1 2019 amounted to EUR 179.5m (compared to EUR 1.3m in H1 2018) which was driven by the issuance of the convertible bonds (net proceeds of EUR 145.5m) and by the capital raise (net proceeds of EUR 53.4m),

partially offset by the repayments of borrowings (predominantly the Company's subordinated loan) of EUR 19.4m.

Because of the aforementioned, the net cash flow of H1 2019 amounted to EUR -21.4m in H1 2018

For the 6 months ended
In EUR 000 Notes 30 June 2019 30 June 2018
Revenue
Collaboration revenue 6.4 6,816 3,535
Product sales revenue 6.4 9.980 8,555
Service revenue 6.4 351 251
17,147 12,341
Other operating income
Grants and other income 6.5 151 400
Total operating income 17,298 12,741
Operating expenses
Cost of sales 6.6 -8.742 -6,890
Research and development expenses 6.7 -20.031 -16.029
Sales and marketing expenses 6.8 -8.811 -7.152
General and administrative expenses 6.9 -6,399 -3,809
-43,983 -33,880
Operating loss for the period -26,685 -21,139
Financial expense -2.868 -650
Other financial results 46 -41
Financial result, net -2,822 -691
Share in the results of associates -181 0
Loss for the year before taxes -29,688 -21,830
Income taxes 18 70
Loss for the year after taxes -29,670 -21,760
Attributable to owners of the Group
Attributable to non-controlling interest
-29,670 -21,760
Earnings per share
Basic and diluted loss per share 6.11 -0.53 -0.42
For the 6 months ended
In FUR 000 Notes 30 June 2019 30 June 2018
Loss for the year -29,670 -21,760
Other comprehensive income (loss),
not to be reclassified to profit or
oss:
Re-measurement gains and losses on defined
benefit plan
-77 -80
Income taxes on items of other
comprehensive income
9 27
Other comprehensive gain (loss) for
the year, that may be reclassified to
profit and loss:
Exchange differences on translation of foreign
operations
-188
Total comprehensive loss for the
year
-29,876 -21,813
Attributable to owners of the Group -29,876 -21,813
Attrihutania to non-contralling intornet O O
As of
In EUR 000 Notes 30 June 2019 31 Dec 2018
Assets
Non-current assets
Intangible assets 6,405 6,579
Property plant and equipment 43,694 30,391
Financial assets 5,052 5,052
Investment in associates and joint ventures 6.12 2.593 0
Other non-current receivables 11 11
Deferred tax assets 6,776 6,569
64,531 48,602
Current assets
Inventories 15,415 11,919
Trade receivables
Other receivables
8,059
4,327
9,744
3,751
Other current assets 1,592 1,830
Cash and cash equivalents* 209,200 63,539
238,593 90.783
Total assets 303,124 139,385
Equity and liabilities
Capital and reserves
Share capital -220,668 -220,718
Share premium 698,031 632,769
Share based payment reserve 4,270 3,445
Accumulated deficit
Total equity attributable to owners
-358,030 -328,145
of the Group 123,609 87,351
Non-current liabilities
Provisions 7 28
Financial liabilities 6.13 160.652 30,221
Deferred income 6.14 869 6
Accrued charges O 1,501
161,528 31,756
Current liabilities
Financial liabilities 6.13 6,079 5,114
Trade payables 5,210 7,973
Deferred income 6.14 1,547 3,010
Other current liabilities 5,151 4,181
17,987 20,278
Total equity and liabilities 303,124 139,385
For the 6 months ended
In FUR 000 Notes 30 June 2019 30 June 2018
Operating activities
Loss for the period -29,670 -21,760
Adjustments for
Depreciation and amortization 3.713 2,144
Impairment losses 202
Income taxes in profit and loss -18 -71
Financial result, net
Net movement in defined benefit obligation
2,821
-48
691
51
Share of net profit of associate and a joint
venture 181 O
Share based payment expense 825 496
Other 47 -110
Changes in working capital
Net movement in inventories -3,496 -1,528
Net movement in trade and other receivables
and other current assets
1.695 -1,109
Net movement in trade payables & other
current liabilities -2,167 1,705
Net movement in deferred income 6.14 -600 -733
-26,515 -20,224
Interests paid -1,664 -60
l axes paıd
Cash flow used in operating
-178 -50
activities -28,357 -20,335
Investing activities
Interest received O
Acquisition of property, plant & equipment -2,332 -2,273
Acquisition of intangible assets -162 -28
Acquisition of investment in a joint venture -2,774 O
Cash flow used in investing
activities -5,267 -2,301
Financing activities
Proceeds from the issue of a convertible bond 145,542 0
Net proceeds from the issue of ordinary
shares, net of transaction costs
55,562 1,809
Repayment of borrowings 6.15 -19,421 -543
Bank charges -18 -15
Cash flow from financing activities 179,465 1,251
Net increase / (decrease) in cash
and cash equivalents
145,841 -21,385
Cash and cash equivalents at the beginning of
the period
65,559 112.765
Effects of exchange rate changes on the
balance of cash held in foreign currencies
-180 -110
Cash and cash equivalents at the
end of the period
209,200 91,269
In EUR 000 Notes Share capital Share
premium
Share based
payment
reserve
Gains and
osses on
defined benefit
plans
Accumulated
deficit
Total equity
attributable to
the owners of
the Group
Total equity
Balance as at 1 January 2018 -220,722 630,670 2,381 -45 -280,046 132,240 132,240
Loss for the period -21,760 -21,760 -21,760
Other comprehensive income
Total comprehensive income
O
-21,760
O
-21,760
O
-21,760
Share-based payment expense 496 496 496
Share issue - exercise of stock options on
5 April 2018
Actuarial gain/loss on defined benefit
plan
2 1.807 1,809 1,809
Consolidation translation difference -80 -45 -80
-45
-80
-45
Balance as at 30 June 2018 -220,720 632,477 2,877 -125 -301,851 112,660 112,660
Balance as at 1 January 2019 -220,718 632,769 3,445 -67 -328,078 87,351 87,351
Loss for the period -29,670 -29,670 -29,670
Re-measurement gains and losses on
defined benefit plan
Consolidation translation difference
-27 -27 -27
Total comprehensive income -27 -188 -188 -188
Share-based payment expense 825 -29,858 -29,885
825
-29,885
825
Share issue - private placement on 23
January 2019
50 55,450 55,500 55,500
Costs related to private placement on 23
January 2019
-2,309 -2,309 -2,309
Share issue - exercise of stock options on
4 April 2019
O 171 171 171
Issuance of convertible bond on 9 May
2019
11,956 11,956 11,956
Other 0 O
Balance as at 30 June 2019 -220,668 698,037 4,270 -94 -357,936 123,609 123,609

