Alucia reports 33% revenue growth driven by Lupro's commercial success
COMPLETED

Alucia's Q2 2025 results show 49% sequential growth in Lupro sales, strong gross margins, and positive outlook on breast reconstruction pipeline.


In this transcript

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Summary

  • Alucia reported a 49% sequential growth in Lupro sales, driven by securing seven national GPO contracts and expanding to 161 hospital systems actively ordering.
  • The company plans to launch NXT41X, a next-generation biological matrix for breast reconstruction, in two phases: the base matrix in 2H26 and the antibiotic version in 1H27.
  • Alucia settled 97 of 110 lawsuits related to a past product recall, reducing legal expenses and clearing strategic transaction hurdles.
  • Financial highlights include a 62.4% adjusted gross margin for Q2 and $6.3 million in sales, with significant contributions from the Lupro and cardiovascular product lines.
  • Management emphasized continued scaling of Lupro through VAC approvals and GPO contracts, as well as pursuing strategic opportunities to enhance cash position and company growth.

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OPERATOR - (00:01:31)

Good afternoon ladies and gentlemen. Welcome to Alucia's second quarter 2025 financial results conference call. If you know you would like to ask a question, please press Star one on your telephone keypad to join the queue. Please be advised that today's conference is being recorded. I would now like to hand the conference over to Matt Steinberg with Fin Partners. Thank you. You may begin.

Matt Steinberg - (00:01:53)

Thank you Operator and thank you all for participating in today's call. Earlier today, Elutia released financial results for the quarter ended June 30, 2025. A copy of the press release is available on the Company's website. Before we begin, I would like to remind you that management will make statements during this call that include forward looking statements within the meaning of the federal securities laws which are pursuant to the Safe harbor provision of the Private Securities Litigation Reform act of 1995. Any statements contained in this call that do not relate to matters of historical facts or relate to expectations or predictions of future events, results or performance are forward looking statements. All forward looking statements, including without limitation those relating to our operating trends and future financial performance, are based upon our current estimates and various assumptions. These statements involve material risks and uncertainties that could cause actual results or events to materially differ from those anticipated or implied by these forward looking statements. Accordingly, you should not place undue reliance on these statements for a list and description of the risks and uncertainties associated with our business, please refer to the Risk Factors section of our public filings within the SEC, including Elutia's Annual Report on Form 10K for the year ended December 31, 2024, accessible on the SEC's website at www.sec.gov. such factors may be updated from time to time in Elutia's other filings with the sec. The conference call contains time sensitive information and is accurate only as of the live broadcast today, August 14, 2025. Elutia disclaims any intention or obligation, except as required by law, to update or revise any financial projections or forward looking statements because of new information, future events or otherwise. Also, during this presentation we refer to Gross Margin excluding Intangible Asset Amortization, which is a non GAAP financial measure. A reconciliation of this non GAAP financial measure to the most directly comparable GAAP financial measure is available in the Company's Financial Results release for the second quarter ended June 30, 2025, which is successful on the SEC's website and posted on the Investor page of the Elutia website@www.Elutia.com. and with that I will Turn the call over to Elutia's CEO Randy Mills.

Randy Mills - Chief Executive Officer - (00:04:26)

