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REG - Ondine Biomedical - Ondine Biomedical Reports Robust Growth in H1 2024

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RNS Number : 1970G  Ondine Biomedical Inc.  30 September 2024

ONDINE BIOMEDICAL INC.

("Ondine Biomedical", "Ondine" or the "Company")

 

Ondine Biomedical Reports Robust Growth in H1 2024

 

Unaudited results for the six months to 30 June 2024

 

Ondine Biomedical Inc. (AIM:OBI), a leading provider of light-activated
antimicrobial technology to prevent and treat hospital infections, is pleased
to announce strong operational results for the first half of 2024,
highlighting significant progress and expansion in its commercial and clinical
endeavors.

 

Financial figures throughout this interim report are in Canadian dollars
unless otherwise specified.

 

Operational Highlights

 

·      Commercial growth: Adoption of the Company's novel
light-activated antimicrobial, Steriwave(®), increased by 190% to 29
hospitals by the end of H1 2024 (H1 2023: 10 Hospitals). Commenced commercial
roll-out of the 2(nd) generation Nasal Illuminator in Canada post-period.

 

·      Strategic partnership: Following the end of H1 2024, the Company
announced a strategic partnership with Mölnlycke Health Care, a world-leading
MedTech company that specializes in innovative solutions for wound care and
surgical procedures, to bring Ondine's Steriwave nasal decolonization
technology to the UK, EU, and Middle Eastern markets.

 

·      Clinical trial progress: In June, the Clinical trial agreement
for the US Phase 3 trial was signed with HCA Healthcare (HCA). Ondine, HCA and
the contract research organization are collaboratively finalizing the details
and site selection for the trial.

 

·      Advancing into ICU: As previously announced, the Company
accelerated plans to pursue the large and critical ICU market, and has
partnered with the Royal Columbian Hospital Foundation's Advancing Innovation
in Medicine (AIM) division to study Steriwave in intensive care units (ICU).

 

Financial Highlights

 

·      Revenue of $0.9 million, reflecting a 101% increase compared to
$0.4 million in H1 2023.

·      Gross margin at 62%, up 300 basis points from 59% in H1 2023.

·      Loss from operations of $7.8 million (H1 2023: $8.0 million).

·      Cash, cash equivalents and restricted cash of $1.4 million as at
30 June 2024 (31 December 2023: $3.1 million).

·      Secured c.$11 million of capital in support of commercial growth
and general operations comprised of $6 million in May 2024 and a post-period
private placement of $5 million to be delivered on or before 8 November 2024.

·      Financial support of $0.7 million from Founder and CEO Carolyn
Cross was received on an interest free, unsecured basis along with commitment
for continued working capital support on similar terms while the Company
secures additional long-term finance.

 

Carolyn Cross, CEO:

 

"Our significant revenue growth and expanded hospital adoption of Steriwave
are testaments to the technology's efficacy as well as the need for simple
solutions to prevent complex hospital infections. The Mölnlycke partnership
underscores the value we bring to healthcare systems and marks a new era of
accelerated growth for Ondine as we pursue approval for the large US market
and expansion into critical care settings. We are excited about the road ahead
and continued momentum in the second half of 2024."

 

Live Presentation

 

Ondine will be hosting a presentation to all existing and potential
shareholders at 16:30 BST (08:30 Pacific time) held via the Investor Meet
Company platform. Questions can be submitted at any time during the live
presentation.

 

Investors can sign up to Investor Meet Company for free and add to meet ONDINE
BIOMEDICAL INC. via:
https://www.investormeetcompany.com/ondine-biomedical-inc/register-investor
(https://www.investormeetcompany.com/ondine-biomedical-inc/register-investor)

 

Investors who already follow ONDINE BIOMEDICAL INC. on the Investor Meet
Company platform will automatically be invited.

 

Related Party Transaction

 

On 30 September Carolyn Cross provided a loan (the "Loan") of C$400,000 to the
Company for additional working capital ahead of securing longer term
financing. This is in addition to the C$285,000 loan provided on 11 September
2024. The Loan is deemed to constitute a related party transaction for the
purpose of AIM Rule 13. The Company's Independent Directors, having consulted
with Singer Capital Markets, the Company's nominated adviser, consider that
the terms of the Loan are fair and reasonable insofar as Shareholders are
concerned.

 

As previously announced, Carolyn and Robert Cross, who jointly own 49.5% of
the Company, have indicated they will continue to support the Company with
short term financing on similar favourable terms to extend the runway while
the Company secures longer term financing.

 

Enquiries:

 

 Ondine Biomedical Inc.
 Carolyn Cross, CEO                                           +1 (604) 665 0555

 Singer Capital Markets (Nominated Adviser and Joint Broker)
 Phil Davies, Sam Butcher                                     +44 (0)20 7496 3000

 RBC Capital Markets (Joint Broker)
 Rupert Walford, Kathryn Deegan                               +44 (0)20 7653 4000

 Vane Percy & Roberts (Media Contact)
 Simon Vane Percy, Amanda Bernard                             +44 (0)77 1000 5910

 

 

About Ondine Biomedical Inc.

 

Ondine Biomedical Inc. is a clinical Canadian life sciences company and leader
in light-activated antimicrobial therapies (also known as
'photodisinfection'). Ondine has a pipeline of investigational products, based
on its proprietary photodisinfection technology, in various stages of
development.

 

Ondine's nasal photodisinfection system has a CE mark in Europe and the UK and
is approved in Canada and several other countries under the name
Steriwave(®). In the US, it has been granted Qualified Infectious Disease
Product designation and Fast Track status by the FDA and is currently
undergoing clinical trials for regulatory approval. Products beyond nasal
photodisinfection include therapies for a variety of medical indications such
as chronic sinusitis, ventilator-associated pneumonia, burns and other
indications.