6. NOTES TO THE CONDENSED CONSOLIDATED INTERIM FINANCIAL STATEMENTS

GENERAL INFORMATION 6.1.

Biocartis Group NV, a company incorporated in Belgium with registered address at Generaal de Wittelaan 11 B, 2800 Mechelen, Belgium (the 'Company') and its subsidiaries (together, the 'Group') commercialize and proprietary molecular diagnostics (MDx') platform that offers accurate, highly-reliable molecular information from virtually any biological sample, enabling fast and effective diagnostics treatment progress monitoring

The Group's mission is to become a global, fully integrated provider of novel molecular diagnostics solutions with industry-leading, high clinical value tests within the field of oncology. The Group has established subsidiaries in Mechelen (Belgium), Lausanne (Switzerland), New Jersey (US), and a joint venture in Hong Kong (China).

The consolidated financial statements have been authorized for issue on 26 August 2019 by the board of the Group (the 'board of directors').

6.2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

The principal accounting policies for preparing these consolidated financial statements are explained below.

6.2.1. Statement of compliance and basis of preparation

These condensed consolidated interim financial statements for the six months ended 30 June 2019 have been prepared in accordance with the International Financial Reporting Standards (IFRS) as issued by the International Accounting Standards Board (IASB) and as adopted by the European Union. The statements should be read in conjunction with the annual financial statements for the year ended 31 December 2018, which have been prepared in accordance with IFRS as adopted by the EU.

The accounting policies adapted in the condensed interim financial statements are consistent with those applied in the preparation of the financial statements for the year ended 31 December 2018, except for the adoption of new and amended standards as set out below.

The consolidated financial statements are presented in Euro (EUR) and all values are rounded to the nearest thousand (EUROOO), except when otherwise indicated.

These condensed interim financial statements have been subject to a review by the Group's external auditor Deloitte Bedrijfsrevisoren BV CVBA.

The following new standards and amendments to standards are mandatory for the financial year beginning 1 January 2019:

  • IFRS 16 Leases
  • IFRIC 23 Uncertainty over Income Tax Treatments .