Thank you, Matt, and welcome one and all to our second quarter 2025 earnings call. Let me start with a rundown of today's topics and first and foremost I want to provide some color on the success we continue to have with our Lupro launch and the commercial success we continue to have there. Then I'm going to switch gears and I'm going to talk a little bit about the tremendous work our development teams are doing in the reconstruction pipeline that we have underway. I'm then going to turn it over to Matt who's going to provide an update. We have some pretty significant updates on the litigation front. And then lastly, Matt will also do as he always does, a rundown of our financial progress. Lastly, as I indicated in the press release, on the business development front, we have a number of strategic opportunities that we're sort of in the middle of that we're driving towards conclusion and we anticipate having more to say on those in the near future here. But let's just jump right in with a review of Lupro's first year and what a year it was on the commercial side. 49% sequential growth this quarter over last quarter, built on the back of seven national GPO contracts that the team has secured. As we've said all along, the key to revenue growth has to do with the number of hospital systems we can get into. We're currently at 161 hospital systems actively ordering. And then lastly, a lot of this growth has been facilitated by the tremendous partnership that we've developed with our friends at Boston Scientific. But it's great commercial success that has been built really on a great scientific foundation that we have at Elutia. Our drug eluting technology, particularly our biologics drug eluting technology we think is the best in the world in this first year. I think we've done a good job of validating that five peer reviewed publications in the first year alone. Validating not just the product, but the base technology. We won the Edison Award. I got to actually go and receive at what I would call the Nerd Oscars for innovation in medical technology. 2 Medical device network excellent awards, one for product innovation, which isn't a surprise. Another for product launch, really combining what the two teams working together are able to accomplish. And then lastly, our Innovator in Chief, Dr. Michelle Williams won Medical Device Innovator of the Year award and we think that was certainly well deserved. Okay, turning to the scoreboard, really, the numbers say it all. First half Performance bio envelope revenue for the quarter up 33% year over year. That puts us at about a $14 million run rate now. Why is that? Well, that's really being driven by Lupro growth, almost exclusively by Lupro growth, up 49% sequentially for the Pro now makes up 68% of our bio envelope revenue and it continues to grow. Why is that? Well, that's all driven by our VAC approvals. So we now have over 160 hospitals that we've gotten through the VAC process. When we say through the VAC process, we don't just mean on contract and able to order. We don't actually count these hospitals until they are actively ordering and we are shipping them the product. So that breaks down sort of at a high level. What's going on with the product. Let's get in a little drive, a little bit more detail here. So looking at the revenue, it's kind of amazing. We sold the first unit of ELupro last September and we experienced some very modest revenue recognition in the third quarter of 2024. But since then this product has been on a tear. You could see the quarterly growth continues. We now expect to end the year at a revenue rate approaching $20 million. And that really is due to the tremendous work the commercial team is doing. Dig in here and see what's really going on though. It's really driven by our sales per account. So as we said before, if we can get on contract with the hospital, what we're seeing is 130% higher revenue in those accounts for ALupro than we're seeing with Kangaroo. And this is reflecting greater utilization of the product. Kangaroo is a great biologic envelope. It was able to hold the pacemaker in place, keep it stable, prevent erosion from taking place and migration from taking place, and ultimately a fibrotic capsule forming. But if you add the powerful protection of Rifampin and minocycline, you really get the full benefit of a drug eluting biologic. And that's why we're seeing this 130% higher utilization rate with Elliot Pro than with Kangaroo. We couldn't do this not only without our own direct sales team, which is doing a great job, but also with our 1099 distributor network, which is now making up about 33% of our total sales, enabling us to very efficiently move across the country and gain new territories, but also with our partnership with Boston Scientific. Now Boston actively involved in Lupro sales in 98 distinct hospitals ordering. They are currently facilitating and participating in about 30% of ALupro Lupro cases. So if you just start, just do the math and you sort of extrapolate this out. We're targeting something along the lines of 1600 or so hospital centers that would ultimately use Lupro, that are active implanters of pacemakers, that if it just sort of scales the way it's going, makes this $150 million product in just the US in just pacemakers alone. And we think the neuromarket is at least as big of an opportunity for us there. So from a revenue standpoint, really strong work so far. Again, we've said all along our revenue. If you want to know what our revenue is going to do, look at what our VAC approvals are doing. And here, this just shows the great work of our team continuing to grind out those approvals. 