NASDAQ:PAVM PAVmed Q3 2025 Earnings Report $6.98 -0.18 (-2.51%) As of 10:20 AM Eastern This is a fair market value price provided by Massive. Learn more. ProfileForecast PAVmed EPS ResultsActual EPSN/AConsensus EPS -$6.00Beat/MissN/AOne Year Ago EPSN/APAVmed Revenue ResultsActual RevenueN/AExpected Revenue$0.01 millionBeat/MissN/AYoY Revenue GrowthN/APAVmed Announcement DetailsQuarterQ3 2025Date11/12/2025TimeBefore Market OpensConference Call DateThursday, November 13, 2025Conference Call Time8:30AM ETConference Call ResourcesConference Call AudioConference Call TranscriptSlide DeckPress Release (8-K)Quarterly Report (10-Q)Company ProfileSlide DeckFull Screen Slide DeckPowered by PAVmed Q3 2025 Earnings Call TranscriptProvided by QuartrNovember 13, 2025 ShareLink copied to clipboard.Key Takeaways Positive Sentiment: Lucid Diagnostics received a unanimous expert endorsement at a September Medicare contractor meeting and management says near-term Medicare coverage is likely; Lucid also completed an underwritten offering of roughly $27 million, giving it runway into 2026. Positive Sentiment: Veris launched the commercial phase with Ohio State (targeting 1,000 patients in year one), restarted development with new vendors for its implantable physiologic monitor and says it is funded to pursue a 2026 FDA submission. Negative Sentiment: PAVmed completed a multi-step restructuring (exchanging ~80% of debt for Series C preferred), but about 4,300 preferred shares have already converted and up to ~20.5 million additional common shares could be issued on conversion, posing potential dilution and creating GAAP reporting volatility (Q3 GAAP net loss included a $4.4M non-cash equity fair-value change). Neutral Sentiment: PAVmed expects to finalize a license agreement imminently for a Duke/UNC endoscopic imaging technology for esophageal precancer and will advance it in a new subsidiary, but the program is early-stage and will require additional development and a likely small clinical study. AI Generated. May Contain Errors.Conference Call Audio Live Call not available Earnings Conference CallPAVmed Q3 202500:00 / 00:00Speed:1x1.25x1.5x2xTranscript SectionsPresentationParticipantsPresentationSkip to Participants Operator00:00:00Good morning and welcome to the PAVmed third quarter 2025 Business Update conference call. At this time, all lines are in listen-only mode, and following the presentation, we will conduct a question-and-answer session. If at any time during this call you require immediate assistance, please press star zero for the operator. This call is being recorded on Thursday, November 13, 2025. I would now like to turn the call over to Mr. Matt Riley, PAVmed Senior Director of Investor Relations. Please go ahead. Matt RileySenior Director of Investor Relations at PAVmed00:00:33Thank you, Operator, and good morning, everyone. Thank you for participating in today's business update call. Joining me today on the call are Dr. Lishan Aklog, Chairman and Chief Executive Officer of PAVmed, along with Dennis McGrath, Chief Financial Officer of PAVmed. The press release announcing our business update and financial results is available on PAVmed's website. Please take a moment to read the disclaimers about forward-looking statements in the press release. The business update, press release, and the conference call all include forward-looking statements, and these forward-looking statements are subject to known and unknown risks and uncertainties that may cause actual results to differ materially from statements made. Factors that could cause actual results to differ are described in the disclaimer and are our filings with the SEC. Matt RileySenior Director of Investor Relations at PAVmed00:01:16For a list and a description of these and other important risks and uncertainties that may affect future operations, see Part 1, Item 1A, entitled Risk Factors in PAVmed's most recent annual report on Forms 10-K filed with the SEC, and any subsequent updates filed in the quarterly reports on Forms 10-Q and subsequent Forms 8-K. Except as required by law, PAVmed disclaims any intentions or obligations to publicly update or revise any forward-looking statements to reflect changes in expectations or in events, conditions, or circumstances on which the expectations may be based, or that may affect the likelihood that actual results will differ from those contained in the forward-looking statements. I would now like to turn the call over to Dr. Lishan Aklog, Chairman and CEO of PAVmed. Lishan AklogChairman and CEO at PAVmed00:02:02Thank you, Matt, and good morning, everyone. Thank you for joining our quarterly update call. As always, I'd like to thank our long-term shareholders for your ongoing support and commitment. Before we delve into our recent operational highlights, as I've done in the last couple of calls, I want to just remind you that over the past now 18 months, we've been taking some really critical steps to stabilize PAVmed's corporate structure and balance sheet. We did a restructuring of debt in the early part of this year, and we've been working on that. There is still work to be done on that front. Lishan AklogChairman and CEO at PAVmed00:02:31We have a couple of additional steps that we think we're going to be able to consummate in the very near future, whereby following that, we think PAVmed will be fixed and we'll be back to the original proposition where PAVmed will be really well-positioned to operate per our vision as a diversified commercial life sciences company with multiple independently financed subsidiaries operating under a shared services model, and it'll give us the opportunity to start building that portfolio beyond our two major main commercial subsidiaries right now. Let me just talk about that briefly and provide a brief overview of PAVmed's portfolio. PAVmed is a vehicle to deliver innovative medical technologies, and we operate, continue to operate under a shared services model. As our subsidiaries succeed, particularly Lucid, PAVmed should also succeed. Let me just start with Lucid. Lucid's obviously our main asset. Lishan AklogChairman and CEO at PAVmed00:03:28It's a publicly traded diagnostic company, and it's on the cusp of a transformative milestone, particularly Medicare coverage. It continues to succeed at raising its own capital, including this past quarter, and it has sufficient runway to accelerate its commercialization once Medicare coverage is secured. Talk more about Veris in much more detail later, but Veris is our digital health company that offers a cancer care platform to enhance personalized care for cancer patients who are initiating and undergoing systemic treatment with chemotherapy and immunotherapy. We made a big support for Veris earlier in this year where we're able to secure financing that's allowed us to bring our project plan forward to develop the key implantable device, and an FDA submission is planned for next year. Lishan AklogChairman and CEO at PAVmed00:04:21As we talked about on previous calls, we have started to make some effort to bring other technologies within our portfolio as well as others that we have access to, and we are in the process of organizing around that and seeking to raise capital around that. The final steps of our restructuring that I mentioned earlier, we think will put us in a very strong position to be able to continue to build these subsidiaries, to finance them, and to pursue very promising assets across the life sciences sector that we're actively pursuing. Lishan AklogChairman and CEO at PAVmed00:04:56One of those technologies which we mentioned in a press release earlier this year was an exciting technology that involves a licensing agreement, a partnership with Duke University and the University of North Carolina, and it's a breakthrough endoscopic imaging technology for esophageal precancer that can provide real-time detection of dysplasia or advanced precancer with the potential to completely transform the way that's treated and to do so at the same time as a diagnostic procedure. We're partnering with Dr. Adam Wax at Duke, who pioneered this technology, and Dr. Nick Shaheen from UNC, who is working with him closely. This fits within our partnership model, the same one that we launched Lucid and Veris. Lishan AklogChairman and CEO at PAVmed00:05:44We have one of the late stages of finalizing the license agreement and looking for building a team around this technology and a pathway towards the early stages of product development, finalizing regulatory strategy, and really just sort of getting this project. That's what we're really excited about off the ground. Let's get into the operational side of things. I do encourage you to, as always, listen to yesterday's Lucid business update call for greater detail on some of these areas, but the main takeaway for Lucid is that we are now better positioned than ever to capitalize on EsoGuard's large market opportunity and large clinical opportunity and their near-term milestones, which we believe will ultimately positively impact PAVmed as PAVmed remains the largest shareholder of Lucid. EsoGuard revenue was $1.2 million for the quarter, and test volume is just over 2,800. Lishan AklogChairman and CEO at PAVmed00:06:39Both of those are in line with last quarter, and our volume has been