
Part I ITEM 3. KEY INFORMATION This section presents selected five-year financial data, detailing the impact of acquisitions and the Midatech US divestiture, alongside comprehensive risk factors across financial, operational, and ownership aspects Selected Financial Data The company presents IFRS-compliant selected financial data for fiscal years 2014-2018, with historical continuing operations data made comparable by reclassifying Midatech US results as discontinued following its November 2018 sale - Effective November 1, 2018, Midatech US was sold, with its financial results reclassified as loss from discontinued operations for fiscal 2018 and all comparative prior periods25 Selected Consolidated Financial Data (£ thousands) | Indicator | 2018 | 2017 | 2016 | 2015 | 2014 | | :--- | :--- | :--- | :--- | :--- | :--- | | Revenue (Continuing) | 149 | 149 | 776 | 273 | 25 | | Loss from continuing operations | (10,368) | (11,705) | (6,161) | (9,887) | (8,822) | | Loss from discontinued operations, net of tax | (4,662) | (4,359) | (14,001) | (211) | --- | | Loss for the year | (15,030) | (16,064) | (20,162) | (10,099) | (8,822) | | Basic and diluted loss per ordinary share—pence - continuing | (17p) | (23p) | (17p) | (40p) | (98p) | | Cash and cash equivalents (End of Year) | 2,343 | 13,204 | 17,608 | 16,175 | 30,325 | | Total assets (End of Year) | 20,444 | 49,224 | 56,689 | 64,041 | 46,663 | | Total equity (End of Year) | 16,924 | 34,676 | 45,724 | 46,887 | 41,989 | Risk Factors The company faces significant risks including a history of losses, reliance on early-stage product development, and financing needs, alongside business, industry, and ownership risks such as clinical trial uncertainties, competition, and foreign private issuer complexities - The company has a history of significant losses, reporting a net loss of £15.03 million for 2018 and an accumulated deficit of £89.72 million, with losses expected to continue33 - The company's early-stage operations have minimal recurring revenue, with success contingent on the development, regulatory approval, and commercialization of product candidates3637 - The company faces political, regulatory, and economic risks from Brexit, potentially impacting marketing authorizations, manufacturing, and capital access454648 - As of February 2019, China Medical System Holdings Limited (CMS) affiliated entities control approximately 50.8% of the company's voting power, enabling substantial influence over corporate matters192 - The company's status as a "foreign private issuer" and "emerging growth company" exempts it from certain SEC reporting and corporate governance requirements applicable to U.S. domestic companies211218 ITEM 4. INFORMATION ON THE GROUP This section outlines the company's history, including key acquisitions and the US commercial arm divestiture, and provides a comprehensive business overview focusing on its three proprietary drug delivery platforms, rare cancer pipeline, intellectual property, manufacturing, regulations, and competitive landscape History and Development of the Group Midatech, formed in 2000 and publicly listed in 2014, strategically acquired Q Chip and DARA BioSciences, later divesting Midatech US in November 2018 to refocus on R&D, with capital expenditures primarily supporting manufacturing and R&D facilities - The company, formed in 2000, went public on AIM in December 2014, acquiring key technologies through the purchases of Q Chip (2014) and DARA BioSciences (2015)238239240241 - A significant strategic shift involved the sale of the US commercial subsidiary, Midatech US, to a Barings LLC affiliate for an initial consideration of $13.0 million and up to $6.0 million in potential milestone payments, effective November 1, 2018243 Capital Expenditures (£ million) | Year | Capital Expenditure | | :--- | :--- | | 2018 | £0.24 million | | 2017 | £0.71 million | | 2016 | £1.35 million | Business Overview Midatech is an R&D-focused biopharmaceutical company specializing in rare cancer medicines, leveraging its Q-Sphera™, MidaSolve™, and MidaCore™ drug delivery platforms, with key clinical programs including MTD201 and MTX110, supported by a cGMP facility and robust intellectual property - The company focuses on developing rare cancer medicines using three proprietary drug delivery platforms: Q-Sphera™ (sustained release), MidaSolve™ (direct tumor administration), and MidaCore™ (targeted delivery)248249250 - Priority clinical programs include MTD201 (Q-Octreotide) for acromegaly and neuroendocrine tumors, and MTX110 for diffuse intrinsic pontine glioma (DIPG), a rare pediatric brain cancer251 - Following the sale of its US commercial arm, the company's revenue from continuing operations is derived from R&D collaborations and attributed to Europe258 - The company holds a strong intellectual property portfolio with 107 granted patents, 83 pending applications, and 36 patent families covering