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Immunovia

Quarterly Report Nov 11, 2021

3061_10-q_2021-11-11_231df367-48c4-441c-95b4-fc8393b6a442.pdf

Quarterly Report

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INTERIM REPORT JANUARY – SEPTEMBER 2021

Key indicators
SEK thousand unless otherwise stated 2021
Jul-Sep
2020
Jul-Sep
2021
Jan-Sep
2020
Jan-Sep
2020
Full year
Net sales 377 37 539 210 362
Operating earnings -39,938 -35,432 -115,752 -96,232 -134,343
Earnings before tax -36,131 -38,064 -108,838 -99,914 -146,033
Net earnings -36,131 -38,064 -108,838 -99,914 -146,033
Earnings per share before dilution (SEK) -1.60 -1.68 -4.81 -4.78 -6.84
Earnings per share before after dilution (SEK) -1.60 -1.68 -4.81 -4.78 -6.84
Equity ratio (%) 88 91 88 91 91
Number of shares at the end of the period 22,631,581 22 ,603,081 22,631,581 22,603,081 22,631,581

Significant events July-September 2021

On August 3, Immunovia Inc. received a clinical laboratory licensure from the Massachusetts Department of Public Health. This means that Immunovia, Inc. has been approved, and now has begun, to sell its blood test for early detection of pancreatic cancer IMMray™ PanCan-d in the USA, exclusively through the laboratory in Marlborough, Massachusetts.

In August, Immunovia provided two updates regarding the IMMray™ PanCan-d test. First, the test was launched at a list price of USD 995 per test. Second, the test was launched for those individuals with CA 19-9 levels greater than 2.5 U/ml. The overall sensitivity of the test then improves to 89 percent in stages I and II, and 92 percent in all stages. The specificity of the test is 99 percent for stage I & II.

In September, Immunovia entered a license agreement with the South Korean company JW Bioscience for pancreatic cancer biomarkers to strengthen it´s IP portfolio. The license agreement secures Immunovia global commercial rights for two biomarkers in the IMMray™ PanCan-d biomarker signature. Immunovia discovered these biomarkers independently of JW Bioscience and has now fully secured the intellectual property rights.

In September, Pancreatic Cancer Action Network (PanCAN), which is one of the most influential patient advocacy groups in the USA, informed its constituents about Immunovia's IMMray™ PanCan-d test on its website, in their social media channels and through direct email contacts. A special training for the PanCAN's Patient Services team about the test has been performed for the team to be able to inform and answer incoming questions about the test.

Significant events after the period

In October, it was communicated that Karin Almqvist Liwendahl will join Immunovia as new Chief Financial Officer (CFO) at the latest by April 1st, 2022. Karin is an experienced CFO and Investor Relations professional with a background in the telecom and life sciences industries. Current CFO Hans Liljenborg will continue with Immunovia in the position as Finance Director.

CEO's COMMENTS

All energy directed towards the USA to secure a successful market penetration

I am very pleased that we right from the start of the commercialization of our blood test IMMray™ PanCan-d in the USA have received so much positive feedback from the pancreatic cancer community. The largest patient organization with more than 1 million constituents, Pancreatic Cancer Action Network (PanCAN), informed about our test underlining that it is the first-ever blood test specific for pancreatic cancer available to high risk individuals. This strong support is important in achieving the prioritized goal for Immunovia: A successful market penetration in the US market.

Additional support for our test came from National Pancreas Foundation (NPF). I am extremely proud that we as a company can make impact in so many people's lives. Individuals who have lived with pancreatic cancer in the family for years, now have the chance of being surveilled with our highly accurate, non-invasive blood test. This is important since pancreatic cancer is becoming the third deadliest cancer in the USA and finding the tumor in an early stage is the only way to increase survival for these patients.

First phase of commercialization

After the sales start in August, we are now seeing an upgoing trend with increasing number of orders. As we analyze this first phase of commercialization, based on self-pay, there are some circumstances to have in mind. Firstly, there is still a pandemic that constrains physical visits to clinics in the USA. Secondly, there is an ordering process of some weeks from that a person decides to take the test and until a blood sample is sent to our lab

and a test is being invoiced. Thirdly, established surveillance centers are awaiting a peer reviewed article on our validation study, before they decide on whether to recommend our test to the patients enrolled in the programs. I am convinced that as soon as the validation study article is published in a peer-reviewed journal, which we expect to take place before year-end, the established surveillance centers will also start employing our test. Therefore, a real boost in sales can be expected when the society opens fully again and reimbursement is in place. Over time, IMMray™ PanCan-d has the potential to increase the number of patients being surveilled within the programs since it is non invasive and much more cost efficient than current diagnostic methods such as computerized tomography (CT), magnetic resonance imaging (MRI) and endoscopic ultrasound (EUS).

CAP accreditation - the process that opens for all remaining states

Another important step for Immunovia in the USA will be the College of American Pathologists' (CAP) accreditation of Immunovia, Inc.'s laboratory outside Boston. The CAP accreditation will make our test available in New York, California, Maryland, Pennsylvania, and Rhode Island, the only five states where Immunovia's test still not is available. The CAP application has been filed and an on-site inspection is scheduled in the first quarter 2022. The CAP accreditation is part of a standard procedure for Laboratory Developed Tests like IMMray™ PanCan-d.

It follows the CLIA licensure and is the gold standard for laboratories in the USA.

