Respiri — NIHR funding to seek better outcomes

Respiri (ASX: RSH)

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Respiri — NIHR funding to seek better outcomes

Respiri has received a £2m grant from the UK National Institute for Health Research (NIHR) to initiate a clinical study (TEAM-care) for wheezo, its proprietary asthma monitoring platform. wheezo is a UK-registered and FDA-approved pulmonary diagnostic with software as a service (SaaS) capabilities. The grant will fund the clinical study at the King’s College (London) to evaluate the impact of remote patient monitoring (RPM) to manage asthma in paediatric patients. Positive clinical data from this study would support Respiri’s aim to launch this into other markets. At end March 2022, Respiri had gross cash of A$1m and in June it raised a further A$1.7m.

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Respiri

NIHR funding to seek better outcomes

Healthcare

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13 July 2022

Price

A$0.05

Market cap

A$38m

AS$1/US$0.68

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Share details

Code

RSH

Listing

ASX

Shares in issue

761.9m

Business description

Respiri is an ASX-listed company developing SaaS diagnostic solutions to support respiratory health management. Its technology detects wheeze, a typical symptom of asthma, COPD and respiratory disease to provide an objective measure of airway limitation.

Bull

Leading RPM solutions in respiratory medicine.

Respiri addresses a largely unmet need for patients with asthma/COPD.

First-mover advantage with FDA regulatory approval and CMS reimbursement.

Bear

Penetration of US market will require provider and consumer education.

Need for patient compliance, which may vary between markets.

Need for near-term financing to fund operations into Q422.

Analysts

Soo Romanoff

+44 (0)20 3077 5700

Dr Adam McCarter

+44 (0)20 3077 5700

Jyoti Prakash

+44 (0)20 3077 5700

Respiri has received a £2m grant from the UK National Institute for Health Research (NIHR) to initiate a clinical study (TEAM-care) for wheezo, its proprietary asthma monitoring platform. wheezo is a UK-registered and FDA-approved pulmonary diagnostic with software as a service (SaaS) capabilities. The grant will fund the clinical study at the King’s College (London) to evaluate the impact of remote patient monitoring (RPM) to manage asthma in paediatric patients. Positive clinical data from this study would support Respiri's aim to launch this into other markets. At end March 2022, Respiri had gross cash of A$1m and in June it raised a further A$1.7m.

Respiri has developed a novel diagnostics technology, wheezo platform, to support the monitoring and maintenance of irregular breathing patterns (wheeze) in asthma and chronic obstructive pulmonary disease (COPD) patients. Asthma and COPD are estimated to inflict roughly 300 million individuals globally and more than 15 million American adults, respectively. As a physiological measure and a critical component of care, these services qualify for reimbursement in the United States under the Centers for Medicare & Medicaid Services (CMS).

The company’s monitoring platform qualifies for CMS reimbursement. Physicians can be reimbursed roughly c US$2,000–2,500 per year, per patient through both RPM and chronic care management services. The monitoring and compliance services are currently outsourced to a trusted third-party RPM partner for roughly US$80 per patient, per month. More regular monitoring is anticipated to improve outcomes.

The TEAM-care trial will assess wheezo as a device to effectively monitor asthma against a standard integrated care approach. The randomised, 30-month trial will recruit c 1,500 patients and aims to build clinical and health economic evidence for UK national health service (NHS) adoption. The key primary endpoint for the trial will be to measure cost effectiveness through unscheduled NHS use with secondary endpoints including child health quality of life, asthma control and rate of NHS use. The trial is expected to start in CY Q422, with final readouts expected by end CY23. The integration of new technologies into the UK health system requires significant clinical and economical evidence. However, positive readouts should help support clinical adoption of the RPM system.

We believe positive readouts from the new UK trial and integration into further clinical studies within the United States will be important future catalysts.

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Frankfurt +49 (0)69 78 8076 960

Schumannstrasse 34b

60325 Frankfurt

Germany

London +44 (0)20 3077 5700

280 High Holborn

London, WC1V 7EE

United Kingdom

New York +1 646 653 7026

1185 Avenue of the Americas

3rd Floor, New York, NY 10036

United States of America

Sydney +61 (0)2 8249 8342

Level 4, Office 1205

95 Pitt Street, Sydney

NSW 2000, Australia

General disclaimer and copyright

This report has been prepared and issued by Edison. Edison Investment Research standard fees are £60,000 pa for the production and broad dissemination of a detailed note (Outlook) following by regular (typically quarterly) update notes. Fees are paid upfront in cash without recourse. Edison may seek additional fees for the provision of roadshows and related IR services for the client but does not get remunerated for any investment banking services. We never take payment in stock, options or warrants for any of our services.

Accuracy of content: All information used in the publication of this report has been compiled from publicly available sources that are believed to be reliable, however we do not guarantee the accuracy or completeness of this report and have not sought for this information to be independently verified. Opinions contained in this report represent those of the research department of Edison at the time of publication. Forward-looking information or statements in this report contain information that is based on assumptions, forecasts of future results, estimates of amounts not yet determinable, and therefore involve known and unknown risks, uncertainties and other factors which may cause the actual results, performance or achievements of their subject matter to be materially different from current expectations.

