DENVER, Nov. 14, 2023 (GLOBE NEWSWIRE) -- SeaStar Medical Holding Corporation (Nasdaq: ICU) (“SeaStar Medical” or the “Company”), a medical device company developing proprietary solutions to reduce the consequences of hyperinflammation on vital organs, reports financial results for the three and nine months ended September 30, 2023 and provides a business update.
“Recent clinical and regulatory successes have significantly improved and strengthened our company’s prospects,” said Eric Schlorff, SeaStar Medical CEO. “We are addressing the remaining administrative steps outlined by the U.S. Food and Drug Administration (FDA) for approval of the Selective Cytopheretic Device Pediatric (SCD-PED) for children with acute kidney injury (AKI) and sepsis or septic condition requiring continuous kidney replacement therapy (CKRT). Preparations with our distribution partner Nuwellis are underway for commercial launch, which we expect to occur during the first quarter of 2024 following the receipt of the formal Approval Order from the FDA expected between December 2023 and January 2024. It is highly gratifying to be on the cusp of approval to bring the lifesaving benefits of our device to critically ill children.
“In our pivotal trial in adults with AKI, we have activated five clinical sites and enrolled seven patients to date. We are working diligently to qualify additional medical centers to join this trial and our goal is to enroll one patient per site per month,” he added. “The addressable adult AKI population approximates 210,000 patients per year, which is about 50-times larger than the addressable pediatric AKI patient population.
“We are encouraged by the recent grant of Breakthrough Device Designation for the SCD in two additional indications – cardiorenal syndrome and hepatorenal syndrome. We view these grants as the FDA’s further validation of the potential for dysregulating immune response in saving lives and improving outcomes,” Mr. Schlorff concluded.
SeaStar Medical provides the following updates on its clinical programs with its patented, first-in-class SCD, a cell-directed extracorporeal therapy:
Adult Acute Kidney Injury
SeaStar Medical is conducting the pivotal NEUTRALIZE-AKI (NEUTRophil and Monocyte DeActivation via SeLective CytopheretIc Device - a RandomiZEd Clinical Trial in Acute Kidney Injury) clinical trial to evaluate the safety and effectiveness of the SCD-ADULT in adults with AKI in the intensive care unit (ICU) receiving CKRT.
Pediatric Acute Kidney Injury
SeaStar Medical anticipates its first U.S. regulatory approval for the SCD-PED will be for pediatric patients with AKI and sepsis or septic condition weighing 10 kilograms or more who are being treated in the ICU with CKRT. Only about one-half of children in the ICU with AKI who require CKRT survive, with those surviving at risk of long-term life-threatening conditions such as chronic kidney disease.
Additional SCD Indications
SeaStar Medical will continue to explore the application of its SCD technology across a broad range of indications involving dysregulated immune processes where proinflammatory activated neutrophils and monocytes may contribute to disease progression or severity, in both acute and chronic indications.
Third Quarter Financial Results
Research and development (R&D) expenses for the third quarter of 2023 were $1.1 million, compared with $0.7 million for the third quarter of 2022, with the increase primarily resulting from higher clinical trial expenses and an increase in payroll and personnel expenses, partially offset by a decrease in external services.
General and administrative (G&A) expenses for the third quarter of 2023 were $1.8 million, compared with $1.0 million for the third quarter of 2022, with the increase primarily due to increases in insurance expense, higher costs associated with SEC reporting, increases in payroll-related expenses and higher account and tax expenses.
Other expense for the three months ended September 30, 2023 was $4.5 million, compared with other expense of $0.1 million for the three months ended September 30, 2022. The increase primarily resulted from a change in interest expense, change in fair value of convertible notes and loss on extinguishment of convertible notes, partially offset by the change in fair value of warrants liability and other income.
The net loss for the three months ended September 30, 2023 was $7.4 million, or $0.37 per share, compared with a net loss of $1.9 million, or $0.26 per share, for the three months ended September 30, 2022.
Nine Month Financial Results
R&D expenses for the first nine months of 2023 were $4.9 million, compared with $1.7 million for the first nine months of 2022. G&A expenses for the first nine months of 2023 were $6.4 million, versus $2.2 million for the first nine months of 2022.
Other expense for the nine months ended September 30, 2023 was $5.1 million, compared with other income of $0.1 million for the nine months ended September 30, 2022. The difference primarily resulted from an increase in interest expense, the change in fair value of convertible notes, the change in fair value of forward option-prepaid forward contracts and the loss on extinguishment of convertible notes, partially offset by the change in fair value of warrants liability, a gain on sales of recycled shares, the change in fair value of notes payable derivative liability and other income.
The net loss for the nine months ended September 30, 2023 was $16.4 million, or $1.02 per share, compared with a net loss of $3.8 million, or $0.52 per share, for the nine months ended September 30, 2022.
