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IceCure Medical Reports Full Year 2023 Financial Results: Global ProSense and Disposables Sales Increase 26% as Company Continues Transition to Commercial Phase and Expects to Submit ICE3 Breast Cancer Study Data to FDA

Key Takeaway: IceCure Medical Ltd. reported a 26% increase in sales for its ProSense System and disposables, highlighting a successful transition to a commercial phase. The company completed the ICE3 breast cancer study and plans to submit the data to the FDA for marketing clearance. With promising topline results indicating high local recurrence-free rates, IceCure anticipates strong market interest following FDA approval. The company also gained regulatory approvals in several countries, enhancing its commercial prospects globally.

Market Sentiment Analysis

POSITIVE FACTORS

  • Total sales increased by 26% for ProSense and disposables.
  • Completion of the ICE3 breast cancer study is a significant milestone.
  • Expecting FDA submission for marketing clearance of ICE3 data.
  • ProSense has regulatory approvals in multiple countries, suggesting strong market potential.

Full Press Release Details

Medical Reports Full Year 2023 Financial Results: Global ProSense and Disposables Sales Increase 26% as Company
Continues Transition to Commercial Phase and Expects to Submit ICE3 Breast Cancer Study Data to FDA this Month for Marketing Clearance
call to be held today at 10:00 am Eastern Time; Focus on U.S. market for ProSense in breast cancer indication
Israel, April 3, 2024 - IceCure Medical Ltd. (Nasdaq: ICCM) ("IceCure" or the "Company"), developer
of the ProSense System, a minimally-invasive cryoablation technology that destroys tumors by freezing as an alternative
to surgical tumor removal, today reported sales as of and for the twelve months ended December 31, 2023 increased 26% compared to the
twelve months ended December 31, 2022, as the Company continues to transition from a research and development and clinical phase company
to a commercial phase company.
Key Financial Highlights:
have achieved what we believe is the most significant milestone in our company's history with the completion of the ICE3 breast
cancer study and reporting of topline results," stated IceCure's CEO, Eyal Shamir. "In the next few weeks, we will
be reporting full results and submitting them to the FDA for review. We believe the data from ICE3 and numerous independent studies of
ProSense in breast cancer support our thesis that ProSense can have a very meaningful positive impact
on the health and wellbeing of women with early-stage breast cancer. Our U.S. commercial team is ready to launch marketing and distribution
of ProSense for breast cancer as we await the U.S. Food and Drug Administration's ("FDA") decision.
Should the FDA grant clearance, we believe this decision would further boost commercial demand in global markets where ProSense
already has approval for breast cancer."
are pleased that the ICE3 full data results will be presented at the highly influential American Society of Breast Surgeons ("ASBrS")
25th Annual Meeting by ICE3 Investigator Dr. Richard Fine and by Dr. Michael Berry. Breast surgeons considering ProSense
for their practice are eager to see the results, and we are hopeful that they will be impressed by the data."
initiated studies in many other indications continue to increase in Europe, the U.S., and Asia. The growing number of independent studies,
we believe, is a very strong indicator of future adoption."
we increased our commercial activities through medical conferences and added more distributors, we had a corresponding growth in 2023
revenues, system, and probe sales. While total revenues in 2023 were up slightly to $3.2 million, compared to $3.1 million in 2022, a
more meaningful increase of 26% or $0.6 million in ProSense system and disposable probe sales demonstrates continued
and Recent Significant Operating, Clinical, Regulatory & Commercial Highlights:
ICE3 Breast Cancer Study and Reported Topline Results: IceCure successfully completed a 10-year long landmark study, the largest
controlled multicenter clinical trial ever performed for liquid nitrogen (LN2) based cryoablation of low-risk, early-stage malignant
breast tumors. In the ICE3 study, 96.39% of patients (187 out of 194 patients) were local recurrence-free with no significant device-related
adverse events or complications reported. These results are in line with data from numerous third-party studies conducted by physicians
currently using ProSense .
ICE3 Data to be Submitted to FDA: The Company plans to complete the analysis and evaluation of the full data set and expects to submit
the results to the FDA in April 2024. The FDA requested this data as part of IceCure's De Novo Classification Request for Marketing
Authorization of ProSense for the treatment of early-stage low-risk breast cancer.
Full Results to be Presented at ASBrS's 25th Annual Meeting: Dr. Richard Fine, ICE3 Investigator, will present the
full ICE3 study results at the ASBrS's annual meeting, the most prominent event in the U.S. for breast surgeons, in a presentation
titled "Cryoablation Without Excision for Early-Stage Breast Cancer; ICE3 Trial 5 year follow up on Ipsilateral Breast Tumor Recurrence".
Additionally, ICE3 Investigator Dr. Michael Berry will present a session titled "Cryoablation: Is It Ready for Primetime?".
Approval Received in Brazil, Canada, and China: ProSense now has regulatory approvals in 15 countries for a broad
range of indications.
Rollout Momentum with New Distribution and Installations in Portugal, India, and Brazil: IceCure entered a non-exclusive distribution
agreement with Medicin lia Corm dica - MC Medical, Lda., the largest distributor of third-party medical devices in
Portugal. The first breast cryoablation procedure in India was performed in 2023 with ProSense and there has been strong
interest in the country at medical conferences where IceCure's cryoablation system was featured. In Brazil, where ProSense
received regulatory approval in 2023, IceCure's in-country distributor has launched commercial activities and procedures
Investigator Initiated Studies Build Data to Support Potential New Indications, Adoption, and Reimbursement: Numerous third-party
studies have been initiated to evaluate ProSense in various indications. Results from completed studies have been presented
at medical conferences and published in peer-reviewed journals including studies from Spain and Italy that demonstrated ProSense 's
efficacy in early-stage breast cancer, with data similar to ICE3's topline results. Two endometriosis studies in France revealed
