Admission to AIM and First Day of Dealings

AOTI, Inc.

18 June 2024

 

NOT FOR RELEASE, PUBLICATION OR DISTRIBUTION, DIRECTLY OR INDIRECTLY, IN OR INTO THE UNITED STATES OF AMERICA, CANADA, AUSTRALIA, THE REPUBLIC OF SOUTH AFRICA OR JAPAN OR ANY OTHER JURISDICTION IN WHICH PUBLICATION, RELEASE OR DISTRIBUTION WOULD BE UNLAWFUL.

THIS ANNOUNCEMENT IS NOT A PROSPECTUS NOR AN ADMISSION DOCUMENT. NEITHER THIS ANNOUNCEMENT, NOR ANYTHING CONTAINED HEREIN, SHALL FORM THE BASIS OF, OR BE RELIED UPON IN CONNECTION WITH, ANY OFFER OR COMMITMENT WHATSOEVER IN ANY JURISDICTION. INVESTORS SHOULD NOT SUBSCRIBE FOR OR PURCHASE ANY SECURITIES REFERRED TO IN THIS ANNOUNCEMENT EXCEPT ON THE BASIS OF INFORMATION CONTAINED IN THE ADMISSION DOCUMENT (THE "ADMISSION DOCUMENT") WHICH WAS PUBLISHED BY AOTI, INC. (THE "COMPANY") ON 14 JUNE 2024 IN CONNECTION WITH THE ADMISSION OF THE ISSUED AND TO BE ISSUED SHARES OF COMMON STOCK  (THE "SHARES") TO TRADING ON AIM ("ADMISSION"). A COPY OF ANY ADMISSION DOCUMENT PUBLISHED BY THE COMPANY IS AVAILABLE FOR INSPECTION ON THE COMPANY'S WEBSITE AT WWW. AOTINC.NET.

18 JUNE 2024

AOTI, INC. (the "Company" or "Group" or "AOTI")

ADMISSION TO TRADING ON AIM AND FIRST DAY OF DEALINGS

Realising the potential of differentiated technologies in driving sustained healing of

"hard-to-heal" chronic wounds

Successfully raised £35.1m for itself and certain selling shareholders

AOTI, INC., a medical technology group with a mission to help all people with chronic conditions get back to living their lives to the fullest, is pleased to announce the admission of its shares of common stock of the Company ("Common Shares") to trading on the AIM market of the London Stock Exchange Group plc. The Company has successfully raised gross proceeds of £19.5 million through a placing of 14,772,918 newly issued Common Shares at a placing price of 132 pence per Common Share (the "Placing Price"). In addition, gross proceeds of £15.6 million were raised for certain selling shareholders through the placing of 11,818,336 existing Common Shares at the Placing Price.

AOTI's market capitalisation at the placing price of 132 pence per common share on admission will be approximately £140 million. Dealings in the common shares of the Company will commence today at 08.00 BST, under the ticker "AOTI" and the ISIN "US03690C1027". The Company's admission document was published on 14 June 2024 and is available to view on its Investor Relations website at www.aotinc.net. Peel Hunt LLP is acting as Nominated Adviser and Broker to the Company.

AOTI, INC. HIGHLIGHTS:

-     AOTI is a high growth medical technology business focused on the highest growth "hard to heal" advanced wound care market segment, in particular diabetic foot ulcers (DFUs), venous leg ulcers (VLUs) and pressure ulcers (PUs).

o  DFUs frequently result in hospitalisations in diabetics and are the leading cause of morbidity and lower extremity amputations in the diabetic population. In the US, DFUs have a similar five-year mortality risk (at 30.5 per cent) as all-cause cancer, and in the US alone, the annual cost of diabetic foot care is c.$79 billion, which is comparable to the c.$80 billion annual cost spent for all cancer treatments.

-     The Group generated $43.9 million in revenue for the year ended 31 December 2023 and has seen compounded annual revenue growth of 38 per cent (2021 - 2023), all of which came from its unique multi-modality Topical Wound Oxygen (TWO₂^®) Therapy. The Group has been profitable at the adjusted EBITDA level since 2017¹.

o  Following a period of significant investment in the Company's market access and commercial infrastructure over the past two financial years, AOTI is now entering its next phase of expansion with the foundations for sustainable growth in place.

-     The Company's patented non-invasive platform technology, TWO₂^® Therapy, is a US Food and Drug Administration (FDA) cleared and CE Marked multi-modality topical wound oxygen therapy system that has been proven to deliver sustained healing outcomes of chronic wounds in the at-home setting.