INTERIM REPORT JANUARY-SEPTEMBER, 2021

3

Solid reimbursement plan

As earlier communicated, we aim for reimbursement agreements with most US payers prior to year-end 2022. An important part of the reimbursement process is to present necessary evidence for the clinical utility of the test. Immunovia has a major, ongoing prospective clinical study in the familial/hereditary high risk group called PanFAM-1 that will be used for reimbursement purposes. The study is progressing according to plan, expected to be finalized before end of the year, and we will present interim results in the first quarter of 2022.

Update on the market launch

To maximize our impact, we will initially prioritize the USA. To secure the successful market penetration in the USA, the leading market for cancer tests in the world, we have initiated a search for a CEO for Immunovia Inc. with experience from the US diagnostic market who will advance the introduction of our test in the US. We are now also signficantly expanding the US sales and marketing capabilities. The test will, however, be available in Europe through our collaborating clinics and we will continue to work towards a general launch in Europe by maintaining our close working relation with these clinics.

Finally, I want to reiterate our goal of a long-term market penetration in the USA of 30 percent after reimbursement and widespread coverage has been achieved. Our estimates show that the addressable market size for IMMray™ PanCan-d in the USA is over USD 4 billion.

We have a unique position as a pioneer within early detection of pancreatic cancer. Thank you for your continued support for Immunovia.

" We aim for reimbursement agreements with most US payers prior to year-end 2022. An important part of the reimbursement process is to present necessary evidence to establish the clinical utility of the test.

November, 2021 Patrik Dahlen, CEO, Immunovia AB

Table of contents

Group's performance over the period 5
Share information 6
Incentive scheme 7
Consolidated income statement in summary 8
Consolidated comprehensive income in summary 8
Consolidated financial position in summary 9
Change in consolidated equity in summary 10
Consolidated cash flow statement in summary 11
Consolidated key indicators 12
Definitions 13
Parent company's income statement in summary 14
Parent company's comprehensive income in summary 14
Parent company's financial position in summary 15
Parent company's cash flow statement in summary 16
Accounting principles 17
Auditor's report 21
Glossary 22
Immunovia in brief 24

About the report

This information was submitted for publication on November 11, 2021, at 16. 00 (CET)

This financial statement has been produced in accordance with IFRS for the Immunovia Group Immunovia which comprises Immunovia AB and the wholly-owned subsidiaries Immunovia Inc, Immunovia GmbH, Immunovia Dx Laboratories AB and Immunovia Incentive AB.

Contact Immunovia AB (publ),

Medicon Village, Scheelevägen 8, 223 63 Lund, Sweden

For further information please contact Patrik Dahlen, CEO

[email protected]

january-september 2021

The Group's performance over the period

Net sales

Net sales for Q3 2021 amounted to SEK 377,000 (37,000). Net sales are divided between sales of tests SEK 65,000 and royalties SEK 312,000. For the period January to September, sales amounted to SEK 539,000 divided between sales of tests SEK 65,000 and royalties SEK 474,000

Earnings

The net loss for Q3 2021 was SEK -36.13 million (-38.06). Study costs have fallen at the same time as depreciation has increased due to the depreciation of the capitalization of development costs that started in Q2 2021.

Other external costs and personnel costs fell by SEK 9.84 million during Q3 compared with the corresponding period last year and totaled SEK 31.23 million. The reduction is due to a reduction in the costs of clinical trials.

Research & Development

Total R&D costs for Q3 2021 amounted to SEK 8.31 million (9.10), equivalent to 22% (21) of the Group's total operating expenses.

Financing and cash flow

The cash flow from operating activities for Q3 2021 amounted to SEK -38.29 million (-33.26). The corresponding cash flow for the period January to September 2021 amounted to SEK -102.54 million (-84.95).

Cash and cash equivalents as of September 30, 2021 amounted to SEK 339.17 million (510.59).

Equity at the end of the period amounted to SEK 484.41 million (668.75) and the equity ratio was 88% (91).

The management believes that there is sufficient working capital to cover working capital needs, given the current business and development plan for approximately 1.5 years.

Investments

In Q3 2021, intangible assets totaling SEK 1.81 million (8.80) were acquired, consisting of capitalized development expenditure of SEK 0 million (8.09) and patents of SEK 1.81 million (489,000) and other intangible assets 0 (244,000). During the period January to September 2021, intangible assets totaling SEK 20.91 million (33.39) were acquired, consisting of capitalized development expenditure of SEK 18.41 million (30.37), patents of SEK 2.49 million (1.57 m) and other intangible assets 0 (1.47 m).

During Q2 2021, development was completed on the company's test for the early detection of pancreatic cancer and with this, the capitalization of development costs for this ended and depreciation of the capitalized costs began.

Investments in tangible fixed assets in the form of equipment were made of SEK 1.02 million (2.19) during Q3 2021. For the period January – September 2021, investments in tangible fixed assets amounted to SEK 2.57 million (3.33).

No financial investments were made during the period January to September 2021.

Employees

The average number of employees during Q3 2021 was 68 (63) and at the end of the period the number of employees was 68 (67).

Share information

The number of registered shares amounted to 22,631,581 shares at the end of the reporting period. The share's nominal value is SEK 0.05.

