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DiaMedica Therapeutics Inc.

For the period ended Jun 30, 2026. Filed Aug 10, 2026.

View on SEC.gov

About this filing

A company's report for each of its first three quarters. The financial statements are not audited. It shows how the business has moved since the last annual report, and what management says changed.

Jun 30, 2026 · Filed Aug 10, 2026

DMAC$9.36+3.5%Stored close · as of Nov 6, 2026
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Item 1. FINANCIAL STATEMENTS

Condensed Consolidated Balance Sheets

(In thousands, except share amounts)

June 30, 2026December 31, 2025
(unaudited)
ASSETS
Current assets:
Cash and cash equivalents$5,129$15,647
Marketable securities38,37544,243
Prepaid expenses and other assets567481
Amounts receivable244258
Total current assets44,31560,629
Non-current assets:
Deferred offering costs400400
Operating lease right-of-use asset, net153197
Property and equipment, net133145
Total non-current assets686742
Total assets$45,001$61,371
LIABILITIES AND EQUITY
Current liabilities:
Accounts payable$2,812$1,475
Accrued liabilities3,6663,545
Operating lease obligation107101
Finance lease obligation911
Total current liabilities6,5945,132
Non-current liabilities:
Operating lease obligation69124
Finance lease obligation—4
Total non-current liabilities69128
Shareholders’ equity:
Common shares, no par value; unlimited authorized; 53,925,697 and 53,742,370 shares issued and outstanding, as of June 30, 2026 and December 31, 2025, respectively——
Paid-in capital231,324228,829
Accumulated other comprehensive income (loss)(37)50
Accumulated deficit(192,949)(172,768)
Total shareholders’ equity38,33856,111
Total liabilities and shareholders’ equity$45,001$61,371

Condensed Consolidated Statements of Operations and Comprehensive Loss

(In thousands, except share and per share amounts)

Three Months Ended June 30,Six Months Ended June 30,
2026202520262025
Operating expenses:
Research and development$8,153$5,822$16,140$11,478
General and administrative2,3452,1854,8404,673
Operating loss(10,498)(8,007)(20,980)(16,151)
Other income, net366314813757
Loss before income tax expense(10,132)(7,693)(20,167)(15,394)
Income tax expense(7)(6)(14)(12)
Net loss(10,139)(7,699)(20,181)(15,406)
Other comprehensive loss
Unrealized loss on marketable securities(11)(19)(87)(37)
Net loss and comprehensive loss$(10,150)$(7,718)$(20,268)$(15,443)
Basic and diluted net loss per share$(0.19)$(0.18)$(0.38)$(0.36)
Weighted average shares outstanding – basic and diluted53,894,29542,957,61953,844,17142,901,093

Condensed Consolidated Statements of Shareholders’** Equity**

For the Three and Six Months Ended June 30, 2026 and 2025

(In thousands, except share amounts)

Common SharesPaid-In CapitalAccumulated Other Comprehensive Income (Loss)Accumulated DeficitTotal Shareholders’ Equity
Balances at December 31, 202553,742,370$228,829$50$(172,768)$56,111
Issuance of common shares upon the exercise of stock options140,136420——420
Issuance of common shares upon the vesting and settlement of restricted stock units839————
Share-based compensation expense—822——822
Unrealized loss on marketable securities——(76)—(76)
Net loss———(10,042)(10,042)
Balances at March 31, 202653,883,345$230,071$(26)$(182,810)$47,235
Issuance of common shares upon the exercise of stock options41,513135——135
Issuance of common shares upon the vesting and settlement of restricted stock units839————
Share-based compensation expense—1,118——1,118
Unrealized loss on marketable securities——(11)—(11)
Net loss———(10,139)(10,139)
Balances at June 30, 202653,925,697$231,324$(37)$(192,949)$38,338
Common SharesPaid-In CapitalAccumulated Other Comprehensive Income (Loss)Accumulated DeficitTotal Shareholders’ Equity
Balances at December 31, 202442,818,660$180,697$23$(140,002)$40,718
Issuance of common shares upon the vesting and settlement of restricted stock units3,805————
Issuance of common shares upon the exercise of stock options37,00094——94
Share-based compensation expense—867——867
Unrealized loss on marketable securities——(18)—(18)
Net loss———(7,707)(7,707)
Balances at March 31, 202542,859,465$181,658$5$(147,709)$33,954
Issuance of common shares in settlement of deferred stock units142,345————
Issuance of common shares upon the vesting and settlement of restricted stock units3,803————
Issuance of common shares upon the exercise of stock options66,875163——163
Share-based compensation expense—771——771
Unrealized loss on marketable securities——(19)—(19)
Net loss———(7,699)(7,699)
Balances at June 30, 202543,072,488$182,592$(14)$(155,408)$27,170