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-

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As at
n FUR 000 1 January
2019
Assets
Right-of-use assets 35.133
Property, plant and equipment -20,796
Total assets 14,336
Liabilities
Non-current financial debt 13.583
Current financial debt 2.228
Accrued charges -1.475
Total liabilities 14,336

-

Operating lease commitments as at 31 December 2018 14,070
Weighted average incremental borrowing rate as at 1 January 2019 4.18%
Discounted operating lease commitments as 1 January 2019 13,054
Commitments relating to short-term & low-value assets -201
Finance lease liabilities recognized as at 31 December 2018 20,796
Payments in optional extension periods not recognized as at 31 December 2018
Other -283
Lease liabilities as at 1 January 2019 33.36
Of which are:
Current lease liabilities 6.018
Non-current lease liabilities 27.349
33.36

Revenue recognition relating to collaboration arrangements

Assessing the indicators for revenue recognition arrangements requires judgement to determine (i) the nature of the contractual performance obligations and whether they are distinct or should be combined with other performance obligations, and (ii) the pattern of transfer of each promised component identified in the contract, using methods based on key assumptions such as forecasted costs and development timelines of the collaboration arrangements for the assessment of satisfaction of the performance obligation.

For all performance obligations linked to licensing agreements, the Group makes an assessment about whether or not the license is to be considered as a distinct performance obligation or not. The Group determines whether a promise to grant a license of intellectual property is distinct from other promised goods or services in the contract. As such, the Group assesses whether the customer can benefit from a license of intellectual property on its own or together with readily available resources (i.e., whether it is capable of being distinct) and whether the Group's promise to transfer a license of intellectual property is separately identifiable from other promises in the contract (i.e., whether it is distinct in the contract). The assessment of whether a license of intellectual property is distinct is based on the facts and circumstances of each contract, e.g. interdependencies between the license and other services in the contract, the continuing involvement of the Group after the license has been granted.

If the transfer of the license is considered to be a separate performance obligation, revenue relating to the transfer of the license is recognized at a point in time or over time depending on the nature of the license, i.e. granting a right to use the intellectual property or the right to access the IP. Basically, the Group assesses whether the customer has the right to use the intellectual property as it exists at a certain period in time or whether it has access to the intellectual property as it exists at any time during the license period, where the latter requires more on-going activities from the Group.

6.4. REVENUE

The Group's revenue can be aggregated as follows:

For the 6 months ended,
In EUR 000 30 June 2019
At a point
in time
Over time 30 June
2019
30 June
2018
Collaboration revenue
R&D services 0 4,350 4,350 2,626
l icense fees 2,000 467 2.467 75
Milestones O O O 833
2,000 4,816 6,816 3,535
Product related
revenue
ldylla™ System Sales revenue
ldylla™ System Rental
1.515 O 1.515 1.130
revenue 984 O 984 827
Cartridge revenue 7,481 0 /,481 6,603
9,980 O 9,980 8,555
Service revenue
Idylla™ System Service
revenue 327 24 351 251
327 24 351 251
Total 12,307 4,841 17,147 12,340
As of
In EUR 000 30 June 2019 31 Dec 2018
Accrued income
Collaboration arrangements 33 30
Product sales 0 0
Service arrangements 0 0
33 O
Deferred income
Collaboration arrangements -1.487 -2.029
Product sales 0 0
Service arrangements 0 O
-1,487 -2,029
Net accrued/deferred
income
-1.454 -1,999
n EUR 000 Deferred
income
2019 1.011
2020 215
2021 0
2022 0
2023 0
After 2023 0

6.4.1. Revenues by region and major customers

For the 6 months ended
In EUR 000 30 June 2019 30 June 2018
Country of domicile 546 338
Belgium 546 338
Total all foreign countries, of which 16,600 12,003
United states of America 5,762 4.999
China 2.377 22
Spain 1.382 1.338
Rest of the world 7.080 5,644
Total 17,147 12,341

Revenues in the above table are assigned according to the Group or parent company of the customer. The Group has not recognized revenues from one customer representing at least 10% of the total revenues.

6.5.OTHER OPERATING INCOME

For the 6 months ended
In EUR 000 30 June 2019 30 June 2018
R&D project support (IWT grants) 151 400
Other project grants (EU) 0 O
Other income O O
Total 151 400

6.6.COST OF SALES

The cost of goods sold in relation to the product sales is as follows:

For the 6 months ended
In EUR 000 30 June 2019 30 June 2018
Employee benefit expenses -2.582 -2.257
Material, lab consumables & small equipment -4.395 -3.056
Depreciation and amortization -805 -635
Royalty expense -493 -491
Other -466 -452
Total -8,742 -6,890
6.7.RESEARCH AND DEVELOPMENT EXPENSES
--------------------------------------- -- --
For the 6 months ended
In FUR 000 30 June 2019 30 June 2018
Employee benefit expenses -11.470 -9.216
R&D consultancy & subcontracting -2,325 -1.983
Laboratory and cartridge costs -586 -778
Quality, regulatory and intellectual property -188 -315
Facilities, office & other -875 -1.685
ICT -680 -459
Travel, training & conferences -344 -251
Depreciation and amortization -3.563 -1.342
Total -20,031 -16,029

Subcontracting includes expenses in relation to services provided by research and development providers such as services related to the development of assay cartridges, instrument and console of the various diagnostic platforms, manufacturing equipment design and engineering services.

