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Quarterly Update – Q1 24 Test Volumes Reach New Heights

Quarterly Update17 July 2023PEBHealthcare

18 July 2023
Q1 24 INVESTOR UPDATE – TEST VOLUMES REACH NEW HEIGHTS

DUNEDIN, New Zealand – Cancer diagnostics company Pacific Edge (NZX, ASX: PEB) has today

released its Shareholder Update (attached) showing test volumes processed in its laboratories rising to

a new record in the first quarter of the 2024 financial year (Q1 24) of 9,706. The figure represents a 9%

rise on the 8,877 tests in the prior quarter (Q4 23).

The volume processed in Q1 24 also represents a 38% increase on the 7,056 tests processed in the

same quarter of the prior year (Q1 23). US volumes led the growth rising to 8,627 in Q1 24, a 10%

increase on the 7,816 tests in Q4 23. The figure also represents a 42% increase on the 6,073 tests

processed in Q1 23.

The continued growth in test volumes comes despite Novitas’

1

June 2023 release of the latest iteration

of the ‘Genetic Testing for Oncology’ Local Coverage Determination (LCD, L39365) and its subsequent

stay earlier this month. The still to be finalized LCD has the potential to end Medicare coverage of

Cxbladder in the US.

The number of unique ordering clinicians in the US has continued to grow through the quarter to 1,232

at the end of Q1 24, a figure that represents more than 10% of the 12,253

2

actively practicing urologists

in the US. The figure is, up 7% on the 1,150 ordering in Q4 23 and up 38% on the 895 clinicians who

ordered tests in Q1 23.

Asia Pacific volumes in Q1 24 were 1,079, up 2% on the 1,061 tests processed in Q4 23, and up 10%

on the 983 tests processed in Q1 23. The volume trends in APAC reflect the maturity of the New Zealand

market and the region’s ongoing healthcare reforms.

The update also details Pacific Edge’s success in gaining a stay on L39365, the strategic moves the

company has made since the publication of the LCD’s latest iteration and other important contextual

information for shareholders.

Released for and on behalf of Pacific Edge by Grant Gibson Chief Financial Officer.

For more information:

Investors: Media:

Dr Peter Meintjes Richard Inder

Chief Executive The Project

Pacific Edge P: +64 21 645 643

P: 022 032 1263


OVERVIEW

Pacific Edge: www.pacificedgedx.com

Pacific Edge Limited (NZX/ ASX: PEB) is a global cancer diagnostics company leading the way in the

development and commercialization of bladder cancer diagnostic and prognostic tests for patients

presenting with hematuria or surveillance of recurrent disease. Headquartered in Dunedin, New


1

Novitas is the Medicare Administrative Contractor with responsibility for Pacific Edge’s US laboratory.

2

American Urological Association 2022 census




Zealand, the company provides its suite of Cxbladder tests globally through its wholly owned, and CLIA

certified, laboratories in New Zealand and the USA.

Cxbladder: www.cxbladder.com

Cxbladder is a urine-based genomic biomarker test optimized for the detection and surveillance of

bladder cancer. The Cxbladder evidence portfolio developed over the past 14 years includes more than

20 peer reviewed publications for primary detection, surveillance, adjudication of atypical urine cytology

and equivocal cystoscopy. Cxbladder is the focal point of numerous ongoing and planned clinical

studies to generate an ever-increasing body of clinical utility evidence supporting adoption and use in

the clinic to improve patient health outcomes. Cxbladder is reimbursed by CMS and has been trusted

by over 4,400 US urologists in the diagnosis and management of more than 100,000 patients, including

the option for in-home sample collection. In New Zealand, Cxbladder is accessible to 75% of the

population via public healthcare and all residents have the option of buying the test online.

