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Spectral Medical Announces First Quarter 2026 Financial Results and Provides Corporate Update

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This press release is provided by GlobeNewswire and is published as received.

PMA submission targeted for May 29, 2026 in alignment with FDAVantive commits to additional funding support ahead of PMA acceptance milestone

TORONTO, May 08, 2026 (GLOBE NEWSWIRE) -- Spectral Medical Inc. (“Spectral” or the “Company”) (TSX: EDT), a late-stage theranostic company advancing therapeutic options for sepsis and septic shock, today announced its financial results for the first quarter ended March 31, 2026 and provided a corporate update.

The first quarter of 2026 marked continued progress across regulatory, clinical and commercial readiness initiatives as the Company advances toward submission of its U.S. Food and Drug Administration (“FDA”) Premarket Approval (“PMA”) application for Toraymyxin™ (“PMX”). During the quarter and subsequent to quarter-end, Spectral further strengthened the clinical and scientific foundation supporting PMX, highlighted by the publication of the Tigris trial in The Lancet Respiratory Medicine and presentation at the Society of Critical Care Medicine Annual Congress in Chicago

The Company is targeting a PMA submission date of May 29, 2026, a timeline established in coordination with the FDA to support both submission readiness and efficient allocation of review resources. The timing reflects incorporation of complete 12-month mortality data from the Tigris study, as well as completion of key non-clinical modules, including human factors engineering testing, to support a complete and compliant submission.

“Our focus remains on executing a high-quality and comprehensive PMA submission while advancing commercialization readiness alongside our partner Vantive,” said Chris Seto, Chief Executive Officer of Spectral Medical. “We are encouraged by the continued support from Vantive, including their decision to provide additional funding ahead of the PMA acceptance milestone. We believe this reflects a shared commitment to the PMX program and provides additional flexibility as we execute against this important regulatory step. The progress achieved during the quarter reinforces the strength of the Tigris data and the totality of evidence supporting PMX as we move toward submission and, ultimately, potential approval in the United States.”

John A. Kellum, Chief Medical Officer of Spectral Medical, added, “The consistency of benefit observed across endpoints, particularly at later timepoints, supports the concept that treatment effects become more apparent as patients recover beyond the acute phase of septic shock.”

Corporate Highlights During & Subsequent to the First Quarter of 2026

Tigris

Tigris manuscript published on March 23, 2026: The Tigris manuscript was published in The Lancet Respiratory Medicine, one of the world’s leading peer-reviewed journals in critical care and respiratory medicine.The publication confirms the previously reported positive findings for the primary and key secondary endpoints announced in August 2025, while providing additional analyses on survival, safety, secondary and sensitivity analyses: Confirms positive results for primary and key secondary endpoints with 95.3% and 99.4% probability of benefit for PMX at 28-day and 90-day mortalityAfter adjusting for baseline severity, absolute risk reduction for mortality of 10.3% at 28-days and 15.5% at 90-daysKaplan-Meier survival curves demonstrated continued separation beyond day 28, indicating that the survival benefit observed with PMX was sustained over time.Safety profile consistent with standard of care with no significant difference in adverse events The findings further suggest that treatment effects observed at earlier timepoints are sustained and may become more apparent over longer-term follow-up, consistent with the recovery trajectory of critically ill septic shock patients. Society of Critical Care Medicine (“SCCM”) Critical Care Congress, Chicago March 24, 2026: Results from the Tigris study presented on March 24, 2026 at the SCCM Annual Congress in the Late-Breaking Studies Affecting Patient Outcomes sessionPresented by Dr. Javier Neyra, first author of the Tigris paper PMA Submission: PMA submission date targeted for May 29, 2026.Timing established in coordination with the FDA Supports submission readiness and efficient allocation of review resources Based on FDA feedback, 12-month mortality data from the Tigris study is to be incorporated into the PMA submissionThe Company believes the inclusion of complete 12-month mortality outcomes will further inform the FDA’s review and contribute to the totality of clinical evidence supporting PMX for the treatment of endotoxic septic shock.Spectral currently anticipates being in a position to report topline 12-month mortality data in June 2026, subject to the completion of additional data analysis.

PMX Commercialization

Ongoing collaboration with Vantive on commercialization planning.Vantive intends to submit 510(k) application for its PrisMax system, expected to be the primary ICU platform for PMX treatment.Market readiness efforts are aligned with potential FDA approval timelines.

Financing

On May 07, 2026, the Company entered into a side letter agreement with Vantive US Healthcare LLC in respect of its existing senior secured promissory note.Under the agreement, Vantive agreed, at its sole discretion, to advance US$1.0 million as a partial funding of the US$2.0 million Tranche D, notwithstanding that the related milestone (PMA filing acceptance) had not yet been satisfied.Upon funding, the advance is treated as an amount drawn under the promissory note.The remaining US$1.0 million of Tranche D remains subject to the original milestone conditions, and Vantive has no obligation to fund any further amounts unless such conditions are satisfied or otherwise agreed.

