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Futura Medical plc

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FY2019 Annual Report · Futura Medical plc
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Futura Medical plc
Annual Report and Accounts 2019

 
 
 
 
 
 
 
Welcome to the 
Futura Medical 
Annual Report 2019

WHAT WE DO

Futura Medical is a 
pharmaceutical company 
developing a portfolio of 
innovative products based on 
our proprietary, transdermal 
technology DermaSys®. 

These products are 
optimised for clinical efficacy, 
safety, mode of 
administration and patient 
convenience and are 
developed for the 

prescription and consumer 
healthcare markets as 
appropriate. 

Current therapeutic areas are 
sexual health and pain relief. 
Development and 
commercialisation strategies 
are designed to maximise 
product differentiation and 
value creation whilst seeking 
to minimise clinical and 
regulatory risk.

" Our purpose is to enhance our 
patients and consumers’ quality 
of life to enable them to live their 
lives to the full."

JAMES BARDER 
Chief Executive

www.futuramedical.com

INVESTMENT CASE

Futura has a proven track record in delivery and completion of 
Research & Development (‘R&D’) projects up to value inflection 
points at which they are suitable for commercialisation partners.

1

2

Advanced proprietary 
technology DermaSys®

Clinical development of 
treatments for unmet needs

Our focus is on differentiated 
products, addressing areas of two 
large markets, sexual health and 
pain, seeking to solve unmet needs 
that will help improve patients’ and 
consumers’ lives.

We are exploiting the potential of our 
transdermal technology DermaSys® 
to innovate and develop topical 
treatments offering a fast onset of 
action and low systemic side effects. 
Our long-term strategy is to expand 
the product pipeline based on 
DermaSys®. We are currently 
exploring opportunities with 
cannabidiol in CBD100. Our products 
are underpinned by strong IP, usually 
specific to each product.

 3

4

De-risked strategy which 
focuses on rapid routes 
to market

Short-term value creation 
from our lead product 
MED3000

We are prioritising the development 
and regulatory approval for MED3000, 
our treatment for erectile dysfunction, 
owing to its significant short to 
medium term value creation potential 
in a large market where there is an 
unmet need for new treatment 
options. In a Phase 3 clinical trial 
MED3000 achieved all co-primary 
clinical endpoints against baseline 
(before treatment). We are now 
pursuing regulatory filings as a 
medical device in the EU and US.

Read more information 
on Strategy on page 16

We have a late stage pipeline of 
products, developed from well 
characterised molecules and 
excipients with an established safety 
profile. This means that there is a lower 
development risk and potentially 
shorter regulatory pathway.

5

Experienced 
management team

The management team has 
significant experience in researching 
and developing innovative products 
for the global consumer healthcare 
and prescription markets, with 
extensive development and regulatory 
expertise in the US and Europe.

Follow this icon to see 
further information in this 
Annual Report

STRATEGIC REPORT

CONTENTS

STRATEGIC REPORT

Investment case 

Highlights 

DermaSys® at a glance

Our business model 

Products and pipeline 

Chairman and Chief Executive’s Review

Our strategy 

Key performance indicators 

Portfolio Review – MED3000

Portfolio Review – Other products

Financial Review

Key risks and mitigation

Sustainability Review

Our stakeholders

GOVERNANCE

Board of Directors 

Remuneration Committee Report 

Corporate Governance Statement  
by Non-Executive Chairman

Corporate Governance Report

Directors’ Report 

Audit Committee Report

Independent Auditor’s Report to the 
members of Futura Medical plc 

FINANCIAL STATEMENTS

Consolidated Statement of Comprehensive 
Income 

Consolidated Statement of Changes  
in Equity 

Consolidated Statement of Financial 
Position 

Consolidated Statement of Cash Flows 

Notes to the Consolidated Financial 
Statements 

Parent Company Balance Sheet 

Parent Company Statement of  
Changes in Equity 

Notes to the Parent Company Financial 
Statements 

Company information 

01

02

04

06

08

10

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01

STRATEGIC REPORTwww.futuramedical.comHIGHLIGHTS

OPERATIONAL HIGHLIGHTS

Solid pipeline progress with MED3000 
nearing regulatory filings in EU and US

KEY HIGHLIGHTS

  MED3000 discussions 
progressing well with 
regulators with EU filing 
expected by end of July; 
and with good dialogue 
with US FDA providing 
optimism for submission 
for medical De Novo 
device approval filing by 
end of Q3 2020.

  Company expects cash 
runway to be sufficient  
to Q2 2021, based on 
significantly reduced 
Research and 
Development (R&D) spend 
and current activities.

  Currently expect limited 
impact from COVID-19 
during 2020.

Cash balance at year-end

£2.51m

Fundraising (gross)* post year-end

£3.25m

* Completed January 2020

Net loss

£8.92m

02

MED3000 – TOPICAL GEL FOR THE 
TREATMENT OF ERECTILE 
DYSFUNCTION (ED)

  Top line results for European 
Phase 3 study (FM57) were 
reported in December 2019 with 
all treatment arms consistently 
meeting all primary endpoints 
against a pre-treatment baseline 
and across all ED severities as well 
as in a pooled ED patient 
population. 

  FM57 demonstrated that 

MED3000 has the potential to be 
a highly effective, clinically proven, 
topical treatment for erectile 
dysfunction with a rapid onset of 
action and excellent safety profile 
in a US$5 billion market1.

  New patent application filed in 

December 2019 around the novel 
and surprising effects of the 
MED3000 formulation shown in 
FM57 to potentially provide patent 
protection until 2040.

  Ongoing support from Key 

Opinion Leaders (KOLs) for an 
effective, fast-acting, topically 
applied ED treatment with low 
side effects.

MED3000 – POST PERIOD 
HIGHLIGHTS

  Following positive interactions 
with an EU Notified Body2 as 
announced in February 2020 
Futura subsequently commenced 
formal proceedings for MED3000 
to be approved as a medical 
device for the treatment of ED 
with expected submission to EU 
regulators by the end of July 2020.

  Recent positive initial pre-

submission meeting with US FDA. 
Futura are awaiting the meeting 
minutes and expect to pursue 

regulatory approval for MED3000 
as a medical device with a De 
Novo Classification in the US.

TPR100 – TOPICAL NON-
STEROIDAL ANTI-INFLAMMATORY 
FOR THE PAIN AND 
INFLAMMATION ASSOCIATED 
WITH SPRAINS, STRAINS AND 
BRUISES AND SOFT TISSUE 
RHEUMATISM

  UK partner Thornton & Ross (a 

subsidiary of STADA AG) received 
feedback from UK Medicines and 
Healthcare products Regulatory 
Agency (MHRA) in February 2019 
requiring additional laboratory 
work to be conducted to support 
the UK submission. 

  Ongoing laboratory work 

continues with formulation dosing 
adjustment and in vitro studies to 
enable TPR100 to meet the strict 
criteria established by the MHRA 
(to avoid the need to conduct a 
Phase 3 pain relief efficacy study) 
delaying the response to the 
MHRA by at least six months.

  Ongoing commercial discussions 
with several potential distribution 
partners for other countries. Any 
further licensing deals are 
expected to be after UK regulatory 
approval.

CBD100 – FUTURA’S ADVANCED 
PROPRIETARY TRANSDERMAL 
TECHNOLOGY, DERMASYS® FOR 
TRANSDERMAL DELIVERY OF 
CANNABIDIOL

  Joint venture collaboration with 
CBDerma Technology Limited 
announced in September 2019.

  Optimisation work is continuing 
and on track to deliver first stage 
development by end July 2020. 

Stock Code: FUMFutura Medical plc Annual Report 2019FINANCIAL HIGHLIGHTS

CASH BALANCE

R&D SPEND

FINANCIAL HIGHLIGHTS

£9.16M

£8.36M

£10.05M

£6.04M

£4.10M

£2.51M

2017

2018

2019

2017

2018

2019

OPERATING LOSS

R&D TAX CREDIT RECEIVED

£11.16M

£1.36M

£7.27M

£4.86M

£0.93M

£0.85M

  £8.92 million net loss in the period 
(31 December 2018: net loss £5.88 
million).

  Cash resources of £2.51 million at  
31 December 2019 (31 December 
2018: £9.16 million).

  R&D tax credits of £1.36 million for 

year ended 2018 received in 
August 2019 (Year ended 2017: 
£0.93 million R&D tax credits 
received in August 2018).

  £3.25 million (gross) fundraising 
completed post period end in 
January 2020.

2017

2018

2019

2017

2018

2019

Read the Financial 
Review on page 28

1   Manufacturers’ Selling Prices 2018: Data available for 

 75 countries IQVIA IMS Health. 

2  Notified Bodies are the regulatory authorities that 

oversee the approval of medical devices within the EU 
for all EU countries including the UK.

03

STRATEGIC REPORTwww.futuramedical.comDERMASYS® AT A GLANCE

Futura Medical is an innovative R&D company. We are 
experts in transdermal delivery and the science of the skin. 
We have developed an advanced proprietary and patented 
transdermal technology, DermaSys®.

At the core of DermaSys®

APPLYING SKIN SCIENCE TO  
DELIVER NOVEL TOPICAL TREATMENTS

Our core strength lies in our research and development 
capabilities in the field of topical formulations and 
transdermal delivery. Futura’s unique technology, expertise 
and know-how, enables targeted and rapid delivery of active 
pharmaceutical ingredients (API) and Generally Recognized 
As Safe (GRAS) pharmaceutical excipients onto and through 
the skin to the required site of action with a high level of 
safety. We take off-patent, generic molecules and excipients 
and offer improvements over existing products or create 
novel indications with compelling commercial potential. This 
means that our products are highly differentiated in their 
markets whilst avoiding the risks normally associated with 
the development of new molecules and with potentially 
shorter regulatory pathway. We protect this valuable IP and 
ensure that we maximise both the strength of our patents’ 
protection and their duration.

DERMASYS® AND THE PROCESS  
BEHIND OUR UNIQUE FORMULATIONS 
Our unique patented technology DermaSys® is designed to 
deliver clinically proven effective medical treatments via 
the skin. 

DermaSys® is a versatile and bespoke technology. Each gel is 
uniquely formulated using the DermaSys® platform with 
volatile solvent and/or penetration enhancer components 
tailored for each product to suit the specific therapeutic 
indication and desired speed of onset and duration of action. 
Such targeted delivery offers an optimised profile in terms of 
dose, onset time and duration of effect as well as an improved 
safety profile reducing the risk of side effects. Each product is 
formulated to maximise its benefits for patients and 
consumers. Each new unique formulation offers the 
opportunity for additional patent applications and potential 
patent protection.

The gels we develop are versatile, clear and odourless and 
provide effective and local topical application to the required 
site of action. For our erectile dysfunction treatment, 
MED3000, this translates into a fast-acting treatment for 
erectile dysfunction with an excellent safety profile. For our 
pain relief treatments, TPR100 and TIB200, this translates into 
effective penetration for enhanced therapeutic benefits with 
fast, effective and long-lasting relief.

04

Combination  
of volatile solvent  
components  
creates an  
evaporative  
action

DermaSys® process

PROPRIETARY 
DERMASYS® 
TECHNOLOGY 

Combined with Futura’s know-
how and expertise in formulation

TARGET PRODUCT PROFILE 

To deliver unique benefits  
to patients and  
consumers

Stock Code: FUMFutura Medical plc Annual Report 2019With 
active  
drug

With 
excipients

Targeted and rapid 
delivery through 
the skin

The combination of volatile 
solvent components, gentle 
penetration enhancers and 
active creates a concentration 
gradient that drives the 
active through the skin. 

Local targeted 
physical action

The combination of volatile 
solvent components creates an 
evaporative and novel action that 
stimulates nerve sensors and 
creates a physical action.

CBD100 – DERMASYS® FOR 
TRANSDERMAL DELIVERY 
OF CANNABIDIOL

Futura announced a joint 
venture collaboration 
with CBDerma 
Technology Limited 
in September 2019 to 
explore the application 
of Futura’s advanced 
proprietary transdermal 
technology, DermaSys® 
for the delivery of 
cannabidiol. As part of 
the agreement, Futura 
will develop and optimise 
a DermaSys® cannabidiol 
formulation as well as 
establish early ex vivo 
proof of concept studies 
likely to include certain 
disease states most 
suited for local or regional 
(non-systemic) topical 
treatment such as pain 
relief.

GEL SPECIFICALLY  
TAILORED AND 
FORMULATED 

MED3000

Fast onset of action

Duration of action 
to suit the natural 
length of intercourse

Excellent 
safety profile

TPR100

Fast delivery of 
the active diclofenac 
through the skin 

Superior absorption

12-hour efficacy for 
twice daily dosing

05

STRATEGIC REPORTwww.futuramedical.comOUR BUSINESS MODEL

KEY 
RESOURCES

HOW WE 
CREATE VALUE

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O U T SOURCING

& D   a n d   e x pertise orchestratin
a  l e a n   o perating model

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MARKET DYNA M I C S
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PEOPLE

  Highly experienced and 
motivated team focused 
on innovative solutions

  Team of 30 consultants 
used for their specialist 
knowledge and 
leadership in the field

  Strong results driven 
culture and teamwork

EXPERTISE AND 
INNOVATION

  Highly efficient patented 
proprietary transdermal 
technology

  Semi-virtual structure 

with outsourcing 
optimised to maximise 
expertise and minimise 
overhead cost

STRONG LEADERSHIP

  Experienced 

management team with 
background in 
researching and 
developing innovative 
products for global 
consumer healthcare and 
prescription markets

06

Stock Code: FUMFutura Medical plc Annual Report 2019 
 
1

Outsourcing – R&D and expertise 
orchestrating a lean operating model

Semi-virtual model using in-house 
specialist expertise in Clinical 
Development, Regulatory and 
Chemistry, Manufacturing and Controls 
(CMC) to lead strategy and co-ordinate 
the outsourcing of key activities with a 
range of experienced consultants and 
highly regarded subcontractors.

2

Expertise – Proven Innovation

Expertise in optimising formulations of 
molecules and excipients to ensure a 
rapid and targeted action and to 
minimise side effects.

3

Market dynamics – Understanding 
our markets

Our lead asset MED3000, as well as the 
rest of our pipeline assets, are well 
positioned to meet the demands 
behind the current market dynamics 
driving chronic disease such as ageing 
populations, obesity, stress and anxiety 
which, combined with increasing 
prosperity and expectations from 
patients and consumers for a high 
quality of life, lead to increased demand. 
Not only are people living longer but 
they want to live an active, pain-free 
and fulfilled lifestyle for longer. Products 
such as MED3000 are well placed to 
accommodate such demands.

4

Impact – Understanding patient needs

In sexual health, current treatments do 
not meet the needs of many ED 
sufferers who are looking for a fast-
acting and well tolerated treatment that 
can help restore spontaneity and 
intimacy back into their relationship. 
ED can also contribute to low confidence 
and self-esteem and have a significant 
impact on male mental health.

MAXIMISING 
VALUE

VALUE CREATED 
FOR OUR 
STAKEHOLDERS

We continue to execute 
our R&D strategy whilst 
evaluating our options to 
maximise value from 
future commercialisation 
of our lead assets with 
potential commercial 
partners.

Read more about 
our Strategy on 
page 16

PATIENTS

Erectile dysfunction and 
chronic pain can be 
debilitating and have a 
detrimental impact on day-to-
day life, leading to low self-
esteem, relationship issues and 
limiting day-to-day activities. 
Our products focus on 
improving quality of life to 
enable patients and consumers 
to live their lives to the full.

SHAREHOLDERS

Our aim is to create maximum 
value for our shareholders. By 
prioritising resources we aim 
to deliver additional value to 
our shareholders, maximising 
the value that Futura retains 
from our US$1 billion1 sales 
potential erectile dysfunction 
product. This is to be achieved 
by gaining regulatory approval 
as an effective clinically proven 
treatment for erectile 
dysfunction.

EMPLOYEES

Our aim is to attract and retain 
the best people. We aim to 
empower our employees 
through our culture of 
openness, freedom to operate 
and teamwork. We reward 
them through our performance 
based and results driven share 
option and long-term incentive 
schemes. This enables us to 
align employees and 
shareholders’ interests. 

Read more information 
on Our Stakeholders on 
pages 34 and 35

1  Previous market research conducted by Cello 
Health Consulting as a prescription product 
and Ipsos Group as an over the counter 
product on MED2005 showed potential peak 
sales in excess of US$1 billion. Whilst 
MED3000 is a slightly different proposition as 
it has a different mode of action, it offers the 
same benefits and therefore the Group 
believes that the market potential is similar.

