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SeaStar Medical Projects Multibillion-Dollar Market Potential for its Selective Cytopheretic Device in Initial Target Indications

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SeaStar Medical (Nasdaq: ICU) estimates a U.S. total addressable market of $25 to $33 billion for its Selective Cytopheretic Device (SCD) across five clinical indications. The company's device, which targets inflammatory cells during continuous renal replacement therapy, has received FDA Breakthrough Device Designation in three indications: adult AKI, hepatorenal syndrome, and cardiorenal syndrome with LVAD. The largest market opportunity is in Cardiorenal Syndrome with no LVAD at $13.1-17.4 billion.

The company recently received FDA approval for QUELIMMUNE™ (SCD-Pediatric) for treating critically ill children with AKI and sepsis. The adult AKI pivotal trial, NEUTRALIZE-AKI, has enrolled 69 out of 200 planned subjects, evaluating 90-day mortality and dialysis dependency as primary endpoints.

SeaStar Medical (Nasdaq: ICU) stima un mercato totale indirizzabile negli Stati Uniti di 25-33 miliardi di dollari per il suo Dispositivo Citoiperetico Selettivo (SCD) in cinque indicazioni cliniche. Il dispositivo dell'azienda, che risponde alle cellule infiammatorie durante la terapia di sostituzione renale continua, ha ricevuto la Designazione di Dispositivo Innovativo dalla FDA in tre indicazioni: AKI negli adulti, sindrome epatorenale e sindrome cardiorenale con LVAD. La maggiore opportunità di mercato si trova nella sindrome cardiorenale senza LVAD, stimata tra 13,1 e 17,4 miliardi di dollari.

L'azienda ha recentemente ricevuto l'approvazione dalla FDA per QUELIMMUNE™ (SCD-Pediatrico) per il trattamento di bambini gravemente malati affetti da AKI e sepsi. Lo studio pivotale sull'AKI negli adulti, NEUTRALIZE-AKI, ha arruolato 69 su 200 soggetti pianificati, valutando la mortalità a 90 giorni e la dipendenza dalla dialisi come endpoint primari.

SeaStar Medical (Nasdaq: ICU) estima un mercado total direccionable en EE. UU. de 25 a 33 mil millones de dólares para su Dispositivo Citoperético Selectivo (SCD) en cinco indicaciones clínicas. El dispositivo de la compañía, que se dirige a las células inflamatorias durante la terapia de reemplazo renal continuo, ha recibido la Designación de Dispositivo Innovador de la FDA en tres indicaciones: AKI en adultos, síndrome hepatorenal y síndrome cardiorrenal con LVAD. La mayor oportunidad de mercado está en el síndrome cardiorenal sin LVAD, con un valor de 13,1 a 17,4 mil millones de dólares.

Recientemente, la compañía recibió la aprobación de la FDA para QUELIMMUNE™ (SCD-Pediátrico) para el tratamiento de niños críticamente enfermos con AKI y sepsis. El ensayo pivotal de AKI en adultos, NEUTRALIZE-AKI, ha inscrito a 69 de los 200 sujetos planeados, evaluando la mortalidad a 90 días y la dependencia de diálisis como puntos finales primarios.

SeaStar Medical (Nasdaq: ICU)는 미국 시장에서 선택적 세포복구 장치(SCD)의 총 주소 지정 가능 시장을 250억에서 330억 달러로 추정하고 있습니다. 이 회사의 장치는 지속적인 신장 대체 요법 중 염증 세포를 표적으로 하며, 성인 AKI, 간신 증후군, LVAD가 있는 심장 신장 증후군의 세 가지 적응증에 대해 FDA 혁신 장치 지정을 받았습니다. 가장 큰 시장 기회는 LVAD가 없는 심장 신장 증후군에 있는 131억에서 174억 달러입니다.

회사는 최근 AKI 및 패혈증에 걸린 중환자 아동을 치료하기 위해 QUELIMMUNE™ (SCD-소아)에 대해 FDA 승인을 받았습니다. 성인 AKI에 대한 주요 시험인 NEUTRALIZE-AKI는 계획된 200명의 피험자 중 69명을 모집했으며, 90일 사망률과 투석 의존성을 주요 평가지표로 평가하고 있습니다.

SeaStar Medical (Nasdaq: ICU) estime un marché total adressable aux États-Unis de 25 à 33 milliards de dollars pour son Dispositif Cytophérique Sélectif (SCD) dans cinq indications cliniques. Le dispositif de l'entreprise, qui cible les cellules inflammatoires lors de la thérapie de remplacement rénal continue, a reçu la désignation de Dispositif Innovant par la FDA dans trois indications : AKI adulte, syndrome hépatorénal et syndrome cardiorénal avec LVAD. La plus grande opportunité de marché se trouve dans le syndrome cardiorénal sans LVAD, évaluée entre 13,1 et 17,4 milliards de dollars.