Year Event Total share
capital (SEK
Change
(SEK)
Total no. of
shares
Change in
shares
Nominal
value (SEK)
May 24, 2007 Formation 100,000.00 100,000.00 1,000,000 1,000,000 0.10
Oct 19, 2011 New share issue 105,263.00 5,263.00 1,052,630 52,630 0.10
Oct 27, 2011 Share split 5:1 105,263.00 - 5,263,150 4,210,520 0.02
July 5, 2012 New share issue 108,869.92 3,606.92 5,443,496 180,346 0.02
May 21, 2013 New share issue 122,483.76 13,613.84 6,124,188 680,692 0.02
Sep 10, 2013 New share issue 124,899.76 2,416.00 6 ,244,988 120,800 0.02
Jun 5, 2014 New share issue 220,924.32 96,024.56 11,046,216 4,801,228 0.02
Aug 13, 2015 Bonus issue 552,310.80 331,386.48 11,046,216 - 0.05
Dec 17, 2015 New share issue 714,560.80 162,250.00 14,291,216 3,245,000 0.05
Sep 15, 2016 New share issue 823,728.40 109,167.60 16,474,568 2,183,352 0.05
Oct 17, 2016 New share issue 840,202.95 16,474.55 16,804,059 329,491 0.05
Oct 4, 2017 New share issue
via warrants
865,902.95 25,700.00 17,318,059 514,000 0.05
Jun 8, 2018 New share issue 974,042.65 108,139.70 19,480,853 2,162,794 0.05
Sep 19, 2018 New share issue
via warrants
976,567.65 2,525.00 19,531,353 50,500 0.05
Sep 9, 2019 New share issue
via warrants
982,742.65 6,175.00 19,654,853 123,500 0.05
June 4, 2020 New share issue 1,130,154.05 147,411.40 22,603,081 2,918,228 0.05
Oct 4, 2020 New share issue
via warrants
1,131,579.05 1,425.00 22,631,581 28,500 0.05
At end of period 1,131,579.05 22,631,581 0.05

Share capital development

The 10 largest shareholders on September 30, 2021

Shareholders No. of shares Share (capital and votes)
Carl Borrebaeck 1,709,900 7.56%
Ålandsbanken (on behalf of owner) 1,419,406 6.27%
Avanza Pension 1,252,465 5.53%
Per Mats Ohlin 848,950 3.75%
Sara Andersson Ek 848,907 3.75%
Christer Wingren 748,525 3.31%
Vincent Saldell 628,830 2.78%
Credit Suisse (Switzerland) LDT 564,184 2.49%
Nordnet Pensionsförsäkring 465,609 2.06%
Coeli Wealth Management AB 416,983 1.84%
Ten largest owners 8,903,759 39.34%
Others 13,727,822 60.66%
Total 22,631,581 100.00%

Incentive schemes

Immunovia has three outstanding warrant schemes comprising 515,650 options with the right to subscribe for 515,650 shares. There is no dilution effect on earnings per share as long as the Group's earnings are negative.

Warrant scheme

The warrant schemes are aimed at employees and key personnel in the company. At the time of allotment, all warrants have been valued according to Black & Scholes' valuation model. A summary of the company's warrant schemes can be found below.

Alternative cash-based incentive schemes

In countries where the allotment of warrant schemes is not appropriate for various reasons, it has been decided to introduce alternative cash-based incentive schemes for employees and key personnel in the company. The alternative incentive schemes are designed in such a way that their financial effect corresponds to the terms of the corresponding warrant scheme. The total cost to the company for the cash-based incentive schemes is shown in the breakdown below

All warrant schemes are subject to customary recalculation terms in connection with share issues, etc.

Breakdown of outstanding incentive scheme

Incentive scheme Decision date Utilization period Number of
outstanding
warrants
Sub
scription
price/
share
Change in share
capital at full
utilization
Total cost of
alternative
cash-based
incentive
schemes (USD)
Warrant scheme
2018/2021
May 3, 2018 Sep 7, 2021 -- Oct
7, 2021
156,150 271.05 7,807.50
Warrant scheme
2019/2023
Apr 26, 2019 Jun 1, 2023 -- Jun
30, 2023
79,500 342.06 3,975.00
Warrant scheme
2020/2024
Sep 23, 2020 Jun 1, 2024 -- Jun
30, 2024
280,000 455.59 14,000.00
Alternative cash
based incentive scheme
2018/2021
May 3, 2018 Sep 7, 2021 -- Oct
7, 2021
250,000
Alternative cash
based incentive scheme
2019/2023
Apr 26, 2019 Jun 1, 2023 -- Jun
30, 2023
520,000
Alternative cash
based incentive scheme
2020/2024
Sep 23, 2020 Jun 1, 2024 -- Jun
30, 2024
192,000
Total 515,650 25,782.50 962,000

Consolidated income statement, summary

2021 2020 2021 2020 2020
SEK thousands Jul-Sep Jul-Sep Jan-Sep Jan-Sep Full Year
Operating income etc
Net sales 377 37 539 210 362
Other operating income 9 63 74 299 624
Total, operating income 386 100 612 509 986
Operating expenses
Raw materials and consumables -2,674 0 -2,674 0 0
Other external expenses -16,183 -20,759 -65,551 -70,017 -91,147
Personnel costs -15,046 -20,305 -53,351 -49,311 -73,968
Capitalized work for own account 0 8,097 18,502 30,372 40,020
Amortization of tangible and intangible assets -6,215 -2,444 -12,871 -7,313 -9,763
Other operating expenses -207 -121 -419 -471 -471
Total operating expenses -40,324 -35,532 -116,364 -96,740 -135,329
Operating earnings/loss -39,938 -35,432 -115,752 -96,232 -134,343
Profit/loss from financial items
Financial income 4,159 237 10,363 5,465 5,692
Financial expenses -351 -2,869 -3,449 -9,147 -17,382
Total financial items 3,808 -2,632 6,914 -3,682 -11,690
Earnings/loss after financial items -36,131 -38,064 -108,838 -99,914 -146,033
Income tax 0 0 0 0 0
Earnings/loss for the period -36,131 -38,064 -108,838 -99,914 -146,033
Earnings per share before dilution (SEK) -1.60 -1.68 -4.81 -4.78 -6.84
Earnings per share after dilution (SEK) -1.60 -1.68 -4.81 -4.78 -6.84
Average number of shares 22,631,581 22,603,081 22,631,581 20,910,580 21,340,672
Number of shares at year's end 22,631,581 22,603,081 22,631,581 22,603,081 22,631,581