its technologies256 ITEM 5. OPERATING AND FINANCIAL REVIEW AND PROSPECTS This section provides management's discussion and analysis of financial performance, detailing recent developments like a February 2019 share issuance and the Midatech US sale, comparing operating results across 2016-2018, and discussing liquidity, capital resources, critical accounting policies, and contractual obligations Operating Results For continuing operations, revenue remained consistent while R&D costs increased, leading to a reduced loss from continuing operations, with discontinued operations reporting a significant loss including the Midatech US sale impact Comparison of Operating Results (Continuing Operations, £ thousands) | Item | 2018 | 2017 | 2016 | | :--- | :--- | :--- | :--- | | Total revenue | 1,938 | 989 | 1,323 | | Research and development costs | (9,359) | (8,329) | (7,730) | | Administrative costs | (4,394) | (4,266) | (3,245) | | Impairment of intangible assets | - | (1,500) | - | | Loss from operations | (11,815) | (13,276) | (9,652) | | Loss from continuing operations | (10,368) | (11,705) | (6,161) | - R&D costs increased by 12% in 2018 to £9.36 million, primarily due to higher development activity for lead clinical programs MTD201 and MTX110522 - The loss from discontinued operations (Midatech US) was £4.67 million in 2018, including a £1.41 million loss on the business disposal528 - The 2017 financial statements were restated to correct a misclassification of a £1.5 million impairment charge, which was incorrectly deducted from administrative costs instead of research and development costs478480 Liquidity and Capital Resources The company has a history of net losses and negative operating cash flows, primarily financed through equity offerings and asset sales, with recent fundraising expected to provide sufficient liquidity for the next 12 months - The company's cash and cash equivalents were £2.34 million at year-end 2018, a decrease from £13.20 million at year-end 2017540 - Subsequent to year-end, in February 2019, the company raised net proceeds of approximately £12.5 million from an issuance of new Ordinary Shares and warrants463540 - In November 2018, Midatech US was sold for an initial cash consideration of $13.0 million, with approximately $7.7 million of proceeds used to repay and terminate the MidCap credit facility538542 Summary of Cash Flows (£ thousands) | Activity | 2018 | 2017 | 2016 | | :--- | :--- | :--- | :--- | | Cash used in operating activities | (13,450) | (12,953) | (13,086) | | Cash provided by (used in) investing activities | 9,042 | (1,470) | (1,202) | | Cash (used in) provided by financing activities | (6,472) | 10,227 | 15,255 | | Net (decrease) increase in cash | (10,880) | (4,146) | 967 | Tabular Disclosure of Contractual Obligations As of December 31, 2018, the company's total contractual obligations amounted to £1.97 million, primarily comprising government research loans, operating leases, and finance leases Contractual Obligations as of December 31, 2018 (£ thousands) | Obligation Type | Total | Less than 1 year | 1-3 years | 3-5 years | More than 5 years | | :--- | :--- | :--- | :--- | :--- | :--- | | Bank Loans | 5 | 5 | -- | -- | -- | | Government Research Loans | 1,104 | 284 | 544 | 276 | -- | | Finance Leases | 283 | 86 | 118 | 79 | -- | | Operating Leases | 577 | 384 | 193 | -- | -- | | Total | 1,969 | 759 | 855 | 355 | -- | ITEM 6. DIRECTORS, SENIOR MANAGEMENT AND EMPLOYEES This section details the company's leadership, including directors and senior management compensation, board practices adhering to the QCA Corporate Governance Code, and employee data, alongside equity incentive plans Directors and Senior Management As of December 31, 2018, key leadership included Dr. Craig Cook (CEO), Nicholas Robbins-Cherry (CFO), and Rolf Stahel (Non-Executive Chairman), with Dr. Huaizheng Peng appointed in February 2019 following CMS investment - Key leadership includes Dr. Craig Cook (CEO), Nicholas Robbins-Cherry (CFO), and Rolf Stahel (Non-Executive Chairman)577 - Dr. Craig Cook was appointed CEO on June 1, 2018, succeeding Dr. James Phillips578 - Dr. Huaizheng Peng, a CMS executive, was appointed to the Board in February 2019 as part of the investment and collaboration agreement with CMS582 Compensation Executive compensation for 2018 included salaries of £233,241 for the CEO and £176,000 for the CFO, with no bonuses paid, while non-executive directors received annual fees and equity-based awards through incentive plans 2018 Executive Officer Compensation (£) | Name | Position | Salary (£) | Bonus (£) | Other Compensation (£) | Total (£) | | :--- | :--- | :--- | :--- | :--- | :--- | | Dr. Craig Cook | CEO | 233,241 | - | 17,000 | 250,241 | | Nicholas Robbins-Cherry | CFO | 176,000 | - | 17,600 | 193,600 | - Non-executive directors receive an annual fee of £30,400, while Non-Executive Chairman Rolf Stahel received a total