Récemment, l'entreprise a reçu l'approbation de la FDA pour QUELIMMUNE™ (SCD-Pédiatrique) pour le traitement des enfants gravement malades atteints d'AKI et de sepsis. L'essai pivot sur l'AKI chez les adultes, NEUTRALIZE-AKI, a recruté 69 des 200 sujets prévus, évaluant la mortalité à 90 jours et la dépendance à la dialyse comme critères principaux.

SeaStar Medical (Nasdaq: ICU) schätzt einen adressierbaren Gesamtmarkt in den USA von 25 bis 33 Milliarden Dollar für sein selektives zytopheretisches Gerät (SCD) in fünf klinischen Indikationen. Das Gerät des Unternehmens, das entzündliche Zellen während einer kontinuierlichen Nierenersatztherapie anvisiert, hat in drei Indikationen die Breakthrough-Device-Auszeichnung der FDA erhalten: akutes Nierenversagen bei Erwachsenen, hepatorenales Syndrom und kardiorenales Syndrom mit LVAD. Die größte Marktchance besteht im kardiorenalen Syndrom ohne LVAD mit einem Wert von 13,1 bis 17,4 Milliarden Dollar.

Das Unternehmen erhielt kürzlich die FDA-Zulassung für QUELIMMUNE™ (SCD-Pädiatrisch) zur Behandlung kritisch kranker Kinder mit akuten Nierenversagen und Sepsis. Die entscheidende Studie zum akuten Nierenversagen bei Erwachsenen, NEUTRALIZE-AKI, hat 69 von 200 geplanten Probanden eingeschlossen und bewertet die 90-Tage-Mortalität und die Abhängigkeit von Dialyse als Primärziele.

Positive
  • FDA Breakthrough Device Designation received in three major indications
  • Large total addressable market of $25-33 billion across five indications
  • Recent FDA approval for pediatric device QUELIMMUNE™
  • Clinical trials costs relatively low compared to market potential
  • Device can be used without alterations across different indications
Negative
  • Adult AKI trial has only enrolled 69 out of 200 planned subjects
  • Significant clinical trial costs required for market expansion

Insights

The projected $25-33 billion total addressable market (TAM) for SeaStar Medical's SCD device across five indications represents significant revenue potential. With relatively modest clinical trial costs ranging from $4-154 million per indication, the risk-reward ratio appears favorable. The largest market opportunity lies in Cardiorenal Syndrome with no LVAD at $13.1-17.4 billion. The recent FDA approval for the pediatric device QUELIMMUNE provides regulatory validation and potential near-term revenue to help fund adult trials. The Breakthrough Device Designation for multiple indications could accelerate commercialization timelines and market penetration.

The SCD's unique immunomodulation approach targeting proinflammatory neutrophils and monocytes during CRRT represents an innovative treatment paradigm. The NEUTRALIZE-AKI trial's design with 200 patients and meaningful endpoints of 90-day mortality and dialysis dependency will provide robust efficacy data. Having secured pediatric approval first is noteworthy and suggests a favorable safety profile. The device's ability to be used across multiple indications without modification is a significant advantage for clinical development and manufacturing efficiency. The ongoing enrollment of 69 subjects shows steady trial progress.

The five target indications address substantial patient populations, with Adult AKI affecting 210,000 patients annually and Cardiorenal Syndrome with no LVAD impacting 580,000 patients. The pricing strategy appears realistic, translating to approximately $22,000-30,000 per treatment. The Breakthrough Device Designation in multiple indications could provide competitive advantages through expedited review and potential reimbursement benefits. The company's strategic focus on high-value critical care applications maximizes revenue potential while serving urgent medical needs.

U.S. total addressable market for five initial indications is $25 to $33 billion

REMINDER: Business Update Conference Call begins at 4:30 p.m. Eastern time today

DENVER , Dec. 11, 2024 (GLOBE NEWSWIRE) -- SeaStar Medical Holding Corporation (Nasdaq: ICU), a commercial-stage medical device company developing proprietary solutions to reduce the consequences of hyperinflammation on vital organs, estimates a U.S. total addressable market for its proprietary, patented Selective Cytopheretic Device (SCD) in five clinical indications, subject to U.S. Food & Drug Administration (FDA) approvals, of $25 to $33 billion.