 

 

Chief Executive Officer's Statement

 

The first half of 2024 has been productive for Ondine, marked by robust growth
and significant commercial advancements. Our continued progress is a direct
reflection of the dedication and hard work of our team, our supporters and
shareholders, as well as the trust placed in us by the healthcare
professionals we serve.

 

Commercial Traction

 

Our recent commercial traction and rapid new hospital adoption rate have led
to our strategic partnership with Mölnlycke Health Care, a global leader in
the wound care and infection control industry, announced on 23 September 2024.
This partnership will help to accelerate adoption of Steriwave in key markets,
starting initially with the United Kingdom, which has a total addressable
market of over 3 million major surgeries annually(( 1  (#_ftn1) )) and over
200,000 annual intensive care unit (ICU) admissions. 2  (#_ftn2)

 

Successful outcomes in initial hospital deployments continue to fuel adoption
growth in our target markets of Canada and the UK. We grew the number of
hospitals which are using, or have approved use of, Steriwave to 29 (190%
increase year-over-year) and doubled our revenues compared to the same period
last year. We are now deployed in five of Canada's 10 largest hospitals and
aim to be in 9 of 10 of Canada's largest hospitals by the end of next year.

 

This year Ondine made significant inroads into the UK's National Health
Service (NHS), in addition to our existing sales into the HCA UK network. In
June, Steriwave became the first light-activated antimicrobial therapy to be
listed on the NHS Supply Chain, the online procurement system which simplifies
the purchasing process for NHS hospitals and clinics across England and Wales.

 

Following a successful initial pilot program, Ondine signed its first
commercial contract with Mid Yorkshire Teaching NHS Trust - the first of the
NHS Trusts to officially adopt universal nasal decolonization for presurgical
patients. Mid Yorkshire Teaching NHS Trust accelerated its adoption of
Steriwave into 2 hospitals, Pinderfields and Pontefract Hospitals, as standard
of care. In a collaboration with Health Innovation Yorkshire & Humber and
the York Health Economics Consortium (YHEC), data from the Mid Yorkshire
hospitals is being used to conduct a health economic analysis of Steriwave.
The findings, expected in the fourth quarter, should help to support further
adoption into hospitals across the NHS Trusts in light of the NHS long term
goals of innovative solutions to address antimicrobial resistance, reduced
costs and improved patient outcomes.

 

Clinical Advancements

 

With the clinical trial and CRO agreements signed, and work progressing on
site selections and finalizing details with principal investigators, we are
poised to initiate our US Phase 3 trial with HCA Healthcare once the necessary
funding is obtained, a key steppingstone to access the large US market. This
trial, to be conducted at 14 HCA hospitals, will compare standard-of-care
infection prevention practices with, and without, Steriwave nasal
decolonization. The primary endpoint of this 5,000-patient trial is the
reduction of surgical site infections, one of the most prevalent
healthcare-associated infections (HAI) that costs US healthcare billions of
dollars annually. We are very pleased to have esteemed Dr. Ed Septimus -
Professor of Internal Medicine, Texas A&M College of Medicine and Senior
Lecturer at Harvard Medical School - as Co-Medical Monitor for this large US
clinical study.

 

Another major application for Steriwave is in intensive care units (ICU),
where 12-13% of patients suffer from hospital-acquired infections,
significantly increasing length of stay, mortality, and costly burden to
overstretched healthcare resources. Preventing these infections is a priority
for hospitals and nasal decolonization for these high-risk patients is
recommended in multiple guidelines, including from the Centers for Disease
Control and Prevention (CDC), the World Health Organization (WHO), the Society
for Healthcare Epidemiology of America (SHEA) and Infectious Diseases Society
of America (IDSA), and the European Guidelines (ESCMID). We are, therefore,
very pleased with our recently announced research collaboration with the Royal
Columbian Hospital Foundation & Advancing Innovation in Medicine (AIM)
division led by Dr Steven Reynolds in support of Steriwave's intensive care
unit application. This collaboration sets the stage to unlock the expansive
global ICU market, where nasal decolonization (using topical antibiotic
ointments over 5 days) is already recognized as a key infection prevention
strategy.

 

The purpose of this strategic initiative is to integrate Ondine's Steriwave
into ICU infection control and workflow protocols to determine the impact of
rapid broad spectrum nasal decolonization on ICU infection rates, length of
stay and mortality rates. Commencing with a four-month feasibility phase with
a minimum of 320 ICU patients at Royal Columbian Hospital (RCH), the initial
research is aimed at optimizing workflow protocols and collecting vital data
on enrolment rates and baseline infection metrics. Results from this initial
phase will inform a larger multicenter study involving up to 2,000 ICU
patients to assess pharmacoeconomics, infection prevention, and patient
outcomes in critical care settings. The $855,000 pilot study, supported by the
RCH Foundation, will be funded by Ondine through the issuance of equity, over
four milestones.

 

Financial Performance

 

On the financial front, we are pleased that revenues more than doubled
year-on-year while holding operating costs steady, offsetting increased costs
related to Phase 3 clinical trial preparations with strategic cost-saving
measures. Cost of goods sold continued to fall, further increasing gross
margins to 62%, up 300 basis points from 59% in H1 2023.

 

We raised circa $11 million, including a successful financing of over $6
million in May and $5 million post-period in a private placement financing.
Furthermore, Ondine has the working capital support of founders and
substantial shareholders while currently exploring longer term funding options
with our advisors, and we are confident in the ability to secure longer-term
growth capital.

 

Outlook

 

2024 is proving to be a pivotal year for the Company with significant progress
made on the commercial and clinical development fronts. Looking ahead, we have
an exciting and challenging chapter before us, one that will very much define
us in the years to come. We are ready.

 

On behalf of the Board and all the Ondine employees, we would like to thank
our numerous supporters and shareholders for the many contributions that pave
the way for our continued success.

 

Carolyn Cross

Chief Executive Officer

30 September 2024

 

 

 

 

Ondine Biomedical Inc.