Laboratory and cartridge costs include consumables and prototype costs related to the development of diagnostic platform prototypes and assays.

The remaining expenses relate to quality, regulatory, patenting, building facilities, ICT, office, maintenance of equipment, logistics, travel, training and conferences.

6.8.SALES AND MARKETING EXPENSES

For the 6 months ended
In FUR 000 30 June
2019
30 June
2018
Employee benefit expenses -5.459 -4.438
S&M consultancy & subcontracting -777 -78
Sales and promotional expenses -246 -158
Business development -281 -317
Facilities, office & other -353 -554
Travel, training & conferences -1.272 1.080
Depreciation and amortization -368 -401
Impairment of receivables -55 -124
Total -8,811 -7,152

Sales and promotional expenses relate to costs of external market research, advertisement, and promotional activities related to the Group's products.

6.9.GENERAL AND ADMINISTRATIVE EXPENSES

For the 6 months ended
In EUR 000 30 June
2019
30 June
2018
Employee benefit expenses -4.352 -2.150
Fxternal advice -498 -515
Facilities, office & other -696 -545
Human resources -455 -393
Travel, training & conferences -247 -211
Depreciation and amortization expenses -157 6
Total -6,399 -3,808

External advice expenses include fees, service and consulting expenses related to legal, human resources, investor relations, accounting, audit and tax services. Facilities, office & other include office, insurance and other miscellaneous expenses used in general and administrative activities.

6.10. EMPLOYEE BENEFIT EXPENSES

For the 6 months ended
In EUR 000 30 June 2019 30 June 2018
Employee benefit expenses -23.864 -18.061
Average number of full time equivalents 448 366

6.11. LOSS PER SHARE

The Company has stock option plans that may be settled in common shares of the Company and which are considered anti-dilutive given that the Group's operations were loss making over the reporting period. As such, the basic and diluted earnings per share are equal. The basic and diluted earnings per share is the net loss for the year attributable to the owners of the Company.

For the 6 months ended
30 June 2019 30 June 2018
Profit/loss for the period attributable to the
owners of the Group (in EUR 000)
-29.670 -21.760
Weighted average number of ordinary shares
for basic loss per share (in number of shares)
55.760.127 51,208.729
Basic loss per share (EUR) -0.5% -0.42

6.12. INVESTMENT IN ASSOCIATES AND JOINT VENTURES

The closing of the joint venture for commercialization of the Idylla™ place in January 2019. Per 30 June 2019, the financial participation in the joint venture WondfoCartis amounted to EUR 2.6m.

The Group has a 50% interest in the Group does not control the China JV, as the Group does not have the power to direct the relevant activities and as such to direct the variable returns generated through those relevant activities.

The Group's investment in its joint venture is accounted for using the equity method. Under the equity method, the investment in a joint venture is initially recognized at cost. The investment is adjusted to recognize changes in the Group's share of net assets of the joint venture since the acquisition date.

6.13. FINANCIAL LIABILITIES

The financial debt can be analyzed as follows:

As of
In FUR 000 30 June 2019 31 Dec 2018
PMV & FPIM loans
l ease liabilities
Bank borrowings
O
25,803
120
16.272
13,767
182
Convertible bond 134.729 0
Total non-current 160,652 30,221
PMV & FPIM loans
l ease liabilities
Bank borrowings
O
5,955
123
1.202
3.790
122
Total current 6,079 5,114
Total financial liabilities 166,731 35,335

In 2013, Biocartis NV refinanced about 50% of its Idylla™ semi-automated cartridge manufacturing line in Mechelen (Belgium) via a sale and lease back operation. This lease has a current lease term is till 1 June 2021, carries a 3.55% interest rate and includes a purchase option of EUR 0.1m. As per the end of H1 2019 EUR 0.1m is outstanding under this facility.

