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Q1 26 Cxbladder Demand Resilient Despite Coverage Loss

Quarterly Update13 July 2025PEBHealthcare

14 JULY 2025



CXBLADDER DEMAND RESILIENT DESPITE COVERAGE LOSS

DUNEDIN, New Zealand – Cancer diagnostics company Pacific Edge (NZX, ASX: PEB) today

reports resilient demand for its tests in the three months to the end of June 2025 (Q1 26)

despite to loss of Medicare coverage in April 2025 and the disruption caused from the transition

of US customers from Detect to Triage.

The company also reports positive discussions with Medicare Administrative Contractor

Novitas following Pacific Edge lodging a Medicare reconsideration request based on evidence

not considered in the review that led to the non-coverage decision. The new evidence includes

the ground-breaking STRATA

1

randomized control study demonstrating the clinical utility of

Cxbladder Triage and the new AUA microhematuria guideline.

US TLT in Q1 26 was down 11.9% to 5,717 tests from 6,490 in Q4 25 with the drop in volumes

largely due to the disruption of asking physicians to switch from Cxbladder Detect to Triage for

hematuria evaluation. Pacific Edge accelerated the decision to discontinue Detect in the US

market following the inclusion of Triage in the new American Urological Association

Microhematuria guideline and the non-coverage determination.

Cxbladder Triage represented around 77% of US TLT in June 2025 up from 22% in Q4 25, the

quarter prior to the decision to discontinue Detect. Meanwhile, Detect tests received for

processing (which our customer service attempts to transition to Triage tests with clinician

approval) made up only 6% of all tests received for the month of June 2025, down from the

59% received in Q4 25 the last quarter before the determination became effective.

Total laboratory throughput (TLT) in Q1 26 fell 8.9% to 6,900 from the 7,577 tests in Q4 25.

Our sales force efficiency metric in Q1 26 was 381 compared to 406 tests per sales FTE in Q4

25 reflecting the disruptions caused by switching customers from Detect to Triage, which

requires additional patient information.

The requirement to provide an advanced beneficiary notice (ABN) with a Cxbladder Monitor

test has also impacted volumes, but insulates the company from running unpaid tests, because

the ABN informs the patient they may be held financially responsible for the test if Medicare

denies payment. Tests per unique US ordering clinician (our preferred metric for measuring

customer commitment to Cxbladder) were 6.3, down from the 7.1 tests in Q4 25.

Meanwhile, the volumes from our key contracted US customers such as Kaiser Permanente

are unaffected by the determination.

Asia Pacific volumes were up 8.8% to 1,183 from 1,087 in Q4 25, a move that reflected volume

growth in all markets; Australia Southeast Asia and New Zealand.

The Q1 26 investor update also covers:




2


• The publication of data demonstrating the Analytical Validation of Triage Plus in

Diagnostics

2

. This publication is one of two pieces of clinical evidence Pacific Edge

requires to support a reconsideration request from Novitas regarding the Medicare

coverage of Triage Plus

• A preview of the company’s annual meeting on 6 August 2025 in Auckland and the

detail of the company’s ~$21 million capital raising.


Released for and on behalf of Pacific Edge by Grant Gibson Chief Financial Officer.

For more information:

Investors: Media:

Dr Peter Meintjes Richard Inder

Chief Executive The Project

Pacific Edge P: +64 21 645 643

P: 022 032 1263

OVERVIEW

Pacific Edge: www.pacificedgedx.com

Pacific Edge Limited (NZX/ ASX: PEB) is a global cancer diagnostics company leading the way

in the development and commercialization of bladder cancer diagnostic and prognostic tests

for patients presenting with hematuria or surveillance of recurrent disease. Headquartered in

Dunedin, New Zealand, the company provides its suite of Cxbladder tests globally through its

wholly owned, and CLIA certified, laboratories in New Zealand and the USA.

Cxbladder: www.cxbladder.com

Cxbladder is a suite of non-invasive genomic urine tests optimized for the risk stratification of

urothelial cancer in patients presenting with microhematuria and those being monitored for

recurrent disease. The tests help improve the overall patient experience, while prioritizing time

and clinical resources to optimize practice workflow and improve efficiency.

Supported by over 20 years of research, Cxbladder’s evidence portfolio extends to more than

25 peer reviewed publications, and Cxbladder Triage is now included in the American

Urological Association’s Microhematuria Guideline. To drive increased adoption and improved

patient health outcomes, Cxbladder is the focal point of numerous ongoing and planned studies

designed to generate further clinical utility evidence.