Condensed Consolidated Statements of Cash Flows

(In thousands)

Six Months Ended June 30,
20262025
Cash flows from operating activities:
Net loss$(20,181)$(15,406)
Adjustments to reconcile net loss to net cash used in operating activities:
Share-based compensation1,9401,638
Amortization of discounts on marketable securities(359)(441)
Non-cash lease expense4440
Depreciation2314
Changes in operating assets and liabilities:
Amounts receivable1475
Prepaid expenses and other assets(86)(453)
Deposits—1,108
Accounts payable1,337321
Accrued liabilities and operating lease liabilities72(1,643)
Net cash used in operating activities(17,196)(14,747)
Cash flows from investing activities:
Purchase of marketable securities(23,650)(16,370)
Maturities and sales of marketable securities29,79031,967
Purchases of property and equipment(11)(18)
Net cash provided by investing activities6,12915,579
Cash flows from financing activities:
Proceeds from the exercise of common stock options555257
Principal payments on finance lease obligation(6)(5)
Net cash provided by financing activities549252
Net increase (decrease) in cash and cash equivalents(10,518)1,084
Cash and cash equivalents at beginning of period15,6473,025
Cash and cash equivalents at end of period$5,129$4,109
Supplemental disclosure of non-cash transactions:
Cash paid for income taxes$13$12

Notes to the Condensed Consolidated Financial Statements

(Unaudited)

1.Business

DiaMedica Therapeutics Inc. and its wholly owned subsidiaries, DiaMedica USA Inc. and DiaMedica Australia Pty Ltd. (collectively, we, us, our, DiaMedica and the Company), is a clinical stage biopharmaceutical company focused on developing novel treatments for preeclampsia (PE), fetal growth restriction (FGR) and acute ischemic stroke (AIS). DiaMedica’s lead product candidate, DM199, is the first pharmaceutically active, and clinically studied, recombinant (synthetic) form of the human tissue kallikrein-1 (KLK1) protein, an established therapeutic modality in Asia for the treatment of preeclampsia, acute ischemic stroke and other vascular diseases. Our common shares are publicly traded on The Nasdaq Capital Market under the symbol “DMAC.”

2.Risks and Uncertainties

DiaMedica operates in a highly regulated and competitive environment. The development, manufacturing and marketing of pharmaceutical products require approval from, and are subject to ongoing oversight by, the United States Food and Drug Administration (FDA) in the United States, the European Medicines Agency (EMA) in the European Union, and comparable agencies in other countries. We are in the clinical stage of development of our lead product candidate, DM199, for the treatment of PE, FGR and AIS. We have not completed the development of any product candidate and do not generate any revenues from the commercial sale of any product candidate. Our lead product candidate, DM199, requires significant additional clinical testing and investment prior to seeking marketing approval and is not expected to be commercially available for at least three to four years, if at all.