07

STRATEGIC REPORTwww.futuramedical.comPRODUCTS AND PIPELINE

Futura Medical is developing a portfolio of innovative products for two large 
markets, sexual health and pain. We have four products in late-stage 
development, with MED3000 and TPR100 being the lead products.

SEXUAL HEALTH

PAIN RELIEF

Lead product MED3000 is a unique and highly 
differentiated easy to use topical gel for erectile 
dysfunction which has Phase 3 clinical data 
demonstrating highly statistically significant 
improvement across all ED patient severities with 
potential peak sales of US$1 billion1.

Pain relief gels TPR100 and TIB200 offer targeted and 
long-lasting pain relief and have the potential for 
improved patient benefit by offering a fast, highly 
effective and long lasting (12-hour) relief. CBD100, which 
will be an optimised cannabidiol formulation for potential 
use in a variety of conditions including pain, is in early 
stage development. 

1  Previous market research conducted by Cello Health Consulting as a prescription product and Ipsos Group as an over the counter product on MED2005 showed potential peak 
sales in excess of US$1 billion. Whilst MED3000 is a slightly different proposition as it has a different mode of action, it offers the same benefits and therefore the Group believes 
that the market potential is similar.

08

Stock Code: FUMFutura Medical plc Annual Report 2019OUR PRODUCT PIPELINE

LEAD PRODUCTS

Concept

Development

Commercialisation

MED3000

Description: Topical gel for erectile dysfunction

Status: Phase 3 study completed. Regulatory submissions targeted for mid-2020. Out-licensing discussions ongoing.

TPR100

Description: Topical diclofenac pain relief gel

Status: Futura and UK licensing partner addressing MHRA requirements leading to revised regulatory strategy.

OTHER PRODUCTS

Concept

Development

Commercialisation

CBD100

Description: Topical cannabidiol formulation

Status: Joint venture collaboration. Early development stage to explore a number of disease states including pain relief. 

CSD500

Description: Condom containing an erectogenic gel

Status: Approved in the EU, 24 months shelf life.

TIB200

Description: Topical ibuprofen pain relief gel

Status: Out-licensing discussions ongoing.

09

STRATEGIC REPORTwww.futuramedical.comCHAIRMAN AND CHIEF EXECUTIVE’S REVIEW

JOHN CLARKE
Chairman

COVID-19 UPDATE

Futura Medical is 
monitoring closely the 
rapid development of 
events in relation to the 
coronavirus outbreak and 
all necessary steps have 
been taken to maintain the 
integrity of the Company’s 
assets and the health and 
well-being of our 
employees. 

To date we have not seen a 
material impact as the 
Company is used to 
operating as a semi-virtual 
business and we have been 
able to transition quickly to 
a fully remote and flexible 
working model with ease. 

We are currently not 
conducting any trials 
requiring the use of 
patients or healthy 
volunteers. All operational 
activities can be managed 
using existing internal 
resource and our extensive 
resource of external 
consultants and sub-
contractors should any of 
our employees become ill. 
We therefore currently 
expect limited impact from 
COVID-19 during 2020.

10

Clinical execution in 2019 
will lead to MED3000 
regulatory filings in 2020
As an innovative R&D company, Futura’s strategy is to 
leverage its proprietary patented transdermal technology 
platform DermaSys® to develop a pipeline of late stage, 
novel products that solve clinically meaningful problems 
for patients, particularly where they are dissatisfied with 
existing treatments. Our current focus is on sexual health 
and pain.

Meeting this objective goes hand in 
hand with value creation, which we 
seek to maximise by partnering at 
key inflection points. As a small, 
innovative company we are also 
adaptable and nimble which allows 
us to take advantage of new 
opportunities and strategies as the 
need arises. 

It was also a huge logistical and 
organisational undertaking for our 
team and third party providers to 
execute on the substantial Phase 3 
study (FM57) which started in Q4 
2018, dosed the last patient in 
October 2019 and from which 
headline data was reported in 
mid-December 2019.

This year has been an eventful one 
for Futura. Throughout, Futura has 
been continuing research and 
presenting clinical data for its erectile 
dysfunction (ED) treatment at 
international medical conferences 
and in other expert forums as part of 
an ongoing educational and 
outreach programme for physicians 
and their patients in the ED field. The 
reception has been encouraging 
both in the US and Europe with 
consistent feedback from leading 
urologists and practitioners in sexual 
medicine indicating demand for an 
effective topical product that works 
rapidly and has a very low side effects 
profile.

The results from the Phase 3 clinical 
study were unexpected and 
surprising. While FM57 did not meet 
the primary endpoints versus 
placebo, we are excited that 
MED3000 achieved positive results, 
with a striking consistency in being 
significantly statistically superior to 
baseline ED for all three co-primary 
endpoints (using validated and 
globally accepted measurement 
tools), as well as in each separate 
cohort of severity (mild, moderate 
and severe) and at one, two and 
three month treatment time points 
statistically superior improvement 
over baseline was achieved. Key 
secondary endpoints were also all 

Stock Code: FUMFutura Medical plc Annual Report 2019JAMES BARDER
Chief Executive

statistically met compared to the 
pre-treatment baseline. 

Data analysed was also positive on 
measures of clinically meaningful 
benefit which physicians and 
patients, as well as regulators view as 
increasingly important. 

Futura intends to submit MED3000 
for regulatory approval as a medical 
device and continues to target the 
next six months for submissions in 
both Europe and US. This will present 
prescription (Rx) opportunities and in 
future potentially broader patient 
product availability opportunities for 
MED3000 may be explored that 
leverage an excellent safety and 
tolerability profile, such as 
combination use, including with 
existing oral medications and the 
availability Over the Counter (OTC).

DERMASYS® – OUR PROPRIETARY 
PATENTED TRANSDERMAL 
TECHNOLOGY PLATFORM

Futura’s unique patented technology 
DermaSys® is designed to deliver 
clinically proven effective medical 
treatments via the skin. 

DermaSys® is a versatile and bespoke 
technology. Each product gel is 
uniquely formulated using the 
DermaSys® platform with volatile 
solvent component formulations 
tailored for each product to suit the 
specific therapeutic indication and 
desired speed of onset and duration 
of action. Such targeted delivery 
offers an optimised profile in terms of 
dose, onset time and duration of 
effect as well as an improved safety 
profile reducing the risk of side 
effects. Each product is formulated to 
maximise its benefits for patients 

and consumers. Each new unique 
formulation offers the opportunity for 
additional patent applications and 
potential patent protection.

MED3000 – TOPICAL GEL FOR 
ERECTILE DYSFUNCTION (“ED”)

MED3000 is now the codename for a 
formulation of our proprietary 
technology DermaSys®, developed 
specifically for the treatment of ED. 
MED3000 has the potential to be a 
highly differentiated product by 
addressing significant unmet needs, 
across all patient severities in the 
US$5 billion ED market1, which 
include rapid speed of onset 
enabling spontaneity for both 
partners, significant clinical benefits 
alongside excellent safety and low 
side effects and no interactions with 
alcohol, food or other products as 
well as providing a potential 
treatment option for patients contra-
indicated from using existing ED 
therapies. 

ED disrupts the lives of 1 in 5 men 
globally2, affecting the sexual and 
emotional health of around 27 
million men and their partners in the 
US alone. There has been little 
innovation in ED treatments for over 
ten years and many patients 
continue to suffer dissatisfaction with 
existing treatments, a statement 
frequently made by KOLs. 

Top line results from the Phase 3 
FM57 study announced in December 
2019 demonstrated that MED3000 
has the potential to be a highly 
effective, clinically proven, topical 
treatment for ED, with a fast onset of 
action. As part of FM57, the Company 
observed that MED3000 began to 

work immediately in some patients, 
with 60% of patients seeing onset of 
their erection within 5-10 minutes of 
application. Futura believes 
MED3000 has a unique evaporative 
mode of action which stimulates 
nerve endings to cause an erection. 
Initial Company assessments 
indicate MED3000’s combination of 
volatile solvent components creates 
an evaporative and novel action that 
stimulates nerve sensors in the 
highly innervated glans penis rapidly 
leading to smooth muscle relaxation, 
tumescence and erection.

11

STRATEGIC REPORTwww.futuramedical.comCHAIRMAN AND CHIEF EXECUTIVE’S REVIEW

FM57 STUDY

FM57, the Phase 3 study was 
designed to investigate the efficacy 
and safety of topically applied 
Glyceryl Trinitrate (GTN) (MED2005) – 
(DermaSys® with 0.2% GTN, 
DermaSys® with 0.4% GTN and 
DermaSys® with 0.6% GTN) – against 
that of the placebo using IIEF-EF and 
SEP 2 and 3 as co-primary clinical 
endpoints in mild, moderate and 
severe ED patients. An ED-specific 
DermaSys® formulation (now known 
as MED3000) was used as a control 
arm (placebo) following regulatory 
requirements to have a placebo as 
near as possible to the active 
product.

The 1,000 patient study included 
approximately 60 centres across nine 
Central and Eastern European 
countries. FM57 was a dose ranging, 
randomised, double blind, placebo 
controlled, home use, parallel group 
clinical trial. Patients being enrolled 
into FM57 for the initial four weeks 
had to attempt intercourse on at 
least four occasions in order to 
establish the severity of their ED, 
known as the pre-treatment 
‘baseline’.

FM57’s protocol had incorporated 
feedback from potential commercial 
partners, opinion-leading physicians, 
US and EU regulatory agencies as 
well as the Company’s learnings from 
the Phase 2a study (FM53), to support 
the best chance of clinical success 
and to optimise the likelihood of 
subsequent regulatory approval as 
well as the commercial value.

Futura announced study enrolment 
completion in June 2019 with last 
patient dosed in October 2019.

FM57 Results

FM57 top line results were 
announced in December 2019. All 
three co-primary endpoints (IIEF-EF, 
SEP2 and SEP3) were statistically 
significantly achieved against 
baseline (pre-treatment) data for the 
three MED2005 treatment groups 
and MED3000 in addition to 

important, supporting secondary 
endpoints in terms of efficacy, speed 
of onset, duration of action and 
clinically meaningful differences in 
patient benefit.

However, the control arm used in the 
study which was Futura’s proprietary 
transdermal DermaSys® formulation 
(now known as MED3000) also 
demonstrated statistically significant 
and clinically meaningful top line 
results meaning that FM57 did not 
meet primary endpoints versus 
placebo. Whilst this placebo does not 
contain the active pharmaceutical 
ingredient, GTN, used in MED2005, it 
uses the key ingredients that 
constitute DermaSys®’ proven 
transdermal technology, specifically 
formulated for ED, and was shown to 
be as effective in the treatment of ED 
as the active doses. Futura believes 
MED3000 was so effective, for 
example 83% of patients with mild 
ED were able to insert their penis 
into their partner’s vagina (SEP2 
Primary Endpoint for FM57), that the 
likelihood of the study design 
showing a consistent and statistically 
significant improvement over 
MED3000 for SEP2 with the inclusion 
of GTN was significantly reduced. 

FM57 demonstrated that MED3000 
has the potential to be a highly 
effective, clinically proven, topical 
treatment for erectile dysfunction. 
MED3000 has a unique evaporative 
mode of action which the Company 
believes stimulates nerve endings in 
the glans penis to cause an erection. 
As such, it does not require the 
inclusion of GTN.

MED3000 – shown to be an 
extremely effective treatment for 
ED with an excellent safety profile 
in FM57

MED3000 results demonstrated a 
highly statistically significant 
improvement (with highly 
statistically significant p values of less 
than 0.001 in all instances) in erectile 
function across ‘pooled’ patient 
severities (mild, moderate, and 

severe) as well as being statistically 
significantly superior within the 
separate mild, moderate and severe 
patient groups, than before 
treatment, along with an excellent 
safety profile.

Importantly, all formulations had a 
significant clinically meaningful 
effect in 60% of patients as 
calculated using the Rosen and 
Araujo statistical method, a standard 
assessment technique for measuring 
Patient Reported Outcomes 
recognised and accepted by leading 
ED experts. Such Patient Reported 
Outcomes in ED are key evaluation 
criteria for regulators as well as 
physicians and their patients.

MED3000 begins to work 
immediately in some patients, with 
60% of patients seeing onset of their 
erection within 5-10 minutes of 
application, substantially faster than 
sildenafil3 with significant benefits 
for spontaneous rather than pre-
planned sexual intercourse. 

Overall the level of efficacy was 
broadly equivalent to lower doses of 
current oral ED treatments. Safety 
and tolerability data were also highly 
positive, with no serious adverse 
events recorded in any patient, or 
their female partner, with a highly 
favourable overall side effect profile 
across all doses against baseline 
affirming data from the prior Phase 
2a study. 

This excellent safety profile, together 
with a rapid speed of onset and high 
efficacy creates a substantial and we 
believe highly competitive product 
opportunity for MED3000.

The results from FM53 and FM57 are 
expected to support regulatory 
applications for MED3000 as a 
medical device with clinically proven 
claims for the treatment of ED. The 
clinical study report (CSR) is already 
available for FM53 and the CSR for 
FM57 is expected to be available by 
the end of April 2020.

Futura has received strong interest for 
the marketing rights for MED3000 

12

Stock Code: FUMFutura Medical plc Annual Report 2019and is continuing to progress these 
discussions now that it has good 
insight into the clinical benefits and 
regulatory pathway for MED3000.

MED3000 – MEDICAL DEVICE 
REGULATORY PATHWAY

Europe

The Company announced in 
February 2020, following positive 
interactions with an EU Notified 
Body4, that it had commenced 
formal proceedings for MED3000 in 
Europe. These proceedings will allow 
the Company to submit its technical 
file for review by the said Notified 
Body, including the CSR for FM57 
and the Company’s Quality 
Management System by the end of 
July 2020.

US 

The Company also recently held an 
initial positive pre-submission 
meeting with the US FDA. As a result, 
we believe that an application may 
be made for MED3000 as a medical 

device with a De Novo Classification 
although we await confirmation of 
the drafted minutes from the FDA. 
The Company presented the case for 
filing for FDA clearance with the 
existing clinical evidence from FM57. 
FDA agreed to consider this 
approach pending detailed review of 
the CSR for FM57 and offered Futura 
another pre-submission meeting to 
reach final agreement on clinical 
sufficiency once the CSR for FM57 is 
available at the end of April. If 
successful this could lead to a 
submission filing by the end of 
September 2020 for FDA review for 
pre-marketing clearance. The 
Company has been advised by its 
regulatory consultants that the FDA’s 
preference is to adopt an interactive 
approach to data requirements with 
its clients wherever possible ahead of 
regulatory submissions.

MED3000 INTELLECTUAL 
PROPERTY

MED3000 was subject to a recent 
filing application made in December 
2019. If successful this could provide 
patent protection until 2040. After 
the Phase 3 FM57 study indicated 
the value and efficacy of MED3000 
(a formulation developed specifically 
for the treatment of ED) a new 
patent application was filed in 
December 2019. Aside from 
Futura’s current patent lawyers, the 
Company recently retained a 
specialist biotech IP and strategic 
advice company to assist in 
maximising the robustness of the 
MED3000 intellectual property. 

13

STRATEGIC REPORTwww.futuramedical.comCHAIRMAN AND CHIEF EXECUTIVE’S REVIEW

EDUCATION AND OUTREACH ON 
ERECTILE DYSFUNCTION AND 
MED3000

The Company continues to see a 
positive reception from European 
and US Key Opinion Leaders (KOLs) 
in the field of ED. Following data 
announced in December 2019, KOLs 
have continued to express interest in 
a locally acting, fast and new 
treatment for ED with an excellent 
safety profile, and are encouraged by 
the recent MED3000 Phase 3 data. 
We believe this data approaches the 
efficacy of current first line therapy 
but with significantly lower adverse 
events, and will be of high interest to 
the medical community for those 
patients who are seeking a treatment 
with a very rapid onset of action and 
a very low side effects profile. This 
echoes feedback received following 
the Company’s EU and US advisory 
meetings held respectively at the 
European Society for Sexual Medicine 
(ESSM) congress in Slovenia in 

February 2019 and at the Sexual 
Medicine Society of North America 
(SMSNA) congress in Nashville, US in 
October 2019. 