Cxbladder is available in the US, Australasia, and Israel and in markets throughout Asia and

South America. In the US, the test has been used by over 5,000 urologists who have ordered

more than 130,000 tests. In New Zealand, Cxbladder is accessible to around 70% of the

population via public healthcare and all residents have the option of buying the test online.




3

---

JULY 2025
INVESTOR UPDATE

INSIDE

Letter from the CEO 2

Q1 26 test volumes 3

Capital raising overview 5

Annual meeting preview 5

Triage Plus analytical validation 6

Clinical evidence program 7

Dear Shareholders,
Pacific Edge enters FY 26 leaning into the

opportunities created with the company-defining

milestone of Cxbladder’s inclusion in the American

Urological Association’s microhematuria guideline in

February 2025. The guideline has cemented our position

as the best-in-class provider of tests for hematuria

evaluation and surveillance of non-muscle invasive

bladder cancer patients both in the US and further afield.

The guideline, when combined with the new

publications from our evidence generation

program, is shifting clinical sentiment

towards the adoption of our tests. As

the only product with a ‘Grade A’

1


evidence rating in the guideline, we

have expanded the moat around

our business, strengthening our first

mover advantage as we seek to regain

Medicare coverage for our tests.

The clearest evidence of this

sentiment shift, as detailed on

page 6, is the way US customers

have transitioned to Cxbladder Triage

for hematuria evaluation — with Triage

accounting for 77% of US tests in June, up

from 22% in Q4 FY 25. We accelerated the transition

of US customers to Triage after the non-coverage on

the ‘Genetic Testing for Oncology: Specific Tests’ Local

Coverage Determination (LCD) (L39365) ended Medicare

coverage of our tests. Moving to Triage better prepares

our customers for the future update to Triage Plus when

we receive coverage for that test at a higher price.

We are in the midst of a capital raise, in which $16.1

million has already been pledged to the company from

the placement offer in May 2025. We are intending to

seek $5 million (with over subscriptions possible with

Board approval) through the associated share purchase

plan (SPP

2

). These funds will extend the cash runway for

over 12 months without Medicare coverage and without

reductions in our cost base that would undermine

our core priorities. The placement, which is subject

to shareholder approval at the Annual Shareholders’

Meeting (ASM) in August, and funds raised through the

SPP will also support our goal to regain coverage and

grow in non-Medicare channels.

The AUA guideline has allowed us to view the non-

coverage determination differently, not least because it

offers a clinically validated and authoritative reason for

clinicians to continue to order our tests, for healthcare

providers to integrate Cxbladder into clinical pathways

and for payers to pay for medically reasonable and

necessary testing.

As we navigated the negative market messaging

from loss of Medicare coverage, and the operational

logistics of converting all customers over to Triage, the

test volumes in this quarter are yet to show the effect of

the AUA guideline inclusion (see page 3-4), but we are

advancing a range of initiatives to achieve this goal.

We continue to leverage the AUA guideline to

appeal all Medicare denials for Triage and

anticipate payment on these tests through

that process

3

.

Similarly, we continue to appeal all

commercial payer denials for Triage,

moving quickly to “external review” to

drive payment and create opportunities

for contracting. We have also initiated a

pilot program to establish ‘Client Billing’

as a practice, leveraging the ‘in-network’

status many of our larger customers enjoy

with commercial payers.

These initiatives — enabled by the

AUA guideline inclusion — are still in the early

stages but represent a significant potential pathway

to expand adoption and drive revenue as part of our

broader commercial payer strategy. We have already

had contracting wins with the Blue Cross Blue Shield

Group Purchasing Organization, gained a favorable

recommendation from ECRI

4

– a data curator to which

many commercial payers subscribe, and we are in

numerous conversations for positive medical policy with

the larger commercial payers. We ended the quarter with

a win by securing ‘in-network’ status with Optum Veterans’

Affairs Community Care Network (VACCN). The Optum

VACCN covers healthcare costs for the VA for veterans

across the eastern and central US who are unable to get a

timely appointment within a VA facility and will pay Pacific

Edge for Cxbladder at the Medicare rate.