---

INSIDE
Letter from the CEO 2

Test volumes rise to a new record 3

Pursuing our political and legal options 4

Our clinical evidence 5

Enhancing patient payment responsibility 6

US Urologists rally in support of Cxbladder 6

Kaiser Permanente update 7

Communicating our path forward 7

Setting our sights on guideline inclusion 8

New distribution agreements signed 9

JULY 23

PACIFIC EDGE LIMITED INVESTOR UPDATE | JULY 2023
2

Dear Shareholders,

I am pleased to announce

another record-breaking quarter in

laboratory testing throughput for

our Cxbladder products. I’m sure

it is not lost on shareholders that

this announcement comes on the

day (US time) that we would have

lost Medicare coverage, were it

not for the recent announcement

that Novitas

1

will not make Local

Coverage Determination (LCD)

L39365 effective on July 17, but will

republish with the opportunity for

open meetings and public comment.

This was the best possible result

that we could have expected from

our intense efforts since Novitas

announced it had finalized what

we and other commentators have

noted as a substantially flawed LCD

on 2 June 2023. Now, Pacific Edge

will have the opportunity to address

Novitas’ concerns and convey our

confidence that our primary clinical

evidence is sufficient to support

continued Medicare coverage of the

tests we currently have in the US

market.

Since the finalization of

the adverse LCD our focus in

conjunction with various partners

has been on pursuing a range

of actions aimed at retiring or

delaying its implementation on the

grounds that Novitas did not follow

statutorily regulated procedure. We

now appear to have prevailed on

these procedural matters.

Consequently, until we are

further advised, and until we have

concluded the notice and comment

period and a new LCD is finalized,

Pacific Edge expects to continue

to bill and receive reimbursement

for our tests from Medicare and

Medicare Advantage.

Pacific Edge will continue to

argue that the new approach in the

LCD to use third-party databases to

preemptively non-cover diagnostic

tests without evidentiary review

is unprecedented, not statutorily

supported and possibly unlawful.

However, we will focus more heavily

on the evidentiary review in the LCD

of Cxbladder products, rebutting

what our Medical Team and many

prominent Key Urology Opinion

Leaders perceive as a flawed

analysis that lacks understanding

of how to use our test and lacks

knowledge of the standard of care

in urology. We break down our

analysis of the evidentiary review for

investors on page 5.

“We now appear to

have prevailed on these

procedural matters.”


The events of the last few months

have prompted a thorough review of

our business operations in the event

of a non-coverage determination,

and this has already created

unanticipated value, including

important revisions to our strategy.

Starting today, and as flagged

earlier this month, we will ask our

patients to accept a greater degree

of financial responsibility for the

costs of performing a Cxbladder

test if an insurer denies us payment.

Pacific Edge will pass on a higher

patient responsibility to patients

with private insurance when that

insurer denies the claim. Patients

will be asked to sign a patient

responsibility notice that will include

our Patient Assist Program (see

page 6).

Regarding our clinical evidence

development, we announce today

that we have reached the primary

endpoint for the STRATA study,

so will cease enrolment, and begin

analysis, before deploying our clinical

evidence generation resources onto

other studies. Our high-level focus on

clinical evidence generation remains

the cornerstone of our long-term

strategy (see page 8).

Despite the LCD not becoming

effective on 17 July and its re-opening

for notice and comment, we

continue to work and develop the

strategies that we set out in June.

We have finalized and announced

the enhanced patient responsibility

program, acknowledging it will take

time to determine its efficacy.

We continue to explore

establishing a second lab in a

jurisdiction governed by the MolDx

Program to see if it would provide

greater certainty of retaining or

regaining Medicare coverage.

We are also exploring the

appropriate structure of the business

and what other strategic options are

available to the company that will

enhance shareholder value.

We aim to coalesce all of

our recent activities and update

shareholders on these workstreams

at our Annual Shareholders Meeting

to be held in Auckland and online on

Thursday 27 July 2023 (see page 7).

The event will include presentations

from our Chair Chris Gallaher,

Pacific Edge Diagnostics USA

President David Levison, our Chief

Medical Officer, Urologist Dr Tamer

Aboushwareb, and myself.

It will be an important event for

shareholders, and we encourage you

all to attend.

I look forward to seeing you there.

Ngā mihi nui,

Dr Peter Meintjes

Chief Executive

LETTER FROM THE CEO

CHARTING A NEW PATH

FORWARD

1

Novitas is the Medicare Administrative Contractor (MAC) with responsibility for our US laboratory.