Unaudited condensed consolidated interim statements of financial position

(In thousands of Canadian dollars)

                                             Notes  June 30, 2024  December 31, 2023

                                                     $             $
 Assets
 Current assets
 Cash                                               1,218          2,981
 Restricted cash                                    152             157
 Accounts and other receivables              4, 16   238           326
 Inventory                                   5       1,288         1,066
 Prepaid expenses and deposits               6        326           220
                                                      3,222         4,750
 Non-current assets
 Property and equipment                      7      767             949
 Other assets                                6       36             35
                                                     803            984
 Total Assets                                        4,025          5,734
 Liabilities
 Current liabilities
 Accounts payable and other liabilities      8, 16   3,440         3,108
 Current portion of lease liability          9      351            382
 Current portion of warrant liability        10     215            -
                                                     4,006         3,490
 Non-current liabilities
 Lease liability                             9       -             159
                                                    -              159
 Total Liabilities                                  4,006          3,649
 Equity
 Share capital                               11      244,829       239,647
 Contributed surplus                                10,528         10,258
 Reserves                                            18,758        18,244
 Deficit                                             (274,096)      (266,334)
 Total Shareholders' Equity                          19            2,085
 Total Liabilities and Shareholders' Equity         4,025          5,734

Going concern - Note 1; Commitments and contingencies - Note 14; Subsequent
events - Note 22

 Approved on behalf of the Board:

 "Carolyn Cross"                                        "Jean Charest"

 

 

The accompanying notes are an integral part of these unaudited condensed
consolidated interim financial statements.

 

 

 

Ondine Biomedical Inc.

Unaudited condensed consolidated interim statements of loss and comprehensive
loss

(In thousands of Canadian dollars, except share and per share amounts)

 For the six months ended June 30,
                                                                Notes   2024           2023

                                                                        $              $
 Revenue                                                        13, 15   859           428
 Cost of goods sold                                             17      (330)          (177)
 Gross margin                                                           529            251
 Expenses                                                       18
 General and administration                                              4,272         4,747
 Research and development                                               3,301          2,185
 Marketing and sales                                                    514            1,055
 Depreciation and amortization                                  7       272            294
                                                                        8,359          8,281
 Loss from operations                                                   (7,830)        (8,030)

 Other income (expense)
 Government loan forgiveness                                            -               151
 Accretion and interest expense                                          (22)           (20)
 Interest income                                                        -              204
 Loss on disposal of property and equipment                             -              (95)
 Change in fair value of warrant liability                              112            -
 Other income (expense)                                                 (2)            (5)
 Foreign exchange gain (loss)                                           (20)           (105)
                                                                        68             130
 Net loss for the period                                                (7,762)        (7,900)
 Other comprehensive loss
 Exchange differences on translation of foreign operations (1)          28             (16)
 Total comprehensive loss                                               (7,734)        (7,916)

 Net loss per share
 Basic and diluted                                                       (0.03)         (0.04))

 Weighted average number of shares outstanding
 Basic and diluted                                                       241,469,143   194,715,848

 

(1)  May be reclassified to profit or loss in subsequent periods.

 

The accompanying notes are an integral part of these unaudited condensed
consolidated interim financial statements.

 

 

Ondine Biomedical Inc.

Unaudited condensed consolidated interim statements of changes in equity

(In thousands of Canadian dollars, except share amounts)

                                                     Number of common shares  Share capital  Contributed surplus  Share-based payment reserve  Currency translation reserve  Accumulated Deficit  Equity

(Note 11)

                                                                              $              $                    $                            $                             $                    $
 Balance, January 1, 2023                             194,592,857              235,042        10,528               18,479                       (483)                         (251,922)

                                                                                                                                                                                                   11,644
 Issuance of share capital - Note 11                 390,550                  370            -                    (370)                        -                              -                   -
 Share-based payments - Note 12                       -                        -             -                    417                          -                             -                    417
 Total comprehensive loss for the period              -                        -             -                     -                           (16)                          (7,900)              (7,916)
  Balance, June 30, 2023                              194,983,407              235,412        10,528              18,526                       (499)                         (259,822)            4,145
 Balance, January 1, 2024                            226,753,789              239,647         10,528              18,726                       (482)                          (266,334)           2,085
 Issuance of share capital upon financing - Note 10  50,531,970               5,732          -                    -                            -                             -                    5,732
 Share issuance costs - Note 11                      -                        (550)          -                    -                            -                             -                    (550)
 Share-based payments - Note 12                       -                       -              -                    486                          -                             -                    486
 Total comprehensive loss for the period              -                       -              -                    -                            28                            (7,762)              (7,734)
 Balance, June 30, 2024                              277,285,759              244,829         10,528              19,212                       (454)                         (274,096)            19

The accompanying notes are an integral part of these unaudited condensed
consolidated interim financial statements.

 

 

Ondine Biomedical Inc.

Unaudited condensed consolidated interim statements of cash flows

(In thousands of Canadian dollars)

                                                                     For the six months ended June 30,
                                                                     Notes         2024          2023

                                                                                   $             $
 Cash flows from (used in) operating activities
 Net loss for the period                                                            (7,762)      (7,900)
 Adjustments for non-cash items:
 Depreciation of right-of-use assets                                 7             189           187
 Depreciation and amortization of other property and equipment       7             95            118
 Accretion and interest expense                                                    22            20
 Share-based payments                                                12            486           417
 Change in fair value of warrant liability                           10            (112)         -
 Unrealized foreign exchange (gain) loss                                           (21)          111
 Government loan forgiveness                                                       -             (151)
 Loss on disposal of property and equipment                                        -             95
 Other                                                                              -            24
 Changes in non-cash working capital                                 19            19            (1,095)
 Net cash used in operating activities                                             (7,084)       (8,174)
 Cash flows from (used in) financing activities
 Repayment of lease obligations                                                     (224)        (171)
 Repayment of government loan                                                      -             (40)
 Proceeds from public offering                                                     6,059         -
 Share issuance costs                                                              (550)         -
 Net cash from financing activities                                                5,285         (211)
 Cash flows used in investing activities
 Purchase of property and equipment                                  7             (10)          (174)
 Net cash used in investing activities                                             (10)          (174)
 Net decrease in cash and restricted cash                                          (1,809)       (8,559)
 Effect of foreign exchange rate change on cash and restricted cash                41            (127)
 Cash and restricted cash, beginning of period                                     3,138         13,272
 Cash and restricted cash, end of period                                           1,370         4,586

 Supplemental cash flow information                                  19

 

The accompanying notes are an integral part of these unaudited condensed
consolidated interim financial statements.