Our efforts to regain Medicare coverage continue. In

March 2025 we lodged a reconsideration request based

on evidence not considered in the review that led to

the non-coverage LCD. The new evidence includes the

ground-breaking STRATA

5

randomized control study

demonstrating the clinical utility of Cxbladder Triage and

the new AUA microhematuria guideline.

LETTER FROM THE CEO

Maintaining the momentum

established through guideline

inclusion

“...now we

must focus on

scalable and

profitable growth

in sales to increase

shareholder


value.”

2

1

The AUA defines ‘Grade A’ evidence as evidence with a high certainty rating and notes evidence of this grade makes it “very confident that the true effect lies

close to that of the estimate of the effect.

2

No offer of new shares is made under the SPP unless and until Pacific Edge sends the SPP offer document to shareholders. No money is currently being sought,

and new shares cannot currently be applied for or acquired under the SPP.

3

For a description of the Medicare appeals process please refer to our Annual Report published on 30 June 2025.

4

ECRI is the Emergency Care Research Institute https://home.ecri.org/

5

Lotan et al. (2024). A Multicenter Prospective Randomized Controlled Trial Comparing Cxbladder Triage to Cystoscopy in Patients

with Microhematuria. The Safe Testing of Risk for Asymptomatic Microhematuria Trial. The Journal of Urology Vol 212 1-8 Jul 2024.

On June 26, 2025 (US time) we met with Novitas
6


Medical Affairs to discuss the reconsideration request we

had made for Triage in March. The conversations were

thorough and engaging, with the Novitas team noting

that they had familiarized themselves with the AUA

microhematuria guideline ahead of our call. The Novitas

team made it clear that they understood how our test

could deliver clinical utility to physicians and economic

utility to insurers and expressed their commitment to

provide medically reasonable and necessary testing

to the Medicare population. They discussed with us

the precise indications for coverage, focused on how

physicians select patients for Triage testing. The 2020

and 2025 AUA Guidelines, the Kaiser Abstract from the

AUA, and our STRATA publication clearly identify those

patient types, and Novitas gave a non-binding verbal

indication that our evidence was compelling for the

purposes of re-opening the LCD.

We have a second meeting with Novitas on July 17

to discuss the reconsideration request for Cxbladder

Monitor that we submitted in May, and we look forward to

submitting a request later this year for Medicare coverage

of Triage Plus, when the Analytical Validation (published

8 July 2025 online in Diagnostics

7

) and Clinical Validation

(DRIVE study, in peer review) are published. We note that

the Medicare Program Integrity Manual allows Novitas

to combine reconsideration requests together when

opening an LCD and overlapping submissions may affect

the previously estimated timelines.

Pacific Edge’s success with these strategies

substantially depends on the shareholder approval

of the placement and support for the $5 million SPP.

Shareholders will shortly receive the receive the SPP

documentation, and the Notice of our ASM (NOM) to be

held in Auckland on 6 August 2025. The NOM will detail

the approvals Pacific Edge requires and rationale for

each of them.

I encourage you to consider these documents carefully

and to support the company through what stands to be a

key period in its development.

While the loss of Medicare coverage in April was

disappointing, inclusion in the AUA Guideline and the

positive attitude of payers including Novitas to that

milestone gives me the confidence that we have already

achieved what’s necessary for enduring coverage of

Cxbladder Triage and that now we must focus on scalable

and profitable growth in sales to increase shareholder value.

I look forward to seeing you all at our meeting in

August.

With my warm regards,

Dr Peter Meintjes

Chief Executive

LETTER FROM THE CEO CONTINUED

Tests processed through Pacific Edge’s laboratories in the three months to the end of June 2025 (Q1 26)

and test demand have been resilient in the face of the Medicare non-coverage determination and the disruption

caused from the transition from Detect to Triage.

US TLT was down 11.9% to 5,717 tests from 6,490 in Q4 25 with the drop in volumes largely due to the

disruption of asking physicians to switch from Cxbladder Detect to Triage for hematuria evaluation. Pacific Edge

accelerated the decision to discontinue Detect in the US market following the inclusion of Triage in the new

American Urological Association Microhematuria guideline and the non-coverage determination became effective.

Cxbladder Triage represented around 77% of US TLT in June 2025 up from 22% in Q4 25, the quarter prior to

the decision to discontinue Detect. Meanwhile, Detect tests received for processing (which our customer service

attempts to transition to Triage tests with clinician approval) made up only 6% of all tests received for the month

of June 2025, down from the 59% received in Q4 25 the last quarter before the determination.