Consolidated comprehensive income, summary

2021 2020 2021 2020 2020
SEK thousands Jul-Sep Jul-Sep Jan-Sep Jan-Sep Full year
Earnings/loss for the period -36 131 -38,064 -108 838 -99,914 -146,033
Items that may be reclassified later in the income state
ment
Exchange rate differences for foreign net investment -215 2,380 -6,592 2,708 9,317
Other earnings/loss for the period -215 2,380 -6,592 2,708 9,317
Comprehensive income for the period -36,346 -35,684 -115,429 -97,206 -136,716

Consolidated financial position, summary

2021 2020 2020
SEK thousands Sep 30 Sep 30 Dec 31
ASSETS
Fixed assets
Intangible fixed assets 151,227 125,014 134,935
Tangible fixed assets 49,044 51,225 48,701
Financial fixed assets 2,948 3,014 2,746
Total fixed assets 203,219 179,253 186,382
Current assets
Inventory 1,312 0 0
Accounts receivable 52 0 0
Other short term receivables 8,051 7,243 6,334
Cash and cash equivalents 339,165 510,593 468,462
Total current assets 348,580 517,836 474,796
TOTAL ASSETS 551,799 697,089 661,178
EQUITY AND LIABILITIES
Equity
Share capital 1,132 1,130 1,132
Other contributed capital 1,015,730 1,009,450 1,015,291
Translation reserve 1,723 1,705 8,315
Retained earnings incl. total comprehensive income -534,171 -379,214 -425,334
Total equity 484,414 633,071 599,404
Long-term liabilities
Interest-bearing liabilities 28,674 30,900 27,988
Total long-term liabilities 28,674 30,900 27,988
Current liabilities
Interest-bearing liabilities
Other liabilities
5,861
32,850
3,475
29,643
5,143
28,643
Total current liabilities 38,711 33,118 33,786
TOTAL EQUITY AND LIABILITIES 551,799 697,089 661,178

Change in consolidated equity, summary

Share Other
contributed
Accumulated
earnings/loss for
SEK thousands capital equity Reserves the period Total equity
Opening balance January 1, 2020 983 636,924 -1,002 -279,301 357,604
Comprehensive income for the period 2,707 -99,913 -97,206
Transactions with owners in their
capacity as owners
New share issue 147 397,863 398,010
Share issue cost 25,337 -25,337
Closing balance September 30, 2020 1,130 1,009,450 1,705 -379,214 633,071
Comprehensive income for the period 6,610 -46,120 -39,509
Transactions with owners in their
capacity as owners
New share issue 2 5,840 5,842
Closing balance December 31, 2020 1,132 1,015,291 8,315 -425,334 599,404
Comprehensive income for the period -6,592 -108,838 -115,430
Transactions with owners in their
capacity as owners
Deposited share warrant premiums 440 440
Closing balance September 30, 2021 1,132 1,015,731 1,723 -534,172 484,414

Consolidated cash flow statement, summary

2021 2020 2021 2020 2020
SEK thousands Jul-Sep Jul-Sep Jan-Sep Jan -Sep Full year
Operating activities
Operating earnings/loss -39,938 -35,432 -115,752 -96,231 -134,343
Adjustment for items not included in cash flow 6,212 2,507 12,751 7,280 9,945
Interest received 155 237 558 350 577
Interest paid -351 -348 -1,092 -1,079 -1,415
Tax paid 0 0 0 0 0
Cash flow from operating activities before chang
es in working capital
-33,922 -33,036 -103,535 -89,680 -125,236
Cash flow from changes in working capital
Change in inventory 694 0 -1,289 0 0
Change in operating receivables 2,174 108 -1,641 -1,501 -579
Change in operating liabilities -7,234 -338 3,927 6,234 5,111
Cash flow from operating activities -38,288 -33,266 -102,538 -84,947 -120,704
Investment activities
Investment in intangible assets -1,813 -8,830 -20,905 -33,394 -43,497
Investment in tangible assets -1,019 -2,192 -2,568 -3,305 -3,998
Investment in financial fixed assets 0 0 0 0 0
Sale of fixed assets 0 0 186 0 537
Cash flow from investment activities -2,831 -11,022 -23,287 -36,699 -46,958
Financing activities
Amortization of leasing liability -1,429 -1,197 -4,267 -3,690 -4,936
New share issue 0 0 0 372,673 378,516
Received warrants premiums 0 0 440 0 0
Cash flow from financing activities -1,429 -1,197 -3,827 368,983 373,580
Cash flow for the period -42,549 -45,485 -129,652 247,337 205,918
Cash and cash equivalents at start of period 381,550 556,191 468,462 263,345 263,345
Exchange rate difference in cash and cash
equivalents 164 -113 355 -89 -801
Cash and cash equivalents at end of period 339,165 510,593 339,165 510,593 468,462