2

The MolDX Program is a Medicare program that determines coverage, coding, and pricing of molecular pathology services.

UNIQUE ORDERING CLINICIANS: US
-

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

9,000

10,000

Test volume

USNZ

Q4 21

3,824

1,073

Q1 22

4,277

1,079

Q2 22

4,706

1,074

Q3 22

4,591

1,117

Q4 22

5,290

952

Q1 23

6,073

983

Q2 23

6,699

1,165

Q3 23

6,629

1,139

Q4 23

7,817

1,061

Q1 24

8,627

1,079

Q3 21

3,110

943

Q2 21

2,791

1,088

Q1 21

2,133

852

35%

CAGR

35%

CAGR

-

200

400

600

800

1,000

1,200

1,400


Physicians

Q3 21

515

Q4 21

530

Q1 21

411

Q2 21

462

Q1 22

657

Q2 22

690

Q3 22

741

Q4 22

789

Q1 23

895

Q2 23

980

Q3 23

1,081

Q4 23

1,151

Q1 24

1,232

37%

CAGR

TOTAL TEST VOLUMES: GROUP

PACIFIC EDGE LIMITED INVESTOR UPDATE | JULY 2023

3

TEST VOLUMES

CONTINUED TEST VOLUME GROWTH

Test volumes processed at Pacific Edge laboratories rose to a new record in the first quarter of the 2024

financial year (Q1 24) rising to 9,706, a 9% rise on the 8,877

3

tests in the prior quarter (Q4 23).

The volume processed in Q1 24 represents a 38% increase on the 7,056 tests processed in the same quarter of the

prior year (Q1 23). US volumes led the growth rising to 8,627 in Q1 24, a 10% increase on the 7,816 tests in Q4 23. The

figure also represents a 42% increase on the 6,073 tests processed in Q1 23.

The continued growth in test volumes comes despite Novitas’ June 2023 release of the latest iteration of the

‘Genetic Testing for Oncology’ Local Coverage Determination and its subsequent stay earlier this month.

The number of unique ordering clinicians in the US has continued to grow through the quarter to 1,232 at the end

of Q1 24, a figure that represents more than 10% of the 12,253

4

actively practicing urologists in the US. The figure is

up 7% on the 1,150 ordering in Q4 23 and up 38% on the 895 clinicians who ordered tests in Q1 23.

Asia Pacific volumes in Q1 24 were 1,079, up 2% on the 1,061 tests processed in Q4 23, and up 10% on the 983

tests processed in Q1 23. The volume trends in APAC reflect the maturity of the New Zealand market and the

region’s ongoing healthcare reforms.

3

Historic test throughput numbers may vary slightly from those reported in prior quarters due to data recording inconsistencies determined by ongoing data

provenance initiatives.

4

American Urological Association 2022 census.

LCD CHALLENGE
EXPLORING ALL LEGAL AND POLITICAL PATHS

With the finalization of the Novitas ‘Genetic Testing for Oncology’ (L39365) LCD in early June, we

launched a concerted legal and political campaign aimed at retiring or delaying its implementation.

Firstly, through our industry partners we have

initiated lobbying efforts to engage with our local

(Pennsylvania) Congressmen and Senators to

reach the White House and the Department of

Health and Human Services (HHS) that oversees

the Medicare Program.

Our goal here is to highlight for those political

leaders the significant consequences for:

• Medicare patients who will have lost access

to our tests;

• Physicians who will have lost the ability to

choose our tests for their patients; and

• The Medicare Program, which will not

realize the clinical and potential economic

benefits of modern non-invasive biomarker

tests that improve the standard of care by

reducing unnecessary invasive diagnostic

procedures.

5


Secondly and coordinated in parallel, we

have made procedural arguments through our

US attorneys to the HHS Office of the General

Counsel (OGC), which has the power to direct

Medicare to retire or delay the Novitas LCD. Our

focus has been on highlighting several procedural

anomalies in the finalized LCD:

• We were denied ‘notice and comment’ on

a new unpublished evidentiary review in

the LCD;

• The LCD continues to rely on third-party

databases

6

, which have no statutory role

in coverage determination, when MACs are

statutorily required to determine coverage;

and

• We had non-commercial products reviewed

without requesting consideration;

Novitas now appears to have acknowledged

‘notice and comment’ argument while remaining

silent on the other matters.