ProSense 's potential in treating a condition that afflicts 190 million women globally. With current treatments
only aiming to control symptoms and no curative option available, endometriosis is an indication for which ProSense may
deliver significant benefits to patients and payors alike. Another study in France reported a 92% disease-free survival rate in kidney
cancer patients treated with ProSense . These data support further adoption and reimbursement, particularly in countries
where ProSense has already been approved for these indications. Elucidating ProSense 's efficacy
in cancer, a study at Case Western Reserve University in the U.S., demonstrated that ProSense boosts immune response
against caner by enhancing CD8+ T cell response.
Portfolio and Technology Pipeline Continue to Grow: IceCure added three more patents to its expanding cryoablation-focused IP portfolio.
In March 2024, IceCure was issued a patent in Japan for a novel cryogen flow control system to optimize patient outcomes. The U.S. and
Japan both issued patents to IceCure for a novel cryogenic pump for its next-generation cryoablation systems. In April 2024, the Company
filed a 510(k) submission with the FDA for its next-generation single probe XSense System and cryoprobes for all the indications
for which ProSense has already received the requisite FDA clearance.
Results for the Twelve Months Ended December 31, 2023
for the twelve months ended December 31, 2023 were $3.2 million compared to $3.1 million for the twelve months ended December
31, 2022. The minor increase is due to the increase in ProSense systems and disposables sales which was offset by the
decrease in revenue recognition from the exclusive distribution rights agreement with Terumo Corporation in Japan. For the twelve months
ended December 31, 2023, the Company reported a 26% increase in ProSense systems and disposable probes sales to
$3 million, compared to $2.3 million for the twelve months ended December 31, 2022, driven by higher sales in the U.S. and other territories.
profit was $1.3 million for the twelve months ended December 31, 2023 compared to $1.4 million for the twelve months ended
December 31, 2022. Gross margin was 40% for the twelve months ended December 31, 2023, compared to 47% for the twelve months ended December
31, 2022. Non-GAAP gross profit and non-GAAP gross margin for the year ended December 31, 2023, increased by $0.3 million, or 47%, to
$1 million, compared to $0.7 million for the year ended December 31, 2022. The increase in non-GAAP gross profit and non-GAAP gross margin,
without taking into consideration revenue from the exclusive distribution agreements, is attributable to the increase of 26% in revenue
from sales of ProSense systems and probes while the increase in cost of revenues was 18%.
and development expenses for the twelve months ended December 31, 2023, were $8.3 million compared to $9.1 million for
the twelve months ended December 31, 2022. The decrease was primarily due to the depreciation of NIS against the USD on NIS-denominated
expenses such as payroll and related benefits, a reduction in our development expenses for the XSense System, and a decrease in
clinical and regulatory costs.
support of ongoing global commercial adoption and in anticipation of increasing U.S. commercial efforts, sales and marketing expenses
for the twelve months ended December 31, 2023 were $4.4 million, compared to $3.2 million for the twelve months ended
December 31, 2022. General and administrative expenses for the twelve months ended December 31, 2023 decreased by 30% to $4.2 million,
compared to $5.9 million the twelve months ended December 31, 2022. A portion of the decrease was due to a decrease in director
and officer insurance costs and the depreciation of NIS against USD on NIS denominated expenses such as payroll and related benefits.
operating expenses for the twelve months ended December 31, 2023 decreased to $16.9 million, compared to $18.2 million for
the twelve months ended December 31, 2022. The decrease in operating expenses was attributable to reductions in research and development
expenses and general and administrative expenses, which were partially offset by the increase in sales and marketing expenses.
loss for the twelve months ended December 31, 2023 decreased by 14% to $14.7 million, or $0.32 per share, compared with
a net loss of $17.0 million, or $0.46 per share, for the same period last year.
of December 31, 2023, the Company had cash and cash equivalents, including short-term deposits, of approximately $11.1 million,
compared to $23.7 million as of December 31, 2022. As of March 31, 2024, the Company had cash and cash equivalents,
including short-term deposits, of approximately $11 million. To ensure the Company is in a position to achieve its near-term objectives,
IceCure has implemented an expense reduction plan that will reduce its non-revenue generating and clinical efforts costs, lowering the
monthly cash utilization and ensuring it can meet its primary goals in 2024.
Non-U.S. GAAP Measures
addition to disclosing financial results prepared in accordance with accounting principles generally accepted in the United States of
America (U.S. GAAP), this press release contains non-U.S. GAAP financial measures that the Company uses as measures of its performance.
These measures may be different from non-GAAP financial measures used by other companies. The Company calculates (i)
non-GAAP gross profit as gross profit, less revenue from exclusive distribution agreements, as an indication of our gross profit from
sales of our systems and disposables; and (ii) non-GAAP gross margin is a percentage of non-GAAP gross profit from revenues from sales
of systems and disposables which reflects the gross margins on our systems and disposables sales. These non-GAAP financial measures are
included as a supplemental disclosure because they are performance measures used by our management and board of directors to determine

Frequently Asked Questions

What is the ProSense System used for?

The ProSense System is a minimally-invasive cryoablation technology for tumor destruction, offering an alternative to surgical removal.

What notable study results did IceCure report?

IceCure completed the ICE3 breast cancer study, showing 96.39% of patients were local recurrence-free.

What financial growth did IceCure achieve in 2023?

IceCure reported a 26% increase in ProSense system and disposable probe sales in 2023.

Where is ProSense approved for use?

ProSense has regulatory approvals in 15 countries, including Brazil, Canada, and China.

When will the ICE3 study results be submitted to the FDA?

The ICE3 study results are expected to be submitted to the FDA in April 2024.

Last updated: Apr 3, 2024