Total laboratory throughput (TLT) in Q1 26 fell 8.9% to 6,900 from the 7,577 tests Q4 25.

Our sales force efficiency metric or Q1 26 was 381 compared to 406 tests per sales FTE in Q4 25 reflecting the

disruptions caused by switching customers from Detect to Triage, which requires additional patient information.

The requirement to provide an advanced beneficiary notice (ABN) with a Cxbladder Monitor test has also

impacted volumes, but insulates the company from running unpaid tests, because the ABN informs the patient

they may be held financially responsible for the test if Medicare denies payment. Tests per unique US ordering

clinician (our preferred metric for measuring customer commitment to Cxbladder) were 6.3, down from the 7.1

tests in Q4 25.

Meanwhile, the volumes from our key contracted US customers such as Kaiser Permanente are unaffected by

the determination.

Asia Pacific volumes were up 8.8% to 1,183 from 1,087 in Q4 25, a move that reflected volume growth in all

markets; Australia Southeast Asia and New Zealand.

TEST VOLUMES

Test demand resilient despite Medicare coverage loss

3

6

Novitas is the Medicare administrative contractor with responsibility for our US laboratory.

6

Harvey, J.C. et al. (2025) Analytical Validation of the Cxbladder® Triage Plus Assay for Risk Stratification of Hematuria Patients

for Urothelial Carcinoma. Diagnostics 2025, 15, 1739.

-
1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

9,000

10,000

Test volume

US

Q1 23

6,073

983

7,056

Q2 25

5,682

1,360

7,042

Q3 25

5,808

1,284

7,092

Q4 25

6,490

1,087

7,577

Q1 26

5,717

1,183

6,900

Q2 23

6,699

1,165

7,864

Q3 23

6,629

1,139

7,768

Q4 23

1,061

8,877

Q1 24

8,627

1,079

9,706

Q2 24

7,335

1,199

8,534

Q3 24

6,041

1,142

7,183

Q1 25

5,905

1,278

7,183

Q4 24

6,099

1,111

7,210

APAC

-

200

400

600

800

1,000

1,200

1,400

1,600

-

1.0

2.0

3.0

4.0

5.0

6.0

7.0

8.0

US Ordering Clinicians

Tests/Clinician

US ORDERING CLINICIANS (LHS)

Q1 23

895

890866

Q1 25

867

Q2 25Q3 25Q2 23

978

Q3 23

1,082

Q4 23

1,150

Q1 24

1,232

Q2 24

1,147

Q3 24

1,016

Q4 24

915914

TESTS/ORDERING CLINICIANS (RHS)

7.0

6.1

6.8

6.8

6.4

6.8

-

10

20

30

40

50

60

-

50

100

150

300

200

250

70350

80400

Average Sales FTE

Average US Test Volume/Sales FTE

US AVERAGE SALES FTE (LHS)US TEST VOLUMES/SALES FTE (RHS)

222

226

201

239

288

265

27

303333

30282115151515

907

292

5.9

6.7

6.8

403

379

6.4

6.7

379

6.3

Q4 25Q1 26

Q1 23


Q2 23Q3 23Q4 23Q1 24Q2 24

Q3 24Q4 24Q1 25Q2 25Q3 25Q4 25

Q1 26

1616

381381

406

7.1

7,816

-

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

9,000

10,000

Test volume

US

Q1 23

6,073

983

7,056

Q2 25

5,682

1,360

7,042

Q3 25

5,808

1,284

7,092

Q4 25

6,490

1,087

7,577

Q1 26

5,717

1,183

6,900

Q2 23

6,699

1,165

7,864

Q3 23

6,629

1,139

7,768

Q4 23

1,061

8,877

Q1 24

8,627

1,079

9,706

Q2 24

7,335

1,199

8,534

Q3 24

6,041

1,142

7,183

Q1 25

5,905

1,278

7,183

Q4 24

6,099

1,111

7,210

APAC

-

200

400

600

800

1,000

1,200

1,400

1,600

-

1.0

2.0

3.0

4.0

5.0

6.0

7.0

8.0

US Ordering Clinicians

Tests/Clinician

US ORDERING CLINICIANS (LHS)

Q1 23

895

890866

Q1 25

867

Q2 25Q3 25

Q2 23

978

Q3 23

1,082

Q4 23

1,150

Q1 24

1,232

Q2 24

1,147

Q3 24

1,016

Q4 24

915914

TESTS/ORDERING CLINICIANS (RHS)