The following chart summarizes ranges of the adult SCD total addressable market and estimated clinical trial costs, by indication:

Clinical IndicationAnnual U.S. Patient Population1Total Addressable U.S. Market

$ in millions2
Clinical Trial Costs

$ in millions
Adult Acute Kidney Injury (AKI)3210,0004,700 – 6,300154
Cardiorenal Syndrome with no LVAD5580,00013,100 -17,4005
Adult Acute Respiratory Distress Syndrome (ARDS)200,0004,500 – 6,00010
Adult Hepatorenal Syndrome250,0001,100 – 1,5004
Cardiorenal Syndrome with LVAD2, 460,0001,400 – 1,8004

“The estimated size of these U.S. markets versus our projected clinical trial costs clearly warrant pursuing FDA approvals in these indications. The ability to use the SCD as currently configured, without alteration for each new indication, allows us to cost-efficiently approach the total addressable market. Additionally, we expect future commercial sales for the SCD in adult AKI to help cover clinical trial costs,” said Eric Schlorff, SeaStar Medical CEO. “We have already reached a major regulatory milestone in securing approval for the SCD-Pediatric, branded as QUELIMMUNE, for treating critically ill children with AKI and sepsis. It is highly unusual for a company to gain approval in a pediatric indication before the adult indication, which we believe provides support for future SCD regulatory approvals.”

The SCD has been awarded FDA Breakthrough Device Designation (BDD) in three of the five indications included in the chart above, namely adult AKI, hepatorenal syndrome and cardiorenal syndrome with LVAD. The SCD was also awarded BDD for chronic dialysis in November 2024. The BDD designation holds numerous benefits including enhanced access to FDA resources resulting in faster development, as well as priority review by the FDA, early access to patients and the potential for differentiated market positioning. The company recently submitted a clinical trial protocol for chronic dialysis to the FDA for review. Feedback from the FDA will provide SeaStar Medical with the information necessary to appropriately estimate the clinical costs and market size for this indication.

Conference Call

As a reminder, SeaStar Medical management will hold a conference call today beginning at 4:30 p.m. Eastern time (1:30 p.m. Pacific time) to discuss business progress and provide updates. Participants can pre-register for the conference call here. Those who pre-register will be given a conference passcode and unique PIN to gain immediate access to the call and bypass the live operator. Participants may pre-register at any time, including up to and after the call start time. Those who do not pre-register can access the live conference call by dialing 866-777-2509 within the U.S. or 412-317-5413 from outside the U.S., and requesting the SeaStar Medical call.

A webcast of the conference call will be available live and archived here. A replay of the call will be available for 48 hours beginning two hours after its completion by dialing 877-344-7529 from within the U.S., 855-669-9658 from Canada or 412-317-0088 from outside the U.S., and entering conference ID 3855739.

Selective Cytopheretic Device

The Selective Cytopheretic Device (SCD) is a patented cell-directed extracorporeal device that employs immunomodulating technology to selectively target proinflammatory neutrophils and monocytes during continuous renal replacement therapy (CRRT) and reduces the hyperinflammatory milieu including the cytokine storm. Unlike pathogen removal and other blood-purification tools, the SCD is integrated with CRRT hemofiltration systems to selectively target and transition proinflammatory monocytes to a reparative state and promote activated neutrophils to be less inflammatory. This unique immunomodulation approach may promote long-term organ recovery and eliminate the need for future renal replacement therapy (RRT), including dialysis.

The SCD-Pediatric device, QUELIMMUNE, is being commercialized following FDA approval for children with AKI and sepsis or septic condition weighing 10 kilograms or more who are being treated in the ICU with RRT. QUELIMMUNE was approved in February 2024 under a Humanitarian Device Exemption (HDE) application, having met the applicable criteria with clinical results showing safety and probable clinical benefit in a limited population of critically ill children with AKI who have few treatment options.

ADULT Acute Kidney Injury Pivotal Trial

The NEUTRALIZE-AKI (NEUTRophil and monocyte deActivation via SeLective Cytopheretic Device – a randomIZEd clinical trial in Acute Kidney Injury) is expected to enroll up to 200 adults with 69 subjects enrolled to date. The trial’s primary endpoint is a composite of 90-day mortality or dialysis dependency among patients treated with SCD in addition to CRRT as the standard of care, compared with the control group receiving only CRRT standard of care. Secondary endpoints include mortality at 28 days, ICU-free days in the first 28 days, major adverse kidney events at Day 90 and dialysis dependency at one year. The study will also include subgroup analyses to explore the effectiveness of SCD therapy in AKI patients with sepsis and acute respiratory distress syndrome.

About SeaStar Medical

SeaStar Medical is a commercial-stage medical technology company that is redefining how extracorporeal therapies may reduce the consequences of excessive inflammation on vital organs. SeaStar Medical’s novel technologies rely on science and innovation to provide life-saving solutions to critically ill patients. The Company is developing and commercializing cell-directed extracorporeal therapies that target the effector cells that drive systemic inflammation, causing direct tissue damage and secreting a range of pro-inflammatory cytokines that initiate and propagate imbalanced immune responses. For more information visit www.seastarmedical.com or visit us on LinkedIn or X.