 

 

 

Ondine Biomedical Inc.

Unaudited condensed consolidated interim statements of cash flows

 (In thousands of Canadian dollars)

 

Cash and restricted cash are comprised
of:
 

                                                            For the six months ended June 30,
                                                                          2024          2023

                                                                          $             $
 Cash                                                                      1,218        4,439
 Restricted cash                                                          152           147
 Cash, cash equivalents and restricted cash, end of period                1,370         4,586

The accompanying notes are an integral part of these unaudited condensed
consolidated interim financial statements.

 

Ondine Biomedical Inc.

Notes to the Unaudited Condensed Consolidated Interim Financial Statements

Year ended December 31, 2023 and 2022

(In thousands of Canadian dollars, except as otherwise indicated)

 

1.     Nature of operations and going concern

Ondine Biomedical Inc. (the "Company") was incorporated under the British
Columbia Business Corporations Act on September 9, 1996. The Company is a
biotechnology company engaged in the development and commercialization of
innovative anti-infective therapies covering a broad spectrum of bacterial,
fungal and viral infections primarily using antimicrobial photodynamic therapy
("aPDT") as a platform technology for its products, which are used as an
alternative to the use of antibiotics. The Company's aPDT products employ
laser-based activation of proprietary compounds to treat a wide range of
medical infections. The address of the Company's corporate office is 888-1100
Melville Street, Vancouver, BC, Canada. The common shares of the Company are
listed on the AIM Market of the London Stock Exchange under the symbol
"OBI.L".

These unaudited condensed consolidated interim financial statements have been
prepared on a going concern basis, which assumes the Company will be able to
meet its obligations and continue its operations in the normal course of
business for at least twelve months from June 30, 2024.

The Company has a history of incurring significant losses and as at June 30,
2024, had an accumulated deficit of $274,096 (December 31, 2023 - $266,334).
As at June 30, 2024, the Company had a cash and cash equivalents balance of
$1,218 (December 31, 2023 - $2,981) and a negative working capital balance of
$784 (December 31, 2023 - positive $1,260). In the six months ended June 30,
2024, cash used in operating activities totaled $7,084 (June 30, 2023 - $
8,174).

The Company's ability to continue as a going concern is dependent on its
ability to develop profitable operations and/or to continue to obtain the
necessary financing to meet its corporate expenditures and discharge its
liabilities in the normal course of business. The Company will need to raise
funds through public or private equity and/or debt financings. Although the
Company has been successful in raising finance in the past there can be no
assurance that it will be successful in the future. If the Company is unable
to generate positive cash flows or obtain adequate financing, the Company may
need to curtail operations. These factors give rise to material uncertainty
that may cast significant doubt on the Company's ability to continue as a
going concern. The consolidated financial statements do not give effect to
adjustments to carrying values and to the classification of assets and
liabilities that would be required if the Company were unable to continue as a
going concern and such adjustments could be material.

2.    Basis of preparation

(a) Statement of compliance

These unaudited condensed consolidated interim financial statements have been
presented in accordance with International Financial Reporting Standards as
issued by the International Accounting Standards Board ("IFRS Accounting
Standards") as applicable to the preparation of consolidated financial
statements, as set out in International Accounting Standard ("IAS") 34,
Interim Financial Reporting. They do not include all the information required
for a complete set of IFRS financial statements. However, selected explanatory
notes are included to explain events and transactions that are significant to
an understanding of the changes in the Company's financial position and
performance since the last annual consolidated financial statements as at and
for the year ended December 31, 2023.

The unaudited condensed consolidated interim financial statements were
approved and authorized for issue by the Board of Directors on September 27,
2024.

(b) Basis of measurement

The unaudited condensed consolidated interim financial statements have been
prepared on a historical cost basis as stated in the accounting policies. The
expenses within the consolidated statements of loss and comprehensive loss are
presented by function. Refer to Note 18 for details of expenses by nature.

(c) Use of estimates, assumptions and judgments

The preparation of unaudited condensed consolidated interim financial
statements in conformity with IFRS requires management to make judgments,
estimates and assumptions that affect the application of accounting policies
and the amounts reported in the consolidated financial statements and
accompanying disclosures. Although these estimates are based on management's
knowledge of current events and actions the Company may undertake in the
future, actual results may differ from the estimates and the differences may
be material.

Estimates and underlying assumptions are reviewed on an ongoing basis.
Revisions to accounting estimates, if any, are recognized in the year in which
the estimates are revised and in any future years affected.

Information about the judgments, estimates and assumptions made by management
in preparing these condensed consolidated interim financial statements are as
described under "Basis of presentation - Judgments and estimates" in the
Company's consolidated financial statements for the year ended December 31,
2023.

3.   Material accounting policies

The accounting policies in these unaudited condensed consolidated interim
financial statements are as described under "Material accounting policies" in
the Company's consolidated financial statements for the year ended December
31, 2023.