The Company reported cash of $73,000 as of September 30, 2023, compared with $47,000 as of December 31, 2022. At the closing of the merger agreement in October 2022, the Company entered into forward purchase agreements of shares and warrants with the potential to generate up to $10 million in proceeds, depending on the market price of shares. The Company also entered into a $100 million equity line of credit. In March 2023 the Company closed a $3.3 million first tranche of a $9.8 million private placement convertible debt offering, and in May 2023 closed on the second tranche of $2.2 million. The Company issued two convertible notes each for $0.5 million in August 2023 and a third convertible note for $0.5 million in September 2023.
About Hyperinflammation and the Selective Cytopheretic Device
Hyperinflammation is the overproduction or overactivity of inflammatory cells that can lead to damage of vital organs. It occurs when the body overproduces inflammatory effector cells and other molecules that can be toxic or damaging to vital organs, and can result in multi-organ failure and even death. This is known as the cytokine storm.
The Selective Cytopheretic Device (SCD) is a medical device that employs immunomodulating technology to selectively target pro-inflammatory neutrophils and monocytes during CKRT and disrupt the cytokine storm that causes inflammation, organ failure and possibly death in critically ill patients. Unlike pathogen removal and other blood-purification tools, the device works with hemofiltration systems to enable precise fluid and solute balance control to selectively target and transition pro-inflammatory monocytes to reparative and promote activated neutrophils to be less inflammatory. SCD selectively targets the most highly activated pro-inflammatory neutrophils and monocytes. These cells are then returned back into the body through the blood, and the body is signaled to focus on repair. This unique immunomodulation approach may reverse injury and eliminate the need for CKRT going forward.
Clinical Results with the SCD in AKI
The SCD is a patented, cell-directed, extracorporeal device intended to be used as an adjunct therapy that selectively targets and transitions pro-inflammatory monocytes to promote reparative processes and reduce the acute inflammatory and damaging effects of activated neutrophils. Pooled analysis from two non-controlled clinical studies, SCD-PED-01 (funded by the FDA Office of Orphan Products Development) and SCD-PED-02, showed that pediatric patients ≥10kg with AKI requiring CKRT who were treated with the SCD had no device-related serious adverse events or infections, a 77% reduction in mortality rate and no dialysis dependency at Day 60. The SCD-PED-01 (weight range ≥15 kg) and PED-02 (weight range ≥10 kg) studies demonstrated 75% and 83% reductions in mortality, respectively.
About SeaStar Medical
SeaStar Medical is a medical technology company that is redefining how extracorporeal therapies may reduce the consequences of excessive inflammation on vital organs. SeaStar Medical’s novel technologies rely on science and innovation to provide life-saving solutions to critically ill patients. The Company is developing and commercializing cell-directed extracorporeal therapies that target the effector cells that drive systemic inflammation, causing direct tissue damage and secreting a range of pro-inflammatory cytokines that initiate and propagate imbalanced immune responses. For more information visit www.seastarmedical.com or visit us on LinkedIn or Twitter.
Forward-Looking Statements
This press release contains certain forward-looking statements within the meaning of the “safe harbor” provisions of the Private Securities Litigation Reform Act of 1955. These forward-looking statements include, without limitation, SeaStar Medical’s expectations with respect to the ability of SCD to treat patients with AKI and other diseases; the expected regulatory approval process and timeline for commercialization; and the ability of SeaStar Medical to meet the expected timeline. . Words such as “believe,” “project,” “expect,” “anticipate,” “estimate,” “intend,” “strategy,” “future,” “opportunity,” “plan,” “may,” “should,” “will,” “would,” “will be,” “will continue,” “will likely result,” and similar expressions are intended to identify such forward-looking statements. Forward-looking statements are predictions, projections and other statements about future events that are based on current expectations and assumptions and, as a result, are subject to significant risks and uncertainties that could cause the actual results to differ materially from the expected results. Most of these factors are outside SeaStar Medical’s control and are difficult to predict. Factors that may cause actual future events to differ materially from the expected results include, but are not limited to: (i) the risk that SeaStar Medical may not be able to obtain regulatory approval of its SCD product candidates; (ii) the risk that SeaStar Medical may not be able to raise sufficient capital to fund its operations, including clinical trials; (iii) the risk that SeaStar Medical and its current and future collaborators are unable to successfully develop and commercialize its products or services, or experience significant delays in doing so, including failure to achieve approval of its products by applicable federal and state regulators, (iv) the risk that SeaStar Medical may never achieve or sustain profitability; (v) the risk that SeaStar Medical may not be able to access funding under existing agreements, including the equity line of credit and forward purchase agreements; (vi) the risk that third-parties suppliers and manufacturers are not able to fully and timely meet their obligations, (vii) the risk of product liability or regulatory lawsuits or proceedings relating to SeaStar Medical’s products and services, (viii) the risk that SeaStar Medical is unable to secure or protect its intellectual property, and (ix) other risks and uncertainties indicated from time to time in SeaStar Medical’s Annual Report on Form 10-K, including those under the “Risk Factors” section therein and in SeaStar Medical’s other filings with the SEC. The foregoing list of factors is not exhaustive. Forward-looking statements speak only as of the date they are made. Readers are cautioned not to put undue reliance on forward-looking statements, and SeaStar Medical assume no obligation and do not intend to update or revise these forward-looking statements, whether as a result of new information, future events, or otherwise.