Forward-Looking Statements

This press release contains certain forward-looking statements within the meaning of the “safe harbor” provisions of the Private Securities Litigation Reform Act of 1995. These forward-looking statements include, without limitation, the ability of the SCD to treat patients with AKI and other diseases; the total addressable market for adult SCD applications including the annual U.S. patient population, cartridge pricing and the number of cartridges used per patient; the ability of SeaStar Medical to gain market share and generate sales with respect to the total addressable market for adult SCD application; anticipated patient enrollment and the expansion of the clinical trial sites; the number of patients and annual sales for the addressable AKI market; the anticipated Medicare and Medicaid reimbursement by CMS for patients enrolled in clinical trials; planned and potential future clinical trials and associated costs; the expected regulatory approval process and timeline for commercialization of our clinical products; and the ability of SeaStar Medical to meet the expected timeline. Words such as “believe,” “project,” “expect,” “anticipate,” “estimate,” “intend,” “strategy,” “future,” “opportunity,” “plan,” “may,” “should,” “will,” “would,” “will be,” “will continue,” “will likely result,” and similar expressions are intended to identify such forward-looking statements. Forward-looking statements are predictions, projections and other statements about future events that are based on current expectations and assumptions and, as a result, are subject to significant risks and uncertainties that could cause the actual results to differ materially from the expected results. Most of these factors are outside SeaStar Medical’s control and are difficult to predict. Factors that may cause actual future events to differ materially from the expected results include, but are not limited to: (i) the risk that SeaStar Medical may not be able to obtain regulatory approval of its SCD product candidates; (ii) the risk that SeaStar Medical may not be able to raise sufficient capital to fund its operations, including current or future clinical trials; (iii) the risk that SeaStar Medical and its current and future collaborators are unable to successfully develop and commercialize its products or services, or experience significant delays in doing so, including failure to achieve approval of its products by applicable federal and state regulators, (iv) the risk that SeaStar Medical may never achieve or sustain profitability; (v) the risk that SeaStar Medical may not be able to access funding under existing agreements; (vi) the risk that third-parties suppliers and manufacturers are not able to fully and timely meet their obligations, (vii) the risk of product liability or regulatory lawsuits or proceedings relating to SeaStar Medical’s products and services, (viii) the risk that SeaStar Medical is unable to secure or protect its intellectual property, (ix) the risk that SeaStar Medical is unable to compete with larger, better capitalized competitors within the total addressable market for our products and product candidates; and (ix) other risks and uncertainties indicated from time to time in SeaStar Medical’s Annual Report on Form 10-K, including those under the “Risk Factors” section therein and in SeaStar Medical’s other filings with the SEC. The foregoing list of factors is not exhaustive. Forward-looking statements speak only as of the date they are made. Readers are cautioned not to put undue reliance on forward-looking statements, and SeaStar Medical assumes no obligation and does not intend to update or revise these forward-looking statements, whether as a result of new information, future events, or otherwise.

Contact:

Alliance Advisors IR
Jody Cain
(310) 691-7100
Jcain@allianceadvisors.com 

# # #


1 Estimates of Annual U.S. Patient Population and Total Addressable U.S. Market were derived from Silver SA, Chertow, GM Nephron 2017; 137 (4) 297-301; American College of Physicians, ACP Hospitalist, Coding information from July 2019; Sepanlou, et al. Lancet Gastroenterology & Hepatology, 2020 Mar;5(3):245-266; and Orman, et al JAMA Netw Open. 2019 Oct 2;2(10):e1913673
2 Ranges reflect assumptions regarding cartridge pricing and number of cartridges used per patient
3 FDA Breakthrough Device Designation received
4 Some clinical trial costs have already been incurred
5 LVAD = left ventricular assist device


FAQ

What is the total addressable market for SeaStar Medical's SCD device (ICU)?

SeaStar Medical estimates the U.S. total addressable market for its SCD device across five clinical indications to be $25 to $33 billion.

Which FDA designations has SeaStar Medical (ICU) received for its SCD device?

The SCD has received FDA Breakthrough Device Designation in four indications: adult AKI, hepatorenal syndrome, cardiorenal syndrome with LVAD, and chronic dialysis.

What is the status of SeaStar Medical's (ICU) NEUTRALIZE-AKI trial?

The NEUTRALIZE-AKI trial has enrolled 69 out of 200 planned subjects, evaluating 90-day mortality and dialysis dependency as primary endpoints.

What is QUELIMMUNE and when was it approved by the FDA?

QUELIMMUNE is SeaStar Medical's SCD-Pediatric device, approved by the FDA in February 2024 for treating children with AKI and sepsis weighing 10 kilograms or more.

Which indication represents the largest market opportunity for SeaStar Medical (ICU)?

Cardiorenal Syndrome with no LVAD represents the largest market opportunity, with an estimated total addressable U.S. market of $13.1-17.4 billion.

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