consistent with the target range of 2,500-3,000 tests that we've articulated that we are seeking to maintain to facilitate our engagement with commercial payers while we await Medicare coverage. The big highlight, as we talk about in our Lucid call, was the Medicare contractor meeting that was held in September. It was wildly successful. The experts unanimously endorsed Medicare coverage for EsoGuard, and this is really the final step towards what we believe is a near-term Medicare coverage for that test. We also raised capital, strengthened the balance sheet for Lucid with an underwritten public offering of just under $27 million in proceeds. Lishan AklogChairman and CEO at PAVmed00:07:32As I mentioned earlier, the extensive Lucid runway through 2026 was very strong investor interest and confidence, including institutional investors and insiders, and bodes well for Lucid's ability to execute on a strategic plan. Let's move on to Veris. The most important development this past quarter was that we launched the commercial phase of our strategic partnership with OSU. If you may recall, we've had a long-standing working relationship with OSU where we completed a pilot study. That study was very successful. It was found to be the technology was found to be valuable to their patients by all objective measures and predefined performance criteria. We are in the commercial phase. Lishan AklogChairman and CEO at PAVmed00:08:23We are finalizing EHR integration, but we've already started to proceed with building the commercial side of things with the initial three departments within OSU's James Cancer Center, now launching this in a broader patient population beyond the pilot. The agreement targets 1,000 patients in the first year that will be enrolled in a registry. We've also, after completing our financing, fully relaunched the development work on the implantable physiologic monitor to work towards a 2026 FDA submission. We've locked down or restarted or locked down new vendors for that product development, and it's actually going quite well. Veris has sufficiently capitalized to fund that development all the way through FDA clearance and subsequent commercial launch. That is going really extremely well, and we're looking forward to getting that wrapped up in 2026. Lishan AklogChairman and CEO at PAVmed00:09:36Beyond that, now that Veris has stabilized, it's well capitalized, the implantable is on its way. We've gotten a really very solid proof of concept with regard to our commercial partnership with OSU. We are working on executing an expanded vision for Veris, and we're not necessarily going to wait for the implantable to do so. We have an opportunity now, now that we have the template from OSU, to expand our commercial offering to include other academic medical centers. As part of that, we're incorporating the lessons that we've learned from our engagement with OSU as we launch engaging with other centers to provide value added to these centers, an offering that goes beyond simply remote patient monitoring and the economics and the business model around that. Lishan AklogChairman and CEO at PAVmed00:10:25One of the things that we've learned over the past year is that clinical support services are really important. Ohio State has a call center, and we've learned how to interface with them so that the alerts that come from the platform are processed in an efficient way. Many centers don't have call centers, and any type of digital health tool can actually be somewhat overwhelming to the personnel with regard to alerts and so forth. Lishan AklogChairman and CEO at PAVmed00:10:55We've hired our first full-time physician assistant, and we're looking to build a clinical support team around that to provide such clinical support services as a value-added service to our commercial partners, whereby our team will be able to provide a menu of varying levels of clinical support to triage alerts that come through the system and to make the process of incorporating our platform much more efficient and consistent with the personnel needs that these centers have. That's a really important additional value-added offering that we're looking to provide. Lishan AklogChairman and CEO at PAVmed00:11:35Another one is really we're seeking to transform Lucid beyond, sorry, Veris beyond just remote patient monitoring to actually become a modern-day AI-based company where we can provide AI-based clinical decision tools that help these physicians just manage their care of patients better, manage them more cost-effectively, improve outcomes, improve the economics of healthcare delivery, and so forth. We have had a very intense internal process where we've mapped out what we intend to do, and we are looking to build risk stratification tools that will provide such input, AI-based input to the practitioners. We are looking to partner with OSU to build and train such a decision tool that will be ultimately fully integrated within the platform and, again, provide value to the center beyond the simple billing around remote patient monitoring. With that, I'll hand the call over to Dennis for an update on our financials. Dennis McGrathCFO at PAVmed00:12:42Thanks, Lishan. Good morning, everyone. Our summary financial results for the third quarter were reported in our press release, but it is distributed. On the next three slides, I'll emphasize a few key highlights from the third quarter. I encourage you to consider those remarks in the context of full disclosures covered in our quarterly report on Form 10-Q as filed with the SEC. As a couple of reminders, as our financials, particularly the income statement with year-over-year comparisons, will for this last quarter illustrate periods before September 10, 2024, with Lucid's operating results being consolidated into the PAVmed results. The presentation of the 2025 periods is without Lucid's operating results being consolidated into the PAVmed financials. We do present some supplementary information in footnote four of the 10-Q that will help with some of those comparisons. Dennis McGrathCFO at PAVmed00:13:42With regard to the balance sheet, you'll recall from our investor update call since this time last year that the company was engaged in a multi-step process to regain compliance with the Nasdaq listing standard for minimum equity, which it did in February, and also positioned the company for longer-term financial stability. The two key components were deconsolidating Lucid from PAVmed's consolidated financial statements and restructuring our debt, whereby we exchanged about 80% of our outstanding debt for a new Series C preferred equity. The slide reflects the balance sheets for the third quarter and second quarter of this year, both after deconsolidation, which again occurred in the third quarter of 2024. A couple of key things to point out in each of these balance sheets. Dennis McGrathCFO at PAVmed00:14:33First, the cash burn rate of $900,000 for the third quarter reflects the Veris operating costs, including approximately $500,000 of outside contractor development costs associated with the implantable device, which have been funded by the two Veris-related financings, namely $2.4 million in the first quarter and $2.5 million in the second quarter to support the development and FDA submission of Veris's implantable device. Secondly, the equity method investment balance of $32 million at September 30th reflects the 31.3 million Lucid shares marked to market and reflects a $4.4 million sequential reduction consistent with the change in Lucid stock price. This amount was previously eliminated from PAVmed's balance sheet prior to the deconsolidation for most of the quarterly periods of 2024. Note there's plenty of information in the 10-Q and 10-K on both the debt exchange, Series C preferred stock, and the equity method treatment of PAVmed's investment in Lucid shares. Dennis McGrathCFO at PAVmed00:15:36At present, PAVmed continues to be the single largest shareholder of Lucid Diagnostics, with ownership of approximately 23% of the common shares outstanding. Although PAVmed no longer has voting control of Lucid, PAVmed, its board, and its management still have significant influence over Lucid with approximately a 28% voting interest. Shares outstanding today, including unvested restricted stock awards, are approximately 29.7 million shares. The GAAP quarter-ending outstanding shares of 23.1 million are reflected on the slide as well as on the face of the balance sheet in the 10-Q. GAAP shares do not reflect unvested RSA amounts. Additionally, we issued 25,000 Series C preferred shares as part of the debt restructure at the beginning of the year. To date, approximately 4,300 Series C have been converted to approximately 11 million common shares. Dennis McGrathCFO at PAVmed00:16:33If the balance were converted at the contractual $1.07 conversion price, an additional 20.5 million common shares would be issued. Next slide, please. Similar to the past presentations, this P&L slide provides some GAAP and Non-GAAP year-over-year quarterly and annual comparisons. As cautioned earlier in my comments, there are some significant differences in how the information is compiled between the comparative periods given the changes in PAVmed's financial control of Lucid. Importantly, the GAAP construct for