With respect to our PE clinical program, a Phase 2 open-label, single center, single-arm, safety and pharmacodynamic, proof-of-concept, investigator-sponsored trial (IST) of DM199 for the treatment of PE is currently being conducted at the Tygerberg Hospital in Cape Town, South Africa. This Phase 2 trial consists of three studies (Parts 1a, 1b and 2) in PE and a single study (Part 3) in FGR as follows:

Preeclampsia (PE)

●Part 1a: dose-escalation study evaluating single intravenous (IV) / single subcutaneous (SC) DM199 doses in late-onset PE subjects enrolled within 72 hours of delivery, including a confirmatory extension cohort of up to 12 participants at the cohort 10 dose level, which was completed in June 2026.
●Part 1b: dose-expansion study evaluating continuous IV infusion in up to 30 late-onset PE subjects enrolled within 72 hours of delivery, using a dosing level identified in Part 1a; initial enrollment expected in September or October 2026.
●Part 2: evaluation of repeated SC dosing of DM199 in early-onset PE subjects until delivery (expectant management), using three dose levels identified in Part 1a; initial enrollment expected in September or October 2026.

Fetal Growth Restriction (FGR)

●Part 3: evaluation of a single IV and SC loading dose of DM199, followed by repeated SC dosing in FGR subjects until delivery (expectant management), using three dose levels identified in Part 1a; enrollment commenced in June 2026 and the first cohort of six participants has been enrolled.

Up to 90 women with PE and potentially an additional 30 subjects with FGR may be evaluated. Interim results from cohorts 1 through 9 (N=28) of Part 1a of the study were released in July 2025 and additional data from the extension cohort was released in August 2026. The interim results demonstrated that DM199 appears safe and well-tolerated with clinically-relevant pharmacodynamic activity with no evidence of placental transfer of DM199. In the combined final, highest-dose cohorts, which consisted of 15 PE subjects, three from the initial dose escalation phase and 12 additional subjects enrolled in the extension cohort, DM199 produced clinically meaningful and statistically significant, sustained reductions in maternal blood pressure at the pre-specified time point of five minutes after completion of the IV infusion. Systolic blood pressure (SBP) was maintained below 160 mmHg at all measured time points over 24 hours. Detailed Part 1a results, including pharmacokinetic and pharmacodynamic analyses, are expected to be presented at an upcoming medical conference and submitted for publication. The acceptance by the FDA of study data from clinical trials conducted outside the United States, including this IST, may be subject to certain conditions or may not be accepted at all. If the FDA does not accept such data, it would result in the need for additional participants or trials, which would be costly and time-consuming and delay regulatory approval and commercialization of our DM199 product candidate.

With respect to our AIS clinical program, we are currently conducting a Phase 2/3, adaptive design, randomized, double-blind, placebo-controlled trial of DM199 for the treatment of AIS, (the ReMEDy2 trial). Our ReMEDy2 trial is intended to enroll approximately 300 participants at up to 100 sites globally. The adaptive design component includes an interim analysis by our independent data safety monitoring board to be conducted after the first 200 participants have completed the trial. Based on the results of the interim analysis, the study may then be stopped for futility or the final sample size will be determined, ranging between 300 and 728 patients, according to a pre-determined statistical plan. We are currently conducting the trial in the United States, Canada, the United Kingdom and the European Union. Earlier this year, we commenced site initiations and enrollments in six European countries. We have experienced and continue to experience slower than expected site activations and enrollment in our ReMEDy2 trial. We believe these conditions may be due to hospital and medical facility staffing shortages; inclusion/exclusion criteria in the study protocol; concerns managing logistics and protocol compliance for participants discharged from the hospital to an intermediate care facility; concerns regarding prior clinically significant hypotension events; use of artificial intelligence and telemedicine which have enabled smaller hospitals to retain AIS patients not eligible for mechanical thrombectomy instead of sending these patients to the larger stroke centers which are more likely to be sites in our trial; and competition for research staff and trial subjects due to other pending stroke and neurological trials. We continue to reach out to our study sites to understand the specific issues at each study site. To mitigate the impact of these factors, we have significantly expanded our internal clinical team and have brought in-house certain trial activities, including site identification, qualification and activation, clinical site monitoring, supporting vendor management and overall program management. We continue to work closely with our contract research organizations and other supporting vendors to develop procedures to support both U.S. and global study sites and potential participants as needed. We intend to continue to monitor the results of these efforts and, if necessary, implement additional actions to enhance site activations and enrollment in our ReMEDy2 trial; however, no assurances can be provided as to the success of these actions and if or when these issues will resolve. Failure to resolve these issues may result in further delays in our ReMEDy2 trial and increase the difficulty in forecasting enrollment. As we approach enrollment of the 200 th participant, we estimate that the interim analysis will be completed in the first quarter of 2027.

