BioCardia Reports 2018 Financial Results and Recent Business Highlights

SAN CARLOS, Calif.–(BUSINESS WIRE)–BioCardia®,
Inc. [OTC: BCDA], a leader in the development of comprehensive
solutions for cardiovascular regenerative therapies, today reported
financial results for the fourth quarter and full year ended December
31, 2018, filed its annual 10-K with the Securities and Exchange
Commission, and shared recent business highlights.

Recent Business Highlights:

• Enrollment in the Phase III pivotal CardiAMP™ Heart Failure Trial
  expanded to three additional active sites – Michigan Cardiovascular
  Institute, Northwestern University, and Texas Heart Institute –
  increasing the total number of participating sites to 21 world class
  centers in the United States. Thirty-two patients have been treated to
  date with no treatment emergent major adverse cardiac events reported.
• Twelve-month results for the initial 10-patient roll-in cohort for the
  CardiAMP™ Heart Failure Trial were presented at the American Heart
  Association Scientific Sessions in November 2018. At one year, eight
  of the 10 patients experienced clinically meaningful improvement in
  exercise capacity, seven patients enjoyed clinically meaningful
  improvement in quality of life, statistically significant improvement
  in a measure of heart function (wall motion score) was seen, and all
  patients were alive and out of the hospital.
• In the fourth quarter of 2018, BioCardia engineering teams completed
  FDA submission for the AVANCE™ steerable introducer, indicated for
  introducing various cardiovascular catheters into the heart, including
  via the left side of the heart through the interatrial septum. AVANCE™
  has the potential to be FDA-cleared before the end of the second
  quarter of 2019. This product leverages new “DNA” technology developed
  for the Company’s Morph® family of steerable introducers and applies
  it for transseptal procedures, such as atrial fibrillation ablation,
  left atrial appendage closure and percutaneous mitral valve repair, a
  market which is expected to grow substantially over the next decade.
  This technology is expected to further enhance delivery of the
  CardiAMP™ and CardiALLO™ cell therapies.
• BioCardia’s biologics group filed an Investigational New Drug (IND)
  application with the FDA for the CardiALLO™ Cell Therapy System, an
  investigational allogenic culture-expanded “off the shelf” mesenchymal
  cell therapy for the treatment of ischemic heart failure. This therapy
  involves NK1R+ mesenchymal stem cells, which are believed to be
  activated by Substance P, a chemical that has been shown to facilitate
  healing and minimize damage in the body. This therapy is intended for
  the treatment of patients that do not qualify for CardiAMP™ cell
  therapy due to low bone marrow cell potency, as determined by the
  proprietary CardiAMP™ assay.
• BioCardia expanded its partnership with CellProThera to a clinical
  trial in Singapore which will evaluate Cell ProThera’s therapy
  delivered by BioCardia’s Helix™ Biotherapeutic Delivery System for the
  treatment of patients following a heart attack. The agreement offers
  the potential for BioCardia to receive double-digit royalty payments
  on future sales of the combination product.
• The Company closed on $4 million in new financing, with the intent
  that it will bridge the company through filing for submission of the
  CardiALLO™ IND and FDA clearance of AVANCE™, and contribute to
  enhanced enrollment in the CardiAMP™ Heart Failure Trial.

“The BioCardia team delivered another solid quarter, including
publishing and presenting preliminary results from the ongoing CardiAMP
pivotal trial. That these preliminary results were better for patients
in almost all clinical readouts than those from our Phase II clinical
experience is exciting, and supports our thesis that CardiAMP cell
therapy has the potential to be the first heart failure therapy in the
last two decades that is actually curative and doesn’t simply slow
disease progression,” said BioCardia CEO Peter Altman. “I am very proud
of BioCardia’s accomplishments in 2018 and excited about the synergistic
potential of our CardiAMP, CardiALLO, Helix and Morph portfolio. In the
year ahead, we will be focused on accelerating patient enrollment and
completing the CardiAMP Heart Failure Trial.”

Full Year 2018 Financial Results:

• Revenues increased 30 percent year over year to $625,000 in 2018
  compared to $479,000 in 2017.
• Research and development expenses increased to $8.5 million in 2018,
  compared to $5.8 million in 2017, primarily due to expenses associated
  with the pivotal CardiAMP™ Heart Failure Trial.
• Selling, general and administrative expenses decreased to $5.8 million
  in 2018, compared to $6.4 million in 2017.
• Net loss was $14.0 million for 2018, compared to $12.3 million for
  2017, primarily due to the increases in research and development
  expenses noted above.
• Net cash used in operations in 2018 was $11.1 million, as compared to
  $8.7 million in 2017.