Thirdly, we have sent official requests to

Novitas for meetings from our executives and our

Medical Affairs Team to discuss the substantial

misunderstandings about our peer-reviewed and

published clinical evidence.

We have earnestly stressed that we would like

5

Davidson, Peter. Presentation to Urofair Urofair 2022 Lunch Symposium: Advances in Bladder Cancer Diagnostics | Cxbladder - YouTube 2022

6

The finalized LCD relies on three knowledge bases to determine coverage. They are Clinical Genome Resource (ClinGen); National Comprehensive Cancer

Network (NCCN); Oncology Knowledge Base (OncoKB) knowledge bases.

PACIFIC EDGE LIMITED INVESTOR UPDATE | JULY 2023

4

REBUTTING NOVITAS’ CRITIQUE
Pacific Edge and Novitas have conflicting views in several

key areas related to our primary evidence.

NOVITAS SAYS: Populations of patients in Pacific Edge

trials that were tested included a strong bias towards male

patients of European ancestry and were not vetted in the

context of Medicare patients.

WE SAY: Novitas appears not to understand the basic

demographics of bladder cancer. Males are three times

more likely than women to present with the disease,

patients with European ancestry also have higher

incidence when compared with other ethnicities and these

demographics are therefore present in greater numbers

in our clinical trials. Our evidence is relevant to Medicare

patients since the average age of bladder cancer patients

is over 70 and Medicare eligibility is for patients over the

age of 65.

NOVITAS SAYS: Cxbladder delivers a high number of

false positive results, and this leads to patient anxiety and

distress.

WE SAY: Novitas appears to misunderstand how

Cxbladder is used by clinicians. Cxbladder’s proposition

relies on its high Negative Predictive Value (NPV) i.e., a

negative result allows urologists to reduce unnecessary

tests and procedures confidently and safely in patients at

a low risk of having bladder cancer but are required to be

investigated by the current standard of care. In the event

of a positive Cxbladder result, clinicians should continue

the evaluation of the patient for any other cause of disease,

including upper urinary tract assessment.

NOVITAS SAYS: A good test should differentiate between

urothelial carcinoma vs other types of urinary tract cancers.

WE SAY: Cxbladder is not a multi cancer assay and

we never claimed or attempted for it to fulfill this role.

The goal of our test is only to identify the probability

of presence or absence of a single cancer (urothelial

carcinoma) to improve the standard of care for hematuria

evaluation and/or surveillance for recurrent disease.

NOVITAS SAYS: Pacific Edge studies have a short follow up

period.

WE SAY: Our tests provide a snapshot in time assessment

of patients and are neither prognostic nor predictive tests.

Follow up period is irrelevant for point in time diagnostics.

NOVITAS SAYS: Pacific Edge did not recruit patients with

inflammatory conditions to assess the use of our products

in those patients.

WE SAY: We have excluded all those patients from clinical

and commercial use of Cxbladder as we already know

those patients are not the right target for our tests.

NOVITAS SAYS: Pacific Edge’s authoring and funding of

the primary literature for Cxbladder is a concern.

WE SAY: It is the industry norm for studies demonstrating

the analytical validation, clinical validation, and clinical

utility of biomarkers, medical devices, and pharmaceuticals

to be funded by those who develop those innovations.

to find a mutually agreeable solution

that is based on scientific and

clinical evidence. We expect to have

the opportunity to comment in line

with their statutory obligations of 45

days, but this meeting has not yet

been held, or scheduled.


Novitas now appears to

have acknowledged

‘notice and comment’

argument while remaining

silent on the other

matters.

Should L39365 ultimately

confirm an unfavorable result for

Pacific Edge, additional options are

available. Pacific Edge can initiate

a Medicare appeals process on

behalf of an ‘aggrieved beneficiary’

– a patient who has been denied

coverage on the basis of this LCD

– who will have standing to initiate

that process.