Our future success is dependent upon the success of our development efforts, our ability to demonstrate clinical progress for our DM199 product candidate in the United States or other markets, our ability, or the ability of any future partner, to obtain required governmental approvals of our product candidate, our ability to license or market and sell our DM199 product candidate and our ability to obtain additional financing to fund these efforts.

As of June 30, 2026, we have incurred losses of $192.9 million since our inception in 2000. For the six months ended June 30, 2026, we incurred a net loss of $20.2 million and negative cash flows from operating activities of $17.2 million. We expect to continue to incur substantial operating losses until such time as any future product sales, licensing fees, milestone payments and/or royalty payments generate revenue sufficient to fund our continuing operations. For the foreseeable future, we expect to incur significant operating losses as we continue the development and clinical study of, and to seek regulatory approval for, our DM199 product candidate. As of June 30, 2026, we had combined cash, cash equivalents and marketable securities of $43.5 million, working capital of $37.7 million and shareholders’ equity of $38.3 million.

Our principal source of cash has been net proceeds from the issuance of equity securities. Although we have previously been successful in obtaining financing through equity securities offerings, there is no assurance that we will be able to do so in the future. This is particularly true if our clinical data are not positive or if economic and market conditions deteriorate.

We expect that we will need substantial additional capital to further our research and development activities and complete the required clinical studies, regulatory activities and manufacturing development for our product candidate, DM199, or any future product candidates, to a point where they may be licensed or commercially sold. We expect our current cash, cash equivalents and marketable securities to be sufficient to fund our planned operations for at least the next 12 months from the date of issuance of these condensed consolidated financial statements. The amount and timing of our future funding requirements will depend on many factors, including, but not limited to, timing and results of our ongoing development efforts; our current ReMEDy2 trial and the rate of site activation and participant enrollment in the study; the Phase 2 PE trial; the potential expansion of our current development programs; and other factors on our clinical trials and our operating expenses. We may require significant additional funds earlier than we currently expect and there is no assurance that we will not need or seek additional funding prior to such time, especially if market conditions for raising capital are favorable.

3.Summary of Significant Accounting Policies

Interim financial statements

We have prepared the accompanying condensed consolidated financial statements in accordance with accounting principles generally accepted in the United States (US GAAP) for interim financial information and with the instructions to Form 10-Q and Regulation S-X of the Securities and Exchange Commission (SEC). Accordingly, the condensed consolidated financial statements do not include all of the information and footnotes required by US GAAP for complete financial statements. These condensed consolidated financial statements reflect all adjustments consisting of normal recurring accruals which, in the opinion of management, are necessary to present fairly our condensed consolidated financial position, condensed consolidated results of operations and comprehensive loss, condensed consolidated statement of shareholders’ equity and condensed consolidated cash flows for the periods and as of the dates presented. Our fiscal year ends on December 31. The condensed consolidated balance sheet as of December 31, 2025 was derived from our audited consolidated financial statements. These condensed consolidated financial statements should be read in conjunction with our annual consolidated financial statements and the notes thereto. The nature of our business is such that the results of any interim period may not be indicative of the results to be expected for the entire year.

Segments

We operate in asingle segment focusing on developing potentially transformative treatments for severe ischemic diseases. Consistent with our operational structure, our chief operating decision maker manages and allocates resources for the Company at a consolidated level. Therefore, results of our operations are reported on a consolidated basis for purposes of segment reporting. Substantially all of our tangible assets are held in the United States.