In 2015, Biocartis NV obtained two new financing facilities for the current cartridge production line. The first new facility entails an investment credit for an amount of EUR 0.6mwith a payment term of 5 years and an interest rate of 1.93%. The second one entailty for EUR 4.4m that carries a 1.77% interest, includes a purchase option of 1% of the financed amount and has a duration of 54 months. As per the end of H1 2019 EUR 2.5m is outstanding under these two facilities.

In 2016, Biocartis NV obtained a lease financing facility for the development of its second cartridge production line in Mechelen for EUR 15m. This facility was increased in 2018 with EUR 2.3m. The interest applicable for this facility equals 1.865% and includes a purchase option of 1% of the financed amount. As per the end of H1 2019. As per the end of H1 2019 EUR 13.3m is outstanding under this facility. As a security, a debt service reserve account is to be maintained for the above financing facilities of 2015 and 2016, the current debt service reserve account amounts to EUR 1.2m

In 2016, Biocartis NV and the Company also obtained a subordinated loan of EUR 15m provided by a consortium of PMV (Participatie Maatschappij Vlaanderen) and the Belgian 'Federal Holding and Investment Company' (FPM). This loan carried a 7% interest (which is capitalized in the first three years) and had an initial maturity date at 30 September 2021 (except in case of extension of the Company's request or voluntary or mandatory early repayment). In June 2019, this loan was fully redeemed based on the exercise of an early repayment option by Biocartis.

In 2017, Biocartis reached agreement with KBC and BNP Paribas Fortis for a committed multiple purpose credit facility of EUR 27.5m (not covered by a government guarantee). This facility consists of a EUR 18.5m rollover credit line and a EUR 9m working capital credit line. No amount has been withdrawn on this credit facility per 30 June 2019.

In 2018, Biocartis NV obtained an investment credit of EUR 1m from a bank to finance mold investments related to its first cartridge manufacturing facility. The investment credit has a payment term of 5 years and an interest rate of 2.53%. As per 30 June 2019, EUR 0.5m has been withdrawn on this credit facility.

On 9 May 2019, the Group issued a convertible bond of EUR 150m, with a maturity date of 9 May 2024 (i.e. 5-year duration) and a coupon of 4%. The bond can be converted into new/existing ordinary shares of the Group upon the discretion of the bondholder. Under IAS 32 - Financial instruments: Presentation the convertible bond is a compound financial instrument and contains, from the issuer's perspective, bot a liability (i.e. host debt instrument) and an equity component (i.e. an embedded share conversion option). The liability component amounts to EUR 134.7m as per 30 June 2019.

In H1 2019, Biocartis and the European Investment Bank agreed to extend the availability date to draw down the first tranche under the financing facility to 28 February 2020, and to reduce the duration of the facility to up to four years as of the disbursement of the first tranche. To date, no drawdowns have been made under this facility.

In addition, the Group also has access to a bank guarantee line of EUR 0.5m of which EUR 0.5m has been taken up for rental guarantees as per 30 June 2019, and an credit line with a bank of EUR 0.6m for currency hedging, of which EUR 0.0m has been taken up as per 30 June 2019.

6.14. DEFERRED INCOME

As at
In EUR 000 30 June 2019 31 Dec 2018
Grants 979 987
Collaboration income 1.487 2.029
Total 2,416 3,016
Current 1.547 1.010
Non-current 869 6

Deferred partner income includes upfront payments from collaboration partners in relation to the strategic licensing, development and commercialization collaborations.

Deferred
partner
income
As per 31 December 2017 1,574
Invoiced 2.454
Recognized in profit or loss -1.9999
As per 31 December 2018 2,029
Invoiced 2.756
Recognized in profit or loss -3,298
As per 30 June 2019 1,487

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-

-

-

7. REVIEW REPORT OF THE AUDITOR

Biocartis Group NV

Report on the review of the consolidated interim financial information of Biocartis Group NV for the six-month period ended 30 June 2019

The original text of this report is in Dutch

In the context of our appointment as the company's statutory auditor, we report to you on the consolidated interim financial information. This consolidated interim financial information comprises the condensed consolidated balance sheet as at 30 June 2019, the condensed consolidated income statement, the condensed statement of other comprehensive income, the condensed consolidated statement of changes in equity and the condensed consolidated cash flows statement for the period of six months then ended, as well as selective notes.

Report on the consolidated interim financial information

We have reviewed the consolidated information of Biocartis Group NV ("the company") and its subsidiaries (ointly "the group"), prepared in accordance with International Accounting Standard (IAS) 34, "Interim Financial Reporting" as adopted by the European Union.

The condensed consolidated balance sheet shows total assets of 303 124 (000) EUR and the condensed consolidated income statement shows a consolidated loss (group share) for the period then ended of 29 670 (000) EUR.