TPR100 – TOPICAL NON-STEROIDAL 
ANTI-INFLAMMATORY FOR THE 
TREATMENT OF PAIN AND 
INFLAMMATION ASSOCIATED WITH 
SPRAINS, STRAINS, BRUISES AND 
SOFT TISSUE RHEUMATISM

TPR100 is partnered for 
manufacturing and distribution in 
the UK with Thornton & Ross, one of 
the UK’s largest consumer healthcare 
companies and a subsidiary of STADA 
AG. In February 2019, the UK 
Medicines and Healthcare products 
Regulatory Agency (MHRA) 
responded to Thornton & Ross’ 
marketing authorisation application 
filed in July 2018, with a number of 
questions requiring additional 
laboratory work specifically around 
the permeation characteristics of 
TPR100 to be conducted. This work is 

progressing but requires further 
laboratory formulation adjustment 
and in vitro studies to enable TPR100 
to meet the strict criteria established 
by the MHRA and thereby avoid the 
need of a Phase 3 pain relief efficacy 
study. It has delayed the response to 
MHRA by at least six months to 
accommodate this regulatory 
approach.

CBD100 – FUTURA’S ADVANCED 
PROPRIETARY TRANSDERMAL 
TECHNOLOGY, DERMASYS® FOR 
THE DELIVERY OF CANNABIDIOL

Futura announced a joint venture 
collaboration with CBDerma 
Technology Limited in September 
2019 to explore the application of 
Futura’s advanced proprietary 
transdermal technology, DermaSys® 
for the delivery of cannabidiol. 

14

Stock Code: FUMFutura Medical plc Annual Report 2019approval. In the US, Futura continues 
to be in consultation with the Center 
for Devices and Radiological Health 
(CDRH) the medical device arm of 
the FDA over data requirements, 
however the Company does not 
believe that a further significant 
study, similar to FM57, will be 
required to support a MED3000 
filing, but any additional clinical data 
and therefore expenses will depend 
on the finalised requirements 
expected to be agreed by the end of 
July 2020. 

OUTLOOK

Following the analysis of the data 
from the FM57 clinical study which 
completed in December 2019, the 
Company is well positioned to deliver 
further positive news through 2020. 
The team is focused on completion 
of the regulatory submissions in the 
US and EU for MED3000 to be 
approved as a clinically proven, 
fast-acting topical gel for the 
treatment of ED. We are also 
increasingly excited at the financial 
prospects that an approved 
MED3000 could bring to Futura as 
we progress commercialisation 
discussions in earnest.

The Company is closely monitoring 
the rapid development of events in 
relation to the coronavirus outbreak. 
To date we have not seen a material 
impact as the Company is used to 
operating as a semi-virtual business 
and we have been able to transition 
quickly to a fully remote and flexible 
working model with ease. We 
therefore currently expect limited 
impact from COVID-19 during 2020.

JOHN CLARKE
Chairman

JAMES BARDER
Chief Executive

CBDerma Technology is a company 
that has been established and 
funded to specifically exploit the 
therapeutic potential of cannabis. 
The company’s management, 
backers and advisers have extensive 
knowledge, expertise and 
investments in plant derived product 
manufacturing.

As part of the agreement, Futura will 
develop and optimise a DermaSys® 
cannabidiol formulation as well as 
establish early ex vivo proof of 
concept studies likely to include 
certain disease states most suited for 
local or regional (non-systemic) 
topical treatment such as pain relief. 
Optimisation work is progressing, 
and the first stage of this will 
complete by the end of July 2020 
before the next stage of potential  
ex vivo proof of concept studies are 
being considered.

Cannabidiol is a major component  
of the cannabis plant and is generally 
regarded as non-addictive and 
non-psychoactive, making it ideal for 
consideration as a topically delivered 
molecule for local or regional (non-
systemic) use. The market for 
cannabidiol products is growing 
rapidly. A report by Reports and Data 
forecasts that the market for 
cannabidiol products is forecast to 
grow from US$1 billion in 2018 to  
US$16 billion by 2026, at a CAGR of 
27.7%, during the forecast period.  
The market is primarily driven by the 
increase in the usage of cannabidiol 
in medical application, supplements, 
beverages and skin care.

CORPORATE AND FINANCIAL

The £3.25 million fundraising in 
December 2019, with funds received 
by the Company post year-end in 
late January, provided additional 
working capital to allow the 
Company to pursue a medical device 
regulatory pathway for MED3000 in 
ED.

The Company believes that further 
significant clinical cost will not be 
required in relation to EU approval 
based on its past experience of 
obtaining EU medical device 

1  Manufacturers’ Selling Prices 2018: Data available for 

75 countries IQVIA IMS Health.

2  EMEA, Withdrawal assessment report for Viagra, 2008.

3  Sildenafil is an active pharmaceutical ingredient, sold 
under the brand name Viagra among others, as a 
medication used to treat ED. “Viagra Connect 
normally starts to work in 30 to 60 minutes” – Viagra 
Connect UK website.

4 Notified Bodies are the regulatory authorities that 

oversee the approval of medical devices within the EU 
for all EU countries including the UK.

15

STRATEGIC REPORTwww.futuramedical.comOUR STRATEGY

Our strategy is to develop our portfolio of innovative products for two large market 
categories, sexual health and pain, and then partner at the optimum time to generate 
most value.

This strategy is aligned with the well-publicised demographic changes of ageing populations, increasing prosperity, 
the increased demand from patients and consumers who expect to lead a full and active life well into their later years, 
their natural desire for an improved quality of life and our expectations that overall patient demand and spending will 
increase as a result. The objective is to develop products such that each on its own has the potential to generate 
significant annual revenues.

WE INVEST . . . 

IN INNOVATIVE PRODUCTS . . . 

INVEST

INNOVATE

We are investing in our lead product MED3000 
to generate most value for shareholders.

We are focused on innovative products that 
are highly differentiated in their markets.

2020 FOCUS

Regulatory 
submissions in EU and 
US for MED3000 as a 
medical device.

2019 PRIORITIES 
AND PERFORMANCE

The FM57 Phase 3 
study was completed 
and results 
demonstrated that 
MED3000 was a 
clinically proven 
effective treatment for 
erectile dysfunction.

2020 FOCUS

Resources are focused 
on the submission of 
required dossiers to 
regulators in the EU 
and US.

2019 PRIORITIES 
AND PERFORMANCE

Whilst the primary 
endpoints of FM57 
study were not met 
compared to placebo, 
they were met when 
compared to baseline 
and showed a positive 
treatment response for 
MED3000.

TO INCREASE VALUE FOR SHAREHOLDERS

THAT IMPROVE TREATMENTS . . .

INCREASE

IMPROVE

We are focused on increasing value for 
shareholders and the quality of life for patients.

2019 PRIORITIES 
AND PERFORMANCE

The profile of our 
topical treatment for 
erectile dysfunction 
was raised with both 
the medical 
community and 
potential commercial 
partners.

2020 FOCUS

Increase the profile of 
MED3000 and value of 
its unique commercial 
proposition to 
potential commercial 
partners on the back 
of the data readout 
from FM57.

We aim to improve treatments to give more 
choice to patients and doctors and improve 
the quality of life of those suffering from ED 
and local pain.

2019 PRIORITIES 
AND PERFORMANCE

We improved the 
profile of DermaSys® 
as a platform 
technology and looked 
to expand our 
portfolio.

2020 FOCUS

Improve overall 
commercial 
proposition of 
MED3000 and 
continue to develop 
CBD100 with our 
partner CBDerma 
Technology.

16

Stock Code: FUMFutura Medical plc Annual Report 2019STRATEGIC REPORT

KEY PERFORMANCE INDICATORS

The Directors consider the successful achievement of development, licensing and commercialisation milestones and 
the number of products under development (beyond the evaluation stage) to be the major drivers of value creation for 
the Group. 

There are other financial and non-financial Key Performance Indicators (KPIs) which the Directors use as a measure of 
the Group’s performance.

GROUP CASH

2019

2018
2019

2018
2019
* A further £3.25 million was raised post year-end.

2018

R&D COSTS
2019

2018
2019

2018
2019

2018

2019

ADMINISTRATIVE AND CENTRAL OVERHEAD SPEND
2018
2019

2018
2019

2018

NON-FINANCIAL MEASURE – HEADCOUNT

R&D

Central

Executive Directors

8

2018: 10

2

2018: 2

3

2018: 3

£2.51m*

£9.16m
£2.51m*

£9.16m
£2.51m*

£9.16m

£10.05m

£6.04m
£10.05m

£6.04m
£10.05m

£6.04m

£1.14m

£1.22m
£1.14m

£1.22m
£1.14m

£1.22m

Given the funding requirements 
of the business to ensure 
completion of the development 
programmes, cash is considered 
to be a key metric.

We invest in R&D to generate 
future revenue and value from 
our assets. The increase in 2019 is 
related to the activities linked to 
the FM57 Phase 3 study and 
associated manufacturing 
activities. 

We operate as a “semi-virtual” 
company and keep tight control 
of central costs. The spend was 
broadly in line with the previous 
year and further demonstrates 
that spend is focused on value 
adding R&D activities.

The Group is focused on the 
development of its lead asset 
MED3000 and the tight control of 
central costs.

www.futuramedical.com

17

STRATEGIC REPORTPORTFOLIO REVIEW – MED3000

MED3000 – A topical gel for the treatment 
of erectile dysfunction

MARKET OVERVIEW

There are a number of studies that 
support the belief that sexual activity 
has health benefits citing frequency 
of sexual activity as a predictor of 
longevity in men as well as 
potentially reducing cardiac death1. 
Moreover erectile dysfunction (ED) 
can lead to low self-esteem, lack of 
confidence and depression. This 
detrimental impact on partners and 
relationships is well documented and 
acknowledged by the medical 
community. The discovery and 
approval of the PDE5i’s to treat ED 
over 20 years ago (such as Viagra® 
and Cialis®) not only revolutionised 
available treatments for men with ED 
but dramatically increased 
awareness in the general public of 
this significant problem. 

Despite their success PDE5i’s have 
certain limitations. Although proven 
highly efficacious, oral PDE5i's have 
several adverse effects as well as 
significant drug-drug interactions in 
the target population. The most 
commonly reported adverse events 
include headache, flushing, 
dyspepsia, nasal congestion and 
impaired vision. They are 
contraindicated for use with a 
number of medications such as 
nitrates, anti-hypertensives and 
alpha blockers. They generally take 
significant time to work requiring 
pre-planning for sexual intercourse. 
Viagra Connect for example only 
starts to work in 30-60 minutes. As a 
result many men and their partners 
are dissatisfied with PDE5i’s and it 
has been estimated that almost 50% 
discontinue use after one year3.

ED SUFFERERS' UNMET NEEDS

There has been little effective 
innovation in the last ten years for the 
treatment of ED and there remains 
today a significant unmet clinical 
need for those men wanting a 
fast-acting treatment that can give 
greater spontaneity and can form part 
of sexual foreplay thereby giving 
greater intimacy. ED sufferers are also 
looking for a product with a more 
favourable side effects profile which 
can be used safely with some of their 
other medications and which they are 
comfortable using over a period of 
years.

1  The Duke Longitudinal Study of Ageing (1982) 

– Frequency of intercourse a significant predictor of 
longevity in men; Swedish Study (1981) – Early 
cessation of sex associated with premature death; 
Caerphilly Cohort Study (BMJ 1997) – 50% reduction in 
cardiac death with more than two orgasms per week.

2  Adapted from McKinlay JB. Int J Impot Res. 2000; 

12(suppl 4): S6-S11.

3  Corona G., “First-generation phosphodiesterase type 5 

inhibitors dropout: a comprehensive review and 
meta- analysis”, Andrology, 2016, 4, 1002–1009.

ED SUFFERERS PREDICTED TO INCREASE FROM 152 MILLION TO 322 MILLION BY 20252

NORTH AMERICA

9.1 MILLION

EUROPE

11.9 MILLION

ASIA

113 MILLION

AFRICA

19.3 MILLION

OCEANIA

0.9 MILLION

SOUTH / CENTRAL 
AMERICA AND 
CARIBBEAN

15.6 MILLION

18

Stock Code: FUMFutura Medical plc Annual Report 2019US$660 million potential 
‘Over the Counter’ sales at 
US$5 per dose with  
70% incremental to 
prescription sales11

Research and forecast 
provided by Ipsos Mori 
for Futura

US$560 million potential 
prescription peak sales at 
US$5 per dose11

Research by Cello and model 
provided by Decision 
Resources for Futura

THE MARKET OPPORTUNITY FOR MED3000

The ED prescription market 
is worth 

US$5.6 billion (2018)7

+ 6% on previous year

Oral PDE5i's are the first line 
of treatment. They are 
effective but don’t meet the 
needs of many patients. 

 68% of ED patients are 
not fully satisfied with their 
treatment8 

  Around 20% of ED 
patients cannot take oral 
PDE5i's as they are contra-
indicated with other 
medicines they take9 

  Almost 50% of ED 
patients will discontinue 
therapy after 1 year10

MED3000 is a  
US$1 billion 
market 
opportunity11

There has been limited 
innovation in over ten years 
in the treatment of ED.

There are clear unmet 
medical needs.

ERECTILE DYSFUNCTION – AN 
UNMET MEDICAL NEED

  Erectile dysfunction affects 

around 50% of men between 40 
and 70 years old4. ED is an 
indicator of other serious 
conditions such as diabetes and 
heart disease.

  Both severity and prevalence of 
ED increase with age – a factor 
of great consequence given our 
ageing population.

  The relationship between ED 
and other disorders such as 
obesity and diabetes, which are 
themselves reaching epidemic 
proportions, may also contribute 
to the increase in ED worldwide.

  ED is increasingly affecting 
younger men with the 
prevalence of ED in young men 
being as high as 30%5.

  Many ED sufferers do not seek 
treatment. In addition over two 
thirds of men who discuss their 
condition with their physician 
are not on treatment6.

  For those who go on treatment, 
discontinuation rates for long-
term therapy are high with 
almost 50% of men stopping 
treatment after one year 10.

4   Feldman HA et al. J Urol 1994; 151: 54 – 61

5   Nguyen Sex Med Rev. 2017 Oct, vol 5, 508-520

6   Jannini J Sex Med 2014 Jan :11(1).40.50

7   Manufacturers’ Selling Prices 2018: Data available for 

75 countries, IQVIA IMS Health

8   Decision Resources Group research conducted in 

the US

9   Cello Healthcare research conducted in the US, 
France and Germany, commissioned by Futura 
Medical

10  Corona G., “First-generation phosphodiesterase type 
5 inhibitors dropout: a comprehensive review and 
meta- analysis”, Andrology, 2016, 4, 1002–1009

11   Previous market research conducted by Cello Health 

Consulting as a prescription product and Ipsos 
Group as an over the counter product on MED2005 
showed potential peak sales in excess of US$1 billion. 
Whilst MED3000 is a slightly different proposition as 
it has a different mode of action, it offers the same 
benefits and therefore the Group believes that the 
market potential is similar.

19

STRATEGIC REPORTwww.futuramedical.comPORTFOLIO REVIEW – MED3000

MED3000 – AN INNOVATION  
IN THE TREATMENT OF ED

MED3000 is a treatment applied 
directly to the glans or head of 
the penis for 15 seconds. Because 
it’s a gel it means that patients or 
their partners can apply it as part 
of foreplay. It is fast-acting (5-10 
minutes) and easy to use helping 
to restore spontaneity and 
intimacy in the relationship. 
MED3000 works rapidly to help 
achieve and maintain an erection 
whilst offering an excellent safety 
profile.

KOL ENGAGEMENT PROGRAMME

KOL ENGAGEMENT PROGRAMME

Over the last two years, Futura has 
engaged an outreach programme to 
increase awareness in the ED 
medical community of the 
development and potential benefits 
that our topical treatment could 
bring to ED sufferers. Key scientific 
data has been published and 
presented at scientific conferences 
and two advisory boards (US and 
Europe) comprising world renowned 
urologists and researchers in erectile 
dysfunction have been convened to 
review data, share information and 
obtain feedback regarding the 
programme. 

There has been strong interest 
shown in our topical treatment 
because it offers a novel and unique 
treatment that could address 
patients’ unmet needs.

US ADVISORY BOARD

EU ADVISORY BOARD

PRESENTATIONS AT THE 
FOLLOWING CONFERENCES

  The European Society for Sexual 
Medicine (ESSM) congress in 
Slovenia in February 2019 

  The Sexual Medicine Society of 

North America (SMSNA) congress in 
Nashville in October 2019 

PUBLICATIONS

  The FM53 Phase 2a data was published in February 2018 in the peer-

reviewed Journal of Sexual Medicine. 