7.0

6.1

6.8

6.8

6.4

6.8

-

10

20

30

40

50

60

-

50

100

150

300

200

250

70350

80400

Average Sales FTE

Average US Test Volume/Sales FTE

US AVERAGE SALES FTE (LHS)US TEST VOLUMES/SALES FTE (RHS)

222

226

201

239

288

265

27

303333

30282115151515

907

292

5.9

6.7

6.8

403

379

6.4

6.7

379

6.3

Q4 25Q1 26

Q1 23


Q2 23Q3 23Q4 23Q1 24Q2 24

Q3 24Q4 24Q1 25Q2 25Q3 25Q4 25

Q1 26

1616

381381

406

7.1

7,816

-

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

9,000

10,000

Test volume

US

Q1 23

6,073

983

7,056

Q2 25

5,682

1,360

7,042

Q3 25

5,808

1,284

7,092

Q4 25

6,490

1,087

7,577

Q1 26

5,717

1,183

6,900

Q2 23

6,699

1,165

7,864

Q3 23

6,629

1,139

7,768

Q4 23

1,061

8,877

Q1 24

8,627

1,079

9,706

Q2 24

7,335

1,199

8,534

Q3 24

6,041

1,142

7,183

Q1 25

5,905

1,278

7,183

Q4 24

6,099

1,111

7,210

APAC

-

200

400

600

800

1,000

1,200

1,400

1,600

-

1.0

2.0

3.0

4.0

5.0

6.0

7.0

8.0

US Ordering Clinicians

Tests/Clinician

US ORDERING CLINICIANS (LHS)

Q1 23

895

890866

Q1 25

867

Q2 25Q3 25Q2 23

978

Q3 23

1,082

Q4 23

1,150

Q1 24

1,232

Q2 24

1,147

Q3 24

1,016

Q4 24

915914

TESTS/ORDERING CLINICIANS (RHS)

7.0

6.1

6.8

6.8

6.4

6.8

-

10

20

30

40

50

60

-

50

100

150

300

200

250

70350

80400

Average Sales FTE

Average US Test Volume/Sales FTE

US AVERAGE SALES FTE (LHS)US TEST VOLUMES/SALES FTE (RHS)

222

226

201

239

288

265

27

303333

30282115151515

907

292

5.9

6.7

6.8

403

379

6.4

6.7

379

6.3

Q4 25Q1 26

Q1 23


Q2 23Q3 23Q4 23Q1 24Q2 24

Q3 24Q4 24Q1 25Q2 25Q3 25Q4 25

Q1 26

1616

381381

406

7.1

7,816

FIGURE 1: TOTAL TEST VOLUMES

FIGURE 2: CXBLADDER CLINICAL ADOPTION

FIGURE 3: US SALES FORCE EFFICIENCY

FIGURE 4: US TESTS RECEIVED AND TEST MIX

TEST VOLUMES CONTINUED

4

0%

10%

20%

30%

40%

50%

60%

70%

80%

% of Tests Received

Tests Numbers

Monthly Average Q4 25Apr 25May 25Jun 25

2,147

2,306

1,772

1,804

59%

23%

52%

29%

60%

21%

6%

74%

-

500

1,000

1,500

2,000

2,500

Tests Received STUDY Triage Plus Triage Monitor Detect

CAPITAL RAISING
5

Major shareholders back capital raise

Pacific Edge has received strong support from institutional investors in the first phase

of its capital raise that is targeted at sustaining the company’s commercial momentum,

advancing its next-generation product pipeline, and regaining Medicare coverage for its

Cxbladder tests.

The $16 million raised through a placement of new shares to institutional and other

selected investors, exceeded the initial $15 million target after the Board accepted

oversubscriptions.

The placement, which is subject to shareholder approval at the company’s annual

meeting in August, is priced at $0.10 per share — an 18% premium to the 20-day volume

weighted average price (VWAP) up to and including 29 May 2025 (the day prior to the

public announcement of the capital raising through the NZX and ASX).

The second phase of the capital raising — a $5 million Share Purchase Plan (SPP) to be

offered to eligible retail shareholders at the same price — is expected to open in mid-July

and is contingent on the placement becoming unconditional.