161 institutions. You can see, you can see there the monthly progress we're making. We add somewhere between 12 to 15 new institutions a month. We have something along the lines of 90 submissions in progress, and we have about a 95% success rate. So when we submit to a VAC, we have a very, very strong likelihood of gaining approval. Facilitating that great work with the VAX is the work we've done with our GPO contracts. And so we are on contract now with seven major GPOs, including Premier S3P Adventus, and we have several others under the work and believe we will be reporting on a few more successes there as the year concludes, as we get. Through the second half. So, all in all, what an incredible first year for Lupro. And I want to thank the entire Alucia crew. It really was a team effort, from science to operations to commercial, everybody working together the way our culture says that we should. Okay, Lupro has a tremendous amount of fun and it's a great commercial success, but we are just getting started. Our mission is to humanize medicine so that patients can thrive without compromise. And there is no bigger need than in the breast reconstruction space. This year alone, 317,000 women will be told that they have an invasive form of breast cancer. Many of those are going to go on and require mastectomies and need reconstruction. And a staggering one in three women going through breast reconstruction are going to suffer serious complications from that reconstruction procedure. And that is something we can fix, and that is something that we have resolved to change. Taking a look at the breast reconstruction market, it is a very big market, and it is a very big market that already has a dominance of biologics in it. So biologics represents a 1.5 billion billion addressable market in the US alone. And biologics accounts for 65% of the device related spend in reconstruction. Breaking down the numbers, there are 151,000 mastectomies annually in the United States. Two thirds of those involve bilateral procedures. That generates somewhere between 200,000 to 225,000 individual breasts that are being reported. Reconstructed biologics account for 80% of the reconstruction cases at a cost of somewhere between $7,500 and $9,500 per case. Therefore, biologics are about 65% of the implant related costs, but they do not address the primary cause of implant failure. So this is a market where we see biologics as the standard of care, and that standard of care is currently failing. Despite the high costs, biologics alone don't address the problem. And these numbers don't lie. As I said, one in three women going through the breast reconstruction procedure suffer a serious complication. Why is this? It's driven almost exclusively by persistent bacterial contamination. So 10 to 14% of women will experience a significant infection. 19 to 29% will suffer capsular contracture, which is most often a direct result of the inflammatory process from colonization of bacteria. And up to 21% of women will actually have an implant loss. And there's significant and very real economic costs associated with these two. We're looking at almost $50,000 in economic burden to the hospital, which because it's a post operative infection, the hospital must bear a loan. These are not insured costs. So if you think about this, and just about everyone I know knows a woman going through a procedure like this, you've been diagnosed with breast cancer. Horrible news. You have the courage to go and face a mastectomy, radiation, oftentimes very frequently chemotherapy. And instead, what do you face? You face multiple surgeries, delays in your underlying cancer treatment, and the pain and suffering of a failed reconstructive procedure. This is something that the drug eluting biologic technology that we've developed was made to fix. You might be wondering, so how bad is it? Well, how's this for bad company? Breast reconstruction ranks among the riskiest procedures in medicine, despite being performed over 150,000 times a year. It falls just between major limb amputation and colorectal resection with an ostomy for serious complications. So it's not really surprising that women, when faced with the option for breast reconstruction, 60% of women opt to not have their breast reconstruction. Friends. This is a market that needs a revolution. And that is exactly What Alucia is bringing to the table, we have built on our award winning technology from Lupro to bring you what's next. NXT41X is a fully engineered next generation biological matrix that brings both the handling and the biological remodeling of a biologic matrix. But to that we've added powerful antibiotics with sustained antibiotic release to prevent infection that is associated with these types of procedures. Our team have been hard at work on this for the past three years and we are in a position now to where it's actually just around the corner. So we've been harder work leveraging our proven development experience, both from a technological standpoint as well as a regulatory standpoint, to rapidly gain market access. And so as you guys know, we've submitted and gotten approval for Lupro, but we haven't talked about. We spent a tremendous amount of time during those last three years developing and perfecting a great biological matrix. And our development of that matrix is complete. Our animal data supporting the use of that matrix is complete. We have already held pre submission meetings with the Food and Drug Administration and our teams are now preparing submissions for approval. So we anticipate having the next 41 base matrix approved now and launching in the second half of 2026 and the antibiotic matrix in 1H27. We will obviously providing more detail on this in the coming months. But I wanted to give you a good sense of not just where we are in the development program, but more importantly why the next 41 program for breast reconstruction has been so high on the development team's priority list for the last three years. With that I will conclude my comments and turn the call over to Matt who will discuss where we are from a litigation standpoint and then do his financial review.