Exclusion of Liability: To the fullest extent allowed by law, Edison shall not be liable for any direct, indirect or consequential losses, loss of profits, damages, costs or expenses incurred or suffered by you arising out or in connection with the access to, use of or reliance on any information contained on this note.

No personalised advice: The information that we provide should not be construed in any manner whatsoever as, personalised advice. Also, the information provided by us should not be construed by any subscriber or prospective subscriber as Edison’s solicitation to effect, or attempt to effect, any transaction in a security. The securities described in the report may not be eligible for sale in all jurisdictions or to certain categories of investors.

Investment in securities mentioned: Edison has a restrictive policy relating to personal dealing and conflicts of interest. Edison Group does not conduct any investment business and, accordingly, does not itself hold any positions in the securities mentioned in this report. However, the respective directors, officers, employees and contractors of Edison may have a position in any or related securities mentioned in this report, subject to Edison's policies on personal dealing and conflicts of interest.

Copyright: Copyright 2022 Edison Investment Research Limited (Edison).

Australia

Edison Investment Research Pty Ltd (Edison AU) is the Australian subsidiary of Edison. Edison AU is a Corporate Authorised Representative (1252501) of Crown Wealth Group Pty Ltd who holds an Australian Financial Services Licence (Number: 494274). This research is issued in Australia by Edison AU and any access to it, is intended only for "wholesale clients" within the meaning of the Corporations Act 2001 of Australia. Any advice given by Edison AU is general advice only and does not take into account your personal circumstances, needs or objectives. You should, before acting on this advice, consider the appropriateness of the advice, having regard to your objectives, financial situation and needs. If our advice relates to the acquisition, or possible acquisition, of a particular financial product you should read any relevant Product Disclosure Statement or like instrument.

New Zealand

The research in this document is intended for New Zealand resident professional financial advisers or brokers (for use in their roles as financial advisers or brokers) and habitual investors who are “wholesale clients” for the purpose of the Financial Advisers Act 2008 (FAA) (as described in sections 5(c) (1)(a), (b) and (c) of the FAA). This is not a solicitation or inducement to buy, sell, subscribe, or underwrite any securities mentioned or in the topic of this document. For the purpose of the FAA, the content of this report is of a general nature, is intended as a source of general information only and is not intended to constitute a recommendation or opinion in relation to acquiring or disposing (including refraining from acquiring or disposing) of securities. The distribution of this document is not a “personalised service” and, to the extent that it contains any financial advice, is intended only as a “class service” provided by Edison within the meaning of the FAA (i.e. without taking into account the particular financial situation or goals of any person). As such, it should not be relied upon in making an investment decision.

United Kingdom

This document is prepared and provided by Edison for information purposes only and should not be construed as an offer or solicitation for investment in any securities mentioned or in the topic of this document. A marketing communication under FCA Rules, this document has not been prepared in accordance with the legal requirements designed to promote the independence of investment research and is not subject to any prohibition on dealing ahead of the dissemination of investment research.

This Communication is being distributed in the United Kingdom and is directed only at (i) persons having professional experience in matters relating to investments, i.e. investment professionals within the meaning of Article 19(5) of the Financial Services and Markets Act 2000 (Financial Promotion) Order 2005, as amended (the "FPO") (ii) high net-worth companies, unincorporated associations or other bodies within the meaning of Article 49 of the FPO and (iii) persons to whom it is otherwise lawful to distribute it. The investment or investment activity to which this document relates is available only to such persons. It is not intended that this document be distributed or passed on, directly or indirectly, to any other class of persons and in any event and under no circumstances should persons of any other description rely on or act upon the contents of this document.

This Communication is being supplied to you solely for your information and may not be reproduced by, further distributed to or published in whole or in part by, any other person.

United States

Edison relies upon the "publishers' exclusion" from the definition of investment adviser under Section 202(a)(11) of the Investment Advisers Act of 1940 and corresponding state securities laws. This report is a bona fide publication of general and regular circulation offering impersonal investment-related advice, not tailored to a specific investment portfolio or the needs of current and/or prospective subscribers. As such, Edison does not offer or provide personal advice and the research provided is for informational purposes only. No mention of a particular security in this report constitutes a recommendation to buy, sell or hold that or any security, or that any particular security, portfolio of securities, transaction or investment strategy is suitable for any specific person.

Frankfurt +49 (0)69 78 8076 960

Schumannstrasse 34b

60325 Frankfurt

Germany

London +44 (0)20 3077 5700

280 High Holborn

London, WC1V 7EE

United Kingdom

New York +1 646 653 7026

1185 Avenue of the Americas

3rd Floor, New York, NY 10036

United States of America

Sydney +61 (0)2 8249 8342

Level 4, Office 1205

95 Pitt Street, Sydney

NSW 2000, Australia

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