Financial Review

Revenue for the three-months ended March 31, 2026 was $891,000 compared to $572,000 for the same three-month period last year, representing an increase of $319,000, or 56%. The increase was primarily driven by higher Product revenue, including proprietary biochemical sales, instrumentation sales, and PMX pre-commercialization activities, partially offset by a decrease in Royalty revenue and EAA diagnostic sales mix. Product revenue increased to $386,000 from $176,000 in the prior-year period.

Operating expenses for the three-months ended March 31, 2026, were $3,633,000 compared to $13,049,000 for the same period in the preceding year, a decrease of $9,416,000 or 72 %. The decrease was primarily driven by a lower fair value adjustments on derivative liabilities (a non-cash item), as well as foreign exchange adjustments on derivative liabilities and convertible debentures. These variances resulted largely from changes in market assumptions and the market price used to calculate the option feature. Excluding the derivative fair value adjustment and foreign exchange adjustments on derivative liabilities and convertible debentures, expenses increased period-over-period, primarily due to higher interest expense, regulatory and investor relations costs, facilities costs and share-based compensation. Increase in interest expense reflects higher outstanding debt related to the Company’s convertible notes and the Vantive promissory note, including a full-quarter accrual of paid-in-kind (PIK) interest. Interest expense of $1,600,000 which relates to the three months ended March 31, 2026 in relation to convertible notes previously issued and May 2025 and August 2025 promissory notes issued.

Clinical development and regulatory program costs (as disclosed in Note 13 of the consolidated financial statements) were $768,000 for the three-months ended March 31, 2026 compared to $1,585,000 for the same period in the prior year. A significant portion of clinical trial and regulatory costs consists of consulting and professional fees paid to contract research organizations, clinical sites, and other clinical and regulatory consultants .The decrease in clinical costs reflects the completion of Tigris enrollment in April 2025 and reduced clinical site activity, partially offset by an increase in activities related to the Company’s ongoing FDA PMA submission, including regulatory consulting, data analysis, and other submission-readiness work. Cumulative trial and regulatory program costs total as of March 31, 2026 was $59,932,000.

Loss for the three-months ended March 31, 2026 was $2,938,000 ($0.01 per share) compared to a loss of $12,605,000 ($0.04 per share) for the same period in the prior year. The decreased loss of $9,667,000 was due to decreased operating expenses, primarily due to decreased fair value adjustment of derivative liability on March 31, 2026.

About Spectral

Spectral is a Phase 3 company seeking U.S. FDA approval for its unique product for the treatment of patients with septic shock, Toraymyxin™ (“PMX”). PMX is a therapeutic hemoperfusion device that removes endotoxin, which can cause sepsis, from the bloodstream and is guided by the Company’s FDA cleared Endotoxin Activity Assay (EAA™), the clinically available test for endotoxin in blood.

PMX is approved for therapeutic use in Japan and Europe, licensed by Health Canada, and has been used safely and effectively with over 360,000 units sold worldwide to date. In March 2009, Spectral obtained the exclusive development and commercial rights in the U.S. for PMX, and in November 2010, signed an exclusive distribution agreement for this product in Canada. In July 2022, the U.S. FDA granted Breakthrough Device Designation for PMX for the treatment of endotoxic septic shock. Approximately 330,000 patients are diagnosed with septic shock in North America each year.

The Tigris Trial is a confirmatory study of PMX in addition to standard care vs standard care alone and is designed as a 2:1 randomized trial of 150 patients using Bayesian statistics. Endotoxic septic shock is a malignant form of sepsis https://www.youtube.com/watch?v=6RANrHHi9L8.

The trial methods are detailed in “Bayesian methods: a potential path forward for sepsis trials”.

Spectral is listed on the Toronto Stock Exchange under the symbol EDT. For more information, please visit www.spectraldx.com.

Forward-looking statement

Information in this news release that is not current or historical factual information may constitute forward-looking information within the meaning of securities laws. Implicit in this information, particularly in respect of the future outlook of Spectral and anticipated events or results, are assumptions based on beliefs of Spectral’s senior management as well as information currently available to it. While these assumptions were considered reasonable by Spectral at the time of preparation, they may prove to be incorrect. Readers are cautioned that actual results are subject to a number of risks and uncertainties, including the availability of funds and resources to pursue R&D projects, the successful and timely completion of clinical studies, the ability of Spectral to take advantage of business opportunities in the biomedical industry, the granting of necessary approvals by regulatory authorities as well as general economic, market and business conditions, and could differ materially from what is currently expected.

The TSX has not reviewed and does not accept responsibility for the adequacy or accuracy of this statement.

Ali Mahdavi Chris SetoCapital Markets & Investor Relations CEOSpinnaker Capital Markets Inc. Spectral Medical Inc.416-962-3300  am@spinnakercmi.com cseto@spectraldx.com   

Spectral Medical Inc.