Cash and cash equivalents

We consider all bank deposits, including money market funds and other investments, purchased with an original maturity to the Company of three months or less, to be cash and cash equivalents. The carrying amount of our cash equivalents approximates fair value due to the short maturity of the investments.

Marketable securities

Our marketable securities may consist of obligations of the United States government and its agencies, bank certificates of deposit and investment grade corporate obligations, which are classified as available-for-sale. Marketable securities which mature within 12 months from their purchase date are included in current assets. Securities are generally valued based on market prices for similar assets using third-party certified pricing sources and are carried at fair value. The amortized cost of marketable securities is adjusted for amortization of premiums or accretion of discounts to maturity. Such amortization or accretion is included in interest income. Realized gains and losses, if any, are calculated on the specific identification method. Interest income is included in other income in the condensed consolidated statements of operations.

We conduct periodic reviews to identify and evaluate each available-for-sale debt security that is in an unrealized loss position in order to determine whether an other-than-temporary impairment exists. An unrealized loss exists when the current fair value of an individual security is less than its amortized cost basis. Declines in fair value considered to be temporary and caused by noncredit-related factors of the issuer, are recorded in accumulated other comprehensive income or loss, which is a separate component of shareholders’ equity. Declines in fair value that are other than temporary or caused by credit-related factors of the issuer, are recorded within earnings as an impairment loss. There were no material other-than-temporary unrealized losses as of June 30, 2026.

Fair value measurements

Under the authoritative guidance for fair value measurements, fair value is defined as the exit price, or the amount that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants as of the measurement date. The authoritative guidance also establishes a hierarchy for inputs used in measuring fair value that maximizes the use of observable inputs and minimizes the use of unobservable inputs by requiring that the most observable inputs be used when available. Observable inputs are inputs market participants would use in valuing the asset or liability developed based on market data obtained from sources independent of the Company. Unobservable inputs are inputs that reflect the Company’s assumptions about the factors market participants would use in valuing the asset or liability developed based upon the best information available in the circumstances. The categorization of financial assets and financial liabilities within the valuation hierarchy is based upon the lowest level of input that is significant to the fair value measurement.

The hierarchy is broken down into three levels defined as follows:

Level 1 Inputs — quoted prices in active markets for identical assets and liabilities

Level 2 Inputs — observable inputs other than quoted prices in active markets for identical assets and liabilities

Level 3 Inputs — unobservable inputs

As of June 30, 2026, we believe that the carrying amounts of our other financial instruments, including amounts receivable, accounts payable and accrued liabilities, approximate their fair value due to the short-term maturities of these instruments. See Note 4 titled “Marketable Securities” for additional information.

Deferred offering costs

Deferred offering costs represent legal, accounting and other direct costs related to the Company’s efforts to raise capital through a public sale of the Company’s common shares under the 2025 Sales Agreement, see Note 10. Costs related to the public sale of the Company’s common shares are deferred until the completion of the applicable offering, at which time such costs are reclassified to additional paid-in-capital as a reduction of the proceeds. See Note 10 titled “Shareholders’* Equity*” for additional information.

Recently issued accounting pronouncements

In November 2024, the FASB issued ASU No. 2024-03, Income Statement - Reporting Comprehensive Income - Expense Disaggregation Disclosures (Subtopic 220-40): Disaggregation of Income Statement Expenses (ASU 2024-03), which is intended to improve disclosures about a public business entity’s expenses by requiring disaggregated disclosure, in the notes to the consolidated financial statements, of certain categories of expenses included in the financial statements. ASU 2024-03 is effective for fiscal years beginning after December 15, 2026, and interim periods within fiscal years beginning after December 15, 2027. ASU 2024-03 may be applied either on a prospective or retrospective basis, and early adoption is permitted. The Company is currently evaluating the potential impact of the adoption of ASU 2024-03 on its consolidated financial statement disclosures.