  A manuscript on the development of our topical formulation for the 
treatment of erectile dysfunction was published in the International 
Journal of Impotence Research in January 2020.

  A number of abstracts and posters have been published and presented 

including a poster on the Phase 3 clinical trial results for MED3000 
accepted in January 2020.

20

Stock Code: FUMFutura Medical plc Annual Report 2019WHAT KEY OPINION LEADERS ARE SAYING ABOUT OUR INNOVATIVE TREATMENT FOR ERECTILE 
DYSFUNCTION MED3000

"The efficacy of MED3000 is remarkable and 
approaches the efficacy of current first line 
therapy but with significantly lower adverse 
events. With topical application, it will be of 
particular appeal to patients who want a fast 
onset of action. Lack of drug interactions with 
prescription products will enable the product to 
be used with other medications such as nitrates 
and other cardiovascular drugs. It can also be 
used in conjunction with other ED products to 
improve overall efficacy to patients. As such the 
product will be of great interest to the medical 
community.”

"All formulations tested in FM57, including the 
control product MED3000, have demonstrated 
positive and statistically significant efficacy 
results against baseline data together with an 
excellent safety profile. 

MED3000 will be of high interest to the Medical 
Community for those patients who are seeking 
a very rapid onset of action and a very low side-
effect profile. It will likely find use in a substantial 
number of patients, especially those with ED of a 
mild to moderate nature and those patients who are 
contraindicated for use with existing products.”

PROFESSOR DAVID RALPH
Consultant Urologist, St. Peter’s Andrology 
Centre & Institute of Urology, UCLH, London

PROFESSOR YACOV REISMAN
Consultant Urologist, Amstelland Hospital, 
Netherlands

Past President of the European Society of 
Sexual Medicine

Past President of the European Society of 
Sexual Medicine 

MED3000 – DEVELOPMENT AND KEY CLINICAL STUDIES

MED3000 has been a surprising and intriguing finding, which resulted from the development work on MED2005. Whilst 
MED3000 does not contain the active pharmaceutical ingredient Glyceryl Trinitrate(GTN), used in MED2005, it uses the 
key ingredients that constitute DermaSys®' proven transdermal technology, specifically formulated for ED, and in our 
recent clinical study was shown to be as effective in the treatment of ED as the doses with GTN. MED3000 is now the 
codename for this formulation of our proprietary technology DermaSys®. MED3000 is supported by efficacy and safety 
data from two key studies a Phase 2a and a Phase 3 study. Details of key clinical studies are summarised below.

STUDY 
CODE

STUDY 
TYPE

STUDY 
DESIGN

DOSES

COMPLETED CONCLUSIONS

KEY CLINICAL STUDIES FOR MED3000

FM53

Phase 2a

Placebo controlled, 
double blind, home 
use, crossover design

MED3000, 
MED2005 
0.2%

September 
2016

FM57

Phase 3

Multicentre, 
randomised, double 
blind, placebo 
controlled, home use, 
parallel group 

MED3000, 
MED2005 
(0.2%, 0.4%, 
0.6%)

December 
2019

  Met its primary endpoint 

  Showed a rapid speed of 
onset of 5 to 10 minutes

  All treatment arms 
consistently met all 
primary endpoints against 
a pre-treatment baseline 
and across all ED severities 
as well as in a pooled ED 
patient population. 

  MED3000 showed 

efficacy, safety, speed of 
onset and duration of 
action.

21

STRATEGIC REPORTwww.futuramedical.comPORTFOLIO REVIEW – MED3000

MED3000 – FM57 PHASE 3 
CLINICAL TRIAL DESIGN

The 1,000 patient study included 
approximately 60 centres across 
nine Central and Eastern European 
countries. FM57 was a dose ranging, 
randomised, double-blind, placebo-
controlled, home use, parallel group 
clinical trial. Patients being enrolled 
into FM57 for the initial four weeks 
had to attempt intercourse on at 
least four occasions in order to 
establish the severity of their ED, 
known as the pre-treatment 
‘baseline’. FM57 was designed to 

investigate the efficacy and safety 
of topically applied Glyceryl 
Trinitrate (GTN) (MED2005 0.2%, 
0.4%, 0.6% GTN) against that of the 
placebo using IIEF-EF and SEP 2 
and 3 as co-primary clinical 
endpoints in mild, moderate and 
severe ED patients. An ED-specific 
DermaSys® formulation (now 
known as MED3000) was used as a 
control arm (placebo) following 
regulatory requirements to have a 
placebo as near as possible to the 
active product.

Subjects pre-screening

Run-in 
period

4 weeks run-in period to establish degree of patient’s 
erectile dysfunction (“Baseline”)

Treatment 
period

MED2005 
0.2% 
N=250

MED2005 
0.4% 
N=250

MED2005 
0.6% 
N=250

MED3000 

N=250

Open 
Label 
period*

MED2005 0.6% 
N=300 patients 
6 months use*

MED2005 0.6% 
N=100 patients 
12 months use*

Follow-up 
period

Follow-up visit

*  Following the FM57 results the open label phase was discontinued prematurely and is no longer active.

22

MED3000 – FM57 PHASE 3 RESULTS 

The results from the Phase 3 clinical 
study were unexpected. While FM57 
did not meet the primary endpoints 
versus placebo, MED3000 achieved 
positive results, with a striking 
consistency in being highly 
significantly statistically superior to 
baseline for all three co-primary 
endpoints (using validated and 
globally accepted measurement 
tools), as well as being statistically 
significant in each separate cohort of 
severity (mild, moderate and severe). 
At one, two and three months 
treatment time points highly 
statistically superior improvement 
over baseline was achieved. 

Key secondary endpoints were also all 
statistically met compared to the 
pre-treatment baseline. Data 
analysed was positive on measures of 
clinically meaningful benefit which 
physicians and patients, as well as 
regulators view as increasingly 
important. All formulations had a 
significant clinically meaningful effect 
in 60% of patients as calculated using 
the Rosen and Araujo statistical 
methods, standard assessment 
techniques for measuring Patient 
Reported Outcomes recognised and 
accepted by leading ED experts. 

MED3000 begins to work 
immediately in some patients, with 
60% of patients seeing onset of their 
erection within 5-10 minutes of 
application, substantially faster than 
oral tablets with significant benefits 
for spontaneous rather than pre-
planned sexual intercourse.

FM57 demonstrated that MED3000 is 
a highly effective, clinically proven, 
topical treatment for erectile 
dysfunction. MED3000 has a unique 
evaporative mode of action which the 
Company believes stimulates nerve 
endings in the glans penis to cause 
an erection. As such, it does not 
require the inclusion of GTN which 
did not show an incremental benefit.

Stock Code: FUMFutura Medical plc Annual Report 2019 
PRIMARY ENDPOINTS VS BASELINE – DERMASYS® COMPARED TO LOW DOSE CIALIS®

Overall the level of efficacy of MED3000 was broadly equivalent to lower doses of current oral ED treatments such as 
Cialis®. The table below compares the improvement in efficacy for MED3000 and low dose Cialis® compared to baseline. 
The parameters compared are validated and globally accepted measurement tools for the efficacy of ED treatments: the 
erectile function domain of the International Index for Erectile Function (IIEF), the Sexual Encounter Profile (SEP) 
Question 2 and 3. MED3000 shows clinical trial efficacy results that are similar to those of Cialis® 5mg.

PRIMARY EFFICACY PARAMETERS

MED3000

IIEF

SEP2
(Were you able to insert your penis into your partner’s vagina?)

SEP3
(Did your erection last long enough for you to have successful 
intercourse?)

5.1

24%

37%

CIALIS® 5MG* 
CHANGE FROM 
BASELINE (NON US 
PHASE 3 STUDIES) 

4.6

17%

22%

*   For illustrative purposes only as data is derived from different clinical studies, Cialis® data from 2 non US phase 3 studies. Cialis® US Prescribing information, 2018

EXCELLENT SAFETY PROFILE

Safety and tolerability data were also highly positive, with no serious adverse events recorded in any patient, or their 
female partner, with a highly favourable overall side effect profile across all doses against baseline affirming data from 
the prior Phase 2a study. The table below compares the side effects profile for men for MED3000 and Cialis® 5mg with an 
occurence over 2%. This excellent safety profile, together with a rapid speed of onset and high efficacy creates a 
substantial and highly competitive product opportunity for MED3000.

ADVERSE EVENTS 

Headache

Flushing

Nasal congestion

Back pain 

Dizziness

MED3000** 
(N=250)

ADVERSE EVENTS

CIALIS® 5MG 
(N= 151)*

3%

Headache

–

–

–

–

Flushing 

Nasal Congestion

Back pain 

Myalgia

11%

2%

2%

3%

2%

*  For illustrative purposes only as data is derived from different clinical studies, Cialis® data from 2 non US phase 3 studies. Cialis® US Prescribing information, 2018.

** Users of MED3000 noticed 1.2% penile burning in men and 0.4% vulvovaginal burning in women. 

23

STRATEGIC REPORTwww.futuramedical.comPORTFOLIO REVIEW – MED3000

The results from FM53 and FM57 are 
expected to support regulatory 
applications for MED3000 as a 
medical device with clinically proven 
claims for the treatment of ED. We 
believe MED3000, has the potential to 
be a significant innovation in the 
US$5.6 billion global market7 for 
erectile dysfunction, especially for 
patients looking for a rapid speed of 
onset and spontaneity, with an 
excellent safety profile. It also offers a 
potential new treatment option to ED 
patients contraindicated from using 
existing medications such as nitrates, 
anti-hypertensives and alpha blockers 
and in combination with oral ED 
medications.

MED3000 MECHANISM OF 
ACTION– HOW DERMASYS® 
WORKS TO TREAT ERECTILE 
DYSFUNCTION

MED3000 has been an intriguing 
finding which resulted from the 
development work on MED2005. 
MED3000 works through an 
evaporative and unique mode of 
action. MED3000’s combination of 
volatile solvent components creates 
an evaporative and novel action that 
stimulates nerve sensors in the highly 
innervated glans penis rapidly leading 
to smooth muscle relaxation, 
tumescence and erection as shown 
on the diagram opposite. 

The glans penis is very highly 
innervated and there are sensors 
which are reactive to a range of 
physical sensations, including touch, 
pressure and temperature. Research 
has indicated that the cooling from 
the evaporation of these specific 
combinations of solvents, with 
subsequent warming, following 
topical application of the MED3000 
gel stimulates the required physical 
response in order to achieve an 
erection.

24

MED3000 MECHANISM OF ACTION

Endothelial cells

Natural NO 
production

NANC  
neurons

MED3000 
Novel evaporative 
action stimulates 
nerve sensors in the 
highly innervated 
glans penis through 
temperature, touch 
and pressure

NO

GMP

GTP

cGMP-specific  
phosphodiesterase 
type 5

Soluble  
guanylyl cyclase

PDE5i's: PDE5 
inhibition
Oral treatment 
with systemic 
absorption. 
Primarily 
selective  
for PDE5

cGMP

Smooth muscle 
relaxation

Tumescence  
and penile  
erection

NO = nitric oxide

GMP = guanosine monophosphate

cGMP = cyclic guanosine monophosphate

GTP = guanosine triphosphate

NANC = nonadrenergic, noncholinergic

Stock Code: FUMFutura Medical plc Annual Report 2019PORTFOLIO REVIEW – OTHER PRODUCTS

TPR100 – A Diclofenac 1.86% 
Pain Relief Gel targeting pain 
and inflammation 

The gel brings relief from joint and rheumatic pain for long-lasting pain relief. 
It is applied to the local site of pain or inflammation.

MARKET AND OVERVIEW

The rapid skin permeation rate 
offered by our transdermal delivery 
system, DermaSys®, is ideally suited 
for targeted topical pain relief. Rapid, 
targeted and effective skin 
permeation offers potential benefits 
in pain management including: 
improved onset of action, duration 
and degree of pain relief. Futura has a 
portfolio of two pain relief products 
with well characterised active 
ingredients including diclofenac and 
ibuprofen but has prioritised its gel 
containing 1.86% diclofenac known as 
TPR100. Diclofenac is a nonsteroidal 
anti-inflammatory drug (NSAID) used 

to treat pain and inflammatory 
diseases and can be taken by mouth 
or applied to the skin.

Our objective is for TPR100 to be 
considered a major competitor to the 
market leading topical diclofenac 
treatments such as Voltarol® gel. 
Topical diclofenac for the treatment of 
pain relief is widely available 
throughout the world without the 
requirement of a doctor’s 
prescription, other than in the US 
where the requirement of a 
prescription remains.

UNMET NEED

INSIGHTS

FUTURA’S 
PROPOSITION

  Efficacy can be poor 
due to inadequate 
penetration

  Treatment required 
to be applied 2 to 4 
times daily

Need for a treatment 
that:

  is easy to apply and 
doesn’t stick to 
clothes after it has 
been applied

TPR100 is a topical 
1.86% diclofenac gel for 
pain relief using its 
DermaSys® 
transdermal 
technology.

  need for a twice 
daily application 
regimen to improve 
adherence

PAIN – AN UNDERSERVED 
MARKET

  Osteoarthritis is a condition 

that affects the joints, causing 
pain and stiffness and affecting 
mobility. It is a degenerative 
condition with no cure 
affecting the daily lives of 
millions and causing joint pain.

  Prevalence is high affecting 
23% of all adults – 54 million 
people have arthritis in the US1.

  Arthritis is the US’s most 

common cause of disability1.

  Musculoskeletal conditions 
range from those that arise 
suddenly and are short-lived, 
such as sprains and strains to 
lifelong conditions associated 
with ongoing pain and disability. 

  Musculoskeletal conditions are 

the leading contributor to 
disability worldwide, with low 
back pain being the single 
leading cause of disability 
globally2.

1  CDC website
2  WHO website accessed March 2020

25

STRATEGIC REPORTwww.futuramedical.comPORTFOLIO REVIEW – OTHER PRODUCTS

Global OTC 
sales of topical 
NSAIDs1 

US Rx sales  
of topical 
NSAIDS2 

>US$2.9bn

>US$1bn

Significant 
opportunity 
 for TPR100  
both Rx  
and OTC

1  2015 IMS Health Estimate
2  2015 IMS Data source

DEVELOPMENT

In 2015, a randomised, double blind, 
crossover clinical proof of concept 
study in 20 healthy volunteers was 
conducted using a model of induced 
pain. The skin of healthy volunteers 
was carefully exposed to a controlled 
amount of ultra-violet light to 
increase the sensitivity of the skin to 
pain stimuli. The effect of TPR100, 
Voltarol® gel and a placebo gel were 
assessed over a six-hour time period 
post dosing using two criteria: the 
primary pain measurement was the 
volunteers’ sensation of pain (heat 
pain tolerance test) and the 
secondary pain measurement was 
the level of inflammation (as 
indicated by erythema, reddening of 
the skin). The study data was 
encouraging, with TPR100 achieving 
efficacy against its clinical endpoints. 
The data provides a pathway for the 
product’s further development and 
formed the basis of the submission 
for TPR100 for UK marketing 
approval by Thornton & Ross.

FUTURA DEVELOPMENT AND 
COMMERCIALISATION

In January 2017, Futura announced a 
licensing agreement with Thornton & 
Ross Ltd, the UK subsidiary of 
international healthcare company 
STADA Arzneimittel AG, for the 
commercialisation in the UK of 
TPR100. Under the terms of the 
agreement, Thornton & Ross Ltd will 

conduct the manufacturing scale-up 
of TPR100 and hold rights to 
manufacture, market and distribute 
the product in the UK for the lifetime 
of the product’s patents, which run 
to at least 2028 in the UK. Futura 
received an upfront payment and 
will receive a further milestone 
payment upon the product receiving 
UK regulatory marketing 
authorisation along with royalties on 
product sales.

In July 2018, Thornton & Ross Ltd 
submitted a product licence 
application to the Medicines and 
Healthcare products Regulatory 
Agency (MHRA) for the marketing 
authorisation of TPR100 in the UK. In 
February 2019, the MHRA responded 
to Thornton & Ross with a number of 
questions requiring additional 
laboratory work specifically around 
the permeation characteristics of 
TPR100 to be conducted. This work is 
progressing but requires further 
laboratory formulation adjustment 
and in vitro studies to enable TPR100 
to meet the strict criteria established 
by the MHRA without the need of a 
Phase 3 pain relief efficacy study. 
This has delayed the response to 
MHRA by at least six months. 
Commercial discussions are ongoing 
with several potential distribution 
partners for other countries. Any 
further licensing deals are expected 
to be after UK regulatory approval.