1

We are encouraged by the strong support we have received from our institutional

shareholders, which reflects recognition of the value we have created in the face of the

significant challenges of the last year. The capital will help us maintain our momentum

and ensure we are well-positioned to respond strategically to both challenges and

opportunities. We are looking forward to giving all eligible shareholders the opportunity to

participate at the same offer price as the placement.

A full agenda for Annual Shareholders’ Meeting

Pacific Edge is holding its Annual

Shareholders’ Meeting in Auckland on

Wednesday 6 August beginning at

3:00pm and we are looking forward

to seeing all our shareholders there.

Chairman Chris Gallaher and Chief

Executive Dr Peter Meintjes will provide a

strategic update at the meeting covering

the opportunities that have emerged

for the business since Cxbladder Triage

was included in the AUA microhematuria

guideline and the path to regaining

Medicare coverage of the company’s tests.

The meeting also has a full agenda of matters for shareholders to consider. These include the

re-election of Directors including Chris Gallaher, Sarah Park and Tony Barclay.

The meeting will also seek shareholder approval for the $16.1 million placement of shares to selected

shareholders and resolutions to approve an increase in the Directors fees pool. A key element of this

second proposal is that the first year of this increase is paid in shares rather than cash to support the

company’s ongoing need to preserve capital as it seeks to regain Medicare coverage. This share issue

will also be put to shareholders for approval.

Further details can be found in the Notice of Meeting to be mailed to shareholders imminently and

on the investor section of the website at: www.pacificedgedx.com/investors/investor-center/

Meanwhile we would appreciate shareholders signaling their attention to attending via the follow

Eventbrite link https://bit.ly/PacificEdgeASM2025

1

No offer of new shares is made under the SPP unless and until Pacific Edge sends the SPP offer document to shareholders.

No money is currently being sought and new shares cannot be applied for or acquired under the SPP.

1
Harvey, J.C. et al. (2025) Analytical Validation of the Cxbladder® Triage Plus Assay for Risk Stratification of Hematuria Patients for Urothelial

Carcinoma. Diagnostics 2025, 15, 1739. Also available at the following link: https://www.mdpi.com/2075-4418/15/14/1739

2

Novitas is the Medicare Administative Contractor with responsibility for Pacific Edge’s US laboratory.

3

For definitions Sensitivity, Specificity, Negative Predictive Value, and Positive Predictive Value please refer to glossary in the Capital raising

presentation released to the NZX and ASX on 29 May 2025. All values quoted are at a score threshold of 0.15.

Triage Plus analytical validation published

Triage Plus has moved a step closer towards commercial launch with the publication of its analytical

validation in Diagnostics

1

.

This publication is one of two pieces of clinical evidence Pacific Edge requires to support a reconsideration

request from Novitas

2

regarding the Medicare coverage of Triage Plus. The second element, the DRIVE study,

was submitted for peer review in June. If the reconsideration request is successful, that is the final hurdle before

commercialization of the test in the US.

In the AV publication Triage Plus demonstrated a sensitivity of 93.6%, specificity of 90.8%, positive

predictive value (PPV) of 46.5%, negative predictive value of 99.4%, and a test-negative rate of 84.1%

3

. The

study concluded: “Cxbladder Triage Plus... provides a non-invasive, highly sensitive, and reproducible tool that

aids in risk stratification of patients with hematuria.”

In addition to providing superior performance characteristics that will benefit

patients, clinicians, and healthcare payers, the test, once commercialized, is

expected to boost the economics of Pacific Edge’s US commercial operations.

The Centers for Medicare and Medicaid Services has set a draft price for the

test at US$1,018 — a substantial premium over the current US$760 price for

Triage. At this price, which is due to be finalised in January 2026, the margin

per test is higher and the profitability threshold lower than Triage, enabling

faster scaling and a quicker path to profitability.

6

TRIAGE PLUS COMMERCIALIZATION

“Triage Plus...

[is] a non-invasive,

highly sensitive,

and reproducible

tool that aids in risk

stratification.”

CLINICAL EVIDENCE PROGRAM
Evidence to drive clinical practice change

Our clinical study program is at the foundation of Pacific Edge’s value. We are focused on generating the compelling

clinical evidence required to drive behavior change in physicians. Specifically, we seek to produce evidence that

is founded on the frameworks of Analytical Validity (AV), Clinical Validity (CV) and Clinical Utility (CU), with the

endpoints and sample sizes required for coverage decisions and guideline inclusion.