The board of directors of the company is responsible for the presentation of the consolidated interim financial information in accordance with IAS 34, "Interim Financial Reporting" as adopted by the European Union. Our responsibility is to express a conclusion on this consolidated information based on our review.

Scope of review

We conducted our review of the consolidated information in accordance with International Standard on Review Engagements (ISRE) 2410, "Review of interim financial information performed by the independent auditor of the entity". A review of interim financial information consists of marily of persons responsible for financial and accounting matters, and applying analytical and other review is substantially less in scope than an audit performed in accordance with the International Standards on Auditing (ISA) and consequently does not enable us to obtain assurance that we would become aware of all significant matters that might be identified in an audit. Accordingly, we do not express an audit opinion on the consolidated interim financial information.

Conclusion

Based on our review, nothing has come to our attention that causes us to believe that the consolidated interim financial information of Biocartis Group NV has not been prepared, in accordance with IAS 34, "hterim Financial Reporting" as adopted by the European Union.

Zaventem, 4 September 2019

The statutory auditor

Deloitte Bedrijfsrevisoren/Réviseurs d'Entreprises CVBA/SCRL

Represented by Gert Vanhees

8. DISCLAIMER AND ADDITIONAL INFORMATION

8.1. GENERAL INFORMATION

About Biocartis

Biocartis Group NV is a limited liability company organized under the laws of Belgium and has its registered office at Generaal de Wittelaan 11 B, 2800 Mechelen, Belgium. Throughout this report, the term 'Biocartis NV' refers to the non-consolidated Belgian subsidiary company and references to 'the Group' or 'Biocartis Group NV together with its subsidiaries.

Use of the Idylla™ trademark, logo and CE-marking

Biocartis and Idylla™ are registered trademarks in Europe, the United States and other countries. The Biocartis and ldylla™ trademark and logo are used trademarks owned by Biocartis. This report is not for distribution, directly or indirectly, in any jurisdiction where to do so would be unlawful. Any persons reading this press release should inform themselves of and observe any such restrictions. Biocartis takes no responsibility for any such restrictions by any person. Please refer to the product labeling for applicable intended uses for each individual Biocartis product. This report does not constitute an offer or invitation for the sale or purchase of securities in any jurisdiction. No securities of Biocartis may be offered or sold in the United States of America absent registration with the United States Securities and Exchange Commission from registration under the U.S. Securities Act of 1933, as amended.

As defined by Belgian law, Biocartis has to publish its financial report in the English and Dutch language. In case of difference in interpretation, the English version of the half-year financial report 2019 is available on the Biocartis website. Other information on the Biocartis websites is not a part of this half-year report.

8.2. CONTACT INVESTOR RELATIONS

Biocartis Investor Relations Renate Degrave Generaal de Wittelaan 11 B 2800 Mechelen, Belgium +32 15 632 600 [email protected]

8.3.LISTING

Biocartis is listed on Euronext Brussels since 27 April 2015 under the symbol BCART. Biocartis' ISIN code is BE0974281132.

8.4.FINANCIAL CALENDAR

  • Special Shareholders' Meeting
  • . Q3 2019 business update
  • 2019 full year results
  • Publication 2019 annual report

27 September 2019 14 November 2019 27 February 2020 2 April 2019

8.5.FINANCIAL YEAR

The financial year starts on 1 January and ends on 31 December.

8.6.AUDITOR INFORMATION

Deloitte Bedrijfsrevisoren B.V. o.v.v.e. CVBA, represented by: Gert Vanhees Gateway Building Luchthaven Nationaal 1J 1930 Zaventem Belgium

8.7.FORWARD-LOOKING STATEMENT

Certain statements, beliefs and opinions in this report are forward-looking, which reflect the Company's or, as apropriate, the Company directors' or managements' current expections concerning future events such as the Company's results of operations, financial condity, performance, prospects, growth, strategies and the industry in which the Company operates. By their nature, forward-looking statements involve a number of risks, uncertainties, assumptions and other factors that could cause actual results or events to differ materially from those expressed or implied by the forward-looking statements. These risks, uncertainties, assumptions and factors could adversely affect the outcome and financial effects of the plans and events described herein. A multitude of factors including, but not limited to, changes in demand, competition and technology, can cause actual events, performance or results to differ significantly from any anticipated development. Forwardlooking statements contained in this report regarding past trends or activities are not guarantees of future performance and should not be taken as a representation that such trends or activities will continue in the future. In addition, even if actual results or developments are consistent with the forward-looking statements contained in this report those results or developments may not be indicative of results or developments in future periods. No representations and warranties are made as to the accuracy or fairness of such forward-looking statements. As a result, the Company expressly disclaims any obligation or undertaking to release any updates or revisions to any forward-looking statements in this report as a result of any change in expectations or any change in events, conditions, assumptions or circumstances on which these forward-looking statements are based, except if specifically required to do so by law or requlation. Neither the Company nor its advisers or any of its subsidiary undertakings or any such person's officers or employees guarantees that the assumptions underlying such forward-looking statements are from errors nor does either accept any responsibility for the forward-looking statements contained in this report or the actual occurrence of the forecasted developments. You should not place on forwardlooking statements, which speak only as of the date of this report.