deconsolidating Lucid on September 10th of last year somewhat blurs the historical understanding of the information for PAVmed as a standalone entity, and GAAP does not allow the presentation for prior periods on the face of the financial statements to be similarly adjusted. Although, as mentioned, there is some supplemental information in the footnotes. Dennis McGrathCFO at PAVmed00:17:26On a pro forma basis and purely for illustrative purposes on the slide only, the Veris revenue and the Lucid management fee income are combined collectively more than $3 million per quarter to visually align PAVmed's income sources versus its operating expenses. For SEC reporting purposes, the MSA income is a below-the-line item. Furthermore, for the third quarter, you see on the slide and in the 10-Q a GAAP net loss of $6 million before NCI and before preferred dividends. This includes a non-cash loss of $4.4 million for the change in the fair value of the equity investment. Together with the preferred dividend stock-based comp, reconciles to a Non-GAAP loss of $446,000, basically the equivalent to the incremental contractor development costs for the Veris implantable device. Dennis McGrathCFO at PAVmed00:18:16I'm happy to answer any detailed questions on the slide in the Q&A, but I think it's more informative to look at the third quarter standalone information presented in this slide and the full third quarter information presented in our press release that shows a company baseline bias of operating at cash flow break-even and incurring incremental PAVmed expenses for development activities that are offset by dedicated funding. In the third quarter, you see a Non-GAAP loss of $446,000, which has been funded in part by the NIH grant proceeds of $1.1 million since the end of last year and $4.9 million of PAVmed Veris financing earlier this year. Non-GAAP operating expenses for the last four quarters have averaged approximately $4.4 million, with very small variation from quarter to quarter. Next slide, please. Dennis McGrathCFO at PAVmed00:19:09With regard to Non-GAAP operating expenses, on the slide, you see a graphic illustration of our operating expenses over time as presented in more detail in our press release. The Non-GAAP OpEx since the Lucid deconsolidation last year has been nearly flat for the last four quarters. OpEx increases moving forward are likely to be tied directly to the R&D efforts to get the Veris implantable device submitted and cleared by the FDA, for which the recent Veris-related financings are supported. With that, operator, let's open it up for questions. Operator00:19:43Ladies and gentlemen, we'll now begin the question-and-answer session. Should you have a question, please press the star followed by the one on your touch-tone phone. You will hear a prompt that your hand has been raised. Should you wish to decline from the polling process, please press the star followed by the two. If you are using a speakerphone, please lift the handset before pressing any keys. One moment, please, for your first question. At this time, there are no questions. I will now turn the call over to Dr. Lishan Aklog. Please go ahead. Lishan AklogChairman and CEO at PAVmed00:20:18Great. Thank you, operator. Thank you all for joining today. Let me just restate something that I stated earlier that Dennis highlighted. PAVmed was founded to be an engine of innovation that's capable of ingesting groundbreaking technologies and advancing them. Although Lucid is really in a great position and Veris is progressing well, our ability to consummate this broader vision has been constrained by capital markets and structural challenges. It's taken a series of steps, which Dennis has outlined over a period of time, to address these challenges. We really feel like we are now poised to complete that work so we can reignite the broader vision and continue to pursue the next Lucid, the next Veris. Lishan AklogChairman and CEO at PAVmed00:21:00We really have some excellent prospects, some of which we've talked about, the Duke Technology and others waiting in the wings for us to finally transition back to the original vision of PAVmed. We look forward to that, and we look forward to continuing to address those opportunities and finalize this restructuring that has put us in a position to expand those horizons. With that, oh, actually, it looks like we have somebody back in the Q&A. Should we bring him? Yeah. Let me go back to the operator. I believe we have one question around the Q&A that we'd like to bring on. Operator00:21:41Thank you. We do have one question. It does come from Anthony Vendetti from Maxim Group. Please go ahead. Anthony VendettiAnalyst at Maxim Group00:21:48Thank you. Dennis McGrathCFO at PAVmed00:21:48Hi, Anthony. Good morning. Anthony VendettiAnalyst at Maxim Group00:21:51Hi, Dennis. Lishan, I was wondering if you could just talk about where you exactly are with the implantable monitor. Are there any other clinical steps necessary other than completing the OSU trials and so forth? Lishan AklogChairman and CEO at PAVmed00:22:17Yeah. Yeah. Yeah. Let me just jump in, if that's okay, Anthony. The development of the implantable—remember, the implantable is an implantable device that allows the physician to implant an implantable cardiac monitor in conjunction with a port at the beginning of therapy. Although part of our strategic partnership with OSU involves them being the first site and them doing the initial pilot work once the implantable is cleared, the development work actually is unrelated to our relationship with OSU. With the financing that we secured earlier this year, we have relaunched the work that had been on pause when we were awaiting access to capital to do so. That relaunch actually included us transitioning to a new development and manufacturing partner who has extensive experience with making such implantable devices such as stimulators and others. We have transitioned. Lishan AklogChairman and CEO at PAVmed00:23:29We've launched that product development work with this new partner, going extremely well. There's a variety of just bread-and-butter engineering work that's required to get us to a final, to complete that product development work and get us into position to submit to FDA. You had mentioned, you had asked about any clinical trials. One of the things that we had been doing was we've had an ongoing engagement with FDA over many, many meetings to establish first our preclinical requirements, so animal studies that have been ongoing and will continue to be ongoing as part of this work. That was already previously locked down. The final step, which I think we talked about on our last call, was to get a final sign-off from FDA on any clinical work we would need to do. Since the predicate here—this is a 510(k) case. Lishan AklogChairman and CEO at PAVmed00:24:26Since the predicate here is an existing implantable cardiac monitor, the clinical requirements were actually quite modest. We did eventually work with the FDA to establish that the only clinical data we'd need is what we refer to as a skin study. Instead of having to implant the device to perform this study, we can actually just stick it on the skin and measure its ability to detect primarily the cardiac rhythm and show that it's equivalent to the predicate. It's a pretty straightforward, simple, small study that'll be required as part of that. That's not the rate-limiting factor. Frankly, the rate-limiting factor between us and a submission is all of the development work, the traditional BioComp packaging, things like that that are things that typically use up the clock. Anthony VendettiAnalyst at Maxim Group00:25:26Okay. Great. So it sounds like with the predicate, it should be—I'm not saying anything with the FDA's routine, but it should be relatively routine versus if you were using a personified. Lishan AklogChairman and CEO at PAVmed00:25:41Yeah. I think it's fair to say that the path is very clear. The requirements are clear. We just need to execute on it. I think there's very little uncertainty as to what's required. There's really good guidance from FDA on what they expect for these kinds of devices. We have a very carefully tuned regulatory strategy that's designed to really leverage this predicate carefully. There's always opportunities in the future to seek additional indications, expanded language, and things like that. We're extremely happy, frankly, with the pathway that we have ahead of us. We expect it to be straightforward. Anthony VendettiAnalyst at Maxim Group00:26:24I know the focus is on that and OSU, but is it too early to start having commercialization conversations with other cancer centers, or are you going to wait a little bit longer until, even though, like you said, it should be relatively straightforward with the FDA? Lishan AklogChairman and CEO at PAVmed00:26:51Yeah. Anthony VendettiAnalyst at Maxim Group00:26:51Are you going to start having those conversations as soon as you? Lishan AklogChairman and CEO at PAVmed00:26:54That was what I was trying to—yeah, sorry to interrupt, Anthony. That was what I was hinting at earlier. Let me just kind of restate it a little bit more directly. The answer to your question is yes. Earlier in this year, as we were able to finally secure some capital to develop this, our