FluoGuide A/S

FluoGuide A/S

SSTO:FLUO
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Q2 FY2026 · Earnings Call TranscriptAugust 25, 2026

Moderator

Hi, and welcome to this live Q&A with FluoGuide, who just released their Q2 report, and we are joined by CEO Morten Albrechtsen and CFO Ole Larsen. Before taking your questions, they will give you a short presentation.

Please go ahead.

Morten Albrechtsen

Thank you. Thank you for having us.

Yes, we just have a few slides, just summarizing what have happened and then where we are. As we light up cancer to maximize surgical outcome.

We work with uPAR. It's a target that is intelligent.

It's expressed the most where you need it the most, so that's the forefront of the cancer. We are an oncology surgery, we help the surgeon and the patient to get complete surgery.

We have shown five positive clinical results in different indications. Every year, unfortunately, there are approximately 20 million patients that will be diagnosed with cancer, and we have the potential to help them.

We are partnered with the leading medtech companies in different types of equipment, and we was very pleased here in the first half of the year where we got both approval for our first regulatory trial in US for high-grade glioma. We obtained Fast Track designation, and that's on top on the Orphan Drug designation we have had earlier on.

We have two ongoing trials right now. That's the high-grade glioma registration trial, and then there's a trial in head and neck, oral head and neck cancer, where we have reported the first part of it here before summer, and we have another 10 patients to be treated there.

Our lead indications is high-grade glioma, and focusing on the US. It was really an interesting first half of the year.

As mentioned, we got the FDA submission and approval for our first regulatory trial. That's been cleared with them in a pre-IND meeting before, we have directional alignment with them, what is needed for obtaining approval, endpoints and number of patients.

We then got the Fast Track designation. We got the trial approved.

We completed the first part with the 15 patients in head and neck trial in Holland, in Groningen, and then we make the reporting of the results where we actually selected a dose, we had the best precision we could obtain within the surgical room, we could help the patient, and then it worked on all equipments, but I will probably get more into that later. Then we have just opened the site for the first US site that we can enroll patients now in our registration trial for high-grade glioma.

This is an quite smart trial, actually. I'm not the only one that have been involved with it.

Actually, I've done little, but we have very good colleagues, and what they did is actually designed it in a way where we both have a base case that is very predictable to have success. Of course, there's always risk when doing clinical trial, but the base case is really good.

That's because of the endpoint we choose, and that's completeness of resection that's measured by MRI scan before surgery and after surgery. We have already shown in the CT001, the first trial we did, that we are over way over that what is needed in this trial to be successful.

That was in a trial where the surgeons were not trained and where we had kind of a first experience with the drug. Now we have build a quite robust training program, we are much better off.

Then additionally, this endpoint is what agreed to with FDA would carry over to the Phase III program that is to be repeated after or not repeated, but where to be done as well after this trial. It will be high-grade glioma, and the trial will be kind of completed in 48 hours for the first endpoint, which is the primary endpoint.

Then, and that's the smart aspect of this trial, is on the secondary endpoint, because there actually the more commercial edge to it, and really what could help patient beyond just having completeness of resection. That is that it's been shown that FG001, with high likelihood, passes the blood-brain barrier, and the problem for patients with high-grade glioma is that they have cancer behind the blood-brain barrier that today is not visible.

That is the potential that we can visualize that and actually help the patient additionally with it. That secondary endpoint, if that comes out positive, is really a game changer in brain surgery, tumor surgery.

This is why it's smart. There's a good, robust base case, and then there's an upside on the trial.

Ole Larsen

Turning over to the financial highlights. In first half, we had other external cost of 18.3 million.

If you look above, you'll see that it consists of R&D and admin. Admin is including investor relation cost and also sales and marketing cost, and they were 5.1 million in the first half.

R&D is, of course, our two clinical trials, CT005 in head and neck and CT006 in aggressive brain cancer, and they consisted of 13.2 million in the first half. Then we have our staff costs that consisted of 9.7 million in the first half, and finance, which is primarily the interest from our loan with Fenja Capital of 1.6 million, and then the tax credit so far this year, 5.2 million.

There is a cap of the tax credit of 5.5 million, we will reach that during Q3, and then this one will not increase. Then that means that we have a net result of the first half of minus 24.6 million.

If we go to the balance, we have assets of 65 million by the 30th of June, and of that, 50 million was our cash position and our securities. The securities has since expired and are now in money deposits primarily like the rest of the cash.

The tax credit of 11 million is the 5.5 million from 2025, which we expect to be paid out in November/December, and then the 5.2 million that we have collected or gathered so far in '26. The liabilities consist of equity of 31 million, and then the loan that we have with Fenja Capital of 27 million.