Assay In the field of diagnostics, an assay is a process or method aimed at determining the presence or
amount (quantitative assay) of a certain substance in a sample.
Biopsy (solid/liquid) The Idylla™ platform is capable of processing both solid biopsies (FFPE tissue which is the
standard tissue type for solid tumor diagnostics, and fresh (frozen) tissue samples) and liquid
biopsies. These are easier to obtain sample types such as blood plasma or urine. Liquid biopsy
based assays will facilitate monitoring of treatments and disease progression, and possible earlier
disease detection.
Serine/threonine-protein
kinase B-raf (BRAF)
BRAF is a protein that, in humans, is encoded by the BRAF protein is involved in
sending signals within cell growth. Certain inherited BRAF mutations cause birth
defects. Alternatively, other acquired mutations in adults may cause cancer.
CAR-T (chimeric antigen
receptor) T-cell therapy
A type of treatment in which a patient's I cells (a type of immune system cell) are genetically
modified so they will attack cancer cells. T cells are taken from a patient's blood. Then the gene
for a special receptor that binds to a certain protein on the patient's cancer cells is added in the
laboratory. The special receptor is called a chimeric antigen receptor (CAR). Large numbers of the
CAR T cells are grown in the laboratory and given to the patient by infusion. CAR T-cell therapy
is being studied in the treatment of some types of cancer.
CE-mark The CE-mark is a mandatory conformance mark on many products placed on the market in the
European Union. With the CE-marking on a product, the manufacturer ensures that the product
is in conformity with the essential requirements of the applicable European Union directives. The
letters "CE" stand for 'Conformité Européenne' ('European Conformity').
Cell therapy Cell therapy (or cellular therapy or cytotherapy) is therapy in which cellular material is injected,
grafted or implanted into a patient. This generally means intact, living cells. For example, T cells
capable of fighting cancer cell-mediated immunity may be injected in the course of
immunotherapy.
ctDNA This is circulating tumor DNA.
(CDx) Companion Diagnostics
favorably to a specific medical treatment; (i) what the optimal dose is for a patient; and
(ii) whether the patient can expect certain side effects from a medical treatment. Any
prescription of a drug with a CDx is based on the outcome of the CDx. CUx tests are also used in
the drug development process.
CLIA The Clinical Laboratory Improvement Amendments of 1988 (CLA) regulations include federal
standards applicable to all U.S. facilities or sites that test human specimens for health assessment
or to diagnose, prevent, or treat disease (source: https://wwwn.cdc.qov/clia/).
Deoxyribonucleic acid
(DNA)
DNA is a nucleic acid molecule that contains the genetic instructions used in the development and
functioning of living organisms.
receptor (EGFR) Epidermal growth factor
in abnormally high levels on the surface of many types of cancer cells.
embedded (FFPE) Formalin fixed, paraffin
to preserve the structural integrity of the sample is then embedded into a type of
paraffin wax so that it can be sliced into very fine slices, 5-10 microns thick. Treating samples in
this manner enables the samples to be stained with dyes to analyse abnormalities in tissue that is
suspected of cancer.
US Food and Drug
Administration (FDA)
The FDA is a federal agency of the United States Department of Health and Human Services
responsible for protecting and promoting public health through the regulation and supervision of,
among other things, medical devices.
Immunoassay Immunoassays are assays that measure biomarkers through antigen-antibody interaction
technologies. In most cases such assays are used to measure biomarkers of the immune system
itself, e.g. HCV or HIV antibodies produced by the bodies, which are detected by means of HCV
or HIV antigens.
Immuno-oncology Immuno-oncology is the study and development of treatments that make use of the body's
immune system to fight cancer.
In vitro diagnostics or
In vitro diagnosis (IVD)
IVD is a diagnostic test outside of a living body in contrast to "in vivo", in which tests are
conducted in a living body (for example an X-ray or CT-scan).
oncogene (KRAS) Kirsten rat sarcoma-2 virus KRAS is a protein that, in humans, is encoded by the KRAS gene. Like other members of the Ras
family, the KRAS protein is a GTPase (a large family of hydrolase enzymes that can bind and
hydrolyse guanosine triphosphate), and is an early player in many signal transduction pathways.
The protein product of the normal KRAS gene performs an essential function in normal tissue
signalling, and the mutation of a KRAS gene is associated with the development of many cancers.
Metastatic Colorectal
Cancer (mCRC)
Colorectal Cancer (CRC) is the second most common cancer worldwide, with an estimated
incidence of more than 1.36 million new cases annually. According to the International Agency for
Research on Cancer, an estimated 694,000 deaths from CRC occur worldwide every year,
accounting for 8.5% of all cancer deaths and making it the fourth most common cause of death
from cancer.
Molecular diagnostics
(MDx)
MDx is a form of diagnostic testing used to detect specific sequences in DNA or RNA that may or
may not be associated with disease. Clinical applications of MDx include infectious disease testing,
oncology, pharmacogenomics and genetic disease screening.
MRD (Minimal Residual
Disease)
MRD is used to refer to small numbers of leukaemic cells from the bone marrow) that
remain in the person during treatment, or after treatment when the patient is in remission (no
symptoms or signs of disease). It is the major cause of relapse in cancer and leukemia. In cancer
treatment, particularly leukaemia, MRD testing has several important roles: determing whether
treatment has eradicated the cancer or whether traces remain, comparing the efficacy of different
treatments, monitoring patient remission status as well as detecting recurrence of the leukaema
or cancer, and choosing the treatment that will best meet those needs .
Micro satellite instability
(MSI)
MSI is a genetic hyper-mutability condition resulting from MMR that is functioning abnormally.
Multiplexing The simultaneous detection of more than one analyte or biomarker from a single sample.
Neuroblastoma RAS viral NRAS is a protein that is encoded, in humans, by the NRAS gene. Like other members of the Ras
(v-ras) oncogene (NRAS) family, the NRAS protein is a GTPase (a large family of hydrolase enzymes that can bind and
hydrolyse guanosine triphosphate), and is an early player in many signal transduction pathways.
The protein product of the normal NRAS gene performs an essential function in normal tissue
signaling, and the mutation of a NRAS gene is associated with the development of many cancers.
(NGS) Next-Generation Sequencing is the process of determing the precise order of nucleotides within a DNA molecule.
It includes any method or technology that is used to determine the order of the four bases-
adenine, guanine, cytosine, and thymine-in a strand of DNA. The high demand for low-cost
sequencing has driven the development of high-throughput sequencing technologies that
parallelize the sequencing process, producing thousands or millions of sequences concurrently.