4.Marketable Securities

The available-for-sale marketable securities are primarily comprised of investments in commercial paper, corporate bonds and government securities and consist of the following, measured at fair value on a recurring basis (in thousands):

Fair Value Measurements Using Inputs Considered as of:
June 30, 2026December 31, 2025
TotalLevel 1Level 2Level 3TotalLevel 1Level 2Level 3
Government securities$32,063$—$32,063$—$39,421$—$39,421$—
Commercial paper and corporate bonds6,312—6,312—4,822—4,822—
Total$38,375$—$38,375$—$44,243$—$44,243$—

Maturities of individual securities are less than 12 months and the amortized cost of all securities approximated fair value as of June 30, 2026 and December 31, 2025. Accrued interest receivable on marketable securities is included in amounts receivable and was $236,000 and $250,000 as of June 30, 2026 and December 31, 2025, respectively.

There were no transfers of assets between Level 1 and Level 2 of the fair value measurement hierarchy during the six months ended June 30, 2026.

5.Prepaid Expenses and Other Assets

Prepaid expenses and other assets consist primarily of insurance premiums, yearly subscriptions for services and deposits expected to be recovered during the next twelve months.

6.Amounts Receivable

Amounts receivable consisted primarily of accrued interest receivable on marketable securities of $236,000 and $250,000 as of June 30, 2026 and December 31, 2025, respectively.

7.Property and Equipment

Property and equipment, net, consisted of the following (in thousands):

June 30, 2026December 31, 2025
Computer equipment$153$151
Furniture and equipment128128
Leasehold improvements1616
297295
Less accumulated depreciation(164)(150)
Property and equipment, net$133$145
8.Accrued Liabilities

Accrued liabilities consisted of the following (in thousands):

June 30, 2026December 31, 2025
Clinical trial costs$1,823$1,291
Compensation1,2051,380
Research and development services467749
Professional services fees165120
Other65
Total accrued liabilities$3,666$3,545
9.Operating Lease

Office lease

Our operating lease costs were $52,000 for each of the six-month periods ended June 30, 2026 and 2025. Our variable lease costs were $47,000 and $43,000 for the six months ended June 30, 2026 and 2025, respectively. Variable lease costs consist primarily of common area maintenance costs, insurance and taxes which are paid based upon actual costs incurred by the lessor.

Future minimum operating lease obligations as of June 30, 2026 are (in thousands):

2026$59
2027119
202810
Total lease payments188
Less interest portion(12)
Present value of operating lease obligation176
Less current portion of operating lease(107)
Operating lease obligation, non-current$69
10.Shareholders’ Equity

Authorized capital stock

DiaMedica has authorized share capital of an unlimited number of common voting shares, and the shares do not have a stated par value. Common shareholders are entitled to receive dividends as declared by the Company, if any, and are entitled to one vote per share at the Company’s annual general meeting and any extraordinary or special general meeting.

Equity issued during the six months ended June 30, 2026

During the six months ended June 30, 2026,181,649 common shares were issued upon the exercise of stock options for gross proceeds of $555,000 and 1,678 common shares were issued upon the vesting and settlement of restricted stock units.

Equity issued during the six months ended June 30, 2025

During the six months ended June 30, 2025,103,875 common shares were issued upon the exercise of stock options for gross proceeds of $257,000,142,345 shares were issued upon the settlement of deferred share units and 7,608 common shares were issued upon the vesting and settlement of restricted stock units.

At-the-Market Offering Program

We are party to a Sales Agreement under which we may, from time to time, sell voting common shares having an aggregate offering price of up to $100 million, through an “at-the-market” (ATM) offering. The sales agent receives a customary commission from the Company for any common shares sold under the ATM offering. The offer and sale of any shares sold in the ATM offering is pursuant to an effective registration statement on Form S-3 and an accompanying prospectus. As of June 3, 2026, $86.2 million remained available for issuance pursuant to the ATM offering.