 

4.     Accounts and other receivables

                      June 30, 2024  December 31, 2023

                      $              $
 Trade receivables     232           324
 Other receivables    6              2
                      238            326

5.     Inventory

                       June 30, 2024  December 31, 2023

                       $              $
 Raw materials         376            555
 Work-in-progress      -              118
 Finished goods        912            393
                       1,288          1,066

During the six months ended June 30, 2024, raw materials, work-in-progress and
finished goods included in cost of goods sold amounted to $318 (June 30, 2023
- $157). During the six months ended June 30, 2024 and 2023, inventory valued
at $nil and $9, respectively, was written off and reflected within cost of
goods sold.

6.     Prepaids and deposits, and non-current assets

                                                         June 30, 2024  December 31, 2023

                                                         $              $
 Prepaid insurances                                      139            154
 Lease deposits                                          36             35
 Other prepaid costs                                     187            66
                                                         362            255
 Less: Current portion of prepaid expenses and deposits  326            220
 Other non-current assets                                36             35

 

7.   Property and equipment

The Company's property and equipment gross carrying amounts and accumulated
depreciation were as follows:

                              Computer equipment  Furniture and fixtures  Lab and office equipment  Leasehold improvements  Manufacturing equipment and tools  Demo equipment  Right-of-use  Total

                              $                   $                       $                         $                       $                                  $               $             $
 Cost
 Balance, January 1, 2023     291                 246                     472                       292                     781                                164             1,086         3,332
 Additions                    25                  -                       62                        25                      65                                 -               -             177
 Transfers and other          -                   -                       -                         -                       -                                  69              -             69
 Disposals and derecognition  (176)               (193)                   (275)                     -                       (512)                              -               -             (1,156)
 Exchange adjustment          (6)                 (1)                     (11)                      (6)                     (11)                               -               (21)          (56)
 Balance, December 31, 2023   134                 52                      248                       311                     323                                233             1,065         2,366
 Additions                    3                   -                       7                         -                       -                                  67              -             77
 Transfers and other          -                   -                       -                         -                       -                                  -               -             -
 Disposals and derecognition  -                   -                       (10)                      -                       -                                  -               -             (10)
 Exchange adjustment           (6)                1                       8                         9                       11                                 2               31            66
 Balance, June 30, 2024       141                 53                      253                       320                     334                                302             1,096         2,499
 Accumulated depreciation
 Balance, January 1, 2023     193                 230                     433                       292                     527                                32              221           1,928
 Additions                    46                  3                       36                        8                       72                                 47              375           587
 Transfers and other          -                   -                       -                         -                       -                                  (7)             -             (7)
 Disposals and derecognition  (158)               (193)                   (271)                     -                       (435)                              (1)             -             (1,058)
 Exchange adjustment          (4)                 1                       (8)                       (5)                     (7)                                -               (10)          (33)
 Balance, December 31, 2023   77                  41                      190                       295                     157                                71              586           1,417
 Additions                    19                  2                       15                        6                       28                                 25              189           284
 Transfers and other          -                   -                       -                         -                       -                                  -               -             -
 Disposals and derecognition  -                   -                       (10)                      -                       -                                  -               -             (10)
 Exchange adjustment          2                   (1)                     8                         8                       6                                  1               17            41
 Balance, June 30, 2024       98                  42                      203                       309                     191                                97              792           1,732

 Net book value
 December 31, 2023            57                  11                      58                        16                      166                                162             479           949
 June 30, 2024                43                  11                      50                        11                      143                                205             304           767

During the six months ended June 30, 2024, depreciation of $12 (June 30, 2023
- $11) was allocated to cost of goods sold, and $272 to operating expenses
(June 30, 2023 - $294).

 

8.   Accounts payable and other liabilities

                                June 30, 2024  December 31, 2023

                                $              $
 Accounts payable                1,884         1,363
 Accrued liabilities            1,375          1,605
 Employee related payables      108            69
 Accrued interest               73             71
                                3,440          3,108

 

9.   Lease liability

                                  Office spaces and facilities

                                  $
 As at January 1, 2023            896
 Interest accretion               46
 Lease payments                   (388)
 Exchange adjustment              (13)
 As at December 31, 2023          541
 As at January 1, 2024            541
 Interest accretion               18
 Lease payments                   (224)
 Exchange adjustment              16
 As at June 30, 2024              351

 

                            June 30, 20224  December 31, 2023

                            $               $
 Current portion            351             382
 Non-current                -               159
 Total lease liability      351             541

 

The Company's leases are for office spaces and a laboratory facility. The
expense relating to variable lease payments not included in the measurement of
lease obligations was $115 (June 30, 2023 - $86). This consists of variable
lease payments for operating costs and property taxes. Total cash outflow for
leases was $339 (June 30, 2023- $257), including $206 (June 30, 2023 - $150)
of principal payments on lease obligations.

As at June 30, 2024, the minimum annual payments under these leases, including
an estimate of operational costs for its office and laboratory premises based
on current costs, is provided below.

       $
 2024  293
 2025  232
       525

 

 

10.   Warrant liability

                             Units       Amount

                                         $
 Balance, December 31, 2023  -           -
 Issued                      25,265,977  327
 Fair value adjustment       -           (112)
 Balance, June 30, 2024      25,265,977  215

 

On May 9, 2024, as part of the Company's finance raise, 25,265,977 warrants
were granted with an exercise price of GBP0.15 ($0.26) and an expiration date
of February 9, 2025.

The fair value of warrants granted were estimated with the Black-Scholes model
using the following assumptions at the time of grant on May 9, 2024:

 Dividend yield                    0%
 Expected volatility               92%
 Risk-free interest rate           4.28%
 Expected life of options (years)  0.8
 Forfeiture rate                   0%

 

Volatility was estimated by using the historical volatility of the Company's
trading history and volatility history. The expected life in years represents
the period of time that options granted are expected to be outstanding. The
risk-free interest rate is based on Canadian government benchmark bonds with a
term equal to or a remaining term that approximates the expected life of the
warrants.