High-throughput sequencing technologies are intended to lower the cost of DNA sequencing beyond what is possible with standard dye-terminator methods.

  • Polymerase chain reaction The specific and exponential amplification of DNA sequences by consecutive thermal cycling (PCR) steps. Real-time PCR is a form of PCR whereby the amplified sequences are made visible by means of fluorescent labelling in real time, i.e., as they become synthesized. Real-time PCR can be used to estimate the quantity of target DNA sequences in a multiplexed way. PCR and real-time PCR can also be used to detect and quantify RNA sequences after a DNA copy has been made from the RNA sequence by means of a reverse transcriptase enzyme.
  • Protein Polypeptide chain built from the 20 natural amino acids. Proteins are synthesized from a messenger RNA copy of a gene and can have many functions in the cytoskeleton of the cell, enzymatic, messenger functions in cells and blood such as immune cytokines, DNA binding proteins that regulate expression, etc.
  • Research Use Only (RUO) This is a category of non-approved (i.e. no CE-marking and FDA approval) medical device products that can solely be used for research purposes. Many producers introduce their products first as RUO and/or IUO products, prior to obtaining 510(k) clearance or PMA approval.
  • Ribonucleic acid (RNA) They can have a scaffolding role in the build-up of complexes (ribosomes, SNRPs), provide sequence recognition (translation, RNA spicing), have catalytic function (ribozymes), act as messengers for protein synthesis (mRNAs), regulate gene expression (miRNAs) or make up the genome of certain viruses.
  • Targeted therapy Targeted therapy works by targeting the cancer's specific genes, proteins, or the tissue environment that contributes to cancer growth and survival. These genes and proteins are found in cancer cells or in cells related to cancer growth, like blood vessel cells. Molecular diagnostic tests are needed to identify the specific gene mutations that drive cancer, so the physician can use this information to define the best possible treatment for the patient.

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