strategy had been one of just sort of sticking to the OSU partnership, getting a bunch of commercial experience there, and waiting until the implantable to broaden our commercial activity. We've shifted that strategy. That is no longer—we really do believe, given how well things have gone with OSU, that we are in a position likely starting in the first quarter after we've had some volume at OSU to start looking to expand at other centers. Lishan AklogChairman and CEO at PAVmed00:27:48The key factor there, it's not like we hadn't had ongoing conversations and solicited other centers. We just didn't do it very aggressively because we knew that we had limited capital for commercial expansion over the last couple of years. One of the things that we learned will be key in that is one of the things I mentioned, which is to offer not just the software platform, ultimately, not just the implantable, which is economically a very attractive thing for them, but to offer some additional value added and have a bit of an expanded vision for the offering from Veris. One of those things includes offering clinical support services, as I mentioned earlier, to really streamline and make more efficient the process of using our platform. Hospitals, cancer centers, including cancer centers, are pretty overwhelmed. The clinicians are pretty overwhelmed. They're understaffed. Lishan AklogChairman and CEO at PAVmed00:28:51Although there's clear clinical value in the data and having this continuous data that is sent to them to monitor their patients, often they're strapped for personnel time to be able to interpret these alerts and so forth. While we were soliciting other accounts, it became clear that us being able to centralize that and offer clinical support services is essentially to be able to triage alerts. If there's an alert on our system that says the patient's temperature's rising or they're reporting certain symptoms that may be consistent with a complication of chemotherapy, to be able to offer the account value-added service that they can kind of select from a menu to have our clinician be the front line to check in with the patient and sort of sort it out and then pass the baton on to the clinical team. Lots of interest in that. Lishan AklogChairman and CEO at PAVmed00:29:50We are going to start building that. We have our first PA who is going to be working closely with OSU on that. We think there is a real opportunity and a real revenue opportunity around that as well. The other thing, which we are not going to wait for the implantable on, and we are going to start working on, are AI-based tools that can provide value-added both from a clinical point of view and an economic point of view for the client. We do expect to work closely with OSU on that because those products, as I assume you know, require clinical data to train models and so forth. Lishan AklogChairman and CEO at PAVmed00:30:26For us to build a risk stratification tool that can predict which patients on a particular chemotherapy or immunotherapy are at risk for rehospitalization or for complications, that's extremely valuable, but that will require training with data that we would expect that we'd be able to partner with, that we're planning on trying to partner with OSU on that. Those activities are going to start gearing up in the first quarter even before we have the implantable ready. Anthony VendettiAnalyst at Maxim Group00:30:56Okay. Great. Great. Great. No, that's great clarity. I appreciate that. Lastly, is the letter of intent for the endoscopic imaging technology. I know LOI sometimes does not result in a definitive agreement, but do you have some exclusivity with this LOI? What is the timing that you believe it could lead to a definitive agreement? Would you first take that in? It sounds like because it is in the PAVmed press release, would that first go into the PAVmed portfolio? Would there be a plan to eventually shift that to Lucid Diagnostics? Lishan AklogChairman and CEO at PAVmed00:31:46Great. A lot to unpack there. Just let me know if I missed anything. The first answer to your question is that, no, this LOI will translate into a license and agreement. It'll be forthcoming very, very soon. We're in the final stages of ironing out that language. We expect to sign the definitive license agreement for this technology very, very shortly. That will be within a separate subsidiary of PAVmed to advance the technology through some additional development work and ultimately through an FDA submission and clearance. That work will begin immediately upon us signing the license agreement. There is development work to be done that will be done at the laboratory where this technology is being developed at Duke to try to make some adjustments to sizing. Just maybe a little bit of background. Lishan AklogChairman and CEO at PAVmed00:32:50We haven't spent a lot of time on this. This is technology that has actually been used in humans. One of our longtime colleagues and partners, Dr. Nick Shaheen, who's a PI in our studies and the head of Lucid MAB, is the clinical gastroenterologist who's been working with Duke on this. They have used this in humans and have demonstrated its efficacy in being able to detect dysplasia at the time of a diagnostic endoscopy. There is additional design work to kind of sort of from a form factor point of view and how it sort of snaps together with the endoscope and so forth that we'll be supporting at Duke. Once that has been completed, we'll transition it into a commercial product development pathway and then ultimately submit. We do have a regulatory—we've kind of finalized our regulatory strategy around how to pursue this. Lishan AklogChairman and CEO at PAVmed00:33:50We are convinced this is also a 510(k). It'll likely require a small clinical study, but nothing too large or resource-intensive. That's the plan. It's coming. We're going to get this thing done. It's just dotting I's and crossing T's on the documents. Anthony VendettiAnalyst at Maxim Group00:34:12Understood. Perfect. Lishan AklogChairman and CEO at PAVmed00:34:14Sorry, you had mentioned the relationship with Lucid. Sorry, I forgot to—look, obviously, Lucid is in the space. These are patients that EsoGuard will be finding, right, who will be undergoing a confirmatory endoscopy based on a positive EsoGuard test that will require an endoscopy to determine whether they're a true positive and if they're a true positive, where they are along the spectrum for further follow-up, right? Clearly, the work of Lucid is linked to the application of this technology. We've decided for the time being to keep it separate. Lucid has plenty on its plate. It's really kind of positioned as a molecular diagnostic company. There is an agreement between Lucid and PAVmed for a modest equity position in the subsidiary. Lucid will have upside on that. When it's near commercialization, we'll decide sort of what the right pathway for it. Lishan AklogChairman and CEO at PAVmed00:35:15If there are synergies that make sense at the time with Lucid, we'll pursue that. If it's a distraction to Lucid, we'll pursue it separately. Anthony VendettiAnalyst at Maxim Group00:35:24Okay. Great. Thanks for all that color. I appreciate it. Lishan AklogChairman and CEO at PAVmed00:35:28Great. Thanks, Anthony. With that said, let's wrap things up. I just would like to, again, encourage you to remain connected to us and our progress. Follow our press releases and these quarterly update calls. Subscribe to our email alerts and just contact us by phone if necessary. Thank you very much. Everybody have a great day. Operator00:35:51Ladies and gentlemen, this does conclude your conference call for today. We thank you very much for your participation, and you may now disconnect. Have a great day. Lishan AklogChairman and CEO at PAVmed00:36:01All right. Lishan AklogChairman and CEO at PAVmed00:36:04Did you know?Read moreParticipantsExecutivesMatt RileySenior Director of Investor RelationsDennis McGrathCFOLishan AklogChairman and CEOAnalystsAnthony VendettiAnalyst at Maxim GroupPowered by Earnings DocumentsSlide DeckPress Release(8-K)Quarterly Report(10-Q) PAVmed Earnings HeadlinesPAVmed (PAVM) to Release Quarterly Earnings on FridayMay 8 at 1:30 AM | americanbankingnews.comPAVmed to Hold First Quarter 2026 Business Update Conference Call and Webcast on May 15, 2026May 1, 2026 | prnewswire.comLouis Navellier: My #1 AI stock for 2026 (name & ticker inside)Louis Navellier's Stock Grader system helped him flag Nvidia before its 82,000% run and has identified the top S&P 500 stock for 12 years running—and today, he's giving away his #1 AI stock pick for 2026, free. This company's sales are up 28% year over year, it holds over 30,000 patents in wireless and video technology, and it just earned an A-rating in his proprietary Stock Grader system that has cost him $9 million to build and maintain.May 11 at 1:00 AM | InvestorPlace (Ad)Lucid Diagnostics to Hold First Quarter 2026 Business Update Conference Call and Webcast on May 14, 2026April 30, 2026 | prnewswire.comPAVmed (PAVM) price target decreased by 84.60% to 41.31April 29, 2026 | msn.comWhy The PAVmed (PAVM) Story Is Shifting After A Major Valuation ResetApril 27, 2026 | finance.yahoo.comSee More PAVmed Headlines Get Earnings Announcements in your inboxWant