Issuance costs for the warrants of $31 were recorded in the Comprehensive
Statements of Loss and Comprehensive Loss.

The fair value of the warrants were determined estimated with the
Black-Scholes model using the following assumptions as at June 30, 2024:

 

 Dividend yield                    0%
 Expected volatility               78%
 Risk-free interest rate           4.02%
 Expected life of options (years)   0.6
 Forfeiture rate                   0%

As at June 30, 2024, warrants outstanding had a remaining contractual life of
0.6 years (June 30, 2023- nil).

11.   Share capital

Common Stock

Authorized

An unlimited number of common shares without par value.

 

 

Issued

As at June 30, 2024, the Company's issued share capital consisted of
277,285,759 common shares (December 31, 2023 - 226,753,789).

On May 9, 2024, the Company issued 50,531,970 common shares at a price of
GBP0.07 ($0.12). The Company incurred accounting, legal, advisory and
disbursement costs of $550 directly related to the completion of the finance
raise. The costs incurred were recorded to equity in the consolidated
statement of financial position.

12.  Share-based payments

(a)  Stock Option Plan

On November 1, 2021, the Board of Directors approved and adopted an amended
stock option plan for the Company which provides for the grant of stock
options to directors, officers, employees and consultants from time to time at
the discretion of the directors. Under the terms of the amended stock option
plan, the maximum number of options authorized for issuance is 10% of the
issued and outstanding common shares in any 10-year period for any employee'
share scheme and the maximum number of options authorized for issuance is 5%
of the issued and outstanding common shares in any 10-year period for any
executive share scheme. As at June 30, 2024, the maximum number of total
options that can be outstanding are 27,728,576 (December 31, 2023 -
22,675,379).

A summary of the status of the stock options outstanding is as follows:

                                   June 30, 2024                                       December 31, 2023
                                   Number of options  Weighted average exercise price  Number of options  Weighted average exercise price

                                                      $                                                   $
 Outstanding, beginning of period  3,690,000          0.81                             8,070,000          1.07
 Options granted                   8,940,000          0.15                             50,000             0.29
 Options expired                   -                  -                                -                  -
 Options forfeited                 (86,250)           0.46                             -                  -
 Options cancelled                 (28,750)           0.46                             (75,000)           0.90
 Outstanding, end of period        12,515,000         0.35                             8,045,000          1.07
 Exercisable, end of period        1,795,000          0.82                             4,785,000          1.11

Share-based payments expense for the six months ended June 30, 2024, in the
amount of $486 (June 30, 2023 - $417) was recorded.

 

The outstanding options for the six months ended June 30, 2024 is as follows:

 Exercise price  Number of options  Remaining life (years)
 $     0.01        200,000           2.25
 $     0.15      8,940,000          4.58
 $     0.29      30,000             3.74
 $     0.36      310,000            3.44
 $     0.49      390,000            3.24
 $     0.90        1,070,000        1.88
 $     0.93        1,475,000        2.60
 $     3.00        100,000          2.05
 $     0.35      12,515,000         3.98

 

The fair value of stock options granted during the six months ended June 30,
2024 and 2023 were estimated with the Black-Scholes model using the following
assumptions at the time of grant:

                                   For the six months ended June 30,
                                   2024               2023
 Dividend yield                    0%                 0%
 Annualized volatility             81%                76%
 Risk-free interest rate           3.52%              2.96%
 Expected life of options (years)  5                  5
 Forfeiture rate                   11%                14%

 

Volatility was estimated by using the historical volatility of other companies
that the Company considers comparable that have trading history and volatility
history. The expected life in years represents the period of time that options
granted are expected to be outstanding. The risk-free interest rate is based
on Canadian government benchmark bonds with a term equal to or a remaining
term that approximates the expected life of the options.

The weighted average fair value of stock options granted during the twelve
months ended June 30, 2024, was $0.12 per option (June 30, 2023 - $0.18). As
at June 30, 2024, stock options outstanding had a remaining contractual life
of 3.98 years (June 30, 2023 - 2.11 years).

(b) Warrants

On May 30, 2020 and December 1, 2021, the Company granted warrants entitling
the holders to acquire common shares of the Company as consideration for
ongoing consulting and advisory services. A summary of the status of the
warrants outstanding is as follows:

                                   June 30, 2024                                        June 30, 2023
                                   Number of warrants  Weighted average exercise price  Number of warrants  Weighted average exercise price

                                                       $                                                    $
 Outstanding, beginning of period   2,295,845           1.08                            2,295,845           1.08
 Outstanding, end of year           2,295,845           1.08                             2,295,845          1.08
 Exercisable, end of year           2,295,845           1.08                             2,295,845          1.08

The expense for the six months ended June 30, 2024 was $nil (June 30, 2023 -
$nil). As at June 30, 2024, warrants outstanding had a remaining contractual
life of 0.5 years (June 30, 2023- 1.5 years).

13.  Related party transactions

(a)  Revenues, product shipments and expenses

 For the six months ended June 30,
                    2024     2023

                    $        $
 Product sales (i)   20      -

(i)   Product sales for the six months ended June 30, 2024 were to a related
company. The revenue associated with product shipments was not recognized due
to revenue recognition conditions not being met, and the cost of the product
shipped to a related company was included in cost of goods sold. The revenue
associated with product shipments will be recognized in a subsequent year(s)
upon invoice payment. For the six months ended June 30, 2024, there was $11
(June 30, 2023 - $5) of products shipped to a related party company for which
revenue was not recognized.

(b) Compensation of key management personnel

The Company's key management personnel have the authority and responsibility
for planning, directing and controlling activities of the Company and consists
of the Company's executive officers and directors.