Matt Steinberg - (00:20:04)

Okay, thank you Randy. So first off the litigation update, which is a new section for our conference calls, but it's not a new situation that we have been working on here. As a little bit of background, this stems from a product recall that we had over four years ago and it was in a part of the company that we actually sold two years ago. So it really relates to history of the company as opposed to anything that we're doing right now. But what we have been left with based on that product recall is quite a large number of lawsuits and many of you are aware of that already. But we had 110 individual lawsuits that stemmed from this event in long ago. It has been a really a substantial weight on the company, both from a value point of view and from a personal point of view, and I'm glad to say that we are now very close to the end of that process. We've made really substantial progress recently, and it has been a real focus for a small number of people in the. Company for some time. So what has happened? We've really started making a concerted effort at least a couple of quarters ago to get these cases behind us to get them all settled. And just in the last quarter, we settled 27 of these cases. And cumulatively now we've settled 97 out of that original 110. And with the remaining 13 cases on any individual basis, they should actually be easier to settle than much of what we've had to deal with over the last few years. And even in the last quarter, no single trial attorney is handling more than three of those. So in a lot of ways, that actually makes it a little bit easier for us to deal with them one by one. The implications of this for the company are there. Two big ones. One is that it substantially reduces the expense that we incur going forward. And then the other one is that it really removes an overhang that made it very difficult. We've been talking to other companies about any kind of strategic transaction, and I think we have really addressed their concerns now. And like I said, I think we're very close to putting this entirely behind us. So with that, I will move on to the financial update. And there it, you know, it really integrates very directly with everything that Randy talked about. The I won't go through all of the bullet points on this page, but just hitting a few highlights, really at the top of the list is the performance of Lupro. We saw 49% growth on a sequential basis for Lupro from Q1 of this year to Q2 of this year. That drove really substantial growth even in the overall bio envelope business, even though a lot a fair amount of that business is still kangaroo. So we saw 3.5 million in sales in the bio envelope business versus 2.6 million from a year ago. And as Randy indicated, we expect that growth to continue and we expect more and more accounts to convert over to elupro and to bring on new accounts based on having this really exciting product in our portfolio right now. Just touching briefly on our other two main product areas. In the cardiovascular patch products, we took control back of those products from an exclusive distributor Last quarter in Q2, we only have them for a portion of the quarter, but even just in that portion of the quarter, we were able to generate over $700,000 of revenue from those products. And that that's more than double what we were able to do through the distributor just the quarter before. And we expect to also see continued growth there. And then for Simplyderm, which is a product with a lot of opportunity, we didn't do as well last quarter and we generated $2 million of revenue there versus what we had done previously, which was higher. I do believe that there are multiple ways that we can generate value from that franchise, whether it's by driving additional sales or by partnering with another company in order to bring value to our shareholders. So overall those three things add up to sales of 6.3 million for the quarter, which, which we expect to see growing going forward. That was essentially comparable to what we did in the year ago quarter. The the other areas I'd like to touch on are gross margin where we're seeing really nice efficiency in terms of our operations. And we saw a substantial improvement in our adjusted gross margin reaching 62.4% for Q2, up about 4 full percentage points or more than 4 full percentage points from a year ago. And we're seeing that largely based on the efficiency that we're getting in the bio envelope business as we start to scale that up a little bit more. And then also with the really high margins that we generate in cardiovascular, those gross margins are actually over 80% for that business and that does a nice job of dropping money towards our bottom line. So on a bottom line basis, there are different ways of looking at it, whether it's an operating or a net or an EBITDA basis. Really I think the most instructive metric is adjusted EBITDA here, which takes out the non recurring and non cash expenses there. We had a $3.8 million loss for the quarter, but I, when I think about that for where the company is with a really high growth top line franchise in the form of Elliot Pro, and then also with the product development investments that we've been making, which are going to yield really exciting results in the in the near future. I'm actually really pleased with the efficiency that we're seeing there and the ability to move this company towards profitability. And then lastly, I just mentioned that we ended Q2 with $8.5 million of cash. And I think the important thing to mention there is that we do have a number of business development transactions that we are evaluating and we won't say too much more about that here, but we do expect to be able to say more in the very near future and we do expect those to have an impact in a very positive way on our cash position. With that, I will turn it back to Randy.

