CARMAT: 2014 Half-Year Results

- Operating expenses in line with clinical development

- Cash position of €7.7m at June 30, 2014

- An additional €5.4m due to be received upon completion of another milestone[1] of the Bpifrance agreement

Paris, October 21, 2014

CARMAT (FR0010907956, ALCAR), the designer and developer of the world's most advanced total artificial heart project, aiming to provide a therapeutic alternative for people suffering from end-stage heart failure, today announces its results for the first half to June 30, 2014.

- 2014 half-year results*

In euros (€)		30/06/2014		30/06/2013
Operating income
of which: Operating subsidies		10,000		2,873,627
of which: Other operating income (reversal of a provision)		39,342		0
Total operating income		49,342		2,873,627
Operating expenses
of which: Other purchases and external expenses		7,955,409		5,627,234
of which: Other operating expenses		2,787,583		3,012,305
Total operating expenses		10,742,993		8,639,539
Operating profit/loss		-10,693,651		-5,765,912
Financial profit/loss		-238,046		-119,645
Exceptional items		-89,036		17,262
Research tax credit		1,096,276		933,311
Net profit/loss		-9,924,457		-4,934,984

* Half-year results to June 30, 2014 were approved by the Board on October 17, 2014.

During the 1st half of 2014, CARMAT recorded operating income of €49k, consisting of €39k from a reversal of a provision and an operating subsidy paid within the framework of a revitalization contract signed with Oracle France with the aim of supporting a structural action to accompany industrial SMEs in Vélizy-Villacoublay.

No revenue was recorded by the Company over the 1st half of 2014, with CARMAT's total artificial heart project still in its clinical development phase and yet to obtain CE marking, a prerequisite to marketing the product in Europe.

Operating expenses came to €10.7m over the half. The 24% increase compared with the 1st half of 2013 is a result of the development efforts undertaken on the portable patient system that should allow patients who have received an implant to be discharged from hospital. This level of external expenses has enabled its development to be finalized in line with the growth in clinical and industrialization activities.

The Medical Division has been strengthened to ensure the monitoring of patients and the processing of clinical data. The clinical teams have continued to undertake intensive efforts to train the investigation centers' teams.

The tasks associated with the analysis of data from the 1st implant and the implementation of supplementary measures, notably in terms of qualification and validation, were led by the Technical Division over the 1st half. Substantial synergy between the R&D and production teams allowed these measures to be rapidly incorporated into the production cycle to enable the rapid resumption of the enrollment process for the CARMAT heart's first-in-man trial.

Once a financial loss (-€238k), exceptional items (-€89k) and research tax credit (€1,096k) are taken into account, the 1st half of 2014 saw a net loss of -€9.9m.

- Financial structure

The Company had a cash position of €7.7m at June 30, 2014. This included the €1.8m in research tax credit recognized at December 31, 2013 and fully reimbursed by the tax authorities on June 6, 2014.

At the end of September 2014, CARMAT had a cash position of €6.3m, which includes the approximately €3.8m net income associated with the drawdowns on the contingent equity line (equity warrants) in August and September. These operations gave rise to the creation of 48,500 ordinary shares with a unit nominal value of €0.04 and to the payment of a net issuance premium of €3,783,045. The number of remaining shares that could be issued within the framework of this contingent equity line is 34,700.

It is important to remember that, subject to the completion of the project's milestones n°5 to 7, CARMAT should receive a further €7.2m from Bpifrance, including €5.4m for completing milestone n°5[2].

- H1 2014 highlights

- Clinical development

The 1st patient to receive the CARMAT bioprosthesis survived two and a half months (74 days) after the implant he received within the framework of the first-in-man trial where one of the criteria for success was the patient's 30-day survival. During this period, CARMAT's clinical teams monitored the patient, provided him with permanent support and collected clinical data in accordance with the protocol approved by the ANSM French health authority. The data thus collected was processed and analyzed, and this analysis allowed the enrollment process to resume in July 2014.

Simultaneously, theoretical training and training on animals continued in the 3 centers chosen for the first-in-man trial, with 8 animals receiving implants over the 1st half of the year.

- Industrial development

CARMAT has continued to implement actions to improve quality, notably with subcontractor controls, the analysis and processing of data from the first implant and the analysis of the causes of possible deficiencies. Additional measures aimed at ensuring the sturdiness and reliability of production processes, and in particular the qualification and validation processes, were accepted by the authorities.

A special effort by the production teams has ensured that the necessary prostheses can be made available to trial teams and clinical teams within very short timeframes. The development of the portable patient system has been accelerated and the first prototypes have been delivered to the Company's software teams for functional tests.

- Functional reorganization

The Company has undergone a reorganization in order to adapt to the growing challenges of the industrialization and production of larger numbers of prostheses. Operations have thus been restructured into three divisions:

- a Technical division responsible for technical expertise and for grouping the various business segments' specialists together,

- a Production division in charge of the entire manufacturing cycle, including subcontractors' production,

- an Industrial Development division to carry out research into improving the product and manufacturing processes, and to prepare future industrial means.