26

Stock Code: FUMFutura Medical plc Annual Report 2019DEVELOPMENT JOINT 
VENTURE WITH CBDERMA 
TECHNOLOGY
CBDerma Technology is a 
company that has been 
established and funded to 
specifically exploit the 
therapeutic potential of 
cannabis. The company’s 
management, backers and 
advisers have extensive 
knowledge, expertise and 
investments in plant derived 
product manufacturing.

As part of the agreement, Futura 
will develop and optimise a 
DermaSys® cannabidiol 
formulation as well as establish 
early ex vivo proof of concept 
studies likely to include certain 
disease states most suited for 
local or regional (non-systemic) 
topical treatment such as pain 
relief. Optimisation work is 
progressing, and the first stage 
of this will be complete by end of 
July 2020 before the next stage 
of early proof of concept studies 
are being considered. All 
Intellectual Property will be 
owned jointly by the Company 
and CBDerma Technology 
Limited.

CBD100 – DermaSys® for the 
delivery of cannabidiol

Futura announced a joint venture collaboration with CBDerma Technology 
Limited in September 2019 to explore the application of Futura’s advanced 
proprietary transdermal technology, DermaSys® for the delivery of cannabidiol. 

DERMASYS® CANNABIDIOL 
FORMULATION

DermaSys® may be able to provide a 
rapid and targeted local delivery of 
cannabidiol through the skin to the 
required site of action with a high 
level of safety and more effectively 
than other cannabidiol products. It is 
a versatile and bespoke technology 
that we are currently seeking to tailor 
and adapt for the specific 
requirements of cannabidiol. We are 
seeking to develop our formulation 
to pharmaceutical standards in order 
that any future product could 
potentially be sold as a cosmetic or 
potential pharmaceutical product 
although, in the case of the latter, it is 
likely to require significant clinical 
development.

Derived from both the Hemp and 
Marijuana plants, cannabidiol is one 
of the 113 cannabinoid compounds 
found within the cannabis family. 
Cannabidiol has no effect on one's 
consciousness or lucidity. It is 
generally regarded as non-addictive 
and non-psychoactive, making it 
ideal for consideration as a topically 
delivered molecule for local or 
regional (non-systemic) use.

In recent years there has been 
significant interest in cannabidiol as 
more data is emerging on its 
potential benefits in a wide range of 
conditions particularly pain and 
epilepsy but also in a range of other 
conditions including skin conditions, 
multiple sclerosis, migraines, arthritis 
and cancer side effects.

CANNABIDIOL’S MARKET 
POTENTIAL

The market for cannabidiol products 
is growing rapidly. A report by 
Reports and Data forecasts that the 
market for cannabidiol products is 
forecast to grow from US$1 billion in 
2018 to US$16 billion by 2026, at a 
Compound Annual Growth Rate 
(CAGR) of 27.7% during the forecast 
period. The market is primarily driven 
by the increase in the usage of 
cannabidiol in medical application, 
supplements, beverages and skin 
care.

27

STRATEGIC REPORTwww.futuramedical.comFINANCIAL REVIEW

ANGELA HILDRETH
FINANCE DIRECTOR AND CHIEF OPERATING OFFICER

Judicious use of cash to see 
Futura through MED3000 
regulatory filing inflection 
point and beyond to Q2 2021

RESEARCH AND DEVELOPMENT 
COSTS

Research and Development costs for 
the period ended 31 December 2019 
were £10.05 million, compared to 
£6.03 million for the period ended  
31 December 2018. The increase of 
£4.02 million is attributable to the 
FM57 Phase 3 study which 
completed on time and within 
budget.  

There was no capitalisation of R&D 
costs in 2019.

ADMINISTRATIVE COSTS

Administrative costs were 
£1.14 million for the period ended 
31 December 2019 compared to 
£1.23 million for the period ended 
31 December 2018 and were 
reflective of the Company’s strategy 
to keep central costs lean and focus 
cash resources on delivering the R&D 
programme. 

TAX

An R&D tax credit of £2.22 million will 
be claimed in respect of 2019 and the 
cash refund is expected to be 
received mid-2020 from HMRC.

As outlined in the Chairman and 
Chief Executive‘s Review, during the 
year we continued to focus our 
financial resources on the 
development programme for our 
fast-acting topical treatment for 
erectile dysfunction (ED).  As we 
carried out the FM57 study, spend on 
research and development activities 
increased with other central and 
administration costs remaining 
broadly the same as the prior year.  
Gross funds of £3.25 million were 
raised in December 2019 (completion 
January 2020) through the 
combination of subscription for 
shares through PrimaryBid and 
institutional placing to allow the 
Company to proceed with MED3000 
regulatory approval as a medical 
device in the EU and US.

REVENUE

The Company continued to focus its 
financial and human resources on 
late stage clinical development of its 
fast-acting topical treatment for ED 
and accelerate progress towards 
achieving a significant, continuous 
revenue stream within a few years.  
Revenue recognised was in relation 
to the CBDerma Technology 
Agreement.

28

LOSS PER SHARE

The basic loss per share for 2019 was 
4.36p (2018: 4.46p). Details of the loss 
per share calculations are provided in 
Note 10 to the consolidated financial 
statements.

CASH BALANCE 

The cash balance at the end of 2019 
was £2.51 million (2018: £9.16 million).  
Gross proceeds of £3.25 million were 
received in January 2020 and the 
usual refund of R&D tax credits of 
£2.22 million is expected to be 
received during 2020.  Cash burn 
during the year was £8.01 million 
(2018: £5.63 million) primarily in 
relation to the FM57 clinical activities. 
Cash burn in relation to R&D 
activities for 2020 is expected to be 
significantly lower than 2019 as 
clinical activities are replaced with 
lower cost regulatory activities. 
Futura is funded until Q2 2021.

POST PERIOD EVENTS

The Company completed a 
fundraising of £3.25 million in 
January 2020. The COVID-19 
pandemic arose in February 2020 
and we expect the pandemic to have 
limited impact on operations in 2020.  
Further information in relation to 
COVID-19 is available in the Key risks 
and mitigation section on page 31. 

ANGELA HILDRETH
Finance Director and  
Chief Operating Officer

Stock Code: FUMFutura Medical plc Annual Report 2019KEY RISKS AND MITIGATION

The development of pharmaceutical drugs and medical devices requires the necessary safety, quality and efficacy to 
be demonstrated in clinical and technical programmes in order to meet the requirements of the appropriate 
regulatory bodies. Clinical programmes may not achieve their endpoints. The Board considers that the key risks of the 
Group are:

RISK

MITIGATION

  CLINICAL DEVELOPMENT AND 
REGULATORY RISK

There can be no guarantee that any of the 
Group’s products will be able to obtain or 
maintain the necessary regulatory approvals 
in any or all of the countries in respect of 
which applications for such approvals are 
made. 

There can also be no guarantee that the 
approval timelines estimated are accurate. 
The estimates are based on information  
from the Regulators but the time taken to 
review the dossiers is not within our control.

Where regulatory approvals are obtained, 
there can be no guarantee that the 
conditions attached to such approvals will not 
be considered too onerous by the Group or its 
distribution partners in order to be able to 
market its products effectively.

  COMMERCIAL 
RISK

There can be no guarantee that the Group 
will succeed in establishing and maintaining 
the necessary contractual relationships with 
licensing partners for the Group’s products 
under development. Even if the Group’s 
products are successfully developed and 
approved by the appropriate regulatory 
bodies, they may not be launched by the 
Group’s licensing partners, be successfully 
promoted or enjoy commercial acceptance. 
The Group is reliant on commercial partners 
to carry out their contractual obligations and 
the degree to which these can be enforced by 
the Group is limited.

The Group has reduced this risk by developing products using safe, 
well-characterised active compounds and excipients, has sought 
and will continue to seek, where appropriate, advice from 
regulatory advisers, consultations with regulatory approval bodies 
and by working with experienced distribution partners. 

The regulatory pathway for our treatment for erectile dysfunction 
MED3000 has been significantly de-risked with data generated 
from the Phase 3 study FM57 providing a greater level of 
confidence of success:

Efficacy
  Clinical efficacy demonstrated against a pre-treatment baseline 
in FM57 Phase 3 trial in mild, moderate and severe ED sufferers.

Safety
  No treatment related Serious Adverse Events or Reactions were 
observed in FM57 Phase 3 trial in over 10,000 sexual intercourse 
attempts. Very favourable adverse event profile.

  No concerns relating to reactions with other cardiovascular 

medication such as nitrates, alpha-blockers and anti-
hypertensives.

Regulatory position
  Feedback has been received from EU and US Regulators 

suggesting faster route to market as a medical device (subject to 
data review).

The Group seeks to reduce this risk by carefully selecting 
experienced licensing partners, maintaining and developing these 
relationships and seeking to develop new products of commercial 
interest to these and other partners.

Strong interest has been shown for both Rx and OTC rights for a 
clinically proven topical treatment for ED with discussions 
continuing following the results of the FM57 Phase 3 study where 
MED3000 was shown to have meaningful clinical benefits in 
approximately two thirds of patients in treating their ED. 

Market access work with Key Opinion Leader endorsement and 
engagement programme is continuing with positive feedback 
received in relation to the product and the data generated in the 
FM57 Phase 3 trial.

29

STRATEGIC REPORTwww.futuramedical.comKEY RISKS AND MITIGATION

RISK

MITIGATION

 FINANCIAL RISK

The successful development of the Group’s 
assets requires financial investment. There 
can be no guarantee that Futura will have 
sufficient funds to execute its business plans.

  INTELLECTUAL 
PROPERTY RISK

The commercial success of the Group and its 
ability to compete effectively with other 
companies depend, amongst other things, on 
its ability to obtain and maintain patents 
sufficiently broad in scope to provide protection 
for the Group’s intellectual property rights 
against third parties and to exploit its medical 
products. The absence of any such patents may 
have a material adverse effect on the Group’s 
ability to develop its business.

Futura is focusing its financial resources on its lead asset MED3000. 
The Group successfully completed a fundraising exercise in January 
2020 raising £3.25 million to fund the product through to regulatory 
approval as a medical device in the EU and potentially the US. 

Additional financing needs are expected to arise in the second 
quarter of 2021 and the Group is continually pursuing other sources 
of dilutive and non-dilutive fundraising, including seeking business 
opportunities from potential out-licensing partners, which would 
enable the Group to support the future costs of development of its 
products and the ability to commercialise them successfully.

Additionally, the Group places considerable emphasis on 
communication with existing shareholders and potential investors, 
to maximise the chances of successful future fundraising.

The Group seeks to reduce this risk by only developing products 
where legal advice indicates patent protection would be available, 
seeking patent protection for the Group’s products, maintaining 
confidentiality agreements regarding Group know-how and 
technology and monitoring technological developments and the 
registration of patents by other parties.

During the year, the Group filed additional patents for MED3000 
relating to erectile dysfunction and will be looking to strengthen 
this further in 2020. Whilst the Group is confident that the patents 
will be granted, they cannot guarantee this will be the case.

 KEY PEOPLE

The expertise and experience of its key people 
can have an enormous impact on business 
results. Poor recognition and incentivisation 
could undermine the Group’s success.

The Group appreciates the high level of expertise and contributions 
made by its key people. It offers a merit-based, stimulating work 
environment with a culture focused on teamwork and freedom to 
operate. In addition there is a competitive performance based reward 
structure, including share options that vest over a number of years.

30

Stock Code: FUMFutura Medical plc Annual Report 2019The following risks have also been identified by the Group and will be kept under review as the situations develop and 
any potential impact becomes clearer.

RISK

MITIGATION

 IMPACT OF BREXIT

The impact of the UK leaving the EU is still 
uncertain.

 IMPACT OF COVID-19

The impact of the COVID-19 pandemic is 
uncertain.

The impact of Brexit has been considered and the following has been 
assessed and concluded that there will be minimal to no impact.

Regulatory strategy
  Separate UK and EU submissions may be considered whilst the 

impact of Brexit remains unclear.

Clinical trial data
  We currently have no reason to believe that the UK regulator will 
insist on clinical trial data generated in the UK. Data generated 
in six EU and three non-EU countries is expected to continue to 
be deemed suitable for inclusion in the approval submission.

Patent protection
  Our current assessment is that UK Companies will continue to 

be included within the European Patent Office. 

Clearly uncertainty around Brexit remains and we will continue to 
monitor relationships with regulatory bodies such as the European 
Medicines Agency and the European Patent Office as new 
information is provided.

The impact of COVID-19 has been considered and the Directors do not 
believe that Futura will be significantly impacted during 2020. This is 
based on the following assessments: 

OPERATIONAL ACTIVITIES

  The 2020 operational activities are focused on the completion and 
submission of regulatory dossiers which will be completed, in the 
main, by Futura employees. As a semi-virtual organisation, our 
employees are already used to effectively working remotely, flexibly 
and alongside our valued and skilled network of Consultants and 
Sub-Contractors. Contingency plans are in place to draw upon this 
capacity should we experience any issues with employees being 
unable to perform their duties as a result of illness.

  We have no ongoing clinical trials and no plans to conduct any 

clinical trials requiring patient enrolment in 2020. FM57 completed 
in December 2019 and the data has been analysed and collated 
with the clinical study report expected to be received without any 
delays. We also have no requirement to be manufacturing any 
clinical trial material.

  There is a possibility that COVID-19 may impact on the timelines 

with Regulators to review and approve the dossiers. However, the 
Regulators have confirmed that they are still working and they 
have not yet advised of any delays to their timelines. We will keep 
this under review.

  COVID-19 may impact on the Group’s ability to raise further finance 
but given we do not have an immediate requirement for funding 
as we are funded until Q2 2021 and funding could come from a 
number of sources, this is something we will keep under review. 
The current cash runway does not assume any income from 
revenue or licensing payments which could be delayed as a result 
of COVID-19.

31

STRATEGIC REPORTwww.futuramedical.comSUSTAINABILITY REVIEW

KEY SDG GOALS WHERE WE CAN 
HAVE THE GREATEST IMPACT

3
3

O
O
O
O
G
G

D H E A L T
D H E A L T
W ELL-B
W ELL-B

N D
N D

G

G

H   A
H   A
E I N
E I N

U

D

IN
IN
AN
D IN
AN
D IN

S
U

D

F

T
S

R
T

Y

R

Y

 I
 I

N

R
F

A

R

N

N

S

9
9

A

T
S

O

N

R

V

O

T

U

A

R

V

C

U

A

T

T

C

I

T

O
I

U

T

N
O

R
U

N

E
R

E

ENHANCING 
ENHANCING 
QUALITY 
QUALITY 
OF LIFE
OF LIFE

D

E

E

D

C
E

C

E

O
C

C

E

N

O

N

E

T

N

O

N

T

W

M

O

8
8

M

O

W

I
C
I
C

G

R

O

R

G

R

O

R

K A
K A
ND
ND
WTH
WTH

O

Y
Y

R E Q UALIT
R E Q UALIT

5
5

E

E

D

D

N

N

G E
G E

Our purpose is to enhance 
our patients and 
consumers’ quality of life 
to enable them to live 
their lives to the full.

Our approach to sustainability is 
an important part of living our 
purpose. We are committed to 
maintaining a culture whereby 
we behave in a responsible and 
ethical manner and make a 
positive impact on all our 
stakeholders. We believe that 
operating responsibly and 
ethically is vital to our long-term 
success.

Good governance enables 
investment, innovation and 
sustainable growth. Our 
approach to sustainability is 
underpinned by our Corporate 
Governance principles of 
responsibility, transparency and 
integrity for the benefit of our 
shareholders, employees and 
other stakeholders. We strive to 
be fair, accountable and 
responsible in all our dealings. We 
monitor and report on our 
activities in a way that is accurate, 
balanced, reliable and clear and 
enables our shareholders and 
stakeholders to compare our 
progress year on year.

The focus of our sustainability 
reporting is the UN Sustainable 
Development Goals (SDGs). The 
UN SDGs are a universal call to 
action to end poverty, protect the 
planet and ensure that all people 
enjoy peace and prosperity. Each 
SDG has global sustainable 
development priorities and 
aspirations for 2030, which give a 
common set of goals and targets 
to mobilise global efforts around.

Our focus is on the four SDGs 
where we believe we can have 
the greatest impact and therefore 
the greatest opportunity to make 
a real and lasting difference. 