If you look to the right on the cash flow, we have burned 29 million in the first half. Of that, 28.2 million is due to our operations.

If we look at the outlook that we announced in November '25 in connection with our Q3, you can see that all our goals for first half was met apart from one, and that is the enrollment of the first patient in the US Phase II trial for HGG. As Morten just mentioned, we got the final green light for the first site in the US today, now we can start enrolling patients in that clinical trial.

If we look for H2, the goal is to optimize the use of FG001 and the laser system in our PTT/PDT, and we'll present a plan later this half. Also in brain, we'll have the interim results of the low-grade glioma investigator-initiated trial from Rigshospitalet, the last 10 patients, as well as we will present a brain tumor plan also in second half.

Then we came out with an announcement on 2nd of July telling that we wanted to amend the protocol for the head and neck trial, meaning that the interim results for the additional 10 patients will be delayed into '27, in the beginning of '27. We are still on track for an additional partnership in the second half of this year.

I think that concludes our presentation.

Moderator

Thank you so much. We will move on to the question part.

We've had a couple of questions sent in already, and let's start with you, Morten. First question is very straightforward.

Why aren't any patients recruited yet in the HGG trial? As this writer points out, it's been delayed three times.

Morten Albrechtsen

Yes, that's correct. We ran into the summer holiday in the US, it was delayed, some site-specific approval and tests.

The important thing here now is that FDA approved our trial, they granted us the Fast Track, we have the first site have a green light today. We have had patients that just couldn't be enrolled because the formality was not in place, and we have seven more sites lined up very close after, Operator:

Moderator

It happens.

Morten Albrechtsen

Yeah. It's very irritating, but it happened.

Moderator

Yeah. Let's bring you in here, Ole, as well.

A couple of months ago, Rigshospitalet announced that they will conduct a bigger H&N Phase II trial sponsored by them in 2026/2027. Have you got any thoughts on that?

Ole Larsen

Yeah. It's more or less ready to start, and Rigshospitalet, who is in charge and control the study, will inform soon.

I can say that it's within robotic surgery, and it's in head and neck cancer. We have some public material.

A detailed protocol has been submitted to the European database for clinical trials where you can see the details on the trial.

Moderator

Turning to you, Morten, I think, on this one. In Malmö Börsdag last week, you confirmed the following about the H&N trial, part one.

I will have to read this. That 30% to 40% that normally need reoperation, they were cured of cancer in the study as in all cancer removed, 100% of the patients in the trial were cured.

It's possible to assess the margin live without adding operation time, and that's because of your product. It was done with existing equipment in the operation room.

Can you confirm that all these statements are correct?

Morten Albrechtsen

It's not completely correct. I would like to confirm what is done.

I would say that in the trial, previous trial 003 that we did in head and neck, importantly there you will see that it was 16 16 patients that was enrolled and light up all patients. This trial has been public in the public domain, all the details are in a publication.

It's interesting it was done with a camera that was optimized for fluorescence-guided surgery and produced very good result, not surprisingly. This trial for the 05, the one we just reported here, the key thing for us here is that we don't just want to do, what can I say, nice publications and nice trials.

We really would like this technique to get out and help patients in all the corner of the world. If we should do that, that's a couple of things we need to do beyond just getting it lighting up and beyond just using it on a very specific equipment.

First one, we need to get over the line, the regulatory line. It has to be approved.

We have to have it to work on multiple equipment that already is out there, and they may not be exactly as good as this very specialized equipment, but they're out there. Then, last but not least, we need to have a commercial case.

Going out having approved and it can be seen with the camera, no one want to buys it, helps no one. We also need to have a commercial case.

I think that the trial, what we did confirm in the trial were that we selected the dose. We also selected that the most interesting positioning being helping the surgeon in the surgical room assessing the margin is the application we go for, so that's the most valuable because it fits into the workflow.

It's the most valuable for patients and for us and for shareholders application. We did prove that it worked on all equipment we tested, and we have different kind of equipment.

It was actually as good as could it could be. Then what we have said before is that we have almost 500 images for each patient that still is being analyzed.

Some of the thing that was mentioned is still being analyzed, and as soon we have them, we will get out with it. We selected the dose, the most valuable value proposition in the surgical room, work with all the camera.

That what we have of results for now.

Moderator

I will just read this next question straight off as well. There is a moderate number of investors that think it's a little bit strange that you have to wait until 2027 to release the margin data at different conferences and articles and so on in different mediums.

Are you still analyzing or is this some sort of agreement with the partners and the professors at UMCG that is stopping this release? They finish by saying that they are very anxiously awaiting the results.

Morten Albrechtsen

That's fair. There's a couple of things to it.

No, we don't have the data right now because if we see something light up, we need the pathology slide as well to confirm if it was cancer, no cancer. We need the whole circle, to speak, before we can analyze it.