Consolidated key indicators

2021 2020 2021 2020 2020 2019
Jul-Sep Jul-Sep Jan-Sep Jan-Sep Full year Full year
Operating earnings/loss (SEK 000) -39,938 -35,432 -115,752 -96,232 -134,343 -114,248
Earnings/loss for the year (SEK 000) -36,131 -38,064 -108,838 -99,914 -146,033 -114,521
Earnings per share before dilution (SEK) -1.60 -1.68 -4.81 -4.78 -6.84 -5.85
Earnings per share after dilution (SEK) -1.60 -1.68 -4.81 -4.78 -6.84 -5.85
R&D expenses (SEK 000) -8,314 -9,103 -24,245 -35,200 -48,078 -34,273
R&D expenses as percentage of operating
expenses (%)
22 21 25 28 28 26
Cash and cash equivalents at the period's end
(SEK 000)
339,165 510,593 339,165 510,593 468,462 263,345
Cash flow from operating activities (SEK 000) -38,288 -33,266 -102,538 -84,947 -120,704 -91,954
Cash flow for the period (SEK 000) -42,549 -45,485 -129,652 247,337 205,918 -122,797
Equity (SEK 000) 484,414 633,071 484,414 668,755 599,404 357,604
Equity per share (SEK) 21.40 28.01 21.40 28.01 26.49 18.19
Equity / assets ratio (%) 88 91 88 91 91 85
Average number of employees 68 63 68 60 63 48
Average number of employees in R&D 22 22 22 22 21 19

Definitions

Key indicator Definition Motivation for using financial key indicator
not defined pursuant to IFRS
Net sales Revenues from goods and services
sold, and royalties received relating
to the main activity during the
relevant period.
Operating earnings/loss Earnings/loss before financial items
and tax.
Operating earnings/loss provides a view of the
earnings that the company's ordinary activities
have generated.
Basic and diluted earnings
per share
Earnings/loss divided by the
weighted number of shares in the
period before and after dilution
respectively.
Average number of shares
before and after dilution
The average number of outstanding
shares in the period before and
after dilution respectively. Because
the group is generating a loss, there
is no dilution, despite the subscrip
tion price being lower than the
share price.
R&D expenses The company's direct expenses for
research and development. Expen
ses for staff, materials and external
services.
The company's main activity is research and
development. Management considers that
R&D expenses are an important parameter to
monitor as an indicator of activity levels.
R&D expenses as a percen
tage of operating expenses
R&D expenses divided by operating
expenses, which include other ex
ternal expenses, personnel expen
ses, depreciation and amortization.
Management considers that the company's
R&D expenses in relation to total expenses
are an important indication of the proportion of
total expenses that are used for the company's
main activity.
Cash and cash equivalents Cash and bank balances.
Cash flow from operating
activities
Cash flow before cash flow from
investing activities and financing
activities.
Cash flow for the period
(SEK 000)
The change in cash and cash
equivalents for the period excluding
effective unrealized exchange rate
gains and exchange rate losses.
Equity per share (SEK) Equity divided by the number of
shares at the end of the period.
Management follows this indicator to monitor
the value of equity per share.
Equity/assets ratio Equity as a percentage of total
assets.
Management follows this indicator of the
company's financial stability.
Average number of
employees
The average number of employees
is the total of working-hours in
the period divided by scheduled
working hours for the period.
Average number of
employees in R&D
The average of the number of
employees in the company's research
and development functions.
Parent company's income statement,
summary
2021 2020 2021 2020 2020
SEK thousands Jul-Sep Jul-Sep Jan-Sep Jan-Sep Full year
Operating income etc.
Net sales 3,516 37 4,379 210 362
Capitalized work for own account 0 8,097 18,502 30,372 40,020
Other operating income 7 72 67 308 451
Total operating income 3,523 8,206 22,948 30,890 40,833
Operating expenses
Raw material and consumables -704 0 -867 0 0
Other external expenses -13,142 -19,748 -59,286 -67,029 -89,134
Personnel costs -8,984 -8,769 -34,082 -29,484 -48,835
Amortization of intangible and
tangible fixed assets -4,336 -829 -7,386 -2,471 -3,310
Other operating expenses -207 -120 -419 -471 -471
Total operating expenses -27,373 -29,466 -102,040 -99,455 -141,750
Operating earnings/loss -23,850 -21,260 -79,092 -68,565 -100,917
Operating expenses
Financial incomes 5,049 761 12,708 6,955 7,982
Financial expenses 0 -2,522 -2,356 -8,068 -15,967
Total financial items 5,049 -1,761 10,352 -1,113 -7,985
Earnings/loss after financial items -18,801 -23,021 -68,739 -69,678 -108,902
Allocations
Group contributions received 0 0 0 0 88
Total allocations 0 0 0 0 88
Earnings/loss before tax -18,801 -23,021 -68,739 -69,678 -108,814
Income tax 0 0 0 0 0
Earnings/loss for the period -18,801 -23,021 -68,739 -69,678 -108,814

Parent company's comprehensive income, summary

2021 2020 2021 2020 2020
SEK thousands Jul-Sep Jul-Sep Jan-Sep Jan-Sep Full Year
Earnings/loss for the period -18,801 -23,021 -68,739 -69,678 -108,814
Other earnings/loss for the period 0 0 0 0 0
Comprehensive income for the period -18,801 -23,031 -68,739 -69,678 -108,814