Randy Mills - Chief Executive Officer - (00:27:05)

Thank you, Matt. Okay, so let's just conclude the call here with providing you some guidance and clarity on where it is we are as a company. It's probably not going to come as a surprise to anyone to find out that a lot of our focus is dedicated exactly where it should be, to ELupro. ALupro is now at the stage where it's about scaling. We know exactly how to grow revenue in ELupro. It's simply to get more VAX on contract. So we are going to continue to scale revenue in Lupro by, by expanding the number of VAX and GPO coverage that we have. We're going to be leveraging both the momentum that we've developed with our own direct sales channel as well as our partners at Boston Scientific to help drive this process. And those two things really shouldn't come as a surprise to anyone. Third, we're going to continue to increase the production capacity and continue to lower cogs. We've already seen a tremendous job being done in our gross margin by our operations team. And as we like to say, you know, that product doesn't make itself. The team in Roswell, Georgia does a phenomenal job growing with this product and continuing to meet product orders. And we're incredibly proud of the work that they do. So you can expect to see more of that going on. Fourth, you've heard about it now. Our nxt41 platform is now just about here. It is proven technology, drug eluting, biologics technology through a proven regulatory pathway, going into a much bigger market with a much bigger unmet medical need. And we are really excited to not just bring that to market from a business standpoint, but also when you are in this business, being able to develop a product like that for people and for an indication where there is such an outstanding, such an outstanding medical need, we are not only excited, but we are passionately pursuing that and driving that forward at full speed. And then lastly, as Matt said, and as I said at the beginning into my conference, we are working on a number of strategic opportunities and expectations to drive one or more of those to conclusion in the relatively near future. And we'll have more on that when developments warrant. With that, I will conclude my comments and turn the call over to the operator for your questions.

OPERATOR - (00:29:55)

Thank you. If you would like to ask a question, please press Star one on your telephone keypad. A confirmation tone will indicate your line is in the question queue. You may press Star Two, if you would like to remove your question from the queue for participants using speaker equipment, it may be necessary to pick up your handset before pressing the star keys. Our first question is from Frank Takhatin with Lake Street Capital Markets. Please proceed.

Frank Takhatin - Equity Analyst - (00:30:23)

Thanks for the questions and congrats on all the exciting progress. Wanted to start first with one on Lupro. Obviously you've had very strong market receptivity and just curious when, obviously when a product is launching as quickly and successfully as Lupro has, there's always bottlenecks along the way. So just curious what those bottlenecks are. Whether that's still VAC and just the process there and the variability of timing, inventory or anything like that and anything you need to address to continue this growth trajectory.

Randy Mills - Chief Executive Officer - (00:30:56)

Yeah. Thanks, Frank. So bottlenecks, I would say at first the commercial team really did give the operations team a run for their money. There were some people sweating being able to keep up with production as we first got that started. But they have done that. They have really mastered that. You're starting to see that efficiency show up in the gross margin. We don't like any good company. We don't like to build crazy amounts of inventory. But we have the inventory in place there to be able to have 100% service level. That's our goal. Deliver exactly what the customer wants, exactly when the customer expects to receive it. And they've done a great job there. I wish it were more exciting than, and maybe I don't wish it was more exciting than the opportunity that we see. But really it's about scaling vax. The ordering is now so predictable. When we turn a hospital on, they order and they're ordering at this really significant rate over when, you know, over what they 1, you know, 130% of what they were ordering. Kangaroo at a good account for us. We'll do some, you know, actually we expect actually just an average account for us to do about $100,000 a year. So those accounts are just scaling. So as we get through the VAC process, revenue scale. So I don't know if you call it a bottleneck or just the work we have to do, but we have 160. We have 160 vacs through approval right now. It's kind of interesting. It lines up. We have 1600 centers that we are targeting. In total. It takes us on average about six months to do that. We always keep a really strong number of those accounts in the pipeline. Like I said, I think right now we happen to have 90 because actually we had a lot pull through, but we add new filings every day. And our partners at Boston Scientific are being tremendously helpful in opening up those new doors. They certainly have accounts that they have high interest and high needed. So it's not really much of a mystery anymore what drives the revenue with lupro. It really is if we get through the backs vac, you know, we're seeing the ordering just scale.