to stay updated on the latest earnings announcements and upcoming reports for companies like PAVmed? Sign up for Earnings360's daily newsletter to receive timely earnings updates on PAVmed and other key companies, straight to your email. Email Address About PAVmedPAVmed (NASDAQ:PAVM) is a clinical-stage medical technology company focused on acquiring, developing and commercializing innovative medical devices aimed primarily at gastrointestinal endoscopy and related therapeutic areas. Its portfolio includes FDA-cleared products such as EsoFLIP® Distensibility System for the treatment of esophageal strictures and MUSE™ (Medigus Ultrasonic Surgical Endostapler) for endoscopic fundoplication in gastroesophageal reflux disease (GERD). In addition to its gastrointestinal franchise, PAVmed is advancing early-stage programs targeting indications in oncology, urology and dermatology. Founded in 2012, PAVmed has built its pipeline through internal research and development as well as strategic collaborations and acquisitions. The company completed its initial public offering in 2017 and maintains research, development and regulatory operations in North America and strategic partnerships in Europe. PAVmed’s multidisciplinary team leverages clinical insights, engineering expertise and regulatory know-how to shepherd devices from concept through pivotal studies and commercialization. PAVmed’s executive leadership brings together seasoned professionals from the medical device, clinical practice and regulatory sectors. The management team emphasizes streamlined regulatory pathways and robust clinical trial design, seeking to deliver less-invasive treatment options that address high unmet needs. Though based in the United States, the company’s regulatory clearances and distribution agreements extend into key international markets. Looking ahead, PAVmed is focused on driving commercial adoption of its approved devices while advancing its mid- and late-stage programs toward pivotal data readouts and regulatory submissions. By targeting areas where minimally invasive approaches can improve patient outcomes and reduce healthcare costs, the company aims to establish sustainable growth through a diversified pipeline of differentiated medical technologies.View PAVmed ProfileRead more More Earnings Resources from MarketBeat Earnings Tools Today's Earnings Tomorrow's Earnings Next Week's Earnings Upcoming Earnings Calls Earnings Newsletter Earnings Call Transcripts Earnings Beats & Misses Corporate Guidance Earnings Screener Latest Articles Tapestry Stock Drops After Strong Quarter and Raised OutlookMarketBeat Week in Review – 05/04 - 05/08Quantum Earnings Season Is Ramping Up—What to Watch From 2 Major PlayersRocket Lab Posts Record Q1 Revenue, Raises Q2 GuidanceThe Stars Are Aligning For Apple: Get Ready for $3003 Under-The-Radar Small Caps Making New All-Time HighsFlutter Sees Post-Earnings Boost as FanDuel Shows Signs of Recovery Upcoming Earnings SEA (5/12/2026)Cisco Systems (5/13/2026)Alibaba Group (5/13/2026)Manulife Financial (5/13/2026)Sumitomo Mitsui Financial Group (5/13/2026)Takeda Pharmaceutical (5/13/2026)Applied Materials (5/14/2026)Brookfield (5/14/2026)National Grid Transco (5/14/2026)NU (5/14/2026) Get 30 Days of MarketBeat All Access for Free Sign up for MarketBeat All Access to gain access to MarketBeat's full suite of research tools. 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PresentationSkip to Participants Operator00:00:00Good morning and welcome to the PAVmed third quarter 2025 Business Update conference call. At this time, all lines are in listen-only mode, and following the presentation, we will conduct a question-and-answer session. If at any time during this call you require immediate assistance, please press star zero for the operator. This call is being recorded on Thursday, November 13, 2025. I would now like to turn the call over to Mr. Matt Riley, PAVmed Senior Director of Investor Relations. Please go ahead. Matt RileySenior Director of Investor Relations at PAVmed00:00:33Thank you, Operator, and good morning, everyone. Thank you for participating in today's business update call. Joining me today on the call are Dr. Lishan Aklog, Chairman and Chief Executive Officer of PAVmed, along with Dennis McGrath, Chief Financial Officer of PAVmed. The press release announcing our business update and financial results is available on PAVmed's website. Please take a moment to read the disclaimers about forward-looking statements in the press release. The business update, press release, and the conference call all include forward-looking statements, and these forward-looking statements are subject to known and unknown risks and uncertainties that may cause actual results to differ materially from statements made. Factors that could cause actual results to differ are described in the disclaimer and are our filings with the SEC. Matt RileySenior Director of Investor Relations at PAVmed00:01:16For a list and a description of these and other important risks and uncertainties that may affect future operations, see Part 1, Item 1A, entitled Risk Factors in PAVmed's most recent annual report on Forms 10-K filed with the SEC, and any subsequent updates filed in the quarterly reports on Forms 10-Q and subsequent Forms 8-K. Except as required by law, PAVmed disclaims any intentions or obligations to publicly update or revise any forward-looking statements to reflect changes in expectations or in events, conditions, or circumstances on which the expectations may be based, or that may affect the likelihood that actual results will differ from those contained in the forward-looking statements. I would now like to turn the call over to Dr. Lishan Aklog, Chairman and CEO of PAVmed. Lishan AklogChairman and CEO at PAVmed00:02:02Thank you, Matt, and good morning, everyone. Thank you for joining our quarterly update call. As always, I'd like to thank our long-term shareholders for your ongoing support and commitment. Before we delve into our recent operational highlights, as I've done in the last couple of calls, I want to just remind you that over the past now 18 months, we've been taking some really critical steps to stabilize PAVmed's corporate structure and balance sheet. We did a restructuring of debt in the early part of this year, and we've been working on that. There is still work to be done on that front. Lishan AklogChairman and CEO at PAVmed00:02:31We have a couple of additional steps that we think we're going to be able to consummate in the very near future, whereby following that, we think PAVmed will be fixed and we'll be back to the original proposition where PAVmed will be really well-positioned to operate per our vision as a diversified commercial life sciences company with multiple independently financed subsidiaries operating under a shared services model, and it'll give us the opportunity to start building that portfolio beyond our two major main commercial subsidiaries right now. Let me just talk about that briefly and provide a brief overview of PAVmed's portfolio. PAVmed is a vehicle to deliver innovative medical technologies, and we operate, continue to operate under a shared services model. As our subsidiaries succeed, particularly Lucid, PAVmed should also succeed. Let me just start with Lucid. Lucid's obviously our main asset. Lishan AklogChairman and CEO at PAVmed00:03:28It's a publicly traded diagnostic company, and it's on the cusp of a transformative milestone, particularly Medicare coverage. It continues to succeed at raising its own capital, including this past quarter, and it has sufficient runway to accelerate its commercialization once Medicare coverage is secured. Talk more about Veris in much more detail later, but Veris is our digital health company that offers a cancer care platform to enhance personalized care for cancer patients who are initiating and undergoing systemic treatment with chemotherapy and immunotherapy. We made a big support for Veris earlier in this year where we're able to secure financing that's allowed us to bring our project plan forward to develop the key implantable device, and an FDA submission is planned for next year. Lishan AklogChairman and CEO at PAVmed00:04:21As we talked about on previous calls, we have started to make some effort to bring other technologies within our portfolio as well as others that we have access to, and we are in the process of organizing around that and seeking to raise capital around that. The final steps of our restructuring that I mentioned earlier, we think will put us in a very strong position to be able to continue to build these subsidiaries, to finance them, and to pursue very promising assets across the life sciences sector that we're actively pursuing. Lishan AklogChairman and CEO at PAVmed00:04:56One of those technologies which we mentioned in a press release earlier this year was an exciting technology that involves a licensing agreement, a partnership with Duke University and the University of North Carolina, and it's a breakthrough endoscopic imaging technology for esophageal precancer that can provide real-time detection of dysplasia or advanced precancer with the potential to completely transform the way that's treated and to do so at the same time as a diagnostic procedure. We're partnering with Dr. Adam