Parent company's balance sheet, summary

2021 2020 2020
SEK thousands Sep 30 Sep 30 Dec 31
ASSETS
Fixed assets
Intangible fixed assets 149,830 123,494 133,550
Tangible fixed assets 10,864 11,887 11,384
Financial fixed assets 328 329 328
Total fixed assets 161,022 135,710 145,262
Current assets
Inventory 1,001 0 0
Receivables from Group companies 132,251 78,151 85,556
Current receivables 2,929 3,150 3,850
Prepaid expenses and accrued income 2,718 3,586 3,088
Cash and cash equivalents 334,999 507,914 461,730
Total current assets 473,898 592,801 554,224
TOTAL ASSETS 634,920 728,511 699,486
EQUITY AND LIABILITIES
Equity
Restricted equity 1,132 1,130 1,132
Fund for development expenses 120,140 95,941 105,589
Total equity and liabilities 121,272 97,071 106,721
Non-restricted equity
Premium fund 0 372,526 378,367
Retained earnings including comprehensive income 482,147 235,856 187,070
Total non-restricted equity 482,147 608,382 565,437
Total equity 603,419 705,453 672,158
Current liabilities
Other liabilities 31,501 23,058 27,328
Total current liabilities 31,501 23,058 27,328
TOTAL EQUITY AND LIABILITIES 634,920 728,511 699,486

Parent company's cash flow statement, summary

2021 2020 2020
SEK thousands Jan-Sep Jan-Sep Full year
Operating activities
Operating earnings/loss -79,092 -68,565 -100,917
Adjustment for items not included in cash flow 7,405 2,471 3,221
Interest received 558 349 576
Interest paid -2 -3 -3
Tax paid 0 0 0
Cash flow from operating activities before changes in working
capital -71,131 -65,748 -97,123
Cash flow from changes in working capital
Change in inventory -1,001 0 0
Change in operating receivables -35,606 -26,097 -40,715
Change in operating liabilities 4,173 152 4,420
Cash flow from operating activities -103,565 -91,693 -133,418
Investment activities
Investment in intangible fixed assets -20,991 -32,766 -42,882
Investment in tangible fixed assets -2,361 -1,922 -2,645
Investment in financial fixed assets 0 -25 -25
Sale of fixed assets 186 0 537
Cash flow from investment activities -23,166 - 34,713 -45,015
Financing activities
New share issue 0 372,673 378,516
Cash flow from financing activities 0 372,673 378,516
Cash flow for the period -126,731 246,267 200,083
Cash and cash equivalents at start of period 461,730 261,647 261,647
Cash and cash equivalents at period's end 334,999 507,914 461,730

Accounting principles

Accounting principles

The Group applies the Swedish Annual Accounts Act and International Financial Reporting Standards (IFRS) as adopted by the EU, and RFR 1 complementary accounting rules for Groups when preparing financial reports. The parent company applies the Swedish annual accounts act and RFR 2 Accounting for legal entities when preparing financial reports. The applied accounting principles are consistent with those applied in the 2020 annual report.

This interim report has been prepared in accordance with IAS 34 Interim.

New and amended standards adopted with effect from 2021 are not expected to have any significant impact on the Group's financial position.

OTHER INFORMATION

Financial instruments

The Group currently has no financial instruments valued at fair value. Instead, all financial assets and liabilities are valued at accrued acquisition cost. It is estimated that there are no significant differences between fair value and book value relating to financial assets and liabilities.

Inventory

Inventory is reported by applying the first-in-first-out principle (FIFU). Raw materials and finished and half-finished products purchased are valued at the lower out of acquisition and net sales value. Manufactured finished and half-finished products are valued at the lower of the manufacturing cost of the goods (including a reasonable share of indirect manufacturing costs) and the net sales value. When trading between Group companies, market conditions are applied. In the case of obsolescence and internal profits, the necessary provisions and eliminations are made.

Revenue recognition

Of this year's net sales, SEK 65,000 refers to sales of test results. These contracts contain a performance commitment, which means carrying out tests on blood samples for the customers, i.e. the patients. The test result is sent to the patients immediately after the analysis has been carried out. Revenue recognition takes place when the test result has been sent, i.e. transferred to the patient, which means that revenue recognition takes place at a certain time.

Transactions with related parties

In addition to salaries and other remuneration to the executive management and board fees, according to a resolution by the AGM, the company has also entered into a consultancy agreement with CB Ocean Capital AB for services to be performed by lmmunovia's chairman and its second largest shareholder Carl Borrebaeck. The services provided do not include tasks that belong to board assignments, but the services are aimed at providing the company with scientific and strategic support for scientific presentations and conferences, for example. This agreement runs until further notice with three months' notice for both parties and remuneration per quarter amounts to SEK 41,000.

Risks

lmmunovia is exposed to financial risks and business risks. Financial risk management and the financial risks are described below. The company's business risks are presented on page 37 of the 2020 annual report. In addition to the risks presented, the impact of the COVID-19 pandemic on the world's economy is currently difficult to predict, thus making it difficult to predict the general developments in lmmunovia's future markets.

Market risk

Currency risk

The Group operates both nationally and internationally, which involves exposure to fluctuations in various currencies, in particular USD and EUR. Currency risk arises from future commercial transactions and recognized assets and liabilities. The scope of the company's operations currently means that net exposure in foreign currencies is limited. The company therefore does not have a currency hedging policy.

Interest risk in cash flow

Interest risk is the risk that the value of financial instruments will fluctuate due to changes in market interest rates. The Group currently only has interest-bearing financial assets in the form of bank deposits as well as interest-bearing liabilities in the form of leasing debt for premises.

Credit risk

Credit risk is the risk of one party in a transaction with a financial instrument failing to meet its obligations. The maximum exposure to credit risk on financial assets as of September 30, 2021 was SEK 342.7 million (513.6).

Liquidity risk

Prudent liquidity risk management implies maintaining sufficient cash or agreed credit options to close market positions. Based on the existing business plan, there is enough liquidity for approximately 1.5 years ahead.

OTHER INFORMATION

Review

This interim report has been reviewed by the company's auditors.