We cannot ask the investigator to draw on all these 500 images for all the patient and then redraw afterwards. Of course, it takes time, but that's not the point.

The point is more that we could impact the results of it, we need to do it once and only once. Then last, then we will come out with the data when it's there.

This is a sponsored study, it means that we own the data and we can come out with the result when we're ready. When there's no meaning coming out with them before we're ready, we could say something rubbish, which would make no sense.

Really, for us was important to select the dose, it work with the equipments. We build this automated margin assessment that we can implement into the next 10 patients, and we put an amendment for that so we're more prepared for a regulatory trial after this one here.

That's all we can say now. I would love to say more, but it's not serious, really.

Moderator

Staying a bit with results and the academic side of things, earlier this year, Max Witjes, who I understand is a leading surgeon or

Morten Albrechtsen

Yes, head and neck surgeon.

Moderator

Head and neck surgeon within this field, he published results in Nature about fluorescence-guided surgeries and live margin assessment. It showed that even with the fluorescent molecule used, it was not enough to assess the margin correctly.

They had to freeze the sample and then slice it before a final decision could be made. Is this a problem when it comes to your project, and is the plan to make some meticulous analysis such as done in this Nature article?

Yeah.

Morten Albrechtsen

No, let's take one step back. One of the reason we worked with Max Witjes is because he's one of the leading head and neck surgeon within margin assessment and how to bring that into the workflow in surgeons.

They really would like to do it, as also mentioned from the publication and the question here, they would like to do it in the surgical room because that's where the surgeon needed the most. If it should be implemented on sites beyond Max Witjes' place, then it also need to fit into the camera and be quick, it don't take up time.

That's the whole idea of all his work, and that's why he loved to work with us as well, because we could provide that opportunity potentially. This publication he did is based on a cetuximab dye that he's been worked with academically.

It will be used for this application that is mentioned here, it's fluorescence-guided biopsying. That's one of the endpoint we also looked at in our trials.

The best one to have is to help in the surgical room, we don't need to involve the pathologist or wait on it. The sooner and the closer to the surgeon we can provide the answers, they can make a complete resection and then avoid patient getting into radiotherapy afterward, would be fantastic.

Of course, one patient out of 15 is not much, but the one I visit, the last one I visit actually, there they find extra cancer in that particular patient that was helped removed. If the patient is cured or not, we don't know before after seeing the final result, but that was a really good case, you can say.

It does help. To answer the question, there's one of the endpoint we have in the trial, but we think we have a better endpoint in our trial that we can do it real time in a surgical suite.

Moderator

Turning to you, Ole, again to ask more questions about clinical trials then, how is the LGG trial moving along, and is Jane still positive that they will be able to present results before the end of this year?

Ole Larsen

Yeah. We came out in May that the first patient was enrolled, and the enrollment continues in the expected mode.

We haven't heard anything negatively from Jane that she will still be able to provide some data. Again, we need to understand that they are in charge of the study, they are the decision-makers.

I don't know if you recall, but when we had the first 20 patients, the 10 in low-grade glioma and the 10 in meningioma, we actually got the results, but were not able to publish them because she had to publish them at a conference. If that is the case this time, I'm not sure.

For now, we still think that we'll have the data within second half.

Moderator

The main thing to remember there is that they are in charge of that.

Ole Larsen

Yeah.

Moderator

Yeah. As a final question then for you, Morten, in April, you mentioned during a presentation that you expected to present a commercialization plan within a couple of months.

Could you share any details about the plan, and when can we expect it to be presented?

Morten Albrechtsen

In the high-grade glioma, it's this non-contrast-enhancing angle that's on the product that really would be unique selling point, and would drive it through. This was very not validated, but it was supported by the Fast Track designation of FDA.

To be clear, they granted when you have potential, then we have to address it in the secondary endpoint in the trial, and that's why they granted. It's not necessarily you will keep it.

It's only if you prove it, of course, going forward. That's what we aim for.

That is really the angle there. Seeing brain tumor behind the blood-brain barrier is the Holy Grail in brain tumor surgery, this is really the hook.

Of course, we have to see data for the trial, but then that one is on a home run. Then the next one is on the head and neck.

There it will take a few more months because we would like to present this more automated margin assessment and together with the rest of the data that's being analyzed. It will take a few more months.

It is automated margin assessment within surgical room fitting into the workflow. That is the core headline.

Moderator

With that, that was actually all the questions for now. I am sure if you have any more questions, the gentlemen are happy to receive emails.

Morten Albrechtsen

Please.

Moderator

Always. Like that.

Again, thank you so much for coming here and presenting and answering the questions.

Morten Albrechtsen

Thank you for having us.