Sera Prognostics(SERA) - 2025 Q1 - Quarterly Report

Clinical Efficacy of PreTRM Test - The PreTRM test is the only broadly validated blood-based biomarker test for predicting preterm birth risk, with significant clinical and economic benefits demonstrated in clinical trials[88]. - The AVERT PRETERM TRIAL showed an 18% reduction in severe neonatal morbidity and mortality, and a 7-day reduction in neonatal hospital length of stay for high-risk neonates[89]. - The PRIME study indicated a 25% reduction in neonatal morbidity and mortality and an 18% reduction in neonatal hospital length of stay for high-risk infants[90]. - The combined analysis of AVERT and PRIME studies demonstrated a 22% reduction in neonatal morbidity and mortality, supporting the efficacy of the PreTRM test[92]. - The company believes that the adoption of the PreTRM test will be supported by positive data from recent studies and ongoing real-world evidence initiatives[97]. Financial Performance - Total revenue for the three months ended March 31, 2025, was $0 thousand, compared to $38 thousand in 2024, reflecting a decrease of $38 thousand[114]. - Net losses for the company were $8.2 million for Q1 2025, with expectations of continued significant operating losses due to commercialization activities[102]. - Net loss for the three months ended March 31, 2025, was $8,187 thousand, compared to a net loss of $8,097 thousand in 2024, a change of $90 thousand[114]. - As of March 31, 2025, the company had cash, cash equivalents, and available-for-sale securities totaling $114.2 million, with an accumulated deficit of $288.0 million[118]. - Net cash used in operating activities for Q1 2025 was $(7,553) thousand, compared to $4,994 thousand provided in Q1 2024[123]. - Net cash provided by financing activities in Q1 2025 was $53,542 thousand, primarily from the February 2025 Offering[126]. - The company anticipates continued significant operating losses and negative cash flows for the foreseeable future, particularly related to commercialization activities for the PreTRM test[127]. Operating Expenses - Total operating expenses increased to $9,288 thousand in Q1 2025 from $9,097 thousand in Q1 2024, a change of $191 thousand[114]. - Research and development expenses decreased by $349 thousand to $3,334 thousand in Q1 2025, primarily due to a $239 thousand decrease in clinical study costs[115]. - Selling and marketing expenses increased by $243 thousand to $1,470 thousand in Q1 2025, driven by higher marketing programs[116]. - General and administrative expenses rose by $274 thousand to $4,444 thousand in Q1 2025, mainly due to increased personnel costs[117]. - Research and development expenses are expected to increase in 2025 due to heightened product development activities and additional planned studies[107]. - Selling and marketing expenses are projected to rise in 2025 as the company adds strategic personnel and invests in commercial opportunities for the PreTRM test[108]. Company Classification and Future Outlook - The company will remain an Emerging Growth Company (EGC) until it achieves at least $1.235 billion in annual revenue or meets other specified criteria[134]. - The company is classified as a "smaller reporting company" and may continue to utilize scaled disclosures until certain market value and revenue thresholds are met[135]. Economic Factors - A hypothetical 100 basis point increase in interest rates would decrease the market value of available-for-sale debt securities by $1.1 million as of March 31, 2025[138]. - The company does not regularly incur expenses in foreign currencies, and exchange rate fluctuations have not materially affected its results of operations to date[141]. - Inflation has not had a material effect on the company's results of operations, but ongoing inflation could increase costs and adversely affect financial performance[142].