Anticipated Upcoming Milestones:

• Q2 2019: FDA clearance of AVANCE™ steerable sheath
• Q2 2019: FDA acceptance of the CardiALLO™ IND application
• Q3 2019: Second pre-specified Data and Safety Monitoring Board (DSMB)
  readout of Phase III Pivotal CardiAMP™ Heart Failure Trial
• Q3 2020: Third pre-specified DSMB readout of Phase III Pivotal
  CardiAMP™ Heart Failure Trial
• Q3 2020: Completion of enrollment in the CardiAMP™ Heart Failure
  Trial. While this projected date is later than anticipated, the number
  of patient consents is accelerating in 2019 and the company expects
  this trend to continue. This positive outlook is based on several
  factors: stem cell trials competing for the same patient population
  are now completed, several experienced sites from those trials have
  been added into the CardiAMP Heart Failure Trial, and awareness of the
  trial is increasing based on the presentation of one-year results from
  the roll-in cohort last fall.
• Once the CardiAMP Heart Failure Trial reaches the later stages of
  enrollment, the company is prepared to activate a second pivotal trial
  of CardiAMP cell therapy in chronic myocardial ischemia, having
  previously received IDE approval and Medicare reimbursement for the
  trial.

About BioCardia®

BioCardia,
Inc., headquartered in San Carlos, California, is developing
regenerative biologic therapies to treat cardiovascular disease.
CardiAMP™ and CardiALLO™ cell therapies are the Company’s biotherapeutic
product candidates in clinical development. The Company’s current
products include the Helix™ transendocardial delivery system and the
Morph® steerable guide and sheath catheter portfolio. BioCardia also
partners with other biotherapeutic companies to provide its Helix
systems and clinical support to their programs studying therapies for
the treatment of heart failure, chronic myocardial ischemia and acute
myocardial infarction.

Forward Looking Statements

This press release contains forward-looking statements that are subject
to many risks and uncertainties. Forward-looking statements include,
among other things, references to the enrollment of our clinical trials,
the availability of data from our clinical trials, filings with the FDA,
FDA product clearances, the efficacy and safety of our products and
therapies, statements regarding our intentions, beliefs, projections,
outlook, analyses or current expectations. Such risks and uncertainties
include, among others, the inherent uncertainties associated with
developing new products or technologies, regulatory approvals,
unexpected expenditures, the ability to raise the additional funding
needed to continue to pursue BioCardia’s business and product
development plans and overall market conditions. We may find it
difficult to enroll patients in our clinical trials due to many factors,
some of which are outside of our control. Slower than targeted
enrollment could delay completion of our clinical trials and delay or
prevent development of our therapeutic candidates. These forward-looking
statements are made as of the date of this press release, and BioCardia
assumes no obligation to update the forward-looking statements.

We may use terms such as “believes,” “estimates,” “anticipates,”
“expects,” “plans,” “intends,” “may,” “could,” “might,” “will,”
“should,” “approximately” or other words that convey the uncertainty of
future events or outcomes to identify these forward-looking statements.
Although we believe that we have a reasonable basis for each
forward-looking statement contained herein, we caution you that
forward-looking statements are not guarantees of future performance and
that our actual results may differ materially from the forward-looking
statements contained in this press release. As a result of these
factors, we cannot assure you that the forward-looking statements in
this press release will prove to be accurate. Additional factors that
could materially affect actual results can be found in BioCardia’s Form
10-K filed with the Securities and Exchange Commission on April 2, 2019,
including under the caption titled “Risk Factors.” BioCardia expressly
disclaims any intent or obligation to update these forward-looking
statements, except as required by law.

(1) December 31, 2018 and 2017 amounts were derived from the audited
Consolidated Financial Statements included in the Company’s Annual
Report on Form 10-K for the year ended December 31, 2018, filed with the
U.S. Securities and Exchange Commission on April 2, 2019.

Contacts

Media Contact:
Michelle McAdam, Chronic Communications, Inc.
[email protected]
(310)
902-1274

Investor Contact:
David McClung, Chief Financial Officer
[email protected]
(650)
226-0120