Contact:
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SeaStar Medical Holding Corporation
Condensed Consolidated Balance Sheets
(in thousands, except for share and per-share amounts)
| September 30, | December 31, | |||||||
| 2023 | 2022 | |||||||
| ASSETS | ||||||||
| Current assets | ||||||||
| Cash | $ | 73 | $ | 47 | ||||
| Other receivables | — | 12 | ||||||
| Prepaid expenses | 2,172 | 2,977 | ||||||
| Total current assets | 2,245 | 3,036 | ||||||
| Forward option-prepaid forward contracts, net | — | 1,729 | ||||||
| Other assets | 2 | 2 | ||||||
| Total assets | $ | 2,247 | $ | 4,767 | ||||
| LIABILITIES AND STOCKHOLDERS' DEFICIT | ||||||||
| Current liabilities | ||||||||
| Accounts payable | $ | 5,042 | $ | 1,927 | ||||
| Accrued expenses | 1,481 | 2,245 | ||||||
| Contingent upfront payment for license agreement | 100 | — | ||||||
| Notes payable, net of deferred financing costs | — | 1,178 | ||||||
| Convertible notes | 4,405 | — | ||||||
| Warrants liability | 1,400 | — | ||||||
| Total current liabilities | 12,428 | 5,350 | ||||||
| Notes payable, net of deferred financing costs | 5,722 | 7,652 | ||||||
| Total liabilities | 18,150 | 13,002 | ||||||
| Commitments and contingencies | ||||||||
| Stockholders' deficit (1) | ||||||||
| Common stock - $0.0001 par value per share; 500,000,000 and 100,000,000 shares authorized at September 30, 2023 and December 31, 2022, respectively; 27,201,087 and 12,699,668 shares issued and outstanding at September 30, 2023 and December 31, 2022, respectively | 3 | 1 | ||||||
| Additional paid-in capital | 99,776 | 91,089 | ||||||
| Accumulated deficit | (115,682 | ) | (99,325 | ) | ||||
| Total stockholders' deficit | (15,903 | ) | (8,235 | ) | ||||
| Total liabilities and stockholders' deficit | $ | 2,247 | $ | 4,767 | ||||
(1) Retroactively restated to present effect of the reverse recapitalization
SeaStar Medical Holding Corporation
Condensed Consolidated Statements of Operations
(in thousands, except for share and per-share amounts)
| Three Months Ended | Nine Months Ended | |||||||||||||||
| September 30, | September 30, | |||||||||||||||
| 2023 | 2022 | 2023 | 2022 | |||||||||||||
| Operating expenses | ||||||||||||||||
| Research and development | $ | 1,107 | $ | 727 | $ | 4,898 | $ | 1,678 | ||||||||
| General and administrative | 1,829 | 1,042 | 6,369 | 2,215 | ||||||||||||
| Total operating expenses | 2,936 | 1,769 | 11,267 | 3,893 | ||||||||||||
| Loss from operations | (2,936 | ) | (1,769 | ) | (11,267 | ) | (3,893 | ) | ||||||||
| Other income (expense), net | ||||||||||||||||
| Interest expense | (224 | ) | (123 | ) | (882 | ) | (483 | ) | ||||||||
| Change in fair value of convertible notes | (291 | ) | — | (291 | ) | — | ||||||||||
| Change in fair value of warrants liability | 825 | — | 1,305 | — | ||||||||||||
| Change in fair value of notes payable derivative liability | — | — | — | 578 | ||||||||||||
| Change in fair value of forward option-prepaid forward contracts | — | — | (1,723 | ) | — | |||||||||||
| Loss on extinguishment of convertible notes | (4,949 | ) | — | (4,949 | ) | — | ||||||||||
| Gain on sale of recycled shares | — | — | 1,306 | — | ||||||||||||
| Other income | 149 | 1 | 149 | 1 | ||||||||||||
| Total other income (expense), net | (4,490 | ) | (122 | ) | (5,085 | ) | 96 | |||||||||
| Loss before provision for income taxes | (7,426 | ) | (1,891 | ) | (16,352 | ) | (3,797 | ) | ||||||||
| Provision for income taxes | — | 1 | 5 | 1 | ||||||||||||
| Net loss | $ | (7,426 | ) | $ | (1,892 | ) | $ | (16,357 | ) | $ | (3,798 | ) | ||||
| Net loss per share of common stock, basic and diluted | $ | (0.37 | ) | $ | (0.26 | ) | $ | (1.02 | ) | $ | (0.52 | ) | ||||
| Weighted-average shares outstanding, basic and diluted, retrospectively restated to present effect of the reverse recapitalization | 20,048,473 | 7,238,767 | 16,028,118 | 7,238,767 | ||||||||||||
| Last Trade: | US$1.25 |
| Daily Change: | -0.03 -2.34 |
| Daily Volume: | 48,321 |
| Market Cap: | US$7.500M |
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