Pacific Edge has two paths here,

firstly to appeal claim-by-claim

through up to five levels of appeal

starting with Redetermination (level

1), Reconsideration (level 2) and

a Medicare Hearing in front of an

Administrative Law Judge (ALJ,

level 3 – which has the authority

to overturn an LCD), but secondly

to directly challenge the validity

of the LCD in a Medicare Hearing.

Our lawyers, our Medical Affairs

Team and our Market Access Team

are already prepared with the

arguments.

While we are hopeful of success,

it is a lengthy process and there

is no certainty that we will prevail.

In the meantime, we will continue

to generate clinical evidence for

our products, intended to achieve

coverage and guidelines inclusion.

LCD CHALLENGE CONT.

PACIFIC EDGE LIMITED INVESTOR UPDATE | JULY 2023

5

LCD INDUSTRY RESPONSE
US UROLOGICAL COMMUNITY PUSHES BACK ON NOVITAS LCD

While Pacific Edge has been a leading industry

voice, the broader community has rallied together

and called for the reconsideration of the ‘Genetic

Testing for Oncology’ LCD. Without exception

they share our concerns and are joining with us to

advocate for change. These representations will

be critical as we look to the next steps of ensuring

Cxbladder remains a covered test for the Medicare

population.

Key actions that support our calls include:

• Prominent members of the American Urological

Association (AUA), are preparing an Op-Ed for

publication in the prestigious AUA Journal of

Urology that should be published in the coming

weeks highlighting the value of biomarkers in

the diagnosis and treatment of bladder cancer

that would be eliminated by Novitas’ approach.

• Industry groups including The American Clinical

Laboratory Association (ACLA), The Large

Urology Group Practice Association (LUGPA),

the Coalition for 21st Century Medicine (C21)

have written to and/or are planning to write to

Novitas (and its sister MAC First Coast Service

Options) during the re-opened comment period

asking them to retire or delay the LCD and have

joined with Pacific Edge and others to work for

change.

We cannot be sure any of these efforts will deliver

the outcomes we seek. However, collectively they

demonstrate the sentiment and the resolve with

which we must continue in the face of Novitas

restarting the review process.

MAXIMIZING REIMBURSEMENT

ENHANCING PATIENT PAYMENT RESPONSIBILITY

Pacific Edge has made changes to its billing policy

that takes effect on July 17, 2023, but given the

ongoing Medicare coverage, this will now look slightly

different from what we announced to the market a few

weeks ago.

Only tests received from patients with private

insurance (except those such as Kaiser with whom we

have contracted coverage) will need to submit a patient

responsibility notice, and not an ABN (required for

Medicare). If a patient’s insurance company declines to

cover the test, the patient responsibility notice provides

Pacific Edge with greater means to collect payment

from the patient, as they have already acknowledged

this personal liability. Our Patient Assist Program will

continue to offer discounts to customers based on their

income benchmarked to the Federal Poverty Guidelines,

but the patient responsibility will be increased in all

cases.

The move is part of a broad range of actions that

Pacific Edge is pursuing to ensure it conserves capital

as it seeks to retain Medicare coverage of Cxbladder,

while still giving patients and clinicians access to the

valuable and actionable information our tests offer.

We are uncertain of the extent to which this new

approach will impact demand for our test in the US,

but we expect it to improve collections in the event

of a denial from any non-contracted insurer and

make some contribution to to revenues, thus improving

the overall average selling price for commercial testing.

PACIFIC EDGE LIMITED INVESTOR UPDATE | JULY 2023

6

Pacific Edge is incredibly grateful for the over-whelming support we have received from the US urological

community and diagnostic testing industry.

NATIONAL ACCOUNTS
KAISER EMR

PROGRESS

2023 ASM

A PATH FOR INCREASING COVERAGE CERTAINTY

We will of course review the 2023 financial year and

our significant success over that period. But in addition

to this, Chairman Chris Gallaher, Chief Executive

Dr Peter Meintjes, President of our US business

David Levison, and Chief Medical Officer Dr Tamer

Aboushwareb will discuss our approach to retaining

Medicare coverage for Cxbladder and commercialize

our tests in the US and around the world. We will also

detail the changes we are making at the business to

achieve these goals.