32

Stock Code: FUMFutura Medical plc Annual Report 2019 
 
 
 
GOOD HEALTH AND WELL-BEING

  We are developing medical products that are 
optimised for clinical efficacy, safety, mode of 
administration and patient convenience, and will 
lead to improved health and well-being.

  We continue to place the health and safety of our 
staff and consultants at the heart of our business 
and are committed to providing a thriving 
working environment for all, offering benefits 
such as heavily subsidised gym membership and 
health screenings for employees.

INDUSTRY, INNOVATION AND INFRASTRUCTURE
  We invest heavily in R&D to develop a portfolio of 
innovative products based on our proprietary 
technology, DermaSys® to generate future 
revenue and value for our shareholders. We invest 
in clinical research to test our products and 
optimise their safety and efficacy and we share 
and publish this research with the medical 
community to enhance scientific research.

  Our semi-virtual structure supports economic 
and infrastructure development through the 
outsourcing of numerous activities including 
clinical research, statistical analysis, 
manufacturing, analytical testing and laboratory 
work. If we are successful with our products this 
creates more opportunities for our partners.

DECENT WORK AND ECONOMIC GROWTH
  Our employees are our most important asset. We 
are reliant on a skilled workforce for the success of 
the Group. We treat our employees fairly and 
support their ongoing development. We seek to 
empower them and ensure that they are fully 
engaged in all aspects of Futura’s objectives and 
high quality standards. Each of our employees 
contributes and shares in Futura’s success. In 2019 
we retained all our employees. 

  We are focused on commercialising our 

technology and growing the value of the Group, 
which will lead to developmental benefits for the 
shareholders and employees of the Group. 

GENDER EQUALITY
  We believe in a diverse and gender balanced 
workforce. We are committed to supporting 
employment policies and practices that make 
provision for equal opportunities and non-
discrimination in our workforce. We have a 
balanced workforce with near equal number of 
men and women in our R&D team, as well as 
across the Group.

TOTAL WORKFORCE GENDER SPLIT

Men

Women

33

STRATEGIC REPORTwww.futuramedical.comHOW WE ENGAGE WITH OUR STAKEHOLDERS

OUR STAKEHOLDERS

The Board sought to 
understand the views of the 
stakeholders through its 
interactions with them 
during the year and had 
regards for their interests in 
Board discussion and 
decision-making.

s172 COMPANIES ACT 2006

The Board is aware of its duties 
under s172 of the Companies Act 
and has worked throughout the 
year to promote the success of 
the Company for the benefit of 
its members as a whole. In doing 
so, it has regard to those 
stakeholders identified under 
s172, as well as the additional 
stakeholders set out here.

The Company launched a brand 
new website with the Investor 
Section and FAQs updated. All 
Investor events are recorded and 
webcast so information is freely 
available to all shareholders. In 
addition to the standalone events, 
our Annual General Meeting 
provides an opportunity for all 
shareholders to meet and engage 
with the Board and attendance is 
always very much encouraged.

SHAREHOLDERS

The Board naturally considers its 
shareholders to be key stakeholders 
of the Company and is focused 
upon delivering long-term value for 
their benefit. The Company 
engages with its shareholders and 
potential shareholders on a regular 
basis with investor meetings 
throughout the year as well as 
focused roadshows at the time of 
our published results. The results of 
this investor engagement are 
reported to the Board to help 
inform our strategy and 
communications. During 2019 we 
were proud to host a very well 
attended R&D Seminar in London 
which gave our shareholders an 
opportunity to look at the market 
opportunity for a fast-acting topical 
treatment for erectile dysfunction 
which is our lead product. 

34

Stock Code: FUMFutura Medical plc Annual Report 2019HOW WE ENGAGE WITH OUR STAKEHOLDERS

EMPLOYEES

PATIENTS

The Board considers its employees 
to be a primary stakeholder of the 
Company and is conscious of the 
regard it has to them under s172. 
The Board, and especially the 
Remuneration Committee, have 
also had particular regards to 
employees as they reviewed and 
revised the long-term incentive 
arrangements as part of its 
strategy to attract, retain and 
motivate employees in order to 
deliver value for shareholders. 
These actions were consistent with 
the Board’s commitment to 
investing in and responsibly 
rewarding employees as they 
deliver the Company’s strategy.

Our purpose is clear, “to enhance 
our patients and consumers’ 
quality of life to enable them to 
live their lives to the full”. The 
patients our therapies are 
designed to treat are at the heart 
of why we do it. We hold regular 
Advisory Boards and conduct 
market research to help us with 
patient insights. We are focused 
on bringing innovative products to 
market where there are unmet 
patient needs with existing 
treatments.

DEVELOPMENT PARTNERS 
AND SUPPLIERS

As a semi-virtual company, 
Futura relies upon its relationships 
with external service providers, 
consultants and sub-contractors 
to provide resources on an “as 
needed” basis. These resources 
provide the Company with 
specialist skills and insights as well 
as additional capacity. In 2019, the 
Company conducted a large 
clinical study, FM57 which relied 
upon the resources from Clinical 
Research Organisations (CROs) to 
conduct and complete the trial on 
our behalf and Contract 
Manufacturing Organisations 
(CMOs) to ensure that trial 
materials were available at the trial 
sites, as well as providing key 
insights into our patients’ needs.

35

STRATEGIC REPORTwww.futuramedical.comBOARD OF DIRECTORS

JOHN CLARKE
Non-Executive Chairman

JAMES BARDER
Chief Executive

ANGELA HILDRETH
Finance Director, Chief 
Operating Officer and 
Company Secretary

Current roles: John Clarke is the 
Chairman of Futura Medical plc. He 
chairs the Nominations Committee, 
and is a member of the Audit 
Committee and the Remuneration 
Committee. He is also the Non–
Executive Chairman of Science in 
Sport plc, Kind Consumer Holdings 
Limited and is a senior adviser to 
Helios Investment Partners LLP.

Current roles: James Barder is the 
Group’s Chief Executive. He assists 
the Remuneration Committee and 
the Nominations Committee (but is 
not a member of and does not vote 
on either). He has overall 
responsibility for all activities of the 
Group, is a principal contact for 
shareholder and investor relations 
and leads commercial negotiations.

Past roles: Retired from GSK as 
President of GSK Consumer 
Healthcare. Non–Executive Chairman 
of Quantum Pharma plc, which was 
subsequently acquired by Clinigen 
plc.

Past roles: Managing Director of Aon 
Capital Markets Limited and Non-
Executive Director of Lorega Limited. 
James predominantly worked in the 
field of insurance and finance 
including firms he founded.

Brings to the Board: Extensive 
experience of the healthcare sector, 
having worked at a senior level at 
GSK for more than 35 years.

Brings to the Board: Over 25 years 
of experience in setting up, 
managing and running companies.

Current roles: Angela joined the 
Group in February 2018. She leads 
the Group’s finance, HR and IT 
functions, inputs into commercial 
and financial strategy, ensures its 
compliance procedures and is a 
principal contact for shareholder and 
investor relations matters.

Past roles: Senior financial roles in a 
diverse range of industries, including 
seven years as UK Finance Director at 
Shield Therapeutics plc (quoted on 
AIM).

Brings to the Board: Strategic and 
operational financial experience of 
developing and commercialising 
pharmaceutical products.

36

Stock Code: FUMFutura Medical plc Annual Report 2019KEN JAMES
Executive Director  
and Head of R&D

JONATHAN FREEMAN 
Senior Independent  
Non-Executive Director 

Current roles: Ken James is the 
Head of R&D. He oversees the 
development, regulatory and 
manufacturing strategies for the 
Group’s existing pipeline and the 
evaluation of early stage pipeline 
opportunities. He is also an Executive 
Director.

Past roles: Senior Vice President of 
Research and Development for 
GlaxoSmithKline Worldwide 
Consumer Healthcare, having 
worked in the UK and the United 
States.

Brings to the Board: Over 40 years’ 
experience in the research, 
development and commercialisation 
of consumer healthcare products.

Current roles: Jonathan Freeman is 
a Senior Independent Non-Executive 
Director. He chairs the Audit 
Committee and the Remuneration 
Committee and is also a member of 
the Nominations Committee. He is 
also a Non-Executive Director of 
Braveheart Investment Group plc 
and of Kingswood Holdings Limited

Past roles: Director of Beeson 
Gregory, Chief Executive Officer of 
Syndicate Asset Management plc, a 
Director of Hume Capital Securities 
plc and a Director of Bould 
Opportunities plc.

Brings to the Board: Over 25 years 
of experience in the financial services 
sector, guidance on City regulatory 
matters, corporate finance and 
investor relations.

37

www.futuramedical.comGOVERNANCEREMUNERATION COMMITTEE REPORT

REMUNERATION COMMITTEE: 
COMPOSITION AND TERMS OF 
REFERENCE

During the period under review the 
Remuneration Committee 
comprised the independent Non-
Executive Directors and was chaired 
by Jonathan Freeman. In 2018, the 
Company adopted the Quoted 
Companies Alliance’s Corporate 
Governance Code (the “QCA Code”) 
and the report has been prepared in 
accordance with the principles of the 
QCA Code. The contents of this 
report are unaudited unless 
otherwise stated.

The purpose of the Remuneration 
Committee is to ensure that the 
Executive Directors and other 
employees are fairly rewarded for 
their individual contribution to the 
overall performance of the Group. 
The Committee considers and 
recommends to the Board the 
remuneration of the Executive 
Directors and is kept informed of the 
remuneration packages of senior 
staff and invited to comment on 
these. There were four Remuneration 
Committee meetings during 2019.

The Board retains responsibility for 
overall remuneration policy. The 
terms of reference of the 
Remuneration Committee are set 
out in the Investor Centre/Corporate 
Governance section on the Group’s 
website at www.futuramedical.com.

POLICY ON EXECUTIVE 
DIRECTORS’ REMUNERATION

Executive remuneration packages 
are designed to attract and retain 
executives of the necessary skill and 
calibre to run the Group. Direct 
benchmarking of remuneration is 
difficult given the specialised nature 
and size of the Group. The 
Remuneration Committee 
recommends to the Board 
remuneration packages by reference 
to individual performance and uses 
the knowledge and experience of the 
Committee members, published 
surveys relating to AIM companies, 
the pharmaceutical industry and 
market changes generally. The 
Remuneration Committee has 
responsibility for recommending any 
long-term incentive plans.

38

The Board determines whether or 
not Executive Directors are permitted 
to serve in roles with other 
companies. Such permission is only 
granted where a role is on a strictly 
limited basis, where there are no 
conflicts of interest or competing 
activities and providing there is not 
an adverse impact on the 
commitments required to the Group. 
Earnings from such roles are not 
disclosed to the Group.

There are four main elements of the 
remuneration package for Executive 
Directors and staff:

Basic salaries and benefits in kind
Basic salaries are recommended to 
the Board by the Remuneration 
Committee, taking into account the 
performance of the individual and 
the rates for similar positions in 
comparable companies. Benefits in 
kind comprising death in service 
cover and private medical insurance 
are available to all staff and Executive 
Directors. Benefits in kind are 
non-pensionable.

Share options and other share-
based incentives
The Group operates approved and 
unapproved share option schemes 
for the Executive Directors and other 
employees to motivate those 
individuals through equity 
participation. Unapproved share 
options are also sometimes granted 
to key consultants. Exercise of share 
options under the schemes is subject 
to specified exercise periods and 
compliance with the AIM Rules. The 
schemes are overseen by the 
Remuneration Committee which 
recommends to the Board all grants 
of share options based on the 
Remuneration Committee’s 
assessment of personal performance 
and specifying the terms under 
which eligible individuals may be 
invited to participate.

The Remuneration Committee 
considers that the best alignment of 
employee interests with those of its 
shareholders is through the 
continued use of incentives for 
performance through the award of 
share options or other share-based 
arrangements.

The Group operates a Long-Term 
Incentive Plan (“LTIP”). The quantum 
of any awards receivable by the staff 
and all Directors will depend on 
achieving set Group performance 
milestones and the share price at the 
time relative to targets set in 
advance. As a guide, if all of the 
approved milestones are achieved at 
the share price targets over the next 
48 months and if the Group 
exercised its discretion to settle the 
awards in equity then the additional 
shares issued would be equivalent to 
approximately 1.37% of the issued 
share capital.

Bonus scheme
Bonuses are granted on a 
discretionary basis and linked to 
performance objectives set by the 
Remuneration Committee at the 
end of each calendar year in order to 
quantify the bonus that has been 
achieved by each individual within 
the scheme. 

Pension contributions
The Group pays a defined 
contribution to the pension scheme 
of Executive Directors and other 
employees. The individual pension 
schemes are private and their assets 
are held separately from those of the 
Group.

Salaries and benefits are reviewed in 
December to cover the following 
calendar year. The timing of the 
review enables the Group’s 
performance over the preceding 
financial year and the strategy for 
the forthcoming year to be 
considered.

SERVICE CONTRACTS

The Executive Directors are 
employed under service contracts 
requiring six months’ notice by either 
party. Non-Executive Directors and 
the Chairman receive payments 
under appointment letters which are 
terminable by three months’ notice 
by either party. The service contracts 
of the Non-Executive Directors are 
made available for inspection on 
request.

Stock Code: FUMFutura Medical plc Annual Report 2019POLICY ON NON-EXECUTIVE DIRECTORS’ REMUNERATION

The Non-Executive Directors and the Chairman each receive a fee for their services as a director, which is approved by 
the Board, mindful of the time commitment and responsibilities of their roles and of current market rates for 
comparable organisations and appointments. Non-Executive Directors and the Chairman are reimbursed for travelling 
and other incidental expenses incurred on Group business in line with the Group Expenses Policy. The Non-Executive 
Directors and the Chairman are also included under the long-term incentive plan.

The Board encourages the ownership of Futura shares by Executive and Non-Executive Directors alike and in normal 
circumstances does not expect Directors to undertake dealings of a short-term nature.

The Non-Executive Directors receive a proportion of their remuneration in the form of shares. The quantum of shares is 
determined at the start of each calendar year based on the average closing mid-price of the last ten trading days prior 
to the year-end. The award for 2019 was settled on 28 January 2020 by the issue of 341,659 shares at 6.01 pence per 
share. The 2020 award has been determined at 12.20 pence per share and the Non-Executive Directors will accrue 
these shares over 2020 and receive them, or such lower number as have accrued if they leave the Group earlier, in 
January 2021.

The Board considers ownership of Futura shares by Non-Executive Directors as a positive alignment of their interest 
with shareholders. The Board periodically reviews the shareholdings of the Non-Executive Directors and will seek 
guidance from its advisers if, at any time, it is concerned that a shareholding may, or could appear to, conflict with their 
duties as an independent Non-Executive Director of the Group.

DIRECTORS’ EMOLUMENTS

The emoluments of the Directors, who represent the key management personnel, were as follows in 2019:

 Salary &
Directors’
Fees
£

235,593

170,663

153,750

 –

63,140

35,947

659,093

Year ended 31 December 2019

Bonus 
£

Share
Awards
£

Benefits
In Kind
 £

Pension
 £

Total
 £

 Year ended
 31 December
2018
£

 –

 –

 –

 –

 –

 –

 –

 –

 –

 –

 –

25,699

8,562

34,261

2,652

2,130

2,350

 –

 –

15,375

 –

 –

 –

 –

 –

 –

7,132

15,375

238,245

172,793

171,475

 –

88,839

44,509

715,861

276,388

203,453

194,971

144,465

86,795

43,464

949,356

Executive Directors 

James Barder

Ken James

Angela Hildreth

Derek Martin*

Non-Executive Directors

John Clarke

Jonathan Freeman

Totals

* Derek Martin resigned in February 2018 and his total fees included £55,000 compromise payment.

The above fees and emoluments exclude reimbursed expenditure incurred in the conduct of Group business.

There were no settlements under the LTIP in 2019 (2018: £nil). 