Frank Takhatin - Equity Analyst - (00:33:34)

Great, that's good. Color maybe one on the NXT41XX. Exciting to hear that advancing along first, maybe just a little clarification and help us understand kind of the two step process. I think we read in the press release that the first one's expected second half of 26 and then the drug eluting version in first half of 2027. So some additional background there would be interesting to understand. And then just a clarification, is there any linkage to nxt41 to simpliderm as you think about business development activities?

Randy Mills - Chief Executive Officer - (00:34:08)

Sure. So the first centers around regulatory strategy. Right. So and you know Dr. Williams, she doesn't just deliver great science. She also knows that the product won't help people until it can get through the fda. And we are taking what you might call a conservative or a de risked approach by uncoupling the regulatory clearances of first the matrix by itself and then the matrix with the antibiotic attached to it. And so the first approval that you'll see is the matrix by itself. This is not a derivative of simpliderm. This is a brand new matrix. For a lot of different reasons, we went with what we call a fully engineered matrix. And so this is a, it starts with a porcine extracellular matrix base that we treat with a number of different, a number of different procedures that chemical and enzymatic that Michelle and her team have developed. We optimized it not just for handling, but we also optimized it for incorporation. And because this is an engineered matrix, what we were looking to do there, Frank, was one of the knocks on sort of biologics, and particularly human tissue that's used in biologics is the donor to donor variability. And we wanted to take that out. We wanted to make a base matrix where the physician would say, I know exactly how this thing is going to perform and I know this base matrix is engineered in such a way to where it's going to incorporate biologically in an absolutely optimal state. And so that's what we did with that base matrix. And so you'll see that come on the market in 2H26 now and then shortly after that, the antibiotic delivery version attached and that we've been able to develop really we think the expertise from the process with Lupro, what the FDA wants to see from a drug eluting standpoint, we are using the same drugs, different delivery, but we really actually love Rifampin and minocycline in this space we'll have more to talk about that, but we actually have some really powerful, not just antimicrobial effects, but actually pro regenerative effects that we've been able to prove out in the lab with that. So we're really excited about that. And then your second question sort of centered around how this related to Simplyderm. This is going into the same markets as Ciboderm is obviously using a biologic mesh in breast reconstruction, but we think really with a second generation sort of technology. And so what we like about having Simplederm is we have our key accounts, we have our kols established these great surgeon relationships and Simplyderm is as we say, simply a great product. Physicians love Simplyderm. We think it is the best biologic on the market today. But ultimately where we're going is we think that NXT41X really gives a more complete solution than any human derived matrix could give. Perfect, helpful.

Frank Takhatin - Equity Analyst - (00:38:08)

And then maybe just one last one. And I'm guessing you can't say too much on it. But related to the comments of very soon when we should hear some business development commentary, would you characterize very soon as weeks, months or quarters?

Randy Mills - Chief Executive Officer - (00:38:30)

Nothing's done, Frank, until it's done. And so I would expect it to be in weeks, months or quarters. In one of those, you know, it's just one of those things that's like. It reminds me of that Billy Crystal line in Princess Bride. You know, you rush miracles, you get lousy miracles. Well, you rush business development, you get lousy business development. And, and so we have a number of transactions that we're contemplating right now. We would expect at least one of them to come to fruition. But nothing's done until it's done. So I don't want to really provide any more time frame because I don't want to have to negotiate against ourselves. With regards to time. And if I said an unrealistic expectation, really it's. It's only us that would bear the consequence of that. Perfect.