Financial calendar

Financial statement 2021, Thursday, February 17, 2022 Q1 interim report 2022, Thursday April 28, 2022 Q2 interim report 2022, Tuesday August 16, 2022 Q3 interim report 2022, Thursday November 10, 2022 Financial statement 2022, Thursday February 9, 2023

Annual General meeting

Tuesday, March 15, 2022

Contact information:

lmmunovia AB (publ), Medicon Village, Scheelevägen 8, 223 63 Lund, Sweden Tel: 046-275 60 00 Email: [email protected] Web: www.immunovia.com For further information please contact: • Patrik Dahlen, CEO • [email protected]

Telephone conference November 11, 2021, at 16.30 (CET)

Telephone numbers: Sweden: +46 8 505 583 52 United Kingdom: +44 333 300 92 73 United States: +1 646 722 49 57 Belgium: +32 262 005 47 Denmark: +45 787 232 51 France: +33 170 750 719 Germany: +49 692 222 391 65 Norway: +47 239 636 88 Switzerland: +41 225 805 976 Netherlands: +31 207 219 496

Link to the webcast: https://financialhearings.com/event/14002

INTERIM REPORT JANUARY-SEPTEMBER, 2021

20

The Board and the CEO certify that the interim report gives a true and fair view of the company's and the Group's operations, position and results, and describes significant risks and uncertainties that the company and the companies making up the Group face.

Lund November 11, 2021
Carl Borrebaeck Hans Johansson
Chairman of the board Board member
Ann-Christine Sundell Christofer Sjögren
Board member Board member
Mimmi Ekberg Peter Høngaard Andersen
Board member Board member
Martin Møller Patrik Dahlen
Board member CEO

IMMUNOVIA AB EARLY DETECTION

Auditor's Review Report

Introduction

I have reviewed the condensed interim financial information (interim report) of Immunovia AB (publ) as of September 30, 2021, , and the nine months period then ended. The Board of Directors and the CEO are responsible for the preparation and presentation of the interim report in accordance with IAS 34 and the Swedish Annual Accounts Act. My responsibility is to express a conclusion on this interim report based on my review.

Scope of the review

I conducted my review in accordance with the International Standard on Review Engagements ISRE 2410, Review of Interim Report Performed by the Independent Auditor of the Entity. A review consists of making inquiries, primarily of persons responsible for financial and accounting matters, and applying analytical and other review procedures. A review is substantially less in scope than an audit conducted in accordance with International Standards on Auditing, ISA, and other generally accepted auditing standards in Sweden. The procedures performed in a review do not enable me to obtain assurance that would make me aware of all significant matters that might be identified in an audit. Therefore, the conclusion expressed based on a review does not give the same level of assurance as a conclusion expressed based on an audit.

Conclusion

Based on my review, nothing has come to my attention that causes me to believe that the interim report is not prepared, in all material respects, in accordance with IAS 34 and the Swedish Annual Accounts Act, regarding the Group, and with the Swedish Annual Accounts Act, regarding the Parent Company.

Lund November 11, 2021

Mats-Åke Andersson Authorized Public Accountant

Glossary

Antigen - A foreign body substance that elicits a reaction of the immune system in contact with the organism. The substance may be a chemical substance, a protein or a carbohydrate.

Autoimmunity – Autoimmunity is the immune system's harmful attack on the body's own tissue, which can take the form of disease or rejection of organs during transplantation.

Benign – If a tumor is benign it means that the tumor is not dangerous and will not spread.

Bioinformatics – Bioinformatics is an interdisciplinary field in which algorithms are developed for the analysis of biological (especially molecular biology) data.

Biomarker – A biomarker can be defined as a biological response to a change caused by disease or foreign substance. Biomarkers can be used as early warning signs of biological changes in an organism.

CAP -College of American Pathologists. The CAP has deemed status under CLIA to accredit laboratories performing testing on specimens from human beings or animals, using methodologies and clinical application within the expertise of the program. Laboratories must be appropriately licensed to perform testing when required by law.

CLIA -Clinical Laboratory Improvement Amendments. The Centers for Medicare & Medicaid Services (CMS) regulates all laboratory testing performed on humans in the U.S. through the Clinical Laboratory Improvement Amendments (CLIA). The objective of the CLIA program is to ensure quality laboratory testing. All clinical laboratories must be properly certified to receive Medicare or Medicaid payments.

Discovery Trial – Research carried out in order to verify a special hypothesis.

Histology – Histology is the study of biological tissue.

Invasive – Invasive means to penetrate or attack. Invasive medical examinations refer to examinations that include any form of penetration through a hole in the body or surgical operation.

Malignant – Malignant tumors tend to worsen and become mortal. They are termed cancer, and thus differ from benign tumors.

Metastasis – A metastasis is a tumor that has spread to other organs.

Microarray – A microarray is a molecular biology test format for simultaneously measuring the relative concentrations of proteins.

Molecular Diagnosis – A collection of technologies used to analyze biological markers at the genomic and protein levels (i.e., the genetic code of individuals and how their cells express their genes as proteins in the body), using molecular biology for medical testing. These technologies are used to diagnose and monitor disease, detect the risk of disease and to determine which treatment is likely to work best for the individual.

NOD type 2 – Newly Onset Diabetes type 2.

NPV– Negative Predicted Value.

NSCLC – Non-Small Cell Lung Cancer, the most common type of lung cancer, 80-85% of all lung cancer cases.

Palliative care – Palliative care is administered when the patient's disease is beyond the ability to cure. The purpose of palliative care is to provide support to patients and families using both psychological and medical practices.