39

www.futuramedical.comGOVERNANCEREMUNERATION COMMITTEE REPORT

DIRECTORS’ INTERESTS IN SHARES

John Clarke

James Barder

Jonathan Freeman

Ken James

Angela Hildreth

Totals

31 December 2019

31 December 2018

Beneficial 
Interests

Non-beneficial 
Interests

Beneficial 
Interests

Non-beneficial 
Interests

256,226

968,472

90,621

299,581

142,857

 –

117,500

 –

 –

 –

198,976

968,472

71,043

299,581

142,857

 –

867,500

 –

 –

 –

1,757,757

117,500

1,680,929

867,500

DIRECTORS’ INTERESTS IN SHARE OPTIONS

The Board uses share options to align Executive Directors’ and employees’ interests with those of shareholders in order 
to provide incentives and reward them based on improvements in Group performance. Options granted to the 
Executive Directors were as follows:

James Barder

Ken James

Angela Hildreth

Totals

31 December 2019

31 December 2018

Options 
 Held

1,750,000

800,000

400,000

2,950,000

Share-based 
Payment 
Expense

18,410

14,728

14,728

47,866

Options 
Held

1,500,000

600,000

200,000

2,300,000

Share-based 
Payment 
Expense

28,711

22,968

450

52,129

All share options were granted with an exercise price at or above market value on the date of grant. The main vesting 
condition of the share options is that the Director remains employed with the Group as at the date of exercise or 
continues to provide consultancy services as at the date of exercise. The share options of the Directors under the 
Futura Medical plc Enterprise Management Incentive Scheme are set out below:

Grant Date

Number 
Awarded

Exercise Price/
Share

Earliest 
Exercise Date

Expiry Date

23 September 2013

34,615

71.50 pence

1 October 2015

30 September 2020

124,348

250,000

250,000

200,000

200,000

200,000

200,000

200,000

200,000

1,858,963

57.50 pence

1 October 2018

30 September 2023

 7.50 pence

1 October 2020

30 September 2025

31.00 pence

1 October 2021 

30 September 2026

57.50 pence

1 October 2018

30 September 2023

30.50 pence

1 October 2019

30 September 2024

 7.50 pence

1 October 2020

30 September 2025

31.00 pence

1 October 2021

30 September 2026

 7.50 pence

1 October 2020

30 September 2025

31.00 pence

1 October 2021

30 September 2026

James Barder

James Barder

James Barder

James Barder

Ken James

Ken James

Ken James

Ken James

13 January 2017

19 November 2018

17 September 2019

13 January 2017

12 September 2017

19 November 2018 

17 September 2019

Angela Hildreth

19 November 2018

Angela Hildreth

17 September 2019

Totals

40

Stock Code: FUMFutura Medical plc Annual Report 2019DIRECTORS’ INTERESTS IN LONG-TERM INCENTIVE PLAN 

The performance milestones, which are non-market related milestones, were not met in 2019 and therefore no charge 
was recognised in the period. Assuming that each remaining Group performance milestone is met, at the target share 
price and before the next target date ends, and if the awards were to be equity-settled then the number of shares that 
could be awarded, before tax, to the participants are:

James Barder

Angela Hildreth

Ken James

John Clarke

Jonathan Freeman

Other employees

At discretion of Remuneration Committee

Totals

2020

101,535

88,721

95,621

88,721

56,362

2021

101,535

88,721

95,621

88,721

56,362

2022

101,535

88,721

95,621

88,721

56,362

369,679

369,679

369,679

44,363

44,363

44,363

2023

101,535

88,721

95,621

88,721

56,362

369,679

44,363

845,002

845,002

845,002

845,002

The Directors consider that until a milestone has been met it is not appropriate to recognise a share-based 
remuneration charge in the Consolidated Statement of Comprehensive Income in respect of the LTIP.

JONATHAN FREEMAN
Chairman of the Remuneration Committee

41

www.futuramedical.comGOVERNANCECORPORATE GOVERNANCE STATEMENT

The Board is committed to 
building long-term 
shareholder value in an 
open and ethical manner.

Dear Shareholder, 

As Chairman of Futura Medical, and 
on behalf of the Board, I am pleased 
to present our Corporate Governance 
Statement for the year ended  
31 December 2019. I am responsible 
for leading the Board so as to ensure 
that the Group has in place the 
strategy, people and structure to 
deliver value to shareholders and 
other stakeholders of the Group as a 
whole over the medium to long term, 
supported by a corporate culture 
based on sound ethical values and 
behaviour, as more fully explained in 
the Corporate Governance Report on 
the following pages. Angela Hildreth 
in her capacity of Company Secretary, 

has assumed responsibility for 
ensuring the Group has appropriate 
corporate governance standards in 
place and that these requirements 
are followed and applied within the 
Group as a whole. 

Futura Medical has adopted the QCA 
Corporate Governance Code (the 
“QCA Code”) as it considers that this 
is the most suitable framework for 
smaller listed companies. We 
continue to evaluate how we govern 
the Group on an ongoing basis, 
working for the best long-term 
interests of our shareholders in an 
open, transparent and ethical 
manner. The Board considers that 
this framework can grow with the 
Company, yet it is considered 
premature to plan for an evolution of 
the governance framework at this 
stage. If the Company undertakes 
significant transactions that would 
require growth, then the Board will 

consider the implication of this on 
the corporate governance structure 
at that point in time. 

The principal methods of 
communicating our application of 
the QCA Code are this Annual Report 
and the Investor section of our 
website at www.futuramedical.com. 
The QCA Code sets out ten principles 
and in the Corporate Governance 
Report on pages 43 to 46 we have set 
out the Group’s application of the 
QCA Code, including, where 
appropriate, cross references to other 
sections of the Annual Report and to 
our website. 

JOHN CLARKE
Non-Executive Chairman

31 March 2020

42

Stock Code: FUMFutura Medical plc Annual Report 2019CORPORATE GOVERNANCE REPORT

PRINCIPLE 1

Business Model and Strategy

The strategy and business 
operations of the Group are set out 
in the Strategic Report section of 
the Annual Report. The full Board 
meets at least six times per year and 
is responsible for formulating and 
monitoring Group strategy, as well 
as complying with legal, regulatory 
and corporate governance matters. 
The strategy and business model 
and amendments thereto, are 
developed by the Chief Executive 
Officer and his senior management 
team, and approved by the Board. 
The management team, led by the 
Chief Executive Officer, is 
responsible for implementing the 
strategy and managing the 
business at an operational level. 

The Group’s overall strategic 
objective is to develop innovative 
products with compelling 
commercial potential in the 
pharmaceutical and consumer 
healthcare market, leveraging our 
core skills in transdermal 
technology. This strategy is aligned 
with the well-publicised 
demographic changes of ageing 
populations, increasing prosperity, 
government initiatives to increase 
self-medication, pressures on payers 
and healthcare systems, the rapid 
growth of prescription and over the 
counter (“OTC”) opportunities in 
developing countries, the natural 
desire for an improved quality of life 
and our expectations that consumer 
healthcare spending will increase as 
a result. The objective is to develop 
products such that each on its own 
has the potential to generate 
significant annual revenues.

At an appropriate stage of 
development, the Group may 
choose to realise monetary value 
from such products via out-
licensing deals with pharmaceutical 
companies with interests in both 
prescription (“Rx”) and OTC 
products. Alternatively, if resources 
permit, the Group may choose to 
advance a product through clinical 
development and approval in order 
to retain the full value of the product 
within the Group.

The Group operates in a high risk 
and heavily regulated sector and 
this is reflected in the principal risks 
and uncertainties set out on pages 
29 to 31 of our Strategic Report. The 
key challenge to successful 
development of this strategy is 
ensuring that there are sufficient 
financial resources that can be 
deployed in the short-term in 
advance of the products being able 
to generate financial rewards for the 
Group in the longer term.

PRINCIPLE 2

Understanding Shareholder 
Needs and Expectations

The Group seeks to maintain a 
regular dialogue with both existing 
and potential new shareholders in 
order to communicate the Group’s 
strategy and progress and 
understand the needs and 
expectations of shareholders. 
Institutional shareholders and 
analysts have the opportunity to 
discuss general issues and provide 
feedback at meetings with the 
Company. In addition, all 
shareholders are encouraged to 
attend the Company’s Annual 
General Meeting.

PRINCIPLE 3

Stakeholder Responsibilities

The Group is aware of its corporate 
and social responsibilities and the 
need to maintain effective working 
relationships across a range of 
stakeholder groups. These include 
the Group’s employees, regulators, 
partners, suppliers and patients 
involved in the Group’s clinical 
development activities. The Group’s 
operations and working practices 
need to balance the needs of all of 
these stakeholder groups while 
maintaining focus on the Board’s 
primary responsibility to promote 
the success of the Group for the 
benefit of its members as a whole. 

The Group endeavours to take 
feedback received from 
stakeholders by meeting regularly 
and responding accordingly. This 
feedback ensures that the Group 
can respond to new issues and 
opportunities that arise to further 

the Group in the delivery of its 
long-term strategy. Further 
information can be found on pages 
34 and 35.

PRINCIPLE 4

Risk Management

The Audit Committee and the Risk 
and Oversight Committee are 
responsible to the Board for risk 
management and internal controls 
and for ensuring that procedures 
are in place, and are being 
effectively implemented to identify, 
evaluate and manage the 
significant risks faced by the Group. 
The internal controls are designed 
to manage rather than eliminate 
risk and provide assurance against 
material misstatement or loss. 

The Audit Committee is responsible 
for reviewing the effectiveness of 
these internal controls on an annual 
basis. In 2017, the Board created a 
Risk and Oversight Committee 
(ROC) to provide additional 
oversight of its operational 
compliance in respect of its assets. 
During 2019 the ROC provided 
oversight of the Company’s Medical 
Device Quality Management System 
(QMS) as defined in the Medical 
Device Quality Manual. In addition 
the ROC provided oversight of the 
clinical trials that have been 
planned and undertaken. The ROC 
meets at least once a year or more 
frequently if required and agenda 
items are driven by a management 
review which assesses compliance 
against the QMS and issues arising 
out of the clinical trials that the 
Company is planning and 
undertaking.

Given the current size and 
transparency of the operations of 
the Group, the Board has concluded 
that an internal audit function is not 
required and this will be continually 
reviewed as the Company grows. A 
summary of principal risks and 
uncertainties facing the Group, as 
well as mitigating actions, are set 
out on pages 29 to 31 of our 
Strategic Report.

43

www.futuramedical.comGOVERNANCECORPORATE GOVERNANCE REPORT

PRINCIPLE 5 

A Well-functioning Board of Directors

Futura’s Board currently comprises two Non-Executive Directors and three Executive Directors. All of the Directors are 
subject to election by shareholders at the first Annual General Meeting after their appointment and will continue to 
seek re-election by rotation at least once every three years.

Board of Directors

During the year under review, the Board comprised three Executive Directors, a Non-Executive Chairman and one 
additional Non-Executive Director. Details of the Directors who served in the year can be found on page 47.

Attendance at Board and Committee meetings

The Board is responsible to the shareholders for proper management of the Group and meets at least six times per 
year to set the overall direction and strategy of the Group, to review scientific, operational and financial performance 
and to advise on other strategic matters as they arise. All key operational and investment decisions are subject to 
Board approval. During the year the Board met six times in person and on two occasions by telephone. In addition, 
authority was delegated on an ad hoc basis to subcommittees to deal with statutory matters, such as the approval of 
the full year results and interim statement. 

Director

John Clarke

Jonathan Freeman

James Barder

Angela Hildreth

Ken James

Board 

6/6

6/6

6/6

6/6

6/6

Audit  
Committee

Remuneration 
Committee

Nominations 
Committee

3/3

3/3

4/4

4/4

2/2

2/2

Attendance is expressed by the number of meetings attended/number eligible to attend. Directors’ attendance by 
invitation at meetings of committees of which they are not a member is not reflected in the table above.

Independence of Board Directors

The Board considers itself independent. The QCA code suggests that a Board should have at least two independent 
Non-Executive Directors who currently sit on the Board of the Company and are regarded as independent under the 
QCA’s guidance for determining such independence. Jonathan Freeman has served on the Board for a concurrent 
period longer than nine years but on the basis he had no association with, and was independent from the Group at the 
time of his appointment and, as such, the Directors consider he satisfies the independence criteria set out in the QCA 
Code. The Chairman considers Mr Freeman’s conduct at Board meetings demonstrates continuing independence and 
represents appropriate challenge to the executives.

Non-Executive Directors receive their fees in the form of a basic cash fee and an equity-based fee which takes the form 
of nominal price share options under the Company’s Non-Executive Share Option Scheme. To avoid any incentive that 
may influence the Non-Executive Directors’ independence, the options grants are not deemed significant, either for 
any individual Non-Executive Director or in aggregate. The current remuneration structure for the Board’s Non-
Executive Directors is deemed to be proportionate and in line with market rates. The Directors commit the time 
required to fulfil their duties.

PRINCIPLE 6

Appropriate Skills and Experience of the Directors

The Board considers that all of the Non-Executive Directors are of sufficient competence and calibre to add strength 
and objectivity to its activities and bring significant experience in commercial, operational and financial development 
of the Group’s products.

The Board regularly reviews the composition of the Board to ensure that it has the necessary depth and breadth of 
skills to support the ongoing delivery of the Group’s long-term strategy and the Board is committed to ensuring 
diversity of skill, experience and gender balance. Board members maintain their skillsets through practice in day-to-
day roles, enhanced with attending specific training where required. This is a combination of in-house Company 
arranged briefings and external courses.

44

Stock Code: FUMFutura Medical plc Annual Report 2019The Board uses external advisers where necessary to enhance knowledge or to gain access to particular skills or 
capabilities. Accountants and lawyers are used for diligence work on specific projects; both the Nominations 
Committee and Remuneration Committee use recruitment and employment consultants and specialist advisers have 
been used by the Board to ensure compliance in specific areas. 

The Chairman, in conjunction with the Company Secretary, ensures that the Directors’ knowledge is kept up to date 
on key issues and developments pertaining to the Group, its operational activities and the Directors' responsibilities as 
members of the Board. During the course of the year, the Directors received updates from the Company Secretary on 
a number of corporate governance matters.

The Company Secretary provides information and advice on corporate governance and individual Directors on any 
aspect of their role, particularly supporting the Chairman and those who chair Board Committees. The Company 
Secretary is also responsible for ensuring that Board procedures are followed, that the Company complies with 
company law and AIM Rules and that the Board receives the information it needs to fulfil its duties effectively.

Biotech/ 
Pharma sector

Financial

General  
Management

Other public company 
(Board level)

John Clarke

Jonathan Freeman

James Barder

Angela Hildreth

Ken James

PRINCIPLE 7

Evaluation of Board Performance

Internal evaluation of the Board, the Committees and individual Directors is undertaken on an annual basis and was 
recently completed in December 2019 in the form of peer appraisal, questionnaires and discussions led by the 
Chairman to determine the effectiveness and performance as well as the Non-Executive Directors’ continued 
independence. The Board may utilise the results of the evaluation process when considering the adequacy of the 
composition of the Board, to identify any training and development needs and for succession planning.

The Board as a collective is evaluated on diversity, balance, governance and strategy and individual members are 
evaluated on a range of criteria such as leadership, strategy, governance, interpersonal skills and integrity. The 
performance of the Chairman was also evaluated in the same way and this was led by Non-Executive Director 
Jonathan Freeman.

The Chairman is responsible for the annual performance assessment of the Chief Executive Officer and the Chief 
Executive Officer reviews the performance of the other Executive Directors, the Finance Director/Chief Operating 
Officer and Head of R&D where performance against corporate objectives set at the start of the year is measured.

The Nominations Committee continues to monitor the requirement for succession planning.

PRINCIPLE 8

Corporate Culture

The Board recognises that their decisions regarding strategy and risk will impact on the culture of the Group as a 
whole and that this will impact the performance of the Group. The Board seeks to maintain the highest standards of 
integrity in the conduct of the Group’s operations. An open culture is encouraged within the Group with regular 
communications to staff regarding progress and staff feedback regularly sought. The Board assessment of the culture 
within the Group at the present time is one where there is respect for all individuals, there is open dialogue within the 
Group and there is a commitment to provide the best service possible to all the Group’s customers which include 
commercial partners and patients and clinicians who are participating in our clinical development programmes.

45

www.futuramedical.comGOVERNANCE 
 
 
 
 
CORPORATE GOVERNANCE REPORT

PRINCIPLE 9

Maintenance of Governance 
Structures and Processes

The Board has overall responsibility 
for promoting the success of the 
Group. The Executive Directors have 
day-to-day responsibility for the 
operational management of the 
Group’s activities. The Non-Executive 
Directors are responsible for the 
overall operational management of 
the Group’s activities and for bringing 
independent and objective 
judgement to Board decisions.

There is a clear separation of the roles 
of Chief Executive Officer and Non-
Executive Chairman. The Chairman is 
responsible for overseeing the 
running of the Board, ensuring that 
no individual or group dominates the 
Board’s decision making and 
ensuring the Non-Executive Directors 
are properly briefed on matters. The 
Chairman has overall responsibility 
for corporate governance matters in 
the Group and chairs the 
Nominations Committee. The Chief 
Executive Officer has the 
responsibility for implementing the 
strategy of the Board and managing 
the day-to-day business activities of 
the Group. The Company Secretary is 
responsible for ensuring that Board 
procedures are followed and 
applicable rules and regulations are 
complied with.