Shares reserved

Common shares reserved for future issuance are as follows:

Issuable upon exercise of employee and non-employee stock options8,180,495
Issuable upon settlement of deferred stock units190,785
Issuable upon vesting and settlement of restricted stock units1,677
Available for grant under the Amended and Restated 2019 Omnibus Incentive Plan2,989,251
Available for grant under the 2021 Employment Inducement Incentive Plan528,125
Total11,890,333
11.Net Loss Per Share

We compute net loss per share by dividing our net loss (the numerator) by the weighted-average number of common shares outstanding (the denominator) during the period. Shares issued during the period and shares reacquired during the period, if any, are weighted for the portion of the period that they were outstanding. The computation of diluted earnings per share, or EPS, is similar to the computation of basic EPS except that the denominator is increased to include the number of additional common shares that would have been outstanding if the dilutive potential common shares had been issued. Our diluted EPS is the same as basic EPS due to common equivalent shares being excluded from the calculation, as their effect is anti-dilutive.

The following table summarizes our calculation of net loss per common share for the periods presented (in thousands, except share and per share data):

Three Months Ended June 30,Six Months Ended June 30,
2026202520262025
Net loss$(10,139)$(7,699)$(20,181)$(15,406)
Weighted average shares outstanding—basic and diluted53,894,29542,957,61953,844,17142,901,093
Basic and diluted net loss per share$(0.19)$(0.18)$(0.38)$(0.36)

The following outstanding potential common shares were not included in the diluted net loss per share calculations as their effects were not dilutive:

For the Three- and Six-Month Periods Ended June 30,
20262025
Common shares issuable upon exercise of employee and non-employee stock options8,180,4956,685,604
Common shares issuable upon settlement of deferred stock units190,785174,515
Common shares issuable upon vesting and settlement of restricted stock units1,6777,607
12.Share-Based Compensation

Amended and Restated 2019 Omnibus Incentive Plan (2019 Plan)

The 2019 Plan permits the Board, or a committee or subcommittee thereof, to grant to the Company’s eligible employees, non-employee directors and certain consultants non-statutory and incentive stock options, stock appreciation rights, restricted stock awards, restricted stock units (RSUs), deferred stock units (DSUs), performance awards, non-employee director awards and other share-based awards. We grant options to purchase common shares under the 2019 Plan at no less than the fair market value of the underlying common shares as of the date of grant. Options granted to employees and non-employee directors have a maximum term often years and generally vest overone tofour years. Options granted to non-employees have a maximum term offive years and generally vest overone year. Subject to adjustment as provided in the 2019 Plan, the maximum number of the Company’s common shares authorized for issuance under the 2019 Plan is 10,500,000 shares. As of June 30, 2026, options to purchase an aggregate of 6,660,585 common shares were outstanding,181,040 common shares were reserved for issuance upon settlement of DSUs and 1,677 shares were reserved for issuance upon the vesting and settlement of RSUs and 2,989,251 shares remained available for issuance.

2021 Employment Inducement Incentive Plan (2021 Inducement Plan)

The 2021 Inducement Plan permits the Board, or a committee or subcommittee thereof, to grant non-statutory options, stock appreciation rights, restricted stock awards, restricted stock units, performance awards and other share-based awards, to new employees who satisfy the standards for inducement grants under Nasdaq Listing Rule 5635(c)(4) or 5635(c)(3), as applicable. The Inducement Plan has a term of 10 years. The share reserve under the Inducement Plan may be increased at the discretion of and approval by the Board and on July 31, 2025, the Board increased the number of common shares reserved for issuance under the plan to 2,000,000. As of June 30, 2026, options to purchase an aggregate of 1,225,000 common shares were outstanding under the Inducement Plan and 528,125 shares remained available for issuance.