Frank Takhatin - Equity Analyst - (00:39:27)

Fair enough. Thanks for taking the questions.

Randy Mills - Chief Executive Officer - (00:39:30)

Thanks, Frank.

OPERATOR - (00:39:32)

Our next question is from Russ Osborne with Cantor Fitzgerald. Please proceed.

Matt Park - (00:39:39)

Hey guys, this is Matt park on for us today. Thanks for taking the questions. I guess just Starting with gross margin. Good step up this quarter with cardiovascular coming back in the mix. You know, as we think about the path forward, how should we frame your ability to not just maintain but potentially expand gross margins from here?

Matt Ferguson - (00:39:57)

Hey, Matt, it's Matt Ferguson. Good to talk to you again. I think I got your whole question. I know it's centered around gross margin and opportunities for growth in the future. And I would say absolutely opportunities across really all segments of our business to improve gross margin going forward. And certainly in the case of Elupro, we've got a lot of scaling that we're doing and we will see the benefits of that over time. And I think you'll see them as pretty substantial and significant and they shouldn't take too long. In the case of cardiovascular, that's a little more straightforward. We're now selling at a higher gross margin. I mentioned that in the prepared remarks that that's over 80%. So the more we can grow that business, and I think there's a lot of opportunity there that will contribute positively to the overall gross margin. And in the case of Simplyderm, you know, there are some things that we can do there to improve efficiency as well. So I think there are opportunities there as well. Probably a little less so than the. Other two, but substantial nonetheless. Did I get your entire question there. Or was there another.

Matt Park - (00:41:13)

Yep, yep, that was great. And then I guess just moving on to Annex C41X. This may have been answered already on. The call, but can you kind of. Just walk us through what level of clinical evidence or study design you believe is needed to support FDA approval for both the base matrix as well as the drug eluting version?

Randy Mills - Chief Executive Officer - (00:41:33)

Yeah, so we are, we are taking both the base matrix and the antibiotic delivery matrix through the same regulatory platform that we took, that we took lupro through. And so from a regulatory standpoint, we will be able to do that with, you know, exactly the same playbook that we, that we used for lupro. With the exception of. There are. When you get into surgical meshes for different things, there are different, you know, there are different specific requirements for those that the, you know, that the team will be following the well established standard. It's on. From a clinical standpoint, one of the reasons that we're staggering the launch of the base matrix is actually so we can go and generate the clinical data not from a regulatory standpoint, but actually from a marketing standpoint because we, you know, we're looking to win this thing not in the short term, but actually, but actually in the long term, we think 41x has the opportunity, we actually think will be by far the first antibiotic eluting matrix to market. But we care about the matrix that it's on. And so, you know, sort of not to pick on, overly pick on Tyrex, but we, we're not looking to just rush first with, you know, with a synthetic or a plastic matrix, but here really a proven biologics matrix which the surgeons have gotten used to and frankly expect, and they should expect a great biologics matrix and then prove that and then add to that the drug eluting component. But from a regulatory standpoint, it's actually pretty, I say pretty straightforward and I know our regulatory team would laugh at me for that, but a pretty straightforward.

UNKNOWN - (00:43:37)

Combination.

Randy Mills - Chief Executive Officer - (00:43:40)

Development pathway that involves the center for Device and Radiologic Health Health combined with the center for Drugs. You put all that together and you have the same pathway that we got Lupro through. And we feel pretty confident we'll be able to do that expeditiously with 41x. Got it.

Matt Park - (00:43:57)

That was super helpful. That's it from me. Congrats on the quarter and thanks for taking the questions.

Randy Mills - Chief Executive Officer - (00:44:02)

Thank you so much.

OPERATOR - (00:44:05)

There are no further questions at this time. This will conclude today's conference. You may disconnect your lines at this time. And thank you for your participation. Participation. Goodbye.

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