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Bullboard - Stock Discussion Forum Spectral Medical Inc T.EDT

Alternate Symbol(s):  EDTXF

Spectral Medical Inc. is a Canada-based late-stage theragnostic company advancing therapeutic options for sepsis and septic shock. The Company develops and commercializes a treatment for septic shock utilizing its Endotoxin Activity Assay (EAA) diagnostic and the Toraymyxin therapeutic (PMX). PMX is a therapeutic hemoperfusion device that removes endotoxin, which can cause sepsis, from the... see more

TSX:EDT - Post Discussion

Spectral Medical Inc > Sepsis Stats - Part 2
View:
Post by mercedesman on May 19, 2021 4:57pm

Sepsis Stats - Part 2

Is the target market for PMX really > $ 4Billion?!?!?  and not $ 1.5B ???

In my previus post we discussed how the current rate/incidence  of Sepsis might actually be closer to 2.4 M in the US annually (versus the 1.7M quoted using out of date stats from the CDC).   Note: 2.4M  does not include the effect of Covid-19.

How do we use that to calculate the true market potential for NA, in CAD $, considering occassional extra filter usage, and the quoted "fit" for PMX estimates?

per the latest investor presentation:
  • There are 1.7 Million patients each year in the US diagnosed with sepsis
  • There are 330K patients who are expected to develop sepsis shock
  • There are 120K patient in the US each year that fit the Tigris/EUPHRATES patient population
  • PMX will be premium priced...LASER consultant report indicated US market pricing of ~USD$7,500 per PMX column (2016)
  • Spectral’s addressable US market is ~US$1.5 billion p.a.

So how is the presentation's addressable US market calculated?  presumably it is based on 100k that are a "fit" for PMX (although less than the 120k stated - it used to say 100k to 120k)  So  100,000 X $ 7500 x 2 col

= $ 1.5 B USD (for the US alone)

Kewl!   But is that the real top line you want to highlight for investors? 


What is the real number using the additional factors (mostly from the presentatio itself, but also real world study results) not included in the math?

Factor 1:  higher incidence of Sepsis 5 years after CDC published data   1.40  (or 40% more - see previous post)

Factor 2:  More cartridge usage. Several studies (linked previously on SH) have shown that increased duration/more filters yeids better results . Lets assume 1/2 of patients benefit from a 3rd filter.   Factor 1.5           ie. 2.5 average vs 2.   (2 +3) / 2 /2 = 2.5/2 = 1.25

Factor 3:  Canadian Usage.  Canada's population is approx 10 % of the US population. Factor 1.1

Factor 4.  120k as a "fit" vs 100k used in calc.    Factor 1.2


Fctor 5: convert USD  to CAD $  1.2 (conservative)

So what does a target market of $ 1.5B USD for the US become, when: the total NA market, true fit, higher incidence of Sepsis, higher usage per patient, and FX is factored in?

$ 1.5B USD  X 1.4 (currents Sepsi stats) X 1.25 (more filters) X 1.1 (incl Cdns) X 1.2  (stated "fit" numbers) X 1.2 (USD to CAD$) = $ 4,158,000,000 CAD

 or $ 4.2 B CAD $ rounded 

Tada !!!


To me that sounds alot less modest and more realitic.  All IMHO of course.

But I'm sure a potential buyer could do this math and woldn't be allowed to forget about the factors that drive revenues higher.

Add in the Dialco market potential and its closer to $ 10B. 


Discuss amoungst yourselves...or refute my logic...if you wish

MM


PS it's a good exercise to do when you consider that on Nasdaq Biotechs that command high margins are getting valuations  (SPs) that are multiples of revenue.  Sometimes 5 X , 10X or more.

I'll let you do the math on that, based on 250M shares o/s

No wonder companies like Outset are getting a $ 3B valuation on Nasdaq, ...but even more amazing when you consider that they are not profitable.  But then again Amazon lost money for the first 10 -15 years.  Is Tesla even profitable? But then people like future revenue stories.   Especially the 10Billion dollar stories.
Comment by inspecthrgadget on May 19, 2021 8:11pm
Longs always appreciate your calculations and your understanding of the numbers and ability to explain them in an easy to understand way.  Ctso and Sigy have advertised the opportunity as being 20 billion. More than 4 billion sounds good enough for me. It is the 1/3 of the severe sepsis patients that I am most interested in. As per former European Critical Care president Dr. Antonelli, he ...more  
Comment by mercedesman on May 19, 2021 10:13pm
Ahhh. That's the problem  I've always looked at this as a two dimensional puzzle, being painstakingly  assembled in a dimly lit room. it's actually a 3 dimensional hologram that REQUIRES a dark room. We just need to find the cord and socket to plug it in ! And SIGY and CTSO with their $20B talk are just  red herrings? A distraction? Squirrels !? Maybe this ...more  
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