Prior stock option plan

The Company ceased granting awards under its Amended and Restated Stock Option Plan in conjunction with shareholder approval of the 2019 Plan. Awards outstanding under the prior plan remain outstanding in accordance with and pursuant to the terms thereof. Options granted under the prior plan have terms similar to those used under the 2019 Plan. As of June 30, 2026, options to purchase an aggregate of 294,910 common shares were outstanding.

Prior deferred stock unit plan

The Company ceased granting awards under its Deferred Share Unit Plan in conjunction with shareholder approval of the 2019 Plan. Awards outstanding under that plan remain outstanding in accordance with and pursuant to the terms thereof. As of June 30, 2026, there were 9,745 common shares reserved for issuance upon settlement of DSUs outstanding.

Share-based compensation expense for each of the periods presented is as follows (in thousands):

Three Months Ended June 30,Six Months Ended June 30,
2026202520262025
General and administrative$606$538$1,125$1,216
Research and development512233815422
Total share-based compensation$1,118$771$1,940$1,638

We recognize share-based compensation for options awards based on the fair value of each award as estimated using the Black-Scholes option valuation model. Ultimately, the actual expense recognized over the vesting period will only be for those options that actually vest.

A summary of option activity is as follows (in thousands except share and per share amounts):

Shares Underlying OptionsWeighted Average Exercise Price Per ShareAggregate Intrinsic Value
Balances at December 31, 20256,864,854$4.11$26,479
Granted2,029,2496.03
Forfeitures(464,459)4.25
Exercised(181,649)3.06
Expired(67,500)2.11
Balances at June 30, 20268,180,495$4.61$20,260

Information about stock options outstanding, vested and expected to vest as of June 30, 2026, is as follows:

Outstanding, Vested and Expected to Vest · Options Vested and Exercisable
Per Share Exercise Price · Shares · Weighted Average Remaining Contractual Life (Years) · Weighted Average Exercise Price · Options Exercisable · Weighted Average Remaining Contractual Life (Years)
$1.00-$1.9951,4436.6$1.6448,3186.6
$2.00-$2.992,016,9236.42.751,537,2186.4
$3.00-$3.99223,1073.53.67206,2333.1
$4.00-$4.992,764,2197.14.331,229,0195.4
$5.00-$5.992,168,5368.35.72272,1015.5
$6.00-$10.00956,2678.47.24143,7923.1
8,180,4957.3$4.613,436,6815.6
13.Segment Information

An operating segment is identified as a component of an enterprise that engages in business activities about which separate discrete financial information and operating results is regularly reviewed by the chief operating decision-maker (CODM) in making decisions regarding resource allocation and assessing performance. The Company's CODM is the Chief Executive Officer. The Company operates in asingle operating segment focused on the development of its drug product candidate DM199 for the treatment of severe ischemic disease. The CODM manages and allocates resources to the operations of the Company on a total company basis. Further, the CODM reviews and utilizes functional expenses (i.e., research, development and general and administrative) at the consolidated level to manage the Company's operations. Other segment items included in consolidated net loss are share-based compensation, interest income, other expense, net, and income tax expense, which are reflected in the condensed consolidated statements of operations and comprehensive loss. The measure of segment assets is reported on the condensed consolidated balance sheet as total consolidated assets.

The following table presents financial information, including significant segment expenses, which are regularly provided to the CODM and included within segment and consolidated net loss:

Three Months Ended June 30,Six Months Ended June 30,
2026202520262025
Operating expenses, excluding share-based compensation
Research and development$7,641$5,589$15,325$11,056
General and administrative1,7391,6473,7153,457
Total operating expenses, excluding share-based compensation9,3807,23619,04014,513
Share-based compensation
Research and development512233815422
General and administrative6065381,1251,216
Total share-based compensation1,1187711,9401,638
Operating loss(10,498)(8,007)(20,980)(16,151)
Interest income385313855757
Other income (expense), net(19)1(42)—
Income tax expense(7)(6)(14)(12)
Segment and consolidated net loss$(10,139)$(7,699)$(20,181)$(15,406)
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