Wax at Duke, who pioneered this technology, and Dr. Nick Shaheen from UNC, who is working with him closely. This fits within our partnership model, the same one that we launched Lucid and Veris. Lishan AklogChairman and CEO at PAVmed00:05:44We have one of the late stages of finalizing the license agreement and looking for building a team around this technology and a pathway towards the early stages of product development, finalizing regulatory strategy, and really just sort of getting this project. That's what we're really excited about off the ground. Let's get into the operational side of things. I do encourage you to, as always, listen to yesterday's Lucid business update call for greater detail on some of these areas, but the main takeaway for Lucid is that we are now better positioned than ever to capitalize on EsoGuard's large market opportunity and large clinical opportunity and their near-term milestones, which we believe will ultimately positively impact PAVmed as PAVmed remains the largest shareholder of Lucid. EsoGuard revenue was $1.2 million for the quarter, and test volume is just over 2,800. Lishan AklogChairman and CEO at PAVmed00:06:39Both of those are in line with last quarter, and our volume has been consistent with the target range of 2,500-3,000 tests that we've articulated that we are seeking to maintain to facilitate our engagement with commercial payers while we await Medicare coverage. The big highlight, as we talk about in our Lucid call, was the Medicare contractor meeting that was held in September. It was wildly successful. The experts unanimously endorsed Medicare coverage for EsoGuard, and this is really the final step towards what we believe is a near-term Medicare coverage for that test. We also raised capital, strengthened the balance sheet for Lucid with an underwritten public offering of just under $27 million in proceeds. Lishan AklogChairman and CEO at PAVmed00:07:32As I mentioned earlier, the extensive Lucid runway through 2026 was very strong investor interest and confidence, including institutional investors and insiders, and bodes well for Lucid's ability to execute on a strategic plan. Let's move on to Veris. The most important development this past quarter was that we launched the commercial phase of our strategic partnership with OSU. If you may recall, we've had a long-standing working relationship with OSU where we completed a pilot study. That study was very successful. It was found to be the technology was found to be valuable to their patients by all objective measures and predefined performance criteria. We are in the commercial phase. Lishan AklogChairman and CEO at PAVmed00:08:23We are finalizing EHR integration, but we've already started to proceed with building the commercial side of things with the initial three departments within OSU's James Cancer Center, now launching this in a broader patient population beyond the pilot. The agreement targets 1,000 patients in the first year that will be enrolled in a registry. We've also, after completing our financing, fully relaunched the development work on the implantable physiologic monitor to work towards a 2026 FDA submission. We've locked down or restarted or locked down new vendors for that product development, and it's actually going quite well. Veris has sufficiently capitalized to fund that development all the way through FDA clearance and subsequent commercial launch. That is going really extremely well, and we're looking forward to getting that wrapped up in 2026. Lishan AklogChairman and CEO at PAVmed00:09:36Beyond that, now that Veris has stabilized, it's well capitalized, the implantable is on its way. We've gotten a really very solid proof of concept with regard to our commercial partnership with OSU. We are working on executing an expanded vision for Veris, and we're not necessarily going to wait for the implantable to do so. We have an opportunity now, now that we have the template from OSU, to expand our commercial offering to include other academic medical centers. As part of that, we're incorporating the lessons that we've learned from our engagement with OSU as we launch engaging with other centers to provide value added to these centers, an offering that goes beyond simply remote patient monitoring and the economics and the business model around that. Lishan AklogChairman and CEO at PAVmed00:10:25One of the things that we've learned over the past year is that clinical support services are really important. Ohio State has a call center, and we've learned how to interface with them so that the alerts that come from the platform are processed in an efficient way. Many centers don't have call centers, and any type of digital health tool can actually be somewhat overwhelming to the personnel with regard to alerts and so forth. Lishan AklogChairman and CEO at PAVmed00:10:55We've hired our first full-time physician assistant, and we're looking to build a clinical support team around that to provide such clinical support services as a value-added service to our commercial partners, whereby our team will be able to provide a menu of varying levels of clinical support to triage alerts that come through the system and to make the process of incorporating our platform much more efficient and consistent with the personnel needs that these centers have. That's a really important additional value-added offering that we're looking to provide. Lishan AklogChairman and CEO at PAVmed00:11:35Another one is really we're seeking to transform Lucid beyond, sorry, Veris beyond just remote patient monitoring to actually become a modern-day AI-based company where we can provide AI-based clinical decision tools that help these physicians just manage their care of patients better, manage them more cost-effectively, improve outcomes, improve the economics of healthcare delivery, and so forth. We have had a very intense internal process where we've mapped out what we intend to do, and we are looking to build risk stratification tools that will provide such input, AI-based input to the practitioners. We are looking to partner with OSU to build and train such a decision tool that will be ultimately fully integrated within the platform and, again, provide value to the center beyond the simple billing around remote patient monitoring. With that, I'll hand the call over to Dennis for an update on our financials. Dennis McGrathCFO at PAVmed00:12:42Thanks, Lishan. Good morning, everyone. Our summary financial results for the third quarter were reported in our press release, but it is distributed. On the next three slides, I'll emphasize a few key highlights from the third quarter. I encourage you to consider those remarks in the context of full disclosures covered in our quarterly report on Form 10-Q as filed with the SEC. As a couple of reminders, as our financials, particularly the income statement with year-over-year comparisons, will for this last quarter illustrate periods before September 10, 2024, with Lucid's operating results being consolidated into the PAVmed results. The presentation of the 2025 periods is without Lucid's operating results being consolidated into the PAVmed financials. We do present some supplementary information in footnote four of the 10-Q that will help with some of those comparisons. Dennis McGrathCFO at PAVmed00:13:42With regard to the balance sheet, you'll recall from our investor update call since this time last year that the company was engaged in a multi-step process to regain compliance with the Nasdaq listing standard for minimum equity, which it did in February, and also positioned the company for longer-term financial stability. The two key components were deconsolidating Lucid from PAVmed's consolidated financial statements and restructuring our debt, whereby we exchanged about 80% of our outstanding debt for a new Series C preferred equity. The slide reflects the balance sheets for the third quarter and second quarter of this year, both after deconsolidation, which again occurred in the third quarter of 2024. A couple of key things to point out in each of these balance sheets. Dennis McGrathCFO at PAVmed00:14:33First, the cash burn rate of $900,000 for the third quarter reflects the Veris operating costs, including approximately $500,000 of outside contractor development costs associated with the implantable device, which have been funded by the two Veris-related financings, namely $2.4 million in the first quarter and $2.5 million in the second quarter to support the development and FDA submission of Veris's implantable device. Secondly, the equity method investment balance of $32 million at September 30th reflects the 31.3 million Lucid shares marked to market and reflects a $4.4 million sequential reduction consistent with the change in Lucid stock price. This amount was previously eliminated from PAVmed's balance sheet prior to the deconsolidation for most of the quarterly periods of 2024. Note there's plenty of information in the 10-Q and 10-K on both the debt exchange, Series C preferred stock, and the equity method treatment of PAVmed's investment in Lucid shares. Dennis McGrathCFO at PAVmed00:15:36At present, PAVmed continues to be the single largest shareholder of Lucid Diagnostics, with ownership of approximately 23% of the common shares outstanding. Although PAVmed