of £95,000 in 2018, comprising a director fee and a consultancy fee589594 - In October 2017, the Board of Directors agreed to reduce base salaries and fees, with reversal contingent on the company's share price returning to a closing price of £1.00586 Board Practices The six-member Board of Directors, adhering to the QCA Corporate Governance Code, has established Audit, Nomination, Remuneration, and Disclosure committees with delegated responsibilities, including an Audit Committee with Simon Turton as the financial expert - The Board has adopted the Quoted Companies Alliance (QCA) Corporate Governance Code617 - The Board has four key committees: Audit, Nomination, Remuneration, and Disclosure, each with specific delegated responsibilities620 - The Audit Committee comprises three independent directors, with Simon Turton designated as an "audit committee financial expert"621 Employees As of December 31, 2018, the company employed 73 people, a decrease from 85 due to US operations divestiture, with the majority of the workforce concentrated in Research and Development in the UK and Spain Employee Headcount by Function and Year | Business functional area | 2018 | 2017 | 2016 | | :--- | :--- | :--- | :--- | | Research and development | 62 | 62 | 54 | | Sales and marketing | -- | 6 | 6 | | General and administration | 11 | 17 | 19 | | Total | 73 | 85 | 79 | Employee Headcount by Geography and Year | Geography | 2018 | 2017 | 2016 | | :--- | :--- | :--- | :--- | | United Kingdom | 35 | 39 | 37 | | North America | -- | 12 | 14 | | Spain | 38 | 34 | 28 | | Total | 73 | 85 | 79 | ITEM 7. MAJOR SHAREHOLDERS AND RELATED PARTY TRANSACTIONS This section details the company's ownership structure, with CMS-affiliated entities holding 50.8% and Woodford Investment Management 19.0% as of April 2019, and outlines related party transactions including a consultancy agreement with the Chairman's company and comprehensive agreements with CMS entities Major Shareholders As of April 15, 2019, the company's ownership is highly concentrated, with CMS-affiliated entities beneficially owning 50.8% of Ordinary Shares and Woodford Investment Management Limited holding a 19.0% stake, granting CMS significant influence Major Shareholders as of April 15, 2019 | Name of Beneficial Owner | Percent of Class | | :--- | :--- | | Entities affiliated with Dr. Lam Kong (CMS) | 50.8% | | Woodford Investment Management Limited | 19.0% | | Ora Capital | 4.1% | - CMS-affiliated entities acquired their significant stake in February 2019 and hold warrants that, if exercised, would increase their ownership to approximately 67%659 Related Party Transactions The company has a consultancy agreement with Chairman Rolf Stahel's Chesyl Pharma Limited and, following a January 2019 investment, entered into several agreements with CMS entities, including a Subscription Agreement, License Agreement, Relationship Agreement, Warrant Instrument, and Lock-In Deed - A consultancy agreement with Chesyl Pharma Limited, owned by Chairman Rolf Stahel, provides management consultancy services for an annual payment of £40,000 plus additional fees660661 - In January 2019, the company entered into a series of agreements with CMS entities, including a Subscription Agreement for an £8.0 million investment, a License Agreement for product development in China, and a Relationship Agreement for independent governance662663664 - The Relationship Agreement grants A&B (HK) Company Limited, a CMS affiliate, the right to appoint one non-executive director to the Board as long as it holds at least 10% of the issued shares668 ITEM 8. FINANCIAL INFORMATION This section confirms the inclusion of consolidated financial statements elsewhere in the report and states the company's policy of never having declared or paid cash dividends, with no present intention to do so - The company has never declared or paid any cash dividends on its shares and has no present intention of doing so in the foreseeable future678 - The company is not currently a party to any material legal proceedings677 ITEM 10. ADDITIONAL INFORMATION This section provides supplementary details, including the company's articles of association, confirmation of no UK exchange controls for non-resident shareholders, and a detailed summary of UK and US tax considerations for dividends, capital gains, and specific regulations like SDRT and PFIC rules Taxation This subsection summarizes UK and US tax implications for shareholders, covering UK dividend and stamp duty exemptions for AIM-traded shares, and addressing US treatment of dividends, capital gains, and the potential adverse tax consequences of Passive Foreign Investment Company (PFIC) classification - UK Taxation: Dividend payments are made without UK withholding tax, and transfers of Ordinary Shares on AIM are currently exempt from UK stamp duty and stamp duty reserve tax (SDRT)694708 - US Taxation: The company does not believe it was a Passive Foreign Investment Company (PFIC) for 2018, but its status is determined annually with no assurance for future years, and if classified as a PFIC, US holders could face adverse tax consequences, with the company not intending to provide information for a Qualified Electing Fund (QEF) election233735736 ITEM 11. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK The company is exposed to market, credit, and liquidity risks, with foreign exchange risk significant due to Euro and USD operations, and liquidity managed through expenditure control and recent fundraising, mitigating short-term concerns - The company's primary financial risks include market risk (foreign exchange, interest rate), credit risk, and liquidity risk748 - Significant foreign exchange risk exists due to operations in Spain (Euro) and historical US operations (USD), which the company does not hedge due to disproportionate cost754755 - Liquidity risk is actively managed, and following a Q1 2019 fundraising, the Board does not consider there to be a short-term liquidity risk, though long-term cash needs for development projects will continue to be monitored7571019 Part II ITEM 15. CONTROLS AND PROCEDURES This section addresses the company's internal controls, with management concluding disclosure controls were effective as of December 31, 2018, despite identified material weaknesses in 2018 (IFRS 5 discontinued operations accounting) and 2017 (impairment charge misclassification), for which remediation efforts have been implemented - Management concluded that disclosure controls and procedures were effective at a reasonable level of assurance as of December 31, 2018769 - A material weakness in internal control over financial reporting was identified for fiscal year ended December 31, 2018, related to IFRS 5 classification adjustments for assets held for sale and discontinued operations following the Midatech US sale772 - A material weakness from fiscal year ended December 31, 2017, related to the incorrect classification of a £1.5 million impairment charge, was identified and remediated in fiscal 2018773778 - Remediation efforts for the 2018 material weakness include implementing additional senior management and audit committee reviews and seeking outside expert assistance for complex, non-routine transactions783 ITEM 16. CORPORATE GOVERNANCE AND OTHER INFORMATION This section covers corporate governance, including the Audit Committee's financial expert, the Code of Business Conduct and Ethics, principal accountant fees, and the company's adherence to UK home country practices as a foreign private issuer in lieu of certain NASDAQ standards - The Board has determined that Simon Turton qualifies as an "audit committee financial expert"789 - The company has adopted a Code of Business Conduct and Ethics, available on its website790 Principal Accountant Fees (£ thousands) | Fee Type | 2018 | 2017 | | :--- | :--- | :--- | | Audit Fees | 337 | 350 | | Audit-Related Fees | - | - | | Tax Fees | - | - | | All Other Fees | - | - | | Total | 337 | 350 | - As a foreign private issuer, the company follows UK home country practice in lieu of certain NASDAQ corporate governance rules, including those related to board independence, committee composition, and shareholder approval for certain equity plans797798799 Part III ITEM 18. FINANCIAL STATEMENTS This section presents the company's audited consolidated financial statements for fiscal years 2016-2018, prepared in accordance with IFRS, including the Independent Registered Public Accounting Firm's Report, Consolidated Statements of Comprehensive Income, Financial Position, Cash Flows, and Changes in Equity, and detailed notes - The financial statements, audited by BDO LLP, received an unqualified opinion, with the report noting the restatement of 2017 financial statements to correct a misclassification between administrative and R&D costs817818 Consolidated Statement of Comprehensive Income Summary (£'000) | Line Item | 2018 | 2017 | 2016 | | :--- | :--- | :--- | :--- | | Total revenue (continuing) | 1,938 | 989 | 1,323 | | Loss from operations (continuing) | (11,815) | (13,276) | (9,652) | | Loss from continuing operations | (10,368) | (11,705) | (6,161) | | Loss from discontinued operations net of tax | (4,662) | (4,359) | (14,001) | | Loss for the year | (15,030) | (16,064) | (20,162) | Consolidated Statement of Financial Position Summary (£'000) | Line Item | 2018 | 2017 | 2016 | | :--- | :--- | :--- | :--- | | Total assets | 20,444 | 49,224 | 56,689 | | Total liabilities | 3,520 | 14,548 | 10,965 | | Total equity | 16,924 | 34,676 | 45,724 | ITEM 19. EXHIBITS This section lists all exhibits filed with the annual report, including the company's Articles of Association, depositary agreements, warrant instruments, equity incentive plans, material contracts like the Novartis license and CMS agreements, and CEO and CFO certifications