Condensed Interim Consolidated Statements of Financial Position

In CAD (000s), except for share and per share data

(Unaudited)

 NotesMarch 31,2026 December 31,2025 $ $ Assets   Current assets   Cash 1,918 4,071 Trade and other receivables 478 205 Inventories 478 377 Prepayments and other assets 959 640   3,833 5,293 Non-current assets   Right-of-use-asset 290 321 Property and equipment 135 153 Intangible asset 319 333 Total assets 4,577 6,100 Liabilities   Current liabilities   Trade and other payables 3,460 2,484 Contract liabilities6545 693 Lease liability 138 136 Notes payable717,423 16,435 Derivative liability743,929 46,520   65,495 66,268 Non-current liability   Lease liability 200 235 Contract liabilities64,443 4,564 Promissory notes84,508 4,285 Interest accrual promissory note 699 470 Total liabilities 75,345 75,822 Shareholders' deficiency10  Share capital 96,685 95,933 Contributed surplus 10,220 10,220 Share-based compensation 13,406 12,266 Warrants 390 390 Deficit (191,469)(188,531)Total shareholders' deficiency  (70,768)(69,722)Total liabilities and shareholders' deficiency 4,577 6,100 

Spectral Medical Inc.

Condensed Interim Consolidated Statements of Loss and Comprehensive Loss

In CAD (000s), except for share and per share data

(Unaudited)

 NotesThree months ended March 31, 2026 Three months ended March 31,2025   $ $ Revenue6891 572 Expenses   Cost of goods sold 193 125 Gross Profit 698 447 Raw materials and consumables used 107 142 Salaries and benefits14968 1,056 Consulting and professional fees 859 1,266 Regulatory and investor relations 205 129 Travel and entertainment 76 77 Facilities and communication 99 58 Insurance 104 101 Depreciation and amortization 43 41 Interest expense7,81,600 1,083 Foreign exchange (gain) and loss 1,283 (36)Share-based compensation101,621 1,260 Other expense 51 59 Fair value adjustment derivative liabilities7(3,383)7,813   3,633 13,049 Loss and comprehensive loss for the period from continuing operations (2,935)(12,602)Loss from discontinued operations4(3)(3)Loss and comprehensive loss for the period (2,938)(12,605)Basic and diluted loss from continuing operations per common share11(0.01)(0.04)Basic and diluted loss from discontinued operations per common share11(0.00)(0.00)Basic and diluted loss per common share11(0.01)(0.04)Weighted average number of common shares outstanding - basic and diluted11293,233,056 284,760,158       

Spectral Medical Inc.

Condensed Interim Consolidated Statements of Changes in Shareholders’ Deficiency

In CAD (000s), except for share and per share data

(Unaudited)

 NotesNumber ofSharesShareCapitalContributedsurplusShare-based compensation Warrants Deficit Total Shareholders’ (deficiency) equity    $$$ $ $ $ Balance January 1, 2025 284,316,20790,56610,14911,196 1,383 (140,839)(27,545)Share options exercised 431,882219-(74)- - 145 RSU released 350,386100-(100)- - - Warrants exercised 18,75012-- (3)- 9 Loss and comprehensive loss for the period ---- - (12,605)(12,605)Share-based compensation - --1,260 - - 1,260 Balance March 31, 2025 285,117,22590,89710,14912,282 1,380 (153,444)(38,736)Share options exercised 1,379,1681,345 (607)- - 738 RSU released 687,295268 (268)- - 0 Warrants exercised 5,379,2253,423  (919)- 2,504 Warrants expired   71 (71) 0 Loss and comprehensive loss for the period      (35,087)(35,087)Share-based compensation    859   859 Balance December 31, 2025 292,562,91395,93310,22012,266 390 (188,531)(69,722)Balance January 1, 2026 292,562,91395,93310,22012,266 390 (188,531)(69,722)Share Options Exercised10549,548494 (223)  271 RSU released10306,530258 (258)  - Loss and comprehensive loss for the period      (2,938)(2,938)Share-based compensation10   1,621   1,621 Balance March 31, 2026 293,418,99196,68510,22013,406 390 (191,469)(70,768)             

Spectral Medical Inc.

Condensed Interim Consolidated Statements of Cash Flows

In CAD (000s), except for share and per share data

(Unaudited)

 NotesThree monthsended March31, 2026 Three monthsended March31, 2025 $ $ Cash flow provided by (used in)   Operating activities   Loss for the period (2,938)(12,605)Adjustments for:   Depreciation on right-of-use asset 31 31 Depreciation on property and equipment 18 25 Amortization of intangible asset 14 4 Amortization and derivative related financing fee764 63 Unrealized foreign exchange (gain) and loss 1,283 (26)Interest expense on lease liability 5 6 Accreted interest on promissory note8151 - Interest expense on promissory note8229 - Accreted Interest on notes payable71,215 1,076 Share-based compensation101,621 1,260 Fair Value adjustment derivative liabilities7(3,383)7,813 Changes in items of working capital:   Trade and other receivables (273)141 Inventories (101)28 Prepayments and other assets (319)(289)Trade and other payables 266 820 Contract liabilities6(269)219 Net cash used in operating activities (2,386)(1,434)Investing activities - - Net cash used in investing activities - - Financing activities   Lease liability payments (38)(38)Share options exercised10271 145 Share warrants exercised10- 9 Net cash used in financing activities 232 116 Decrease in cash (2,153)(1,318)Cash, beginning of period 4,071 2,988 Cash, end of period 1,918 1,670 
Spectral Medical Inc.

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