no longer has voting control of Lucid, PAVmed, its board, and its management still have significant influence over Lucid with approximately a 28% voting interest. Shares outstanding today, including unvested restricted stock awards, are approximately 29.7 million shares. The GAAP quarter-ending outstanding shares of 23.1 million are reflected on the slide as well as on the face of the balance sheet in the 10-Q. GAAP shares do not reflect unvested RSA amounts. Additionally, we issued 25,000 Series C preferred shares as part of the debt restructure at the beginning of the year. To date, approximately 4,300 Series C have been converted to approximately 11 million common shares. Dennis McGrathCFO at PAVmed00:16:33If the balance were converted at the contractual $1.07 conversion price, an additional 20.5 million common shares would be issued. Next slide, please. Similar to the past presentations, this P&L slide provides some GAAP and Non-GAAP year-over-year quarterly and annual comparisons. As cautioned earlier in my comments, there are some significant differences in how the information is compiled between the comparative periods given the changes in PAVmed's financial control of Lucid. Importantly, the GAAP construct for deconsolidating Lucid on September 10th of last year somewhat blurs the historical understanding of the information for PAVmed as a standalone entity, and GAAP does not allow the presentation for prior periods on the face of the financial statements to be similarly adjusted. Although, as mentioned, there is some supplemental information in the footnotes. Dennis McGrathCFO at PAVmed00:17:26On a pro forma basis and purely for illustrative purposes on the slide only, the Veris revenue and the Lucid management fee income are combined collectively more than $3 million per quarter to visually align PAVmed's income sources versus its operating expenses. For SEC reporting purposes, the MSA income is a below-the-line item. Furthermore, for the third quarter, you see on the slide and in the 10-Q a GAAP net loss of $6 million before NCI and before preferred dividends. This includes a non-cash loss of $4.4 million for the change in the fair value of the equity investment. Together with the preferred dividend stock-based comp, reconciles to a Non-GAAP loss of $446,000, basically the equivalent to the incremental contractor development costs for the Veris implantable device. Dennis McGrathCFO at PAVmed00:18:16I'm happy to answer any detailed questions on the slide in the Q&A, but I think it's more informative to look at the third quarter standalone information presented in this slide and the full third quarter information presented in our press release that shows a company baseline bias of operating at cash flow break-even and incurring incremental PAVmed expenses for development activities that are offset by dedicated funding. In the third quarter, you see a Non-GAAP loss of $446,000, which has been funded in part by the NIH grant proceeds of $1.1 million since the end of last year and $4.9 million of PAVmed Veris financing earlier this year. Non-GAAP operating expenses for the last four quarters have averaged approximately $4.4 million, with very small variation from quarter to quarter. Next slide, please. Dennis McGrathCFO at PAVmed00:19:09With regard to Non-GAAP operating expenses, on the slide, you see a graphic illustration of our operating expenses over time as presented in more detail in our press release. The Non-GAAP OpEx since the Lucid deconsolidation last year has been nearly flat for the last four quarters. OpEx increases moving forward are likely to be tied directly to the R&D efforts to get the Veris implantable device submitted and cleared by the FDA, for which the recent Veris-related financings are supported. With that, operator, let's open it up for questions. Operator00:19:43Ladies and gentlemen, we'll now begin the question-and-answer session. Should you have a question, please press the star followed by the one on your touch-tone phone. You will hear a prompt that your hand has been raised. Should you wish to decline from the polling process, please press the star followed by the two. If you are using a speakerphone, please lift the handset before pressing any keys. One moment, please, for your first question. At this time, there are no questions. I will now turn the call over to Dr. Lishan Aklog. Please go ahead. Lishan AklogChairman and CEO at PAVmed00:20:18Great. Thank you, operator. Thank you all for joining today. Let me just restate something that I stated earlier that Dennis highlighted. PAVmed was founded to be an engine of innovation that's capable of ingesting groundbreaking technologies and advancing them. Although Lucid is really in a great position and Veris is progressing well, our ability to consummate this broader vision has been constrained by capital markets and structural challenges. It's taken a series of steps, which Dennis has outlined over a period of time, to address these challenges. We really feel like we are now poised to complete that work so we can reignite the broader vision and continue to pursue the next Lucid, the next Veris. Lishan AklogChairman and CEO at PAVmed00:21:00We really have some excellent prospects, some of which we've talked about, the Duke Technology and others waiting in the wings for us to finally transition back to the original vision of PAVmed. We look forward to that, and we look forward to continuing to address those opportunities and finalize this restructuring that has put us in a position to expand those horizons. With that, oh, actually, it looks like we have somebody back in the Q&A. Should we bring him? Yeah. Let me go back to the operator. I believe we have one question around the Q&A that we'd like to bring on. Operator00:21:41Thank you. We do have one question. It does come from Anthony Vendetti from Maxim Group. Please go ahead. Anthony VendettiAnalyst at Maxim Group00:21:48Thank you. Dennis McGrathCFO at PAVmed00:21:48Hi, Anthony. Good morning. Anthony VendettiAnalyst at Maxim Group00:21:51Hi, Dennis. Lishan, I was wondering if you could just talk about where you exactly are with the implantable monitor. Are there any other clinical steps necessary other than completing the OSU trials and so forth? Lishan AklogChairman and CEO at PAVmed00:22:17Yeah. Yeah. Yeah. Let me just jump in, if that's okay, Anthony. The development of the implantable—remember, the implantable is an implantable device that allows the physician to implant an implantable cardiac monitor in conjunction with a port at the beginning of therapy. Although part of our strategic partnership with OSU involves them being the first site and them doing the initial pilot work once the implantable is cleared, the development work actually is unrelated to our relationship with OSU. With the financing that we secured earlier this year, we have relaunched the work that had been on pause when we were awaiting access to capital to do so. That relaunch actually included us transitioning to a new development and manufacturing partner who has extensive experience with making such implantable devices such as stimulators and others. We have transitioned. Lishan AklogChairman and CEO at PAVmed00:23:29We've launched that product development work with this new partner, going extremely well. There's a variety of just bread-and-butter engineering work that's required to get us to a final, to complete that product development work and get us into position to submit to FDA. You had mentioned, you had asked about any clinical trials. One of the things that we had been doing was we've had an ongoing engagement with FDA over many, many meetings to establish first our preclinical requirements, so animal studies that have been ongoing and will continue to be ongoing as part of this work. That was already previously locked down. The final step, which I think we talked about on our last call, was to get a final sign-off from FDA on any clinical work we would need to do. Since the predicate here—this is a 510(k) case. Lishan AklogChairman and CEO at PAVmed00:24:26Since the predicate here is an existing implantable cardiac monitor, the clinical requirements were actually quite modest. We did eventually work with the FDA to establish that the only clinical data we'd need is what we refer to as a skin study. Instead of having to implant the device to perform this study, we can actually just stick it on the skin and measure its ability to detect primarily the cardiac rhythm and show that it's equivalent to the predicate. It's a pretty straightforward, simple, small study that'll be required as part of that. That's not the rate-limiting factor. Frankly, the rate-limiting factor between us and a submission is all of the development work, the traditional BioComp packaging, things like that that are things that typically use up the clock. Anthony VendettiAnalyst at Maxim Group00:25:26Okay. Great. So it sounds like with the predicate, it should be—I'm not saying anything with the FDA's routine, but it should be relatively routine versus if you were using a personified. Lishan AklogChairman and CEO at PAVmed00:25:41Yeah. I think it's fair to say that the path is very clear. The requirements are clear. We just need to execute on it. I think there's very little uncertainty as to what's