 For the six months ended June 30,
                                                 2024   2023

                                                 $      $
 Compensation and other short-term benefits (i)  721    98
 Directors' fees (ii)                            271    327
 Share-based payments (iii)                      195    52
 Consulting expenses (iv)                        221    74
                                                 1,408  551

(i)   During the six months ended June 30, 2023, the Company reassessed the
initial estimates of the key managements' performance against the established
criteria, leading to a change in estimate of the bonus accrual and reduced
compensation and other short-term benefits by $625.

(ii)   On May 9, 2024, as part of the Company's finance raise, directors'
fees of $271 were paid in the form of Common Shares.

(iii)  On January 25, 2024, the Company granted 5,815,000 stock options to
key management personnel.

(iv)  Expenses incurred for consulting services provided by companies under
the control of an officer and a related party of the Company

 

(c)  Related party balances

                                                          June 30,  December 31, 2023

                                                           2024     $

                                                          $
 Included in warrant liability (i)                        17        -
 Included in accounts payable and other liabilities (ii)  100       45
                                                          117       45

(i)         On May 9, 2024, as part of the Company's finance raise,
key management personnel received 2,039,989 warrants

(ii)        Loans payable to related parties are due to the personal
holding company of the Company's controlling shareholder. The loans payable to
related parties are unsecured. The related party balances included in accounts
payable and other liabilities consist of payables for services incurred to
related parties

14.  Commitments and contingencies

Open purchase order commitments as at June 30, 2024 were $1,521 (December 31,
2023 - $469) for the purchase of inventory and contracted development and
clinical services.

The Company and its subsidiaries may, from time to time, be a party to certain
legal disputes and claims arising from employment, environmental or commercial
issues in the normal course of business. The Company has the following
contingency at June 30, 2024:

(i)         The Company's Barbadian subsidiary held intellectual
property in Barbados until December 22, 2022. As a result of the Barbados
Companies (Economic Substance) Act passed in 2019, the Barbadian subsidiary
must comply with economic substance requirements set out in the legislation.
If the Barbadian subsidiary cannot establish economic substance in Barbados,
the Barbadian subsidiary could be subject to additional financial penalties
and/or could be struck from the register of companies.

On December 22, 2022, the Company transferred the intellectual property from
the Barbadian subsidiary to a new Swiss subsidiary via an intercompany sale at
a fair value which was determined by an independent third party. Challenges
from Barbadian, Swiss, Canadian or United States authorities regarding any of
the foregoing, which results in an unfavorable outcome, could have a material
impact on the financial position and operating results of the Company.

15.  Segmented information

Management has determined that the Company has one reportable operating
segment, aPDT products. This segment accounts for all of the Company's
revenue, cost of goods sold and operating expenses. Determination of the
operating segment was based on the level of financial reporting to the
Company's chief operating decision makers. Revenues are attributed to the
geographic area where the customer is located.

 

 

 For the six months ended June 30,
                  2024  2023

                  $     $
 Product revenue
 Canada           824   390
 Other            35    38
                  859   428

 

Revenue from significant customers are as follows:

 For the six months ended June 30,
             2024  2023

             $     $
 Customer 1  316   290
 Customer 2  212   11
 Other       331   127
             859   428

A summary of non-current assets (excluding other assets) by geographical area
based on the location of the asset is as follows:

                June 30,  December 31, 2023

2024

         $
                $
 Canada         220       210
 United States  547       739
                767       949

 

16.  Financial risk management and financial instruments

All assets and liabilities for which fair value is measured or disclosed in
the unaudited condensed consolidated interim financial statements are
categorized within the fair value hierarchy, described as follows, based on
the lowest level input that is significant to the fair value measurement as a
whole:

Level 1     Unadjusted quoted market prices in active markets for identical
assets or liabilities;

Level 2     Valuation techniques for which the lowest level input that is
significant to the fair value measurement is directly or indirectly
observable; and

Level 3     Valuation techniques for which the lowest level input that is
significant to the fair value measurement is not based on observable market
data.

As at June 30, 2024, the carrying values of cash, restricted cash, accounts
and other receivables, and accounts payable and other liabilities approximate
their fair values because of their nature, relatively short maturity dates.

Financial liabilities measured at fair value through profit or loss on a
recurring basis include the warrant liabilities (Note 10) which are
categorized as Level 2 fair value inputs.

(a)  Management of risks arising from financial instruments

The overall responsibility for the establishment and oversight of the
Company's risk management policies resides with the Board of Directors. The
Company's risk management policies are established to identify, analyze and
manage the risks faced by the Company and to implement appropriate procedures
to monitor risks and adherence to established controls. Risk management
policies and systems are reviewed periodically in response to the Company's
activities and to ensure applicability. The Company, through its financial
assets and liabilities, is exposed to certain risks as follows:

Credit risk

The Company is exposed to credit risk arising from the possibility that cash
held, and accounts receivable are non-recoverable.  However, the Company
believes that its exposure to credit risk in relation to the cash and
receivables is low. All of the cash held by the Company and its subsidiaries
was held with reputable financial institutions. Since the majority of the
Company's customers are considered to have low default risk and its historical
default rate and frequency of losses are low, the lifetime expected credit
loss allowance as at June 30, 2024 is shown in the table below. The Company's
maximum exposure to credit risk is limited to the carrying amount of financial
assets recognized as at June 30, 2024 and June 30, 2023 summarized below:

                                                    June 30,  December 31, 2023

2024

         $
                                                    $
 Classes of financial assets - carrying amounts
 Cash and cash equivalents                          1,218     2,981
 Restricted cash                                    152       157
 Accounts receivable, net of credit loss allowance  238       326
                                                    1,608     3,464

The aging of the Company's accounts receivable is as follows:

                                                June 30,  December 31, 2023

2024

         $
                                                $
 Trade accounts receivable, net of credit loss
 allowance
 Current                                        212       231
 Past due 1 to 30 days                          -         39
 Past due 31 to 60 days                         20        54
                                                232       324
 Other receivables                              6         2
                                                238       326