STUDYGOALPOPULATION AND

USE

STATUS

STRATA

Safe Testing

of Risk for

AsymptomaTic

MicrohematuriA

• CU Triage

• CV/CU Triage Plus

(retrospective)

• Microhematuria

(MH)

• Risk stratification

• Recruitment closed with 555 patients including

223 low risk patients (test and control).

• Interim analysis results published leading to AUA

Guidelines inclusion in 2025 update.

• Database lock expected July 2025 and Clinical

Study Report (CSR) expected Oct 2025.

DRIVE

Detection and

Risk stratification

In VEterans

presenting with

hematuria

• CV Triage Plus for

a Veterans’ cohort

• Data MH pooled

analysis

• MH and gross

hematuria (GH)

• Risk stratification

• Enrolment closed with 710 patients including 48

tumour confirmed patients from 10 US VA sites.

• Database lock completed and publication

submitted June 2025.

microDRIVE

Detection and

Risk stratification

In VEterans

presenting with

microhematuria

• CV Triage Plus

• Data MH pooled

analysis

• MH

• Risk stratification

• Currently 254

1

samples received to date with 6

Urothelial Cancer (UC) cases confirmed including

matched samples.

• Study expanded to 4 active sites with 1-2 more

sites at feasibility assessment.

• The target is 1000 patients with 35 tumour

confirmed patients with LPI projected to be

delayed beyond Q4 2025 and more likely Q2

2026.

AUSSIE

Australian Urologic

risk Stratification

of patientS wIth

hEmaturia

• CV Triage Plus

(Australian

cohort)

• Data MH pooled

analysis

• MH and GH

• Risk stratification

• The target is 35 UC confirmed patients including

a minimum of 10 MH UC confirmed.

• Currently 704 subjects enrolled with 47 UC

confirmed (GH+MH) including 7 MH UC patients.

• Last patient in projected to be Q3 2025.

POOLED

ANALYSIS

• CV Triage Plus • MH and GH

• Risk stratification

• MH (and separately GH) patient data from DRIVE,

AUSSIE and microDRIVE will be pooled and

analyzed.

• GH paper submission is expected in 2026, and

MH pooled analysis is delayed due to microDRIVE

until at least Q2 2025.

LOBSTER

LOngitudinal

Bladder cancer

Study for

Tumor Recurrence

• CV Monitor and

Monitor Plus

• Surveillance

• Risk stratification

• Enrolment will be complete when 75 UC

recurrences are observed.

• Currently 454 subjects enrolled with 1,044

samples and 70 confirmed UC recurrences.

• We project last patient Q4-2025 and cleanup of

data to follow.

CREDIBLE

Cystoscopic

REDuction

In BLadder

Evaluations for

microhematuria

• CU Triage Plus


• MH

• Risk stratification

• Contracts completed (15/15), study level

Institutional Review Board (IRB) approvals and

site level IRB approvals (14/15).

• Site authorized to enroll (11/15), remainder due by

end of July.

• 8 sites are actively enrolling with 26 subjects

enrolled.

Quarterly dates are calendar year not financial years

7

1

This figure is smaller than the figure provided in the company’s 2025 annual report due to a revision subsequent

to its publication on 30 June 2025.

ABOUT US
Pacific Edge Limited (NZX/ASX: PEB) is a global cancer diagnostics company leading the way in the development

and commercialization of bladder cancer diagnostic and prognostic tests for patients presenting with hematuria

or surveillance of recurrent disease. Headquartered in Dunedin, New Zealand, the company provides its suite of

Cxbladder tests globally through its wholly owned, and CLIA certified, laboratories in New Zealand and the USA.

VISIT US ONLINE:

www.pacificedgedx.com

www.cxbladder.com

FOLLOW US ON SOCIAL MEDIA:

www.facebook.com/PacificEdgeLtd

www.facebook.com/Cxbladder

www.twitter.com/PacificEdgeLtd

www.twitter.com/Cxbladder

www.linkedin.com/company/pacific-edge-ltd

CONTACT US:

Centre for Innovation

87 St David Street

PO Box 56

Dunedin 9016, New Zealand

T: 0800 555 563 (NZ)

+64 3 577 6733 (Overseas)

E: investors@pacificedge.co.nz

Data sourced from publicly available filings. Our datasets may not be complete. Automated analysis can produce errors. If you believe any data on this page is incorrect, please contact us at hello@nzxplorer.co.nz. For informational purposes only. Not investment advice.