PanDIA-1 – Prospective trial for the diabetes risk group of patients aged over 50 recently diagnosed with type-2 diabetes.

PanFAM-1 – Prospective trial for familiar and hereditary risk groups.

Pancreatologist – Doctor specializing in diseases relating to the pancreas.

PanSYM-1 – Prospective trial for early symptom risk groups.

PDAC– Pancreatic ductal adenocarcinoma, the most common form of pancreatic cancer.

Prospective trial – A trial in which a group of individuals is studied and followed often for a long time to see how a particular disease develops. A prospective trial is used to study the relationship between different risk factors and a certain disease. You follow individuals with and without risk factors going forwards over time. At the end of the trial, the proportion of individuals in the two groups who developed disease is compared.

Proteomics – Proteomics is a branch of biology and includes surveys of large amounts of data about proteins.

Reproducibility – Within the field of statistics, reproducibility is described as the correlation between results from repeated measurements performed by different observers with different instruments of the same type, which measurements are performed in order to reject any measurement error due to materials and personnel.

Resectable– Able to be removed by surgery.

Retrospective study – A study in which the focus is on something that has happened in the past, i.e. using historic data. This form of study starts with the answer, i.e. it is known which individuals became ill and which did not.

Screening – Screening refers to medical examinations to identify a disease. It is normally carried out before the patient has exhibited obvious symptoms.

Self-pay customers – Patients or organizations that pay without reimbursement from insurance companies or authorities.

Sensitivity – Sensitivity is a statistical measure of the reliability of a binary diagnostic test and the probability that a generated positive result is correct.

Serum – A serum is a transparent yellowish liquid obtained by allowing the blood to clot, and then removing the blood cells and the coagulation proteins. Serum contains proteins, including antibodies.

Specificity – Specificity is a statistical measure of the reliability of a binary diagnostic test and the probability that the generated negative result is de facto negative.

lmmunovia in brief

Immunovia's vision is to revolutionize blood-based diagnostics and increase survival rates for patients with cancer. By developing and commercializing non-invasive blood tests, more patients can receive a timely diagnosis that can lead to improved treatment outcomes. Our initial area of focus is pancreatic cancer, which has a very poor prognosis as it is normally detected when the patient has only months to live. Immunovia has launched the world's first blood test dedicated to early detection of pancreatic cancer in the USA with the aim of improving the outlook for these patients.

Cancer is a leading and growing cause of death around the world and in 2020 resulted in the deaths of 10 million people1 . Early detection of cancer and effective treatments are critical in addressing this challenge. Immunovia's expertise in blood-based biomarkers are used to develop tests to detect cancers with a significant medical need. In this way, Immunovia contributes to hope and improved outcomes for these patients.

First commercial test

The first test that Immunovia has developed is a blood test for the early detection of pancreatic cancer. Available in the USA, this is the first time that patients with hereditary and familial risk of pancreatic cancer have a possibility for continued surveillance using a simple blood test. Because of its non-specific symptoms, most patients receive their diagnosis at a late stage when surgery is no longer an option. When detected too late very few patients live five years after their diagnosis. Pancreatic cancer is becoming the third deadliest form of cancer.

Early detection of pancreatic cancer is therefore crucial for increasing the survival rate of this patient group, when found at an early stage the five year survival increases tenfold. Other diagnostic methods available, such as MRI, CT and EUS, are expensive, invasive and require healthcare personnel with specialist knowledge. With Immunovia's more cost-effective and non-invasive blood test, more high-risk individuals can be tested and surveilled.

Large addressable market

As a Laboratory Developed Test, Immunovia markets the test exclusively through its subsidiary Immunovia Inc, which has its CLIA-certified laboratory located outside Boston, Massachusetts. The test is initially available for individuals to purchase out-of-pocket until sales with reimbursement start, which is expected to occur late 2022.

Immunovia focus on a successful commercialization in the USA as the largest market for non-invasive cancer tests. Using its own sales organization, Immunovia is engaging with the leading university hospitals, established surveillance programs and national centers for pancreatic diseases, other large hospitals and healthcare facilities, as well as local hospitals.

The addressable market in the USA for the detection of pancreatic cancer is over USD 4 billion. Immunovia has a long-term goal of achieving a market share of 30 percent once reimbursement has been achieved. In addition to the USA, Immunovia aims to launch the test in suitable markets in Europe and Asia with the aim of providing global access to the test.

Core competency in biomarker study design

Immunovia has a deep understanding of pancreatic cancer disease and diagnosis, with a strong connection to the pancreatic cancer community, having the world's largest network of key opinion leaders in pancreatic cancer. This has enabled Immunovia to develop and commercialize diagnostics with unmatched clinical performance.

Through the work in pancreactic cancer, Immunovia has extensive experience and expertise in designing clinical studies for biomarker discovery and validation. Immunovia's employees understand the importance of standardized sample collection, statistical design and bioinformatics for translating discoveries into diagnostic assays in Immunovia's CLIA certified laboratory.

Immunovia's core competences are transferable to other types of cancer in the pipeline.

  1. Source: Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, et al. Global Cancer Observatory: Cancer Today. Lyon: International Agency for Research on Cancer; 2020 (https://gco.iarc.fr/today, accessed February 2021).

IMMray™ PanCan-d enables diagnosis of patients with pancreatic cancer before symptoms are noted (stages I and II).

It is estimated that early detection of pancreatic cancer would increase the five-year survival rate up to 50 percent.

IMMUNOVIA AB EARLY DETECTION Phone: +46 (0)46-275 60 00 [email protected] www.immunovia.com

Scheelevägen 8, Medicon Village 223 63 Lund, Sweden

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