The change in the Company's credit loss allowance for provision is as follows:

                                         June 30,  December 31, 2023

2024

         $
                                         $
 Balance - beginning of period           903       864
 Credit loss expense - net of reversals  -         9
 Balance - end of period                 903       903

 

Foreign currency risk

The results of the Company's operations are subject to currency transaction
and translation risks. The fair value of future cash flows of a financial
instrument will fluctuate because of changes in foreign exchange rates. The
Company operates in Canada, the United States, the United Kingdom, Barbados,
and Switzerland and is exposed to foreign exchange risk due to fluctuations in
the US Dollar ("US$"), Great British Pound ("GBP"), Barbadian Dollar, and
Swiss Franc against the Canadian dollar. Foreign exchange risk arises from
financial assets and liabilities denominated in currencies other than the
functional currency of the respective entities. The Company's primary risk is
associated with fluctuations between the US$ and Canadian dollar, and the GBP
and Canadian dollar.

The Company has determined that the effect of a 10% increase or decrease in
the US$ and GBP against the Canadian dollar on net financial assets and
liabilities, as at June 30, 2024, including cash, accounts receivables,
accounts payable and other liabilities denominated in US$, and GBP would
result in an increase or decrease of approximately $151 (June 30, 2023 - $261)
in the unaudited condensed consolidated interim statements of loss and
comprehensive loss for the six months ended June 30, 2024.

Interest rate risk

Interest rate risk is the risk that the fair values and future cash flows of
the Company will fluctuate because of changes in market interest rates. The
Company did not incur or have any other interest-bearing assets or
liabilities.

Liquidity risk

Liquidity risk is the risk that the Company will not be able to meet its
obligations as they fall due.  The Company's objective is to ensure that
there is sufficient liquidity to meet its short-term business requirements,
taking into account its anticipated cash flows from operations and its
holdings of cash. The Company's principal sources of liquidity are cash
provided by operations, related party loans, debt and equity issuances. The
Company projects and monitors its cash requirements to accommodate changes in
liquidity needs (Note 1).

In addition to the commitments in Note 9, Note 10 and Note 14, the Company has
the following contractual financial liabilities as at June 30, 2024:

                                            Carrying amount  Contractual cash flows  Less than one year  More than one year

                                            $                $                       $                   $
 Financial liabilities
   Accounts payable and other liabilities   3,440            3,440                   3,440               -
                                            3,440            3,440                   3,440               -

 

 

17.  Cost of goods sold

 For the six months ended June 30,
                               2024  2023

                               $     $
 Inventory - Note 5            318   157
 Inventory write-off - Note 5  -     9
 Depreciation - Note 7         12    11
                               330   177

 

18.  Expenses by nature

General and administration, research and development, marketing and sales, and
depreciation and amortization expenses are comprised of the following expenses
by nature:

 For the six months ended June 30,
                                                 2024   2023

                                                 $      $
 Salaries and benefits                           3,621  2,909
 Professional fees, contractors and consultants  2,333  2,985
 Clinical trial costs                            833    148
 Share based payment                             486    417
 Office and lab costs                            371    676
 Depreciation and amortization                   272    294
 Technology costs                                258    352
 Travel and entertainment                        113    325
 Delivery and logistics                          39     48
 Advertising and promotion                       33     127
                                                 8,359  8,281

 

19.  Supplementary cash flow information

 For the six months ended June 30,
                                            2024   2023
 Changes in non-cash working capital items
 Accounts and other receivables             90     84
 Inventory                                  (262)  153
 Prepaid expenses and deposits              (105)  (60)
 Accounts payable and other liabilities     296    (1,272)
                                            19     (1,095)

20.   Ultimate controlling party

The Company's CEO is the ultimate controlling party of the Company, personally
owning and/or controlling through her personal holding company a total of
40.1% of the issued common shares of the Company as at June 30, 2024 (June 30,
2023 - 55.6%).

On May 9, 2024, as part of the Company's finance raise, 1,825,650 Common
Shares and 912,825 warrants were issued to the controlling shareholder.

21.   Capital management

The Company's objectives when managing capital are to ensure sufficient
liquidity for operations and adequate funding for growth and capital
expenditures while maintaining an efficient balance between debt and equity.

The Company's capital consists of items included in shareholders' equity, debt
facilities net of cash and restricted cash.

 

In order to facilitate the management of capital, the Company prepares annual
expenditure budgets that are updated as necessary and dependent on various
factors, including successful deployment of capital and industry conditions.
The annual budgets are approved by the Board of Directors. The Company is not
subject to any externally imposed capital requirements.

Management believes that existing cash resources, together with cash generated
through operations and funds raised through public or private equity and/or
debt financings, will generate sufficient liquidity to meet operating cash
requirements for at least the next twelve months.

 

22.   Subsequent events

Subsequent to June 30, 2024, the following transactions had occurred:

1.   On September 11, 2024 the Company's controlling shareholder advanced
$285 as unsecured, non-interest-bearing with no specific terms of repayment
related party loan.

2.   On September 23, 2024, the Company has agreed to sell 22,222,222 common
shares for $5,000 at a price of $0.225 (GBP0.125). The closing of the
transaction is expected to be on or before November 8, 2024.

3.   As of September 27, 2024, the Company's controlling shareholder has
agreed to provide the company $400 as unsecured, non-interest-bearing with no
specific terms of repayment related party loan by the end of September.

 

 1  (#_ftnref1) Surgical Procedure Volumes in UK from 2021-2029. Life Science
Intelligence; 2023 Jan. Volume 23.

 2  (#_ftnref2) Hospital Admitted Patient Care Activity, 2011-22. Secondary
Care Analytical Team, NHS Digital. Health and Social Care Information Centre.
22 Sep 2022. (link
(https://digital.nhs.uk/data-and-information/publications/statistical/hospital-admitted-patient-care-activity/2021-22)
)

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