required. There's really good guidance from FDA on what they expect for these kinds of devices. We have a very carefully tuned regulatory strategy that's designed to really leverage this predicate carefully. There's always opportunities in the future to seek additional indications, expanded language, and things like that. We're extremely happy, frankly, with the pathway that we have ahead of us. We expect it to be straightforward. Anthony VendettiAnalyst at Maxim Group00:26:24I know the focus is on that and OSU, but is it too early to start having commercialization conversations with other cancer centers, or are you going to wait a little bit longer until, even though, like you said, it should be relatively straightforward with the FDA? Lishan AklogChairman and CEO at PAVmed00:26:51Yeah. Anthony VendettiAnalyst at Maxim Group00:26:51Are you going to start having those conversations as soon as you? Lishan AklogChairman and CEO at PAVmed00:26:54That was what I was trying to—yeah, sorry to interrupt, Anthony. That was what I was hinting at earlier. Let me just kind of restate it a little bit more directly. The answer to your question is yes. Earlier in this year, as we were able to finally secure some capital to develop this, our strategy had been one of just sort of sticking to the OSU partnership, getting a bunch of commercial experience there, and waiting until the implantable to broaden our commercial activity. We've shifted that strategy. That is no longer—we really do believe, given how well things have gone with OSU, that we are in a position likely starting in the first quarter after we've had some volume at OSU to start looking to expand at other centers. Lishan AklogChairman and CEO at PAVmed00:27:48The key factor there, it's not like we hadn't had ongoing conversations and solicited other centers. We just didn't do it very aggressively because we knew that we had limited capital for commercial expansion over the last couple of years. One of the things that we learned will be key in that is one of the things I mentioned, which is to offer not just the software platform, ultimately, not just the implantable, which is economically a very attractive thing for them, but to offer some additional value added and have a bit of an expanded vision for the offering from Veris. One of those things includes offering clinical support services, as I mentioned earlier, to really streamline and make more efficient the process of using our platform. Hospitals, cancer centers, including cancer centers, are pretty overwhelmed. The clinicians are pretty overwhelmed. They're understaffed. Lishan AklogChairman and CEO at PAVmed00:28:51Although there's clear clinical value in the data and having this continuous data that is sent to them to monitor their patients, often they're strapped for personnel time to be able to interpret these alerts and so forth. While we were soliciting other accounts, it became clear that us being able to centralize that and offer clinical support services is essentially to be able to triage alerts. If there's an alert on our system that says the patient's temperature's rising or they're reporting certain symptoms that may be consistent with a complication of chemotherapy, to be able to offer the account value-added service that they can kind of select from a menu to have our clinician be the front line to check in with the patient and sort of sort it out and then pass the baton on to the clinical team. Lots of interest in that. Lishan AklogChairman and CEO at PAVmed00:29:50We are going to start building that. We have our first PA who is going to be working closely with OSU on that. We think there is a real opportunity and a real revenue opportunity around that as well. The other thing, which we are not going to wait for the implantable on, and we are going to start working on, are AI-based tools that can provide value-added both from a clinical point of view and an economic point of view for the client. We do expect to work closely with OSU on that because those products, as I assume you know, require clinical data to train models and so forth. Lishan AklogChairman and CEO at PAVmed00:30:26For us to build a risk stratification tool that can predict which patients on a particular chemotherapy or immunotherapy are at risk for rehospitalization or for complications, that's extremely valuable, but that will require training with data that we would expect that we'd be able to partner with, that we're planning on trying to partner with OSU on that. Those activities are going to start gearing up in the first quarter even before we have the implantable ready. Anthony VendettiAnalyst at Maxim Group00:30:56Okay. Great. Great. Great. No, that's great clarity. I appreciate that. Lastly, is the letter of intent for the endoscopic imaging technology. I know LOI sometimes does not result in a definitive agreement, but do you have some exclusivity with this LOI? What is the timing that you believe it could lead to a definitive agreement? Would you first take that in? It sounds like because it is in the PAVmed press release, would that first go into the PAVmed portfolio? Would there be a plan to eventually shift that to Lucid Diagnostics? Lishan AklogChairman and CEO at PAVmed00:31:46Great. A lot to unpack there. Just let me know if I missed anything. The first answer to your question is that, no, this LOI will translate into a license and agreement. It'll be forthcoming very, very soon. We're in the final stages of ironing out that language. We expect to sign the definitive license agreement for this technology very, very shortly. That will be within a separate subsidiary of PAVmed to advance the technology through some additional development work and ultimately through an FDA submission and clearance. That work will begin immediately upon us signing the license agreement. There is development work to be done that will be done at the laboratory where this technology is being developed at Duke to try to make some adjustments to sizing. Just maybe a little bit of background. Lishan AklogChairman and CEO at PAVmed00:32:50We haven't spent a lot of time on this. This is technology that has actually been used in humans. One of our longtime colleagues and partners, Dr. Nick Shaheen, who's a PI in our studies and the head of Lucid MAB, is the clinical gastroenterologist who's been working with Duke on this. They have used this in humans and have demonstrated its efficacy in being able to detect dysplasia at the time of a diagnostic endoscopy. There is additional design work to kind of sort of from a form factor point of view and how it sort of snaps together with the endoscope and so forth that we'll be supporting at Duke. Once that has been completed, we'll transition it into a commercial product development pathway and then ultimately submit. We do have a regulatory—we've kind of finalized our regulatory strategy around how to pursue this. Lishan AklogChairman and CEO at PAVmed00:33:50We are convinced this is also a 510(k). It'll likely require a small clinical study, but nothing too large or resource-intensive. That's the plan. It's coming. We're going to get this thing done. It's just dotting I's and crossing T's on the documents. Anthony VendettiAnalyst at Maxim Group00:34:12Understood. Perfect. Lishan AklogChairman and CEO at PAVmed00:34:14Sorry, you had mentioned the relationship with Lucid. Sorry, I forgot to—look, obviously, Lucid is in the space. These are patients that EsoGuard will be finding, right, who will be undergoing a confirmatory endoscopy based on a positive EsoGuard test that will require an endoscopy to determine whether they're a true positive and if they're a true positive, where they are along the spectrum for further follow-up, right? Clearly, the work of Lucid is linked to the application of this technology. We've decided for the time being to keep it separate. Lucid has plenty on its plate. It's really kind of positioned as a molecular diagnostic company. There is an agreement between Lucid and PAVmed for a modest equity position in the subsidiary. Lucid will have upside on that. When it's near commercialization, we'll decide sort of what the right pathway for it. Lishan AklogChairman and CEO at PAVmed00:35:15If there are synergies that make sense at the time with Lucid, we'll pursue that. If it's a distraction to Lucid, we'll pursue it separately. Anthony VendettiAnalyst at Maxim Group00:35:24Okay. Great. Thanks for all that color. I appreciate it. Lishan AklogChairman and CEO at PAVmed00:35:28Great. Thanks, Anthony. With that said, let's wrap things up. I just would like to, again, encourage you to remain connected to us and our progress. Follow our press releases and these quarterly update calls. Subscribe to our email alerts and just contact us by phone if necessary. Thank you very much. Everybody have a great day. Operator00:35:51Ladies and gentlemen, this does conclude your conference call for today. We thank you very much for your participation, and you may now disconnect. Have a great day. Lishan AklogChairman and CEO at PAVmed00:36:01All right. Lishan AklogChairman and CEO at PAVmed00:36:04Did you know?Read moreParticipantsExecutivesMatt RileySenior Director of Investor RelationsDennis McGrathCFOLishan AklogChairman and CEOAnalystsAnthony VendettiAnalyst at Maxim GroupPowered by