- Conferences and awards

In April 2014, CARMAT participated in the 34th ISHLT (International Society for Heart & Lung Transplantation) annual meeting in San Diego, California. Its project was presented to the scientific community during a special session of the MCS Masters Academy that preceded the annual meeting itself.

In June 2014, at the European Mechatronics Meeting (EMM) in Annecy, France, CARMAT received the Mechatronics Award of the decade, which rewards products, processes, research or services that are particularly innovative in terms of mechatronics, a field combining mechanics, electronics and IT.

- Events since the end of the 1st half

- Completion of half of the first-in-man trial

Following a favorable opinion from the comité de protection des personnes (ethics committee), the data and safety monitoring board and the regulatory authorities, in mid-July, the Company resumed the enrollment of patients for its bioprosthetic heart's first-in-man trial. On September 8, 2014, CARMAT confirmed that it had completed half of the feasibility study on its bioprosthetic heart and announced an ongoing enrollment process for the two remaining patients.

- Appointment of a Director of Business Development

The Company recently announced the appointment of Mr Eric Richez as Director of Business Development. His immediate objective is to draw up the CARMAT system's market access strategy.

- CARMAT receives the "Microns d'Or" Honorary Award

On September 23, 2014, at the Micronora international microtechnology trade fair in Besançon, Eastern France, CARMAT received the "Prix d'honneur" honorary award from the Microns d'Or jury, for its development and creation of a self-regulated bioprosthetic artificial heart, with a proprietary micropump.

- Presentation of the portable patient system at the EACTS Annual Meeting in Milan

From October 11 to 15, 2014, CARMAT participated in the 28th EACTS (European Association for Cardio-Thoracic Surgery) Annual Meeting in Milan, Italy, where for the first time it exhibited its portable patient system, which will allow patients to be discharged from hospital and return home, following which prestigious and high-volume European centers confirmed their substantial interest and reiterated their desire to participate in the next phase of the clinical trial.

- Outlook

The next scientific stage will see the results of the first-in-man feasibility trial, combined with the project's good technical development. The submission of a report on this trial will represent the completion of milestone n°5, triggering a €5.4m payment from Bpifrance.[3]

If the results of this first-in-man trial are deemed satisfactory, CARMAT will be able to provide the supervisory authorities, in France and in other countries, with the protocol for a new study extended to around twenty patients monitored over a longer timeframe, such as 180 days for example. It should be noted that the protocol for this second study has yet to be finalized, as it will in large part be based on the outcomes of the current first-in-man trial.

The data from this second trial and from additional in-vitro tests[4] will enable a file to be put together to request CE marking, a prerequisite to marketing the product in Europe.

Given the time that is required between each of the first-in-man trial's patients, the project's forecast schedule[5], as presented in the 2013 registration document, will probably be pushed back by around 6 months.

Marcello Conviti, Chief Executive Officer of CARMAT, concludes: "The first 6 months of 2014 saw a number of major events associated with our bioprosthetic heart's first-in-man trial. Most of our teams' work was devoted to analyzing the data from the first implant so that the following implants could resume as quickly as possible. These additional efforts required a lot of time and resources, but notably led to the completion of half of the first-in-man feasibility trial in early September. Furthermore, it also enabled us to make our control and production processes even safer, and we are therefore calm and confident regarding the next stages of our project."

About CARMAT: the world's most advanced total artificial heart project

A credible response to end-stage heart failure: CARMAT aims to eventually provide a response to a major public health issue associated with heart disease, the world's leading cause of death: chronic and acute heart failure. By pursuing the development of its total artificial heart, CARMAT intends to overcome the well-known shortfall in heart transplants for the tens of thousands of people suffering from irreversible end-stage heart failure, the most seriously affected of the 20 million patients with this progressive disease in Europe and the United States.

The result of combining two types of unique expertise: the medical expertise of Professor Carpentier, known throughout the world for inventing Carpentier-Edwards® heart valves, which are the most used in the world, and the technological expertise of Airbus Group, world aerospace leader.

Imitating the natural heart: given its size, the choice of structural materials and its innovative physiological functions, CARMAT's total artificial heart could, assuming the necessary clinical trials are successful, potentially benefit the lives of thousands of patients a year with no risk of rejection and with a good quality of life.

A project leader acknowledged at a European level: with the backing of the European Commission, CARMAT has been granted the largest subsidy ever given to an SME by Bpifrance; a total of €33 million.

Strongly committed, prestigious founders and shareholders: Airbus Group, Professor Alain Carpentier, the Centre Chirurgical Marie Lannelongue, Truffle Capital, a leading European venture capital firm, and the thousands of institutional and individual shareholders who have placed their trust in CARMAT.

For more information: www.carmatsa.com

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