The team will also be available to take your

questions. We strongly encourage shareholders and

all other people interested in Pacific Edge to attend in

person or to join the meeting virtually via the online

meeting platform provided by our share registrar Link

Market Services.

Details of the meeting, the agenda and how to

participate virtually were included in the formal

Notice of Meeting sent to shareholders in late June

and are detailed below. However, should you have any

questions you should contact Link Market Services.

Where: Link Market Services Board Room

Level 30, PwC Tower

15 Customs Street West, Auckland 1010

When: 10.00am 27 July 2023

Notice of Meeting:

https://www.pacificedgedx.com/news-and-events/

news/2023/notice-of-annual-shareholders-meeting/

Connect virtually: www.virtualmeeting.co.nz/peb23

Virtual ASM assistance:

https://bcast.linkinvestorservices.co.nz/generic/docs/

OnlinePortalGuide.pdf

https://www.linkmarketservices.co.nz/

To help us plan for catering and seating at the event

Pacific Edge would appreciate you signaling your

intention to attend by providing an RSVP through the

following Eventbrite link: https://bit.ly/PEB-ASM2023

Please note that you do not need to RSVP to attend

the Annual Shareholders Meeting.

Pacific Edge and Kaiser Permanente

continue to work cooperatively

towards the ‘go live’ of Cxbladder’s

integration with Kaiser’s Electronic

Medical Records (EMR) system.

Kaiser, like other private

healthcare providers in the US, makes

independent medical policy decisions

based on their own evaluations, their

own clinical evidence, and their own

determination of economic value.

Kaiser’s usage of Cxbladder testing

continues to increase on a consistent

basis, and we look forward to moving

through implementation and onto

logistical considerations in the near

future.

PACIFIC EDGE LIMITED INVESTOR UPDATE | JULY 2023

7

At our Annual Shareholders Meeting in Auckland on 27 July 2023, we intend to provide a consolidation

of all initiatives in our strategic response to Novitas’ adverse ‘Genetic Testing for Oncology’ LCD and

the future possibility of non-coverage.

CLINICAL EVIDENCE
STRATA SUCCESSFULLY CONCLUDING AS

PRIMARY ENDPOINT ACHIEVED

With the consolidation of the Medical Affairs Team, we have reconfigured our evidence generation program

to focus on the endpoints that matter most to the clinical guidelines committees of the American Urological

Association and the National Comprehensive Cancer Network. With this in mind, we are bringing STRATA (Safe

Testing of Risk for AsymptomaTic MicrohematuriA) to a successful conclusion.

Based on the power calculations for the primary endpoint, the study has enrolled the planned number of

patients in the randomized part of the study to initiate our statistical analysis plan. When concluded, this analysis

will determine if there is a statistically significant difference in the percentage of patients that receive a cystoscopy

between the control arm (no Cxbladder used) and the experimental arm (Cxbladder Triage result used to inform

cystoscopy). The precise performance characteristics of the study, the safety data, the follow up and the data

analysis will continue, while the study has ceased enrolment effective in early July.

The clinical development program remains the most important driver of strategic value for Pacific Edge, and

consequently, we will continue to invest resources to accelerate microDRIVE, DRIVE and AUSSIE for the earliest

possible completion dates. Combining these remaining studies in a pooled analysis is expected to deliver clinical

validation evidence on microhematuria and gross hematuria populations needed by guidelines committees to

establish a recommendation for Cxbladder Detect

+

as safe for the purposes of ruling out cystoscopy in those patient

populations. Further updates to our clinical development program to accelerate our path to regaining coverage will

be announced as and when appropriate.

