IMDX Reports Q3 2025 Results and Progress Toward 2026 Commercial Launch

Core Insights - Insight Molecular Diagnostics Inc. (iMDx) is preparing to submit its first molecular diagnostic test kit, GraftAssureDx™, for FDA approval, with expectations to begin sales in the following year after regulatory authorization [1][3][12] - The company aims to deliver a best-in-class diagnostic test for kidney transplant patients, targeting a market exceeding $1 billion for transplant rejection testing [3][4] - iMDx is focused on a decentralized testing approach, which is expected to enhance patient care and improve access to organ health testing [4][5] Company Developments - iMDx has made significant progress in its FDA submission process, including software development, clinical trial site engagement, and reproducibility testing [14][15][16] - The company is on track to engage 20 transplant centers globally by the end of 2025 and has already achieved favorable head-to-head data for the GraftAssure assay [5][21] - A major strategic initiative includes a 5,000-participant registry program aimed at generating real-world data to validate the clinical utility of the GraftAssure assay [23] Financial Overview - For Q3 2025, iMDx reported revenues of $260,000, primarily from laboratory services, while remaining "pre-revenue" for kitted product sales [34][36] - The company incurred a net loss of $10.9 million for Q3 2025, with operating expenses totaling $11.2 million, reflecting increased investment in the FDA program [36][42] - Cash and cash equivalents at the end of Q3 2025 were $20.2 million, with a net cash used in operating activities of $4.6 million [36][44] Market Position and Future Prospects - iMDx anticipates that regulatory clearance will allow for rapid scaling of its business, aiming for $100 million in annual high-margin revenue with double-digit growth [3][30] - The company is also preparing to expand its testing capabilities beyond kidney transplants to include heart and lung transplant diagnostics [30][33] - The positive coverage decision from the Centers for Medicare & Medicaid Services (CMS) and improved reimbursement rates for the GraftAssure assay are expected to drive clinician engagement and utilization [7][20]