-     AOTI is a market leader with over 80 per cent market share of the nascent topical oxygen wound therapy segment.

o  To support its adoption, TWO₂^® Therapy has generated an exceptional level of peer-reviewed evidence, including a high quality randomised controlled trial (RCT) and real world evidence (RWE) studies, demonstrating long-term outcomes that support advancing health equity, with strong cost-saving healthcare economics supporting reimbursement.

o  The Company has also acquired and is now rolling out its complementary and highly differentiated disposable NEXA™ Negative Pressure Wound Therapy system (NEXA NPWT System).

-     The Company has an experienced founder-led management team and seasoned Board focused on scaling and growing the business through expanding reimbursement in the US and opening up other geographies.

o  The first phase of the Company's reimbursement strategy has successfully been completed with reimbursement having been secured in the Veterans Association (VA) and New York Medicaid for a number of years.

o  The second phase of expanding wider state Medicaid payer coverage is ongoing, with access being secured to new Medicaid states including Arizona, New Jersey and, more recently, Tennessee, and the launch of the NEXA NPWT System and international sales being commenced.

o  The third phase of the Group's market access strategy is to achieve, over time, full US national coverage and access to the Medicare population.

-     Following recently published recommendations by leading clinical associations for the use of topical oxygen therapy as an adjunct to the standard care, including the American Diabetes Association, the Wound Healing Society and the International Working Group on the Diabetic Foot, the Board of AOTI believes the time is right to join AIM in order to further accelerate commercial roll-out and build awareness of its platform technology.

-     The net proceeds to the Company from the IPO of £13.5 million will be used towards funding the continued expansion of the Group's sales team in the US and opening up new territories in which the Group's products can be sold whilst also repaying the Group's existing financial debt. In addition, the Group will direct some funding towards continuing to enhance the clinical claims attached to its products, for instance, growing the evidence of efficacy in other indications such as VLUs.

Dr. Mike Griffiths, Chief Executive Officer of AOTI, INC. commented:

"We are delighted to be admitted to trading on AIM, which is in line with the Board's strategy to further accelerate the Group's commercial roll-out, enabling us to reach our full potential whilst fulfilling our mission of helping all people with chronic conditions get back to living their lives to the fullest. The Board believes that AOTI has all of the building blocks in place to secure expanded market access and commercialisation of our TWO₂^® Therapy and to continue the staged roll-out of the NEXA NPWT System, the Company's independently differentiated wound care platforms. On behalf of the Board, I would like to thank all our new investors who have joined the AOTI journey today and we look forward to updating them on delivering on our scale-up strategy, underpinned by a continued trajectory of profitable growth."

For the purposes of the Disclosure Guidance and Transparency Rules, the total number of ordinary shares with voting rights in the Company with effect from 18 June 2024 will be 106,359,163. This figure may be used by shareholders as the denominator for the calculations by which they determine if they are required to notify their interest in, or a change of their interest in, the Company under the FCA's Disclosure Guidance and Transparency Rules.

END

For more information, please contact:

AOTI, INC. Dr. Mike Griffiths, Chief Executive Officer Jayesh Pankhania, Chief Financial Officer	[phone] [e-mail]
Peel Hunt LLP (Nominated Adviser and Broker) Dr. Christopher Golden, Patrick Birkholm	[phone]
FTI Consulting (Financial PR & IR) Ben Atwell, Simon Conway, Alex Davis	[phone] [e-mail]

ABOUT AOTI, INC.

AOTI, INC. was founded in 2006 and is based in Oceanside, California, US and Galway, Ireland, providing innovative solutions to resolve severe and chronic wounds worldwide. Its products reduce healthcare costs and improve the quality of life for patients with these debilitating conditions. The Company's patented non-invasive Topical Wound Oxygen (TWO₂^®) therapy has demonstrated in differentiating, robust, double-blinded randomised controlled trials (RCT) and real-world evidence (RWE) studies to more-durably reduce the recurrence of Diabetic Foot Ulcers (DFUs), resulting in an unprecedented 88 per cent reduction in hospitalisations and 71 per cent reduction in amputations over 12 months. TWO₂^® therapy can be administered by the patient at home, improving access to care and enhancing treatment compliance. TWO₂^® therapy has received regulatory approvals from the US (FDA), Europe (CE Mark), UK (MHRA), Health Canada, the Chinese National Medical Products Administration, Australia (TGA) and in Saudi Arabia.

FOOTNOTES

1 - Excluding IPO-related costs.

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