STUDY ENROLLED SITES*

AND LOCATIONS

STATUS**

STRATA

(Safe Testing of Risk for AsymptomaTic

MicrohematuriA)

12/13

USA/Canada

- Enrolment total is 545

- Target enrolment: 600 patients, including

120 low risk subjects (now 131)

- Last patient in: Q3 2023

- Data monitoring underway and expected

to be completed Q1 2024

- Follow up: until Q3 2024

DRIVE

(Detection and Risk Stratification in

Veterans Presenting with Hematuria)

11/11

VA Sites (USA)

- Enrolment total is 601

- Target enrolment: ~600 patients

- Last patient in: Q3 2023

- Follow up: until Q2 2025

AUSSIE

(Australian Urologic risk Stratification of

patients with hematuria)

1/2

Australia

- Target enrolment: 600 patients

- Enrolment due to start July 2023

Microhematuria Pooled-analysis

Pooled-analysis of Cxbladder Detect

+


performance from multiple studies involving

prospectively recruited patients from single-

arm observational studies including eligible

microhematuria patients

N /A

USA/Australia

- DRIVE underway, AUSSIE and microDRIVE

projected to start in 2023

microDRIVE

(Detection and Risk Stratification in

Veterans Presenting with microhematuria)

0/1

USA

- Projected to start recruitment Sep/Oct 2023

- Target is 1000 patients and 50 tumour

confirmed

- Last patient in: March/April 2024

LOBSTER

(Longitudinal Bladder Cancer Study for

Tumor Recurrence)

5/10

USA (including some

VA sites)/Australia

- Enrolment is now 100 patients with

157 samples collected to date

- Each site will enroll 100 patients within 12

months and follow up for another 12 months

Please note that dates are calendar years not financial years. For definitions of Analytical Validity (AV), Clinical Validity (CV), and

Clinical Utility (CU) please refer to www.pacificedgedx.com

*Estimated number of enrolled sites **All dates are best-case estimates and subject to change

Visit the Pacific Edge website to learn more about the strategic rationale for our studies.

PACIFIC EDGE LIMITED INVESTOR UPDATE | JULY 2023

8

ABOUT US
Pacific Edge Limited (NZX/ASX: PEB) is a

global cancer diagnostics company leading the

way in the development and commercialization

of bladder cancer diagnostic and prognostic

tests for patients presenting with hematuria

or surveillance of recurrent disease.

Headquartered in Dunedin, New Zealand, the

company provides its suite of Cxbladder tests

globally through its wholly owned, and CLIA

certified, laboratories in New Zealand and the

USA.

VISIT US ONLINE:

www.pacificedgedx.com

www.cxbladder.com

FOLLOW US ON SOCIAL MEDIA:

www.facebook.com/PacificEdgeLtd

www.facebook.com/Cxbladder

www.twitter.com/PacificEdgeLtd

www.twitter.com/Cxbladder

www.linkedin.com/company/pacific-edge-ltd

CONTACT US:

Centre for Innovation

87 St David Street

PO Box 56

Dunedin 9016, New Zealandd

T: +64 3 479 5800

E: investors@pacificedge.co.nz

INTERNATIONAL MARKETS

DISTRIBUTION AGREEMENTS

IN APAC AND LATIN AMERICA

As we continue to grow our international business,

Pacific Edge Diagnostics New Zealand have signed

two new Cxbladder distribution agreements in the

APAC Region, this time with Transviet Service and

Trading Company Limited in Vietnam and Hi-Precision

Diagnostics in the Philippines.

Following on from establishing Ex-US distribution

with ProGenetics in Israel, Pacific Edge Diagnostics

USA have added a second Distribution Partner,

SouthGenetics, for distribution of Cxbladder tests in

three Latin American countries, Argentina, Uruguay,

and Venezuela after the education presentations to

physicians and distribution partners in those regions at

the recent AUA Meeting.

As we bring on these new partners, Pacific Edge

initiates logistical test shipments, works on any country-

specific registration or market access requirements,

translates marketing material with our partners as

necessary and updates our billing processes. Training

is also key to successful distribution partnerships and

is already underway or scheduled with all partners.

Simultaneously, we are working to activate these

distribution agreements commercially and we have seen

the first signs of traction with initial tests ordered from

Israel, and in the APAC markets we serve directly, like

Singapore.

In all cases, our Distribution Partners have exclusive

sales and marketing rights and are expected to drive

the integration of Cxbladder into local standards of care

by leveraging their strong relationships with clinicians

and Pacific Edge’s peer-reviewed and published clinical

evidence.

HO CHI MINH CITY

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