The Audit Committee

The Audit Committee normally 
meets twice a year and has 
responsibility for, amongst other 
things, reviewing the annual report 
and accounts and interim statements 
involving, where appropriate, the 
External Auditor. The Committee also 
approves the External Auditor’s fees 
and ensures the Auditor’s 
independence as well as focusing on 
compliance with legal requirements 
and accounting standards. It is also 
responsible for ensuring that an 
effective system of internal control is 
maintained. The ultimate 
responsibility for approving the 
annual financial statements and 
interim statements remains with 
the Board.

46

The Finance Director/Chief Operating 
Officer, and the External Auditor 
attend meetings by invitation only. 
The Audit Committee meets privately 
(without any other Board member 
present) with the External Auditor at 
least once per year.

The Group’s Auditor is Grant Thornton 
LLP based at 1020 Eskdale Road, 
Winnersh, Wokingham,  
RG41 5TS and was appointed in 2019 
as part of a tender process. The 
current Audit partner is Mark Bishop.

The Remuneration Committee

The Remuneration Committee which 
meets as required, but at least once 
per year, has responsibility for making 
recommendations to the Board on 
the compensation of senior 
executives and determining, within 
agreed terms of reference, the 
specific remuneration packages for 
each of the Executive Directors. It also 
supervises the Group’s share 
incentive schemes and sets 
performance conditions for share 
options granted under the schemes. 
The independent Non-Executive  
Director(s) and the Non-Executive 
Chairman sit on the Committee, and 
the Chief Executive Officer attends by 
invitation only.

The Directors’ remuneration can be 
found in the Remuneration 
Committee Report on pages 38 to 41.

The Directors believe that the above 
disclosures constitute sufficient 
disclosure to meet the requirements 
of the QCA Code for a Remuneration 
Committee Report. Consequently, a 
separate Directors’ Remuneration 
Report is not presented in the 
Group’s Annual Report. However, the 
Committee will continue to review 
guidance in relation to the contents 
of remuneration reports and ensure 
the reporting evolves as the 
Committee considers appropriate.

The Nominations Committee

The Nominations Committee, which 
meets as required, but at least once 
per year, has responsibility for 
reviewing the size and composition 
of the Board, the appointment of 
replacement of Directors, the 

monitoring of compliance with 
applicable laws, regulations and 
corporate governance guidance and 
making appropriate 
recommendations to the Board.

The independent Non-Executive 
Director(s) and the Non-Executive 
Chairman sit on the Committee, and 
the Chief Executive Officer attends by 
invitation only.

The terms of reference for the above 
committees can be found in the 
Investors section of our website at 
www.futuramedical.com.

The Board also oversees the Group’s 
share dealing code and its whistle-
blowing policies and procedures.

PRINCIPLE 10

Shareholder Communication

The Group places a high priority on 
regular communication with its 
various stakeholder groups and aims 
to ensure that all communications 
concerning the Group’s activities are 
clear, fair and accurate. The website is 
regularly updated and users can 
register to be alerted when 
announcements or details of 
presentations and events are posted 
onto the website. We also held a R&D 
day in February 2019 which was 
recorded and added to the website 
for all investors to view.

The Group’s financial reports can be 
found in the Investors section of our 
website at www.futuramedical.com.

Notice of General Meetings of the 
Company and results of voting on  
all resolutions in future general 
meetings can be found in the  
RNS section of our website at  
www.futuramedical.com.

The results of voting on all resolutions 
in future general meetings will be 
posted to the Group’s website after 
the relevant meeting.

JOHN CLARKE
Non-Executive Chairman

31 March 2020

Stock Code: FUMFutura Medical plc Annual Report 2019DIRECTORS’ REPORT

DIRECTORS

DIRECTORS’ INTERESTS

The Directors during the year were:

John Clarke 

James Barder

Angela Hildreth 

Ken James 

Non-Executive 
Chairman

Chief Executive 
Officer

Finance Director/
Chief Operating 
Officer

Head of R&D/
Executive 
Director

Jonathan Freeman Non-Executive 

Director

GENERAL INFORMATION

Futura Medical plc is a public limited 
company incorporated in the United 
Kingdom, registered number 
04206001, which is listed on the 
Alternative Investment Market (“AIM”) 
of the London Stock Exchange. 

REVIEW OF BUSINESS

The Group continues to invest in the 
development of its transdermal 
technology DermaSys® with focus 
being on sexual health and pain relief 
management. The Strategic Report 
on pages 1 to 35 provides a review of 
the business, including the Group’s 
trading for the year ended 
31 December 2019, an indication of 
likely future developments, key 
performance indicators and risks.

DIVIDENDS

The Group has reported its 
consolidated financial statements in 
accordance with International 
Financial Reporting Standards 
(“IFRSs”) as adopted by the European 
Union. The results for the year and 
financial position of the Company 
and the Group are set out in the 
financial statements and reviewed in 
the Financial Review within the 
Strategic Report. The Directors do 
not recommend the payment of a 
dividend (2018: £nil).

The Directors’ interests in the 
Company’s shares and options over 
ordinary shares are shown in the 
Remuneration Committee Report on 
pages 38 to 41. No Director has any 
beneficial interest in the share capital 
of any subsidiary or associate 
undertaking.

DIRECTORS’ REMUNERATION 

Details of the Directors’ remuneration 
appear in the Remuneration 
Committee Report on pages 39 to 41.

DIRECTORS’ AND OFFICERS’ 
LIABILITY INSURANCE

The Company has, as permitted by 
the Companies Act 2006, maintained 
insurance cover on behalf of the 
Directors, indemnifying them against 
certain liabilities which may be 
incurred by them in relation to the 
Company. 

POLITICAL DONATIONS

The Group made no political 
donations during the current or prior 
year. 

FINANCIAL INSTRUMENTS – RISK 
MANAGEMENT 

The Group’s financial risk 
management policy is set out in 
Note 4 to the financial statements. 

RESEARCH AND DEVELOPMENT 
(R&D)

During the year ended 31 December 
2019 the Group’s expenditure on R&D 
was £10,051,148 (2018: £6,038,941).

ADEQUACY OF INFORMATION 
SUPPLIED TO AUDITOR

Each Director who held office at the 
date of approval of this Report 
confirms that, so far as the Director is 
aware, there is no relevant audit 
information of which the Company’s 
Auditor is unaware and the Director 
has taken all the steps that he or she 
ought to have taken as a Director to 

make himself or herself aware of any 
relevant audit information and to 
establish that the Company’s Auditor 
is aware of that information. This 
confirmation is given and should be 
interpreted in accordance with the 
provisions of section 418 of the 
Companies Act 2006.

CHANGE OF CONTROL PROVISIONS

There are some agreements that 
may take effect, alter or terminate on 
a change of control of the Company, 
such as commercial contracts, 
property leases and share option 
schemes. None of these are 
considered to be significant in their 
likely impact on the business as 
a whole.

STATEMENT OF ENGAGEMENT 
WITH SUPPLIERS, CUSTOMERS 
AND OTHERS IN A BUSINESS 
RELATIONSHIP WITH THE 
COMPANY

The Directors are mindful of their 
statutory duty to act in the way they 
each consider, in good faith, would 
be most likely to promote the success 
of the Company for the benefits of its 
members as a whole, as set out in our 
s.172(1) statement on page 34. A 
consideration of the Company’s 
relationship with wider stakeholders, 
including supplier and customers, is 
disclosed in the Stakeholders section 
on pages 34 and 35.

SUBSEQUENT EVENTS 

Fundraising of £3.25 million (gross) 
was completed in January 2020. The 
COVID-19 pandemic arose in 
February 2020, the impact of this has 
been considered and we do not 
expect this pandemic to materially 
impact on Futura’s business in 2020. 
Further details can be found within 
the Risks and mitigation section on 
pages 29 to 31.

47

www.futuramedical.comGOVERNANCEDIRECTORS’ REPORT

SIGNIFICANT INTERESTS

On 31 March 2020 the Company had 
been notified of the following 
shareholders with 3% or more of the 
issued share capital of the Company 
in accordance with the Disclosure 
Guidance and Transparency rules:

Lombard Odier Asset 
Management (Europe) 
Limited

T Adams

W T Lamb Investments Ltd

R A Lamb

21.04%

8.08%

5.23%

3.71%

Most recently notified details of 
significant shareholdings may be 
found in the Investor section of our 
website, at www.futuramedical.com. 

STATEMENT OF DIRECTORS’ 
RESPONSIBILITIES IN RESPECT OF 
THE ANNUAL REPORT AND THE 
FINANCIAL STATEMENTS

The Directors are responsible for 
preparing the Annual Report and the 
Group and Parent Company financial 
statements in accordance with 
applicable law and regulations. 
Company law requires the Directors 
to prepare Group and Parent 
Company financial statements for 
each financial year. Under the AIM 
Rules of the London Stock Exchange 
they are required to prepare the 
Group financial statements in 
accordance with International 
Financial Reporting Standards as 
adopted by the European Union 
(IFRSs as adopted by the EU) and 
applicable law and they have elected 
to prepare the Parent Company 
financial statements in accordance 
with UK accounting standards and 
applicable law (UK Generally 
Accepted Accounting Practice), 
including FRS 101 Reduced Disclosure 
Framework.

Under company law the Directors 
must not approve the financial 
statements unless they are satisfied 
that they give a true and fair view of 
the state of affairs of the Group and 
Parent Company and of their profit 
or loss for that period. 

48

In preparing each of the Group and 
Parent Company financial 
statements, the Directors are 
required to: 

  select suitable accounting policies 
and then apply them consistently; 

  make judgements and estimates 
that are reasonable, relevant, 
reliable and prudent; 

  state whether they have been 

prepared in accordance with IFRSs 
as adopted by the EU; 

  for the Parent Company financial 

statements, state whether 
applicable UK accounting 
standards have been followed, 
subject to any material departures 
disclosed and explained in the 
financial statements; 

  assess the Group and Parent 

Company’s ability to continue as a 
going concern, disclosing, as 
applicable, matters related to 
going concern; and 

  use the going concern basis of 
accounting unless they either 
intend to liquidate the Group or 
the Parent Company or to cease 
operations, or have no realistic 
alternative but to do so. 

The Directors are responsible for 
keeping adequate accounting 
records that are sufficient to show 
and explain the Parent Company’s 
transactions and disclose with 
reasonable accuracy at any time the 
financial position of the Parent 
Company and enable them to ensure 
that its financial statements comply 
with the Companies Act 2006. They 
are responsible for such internal 
control as they determine is 
necessary to enable the preparation 
of financial statements that are free 
from material misstatement, 
whether due to fraud or error, and 
have general responsibility for taking 
such steps as are reasonably open to 
them to safeguard the assets of the 
Group and to prevent and detect 
fraud and other irregularities. 

The Directors have decided to 
prepare voluntarily a Remuneration 
Committee Report in accordance 
with Schedule 8 to The Large and 
Medium-sized Companies and 
Groups (Accounts and Reports)

Regulations 2008 made under the 
Companies Act 2006, as if those 
requirements applied to the 
Company. The Directors have also 
decided to prepare voluntarily a 
Corporate Governance Statement as 
if the Company were required to 
comply with the Listing Rules and 
the Disclosure Guidance and 
Transparency Rules of the Financial 
Conduct Authority in relation to those 
matters. Under applicable law and 
regulations, the Directors are also 
responsible for preparing a Strategic 
Report and a Directors’ Report that 
comply with that law and those 
regulations. 

We consider the Annual Report and 
Accounts, taken as a whole, are fair, 
balanced and understandable and 
provide the information necessary for 
shareholders to assess the Group’s 
position and performance, business 
model and strategy.

GOING CONCERN

The Directors believe that it remains 
appropriate to prepare the financial 
statements on a going concern basis. 
However, there is a material 
uncertainty which may cast 
significant doubt on the Group’s and 
the Company’s ability to continue as 
a going concern and, therefore, to 
continue realising its assets and 
discharging its liabilities in the 
normal course of business. The 
financial statements do not include 
any adjustments that would result 
from the basis of preparation being 
inappropriate. Further details can be 
found in Note 2.2.

WEBSITE PUBLICATION

The Directors are responsible for the 
maintenance and integrity of the 
corporate and financial information 
included on the Company’s website. 
Legislation in the United Kingdom 
governing the preparation and 
dissemination of financial statements 
may differ from legislation in other 
jurisdictions.

By order of the Board

ANGELA HILDRETH
Company Secretary

31 March 2020

Stock Code: FUMFutura Medical plc Annual Report 2019AUDIT COMMITTEE REPORT

THE AUDIT COMMITTEE

During the year the Audit Committee 
considered the adequacy of financial 
standards and how existing and new 
accounting standards apply to the 
business. In addition, the Audit 
Committee considered how applying 
these standards may flow through 
into internal processes and controls, 
the Group accounting policies and 
the Group’s financial reporting to 
shareholders.

Whilst the Board has overall 
responsibility for the review and 
approval of the annual and interim 
accounts, certain aspects are 
delegated to the Audit Committee 
including: 

  Monitoring the integrity of the 

financial statements of the Group 
and any formal announcements 
relating to the Group’s financial 
performance.

  Reviewing accounting standards, 

policies and judgements.

  Reviewing internal controls and 
risk management procedures 
which arise during the external 
audit process, or if concerns are 
raised by a member of the Board 
or by an employee under the 
Company’s whistle-blowing 
process.

  Oversight of the Group’s 
compliance with legal 
requirements ensuring that an 
effective internal control system is 
maintained.

Full terms of reference for the Audit 
Committee can be found in the 
Investor section of the Company 
website at www.futuramedical.com.

There were three meetings held in 
the year and matters discussed were 
as follows:

April 2019 Presentation of 2018 

Audit Report

September 
2019

December 
2019 

Review of 2018 audit 
performance

Selection of External 
Auditor following 
tender process

Review of audit 
planning including 
audit risk areas for the 
year ended 2019

Review and 
confirmation of 
External Auditor 
Independence

EXTERNAL AUDITOR

The Audit Committee has 
responsibility for the relationship 
between the Group and its External 
Auditor. Representatives from the 
External Auditor are invited to attend 
Audit Committee meetings and 
whilst the Finance Director and other 
executives are invited to attend the 
Committee meetings, time at the 
end of a meeting is allowed without 
any other Executive Directors or 
other executives present, to give the 
External Auditor an opportunity to 
raise any issues of concern. 

The Audit Committee is responsible 
for reviewing the scope of work and 
fee proposals presented by the 
Auditor to ensure that their 
independence is not compromised. 
The independence of the Auditor is 
kept under review and is reported 
once per year, as part of the Audit 
Committee Report presented to the 
Audit Committee by the Auditor. 

The Group’s External Auditor, Grant 
Thornton LLP, is engaged to provide 
its independent opinion on the 
Group’s financial statements. A full 
scope of their work for the year 
ended December 2019 is included 
within the Independent Auditor's 
Report on pages 50 to 54. Grant 
Thornton were appointed this year 
following a tender process. The 
Partner is Mark Bishop.

INTERNAL AUDIT

The Audit Committee reviews the 
requirement for an internal audit 
function on an annual basis, taking 
into account the scale and 
complexity of the Group’s activities 
and any issues identified in the 
assessment of controls. The 
Committee remains of the opinion 
that an internal audit function is 
currently not appropriate for the 
Group and the Committee will 
continue to review the 
appropriateness of these 
arrangements.

JONATHAN FREEMAN
Audit Committee Chairman

49

www.futuramedical.comGOVERNANCEINDEPENDENT AUDITOR’S REPORT

TO THE MEMBERS OF FUTURA MEDICAL PLC

listed entities, and we have fulfilled our other ethical 
responsibilities in accordance with these requirements. 
We believe that the audit evidence we have obtained is 
sufficient and appropriate to provide a basis for our 
opinion.

Material uncertainty related to going concern

We draw attention to note 2.2 in the financial statements, 
which indicates that management have made significant 
assumptions in preparing the financial statements on a 
going concern basis. As stated in note 2.2, the group has 
recorded a loss for the year of £11.16m and had total cash 
of £2.51m at the year end. The most significant 
assumptions made in the cash flow forecast projection 
prepared by the directors include the ability to raise 
further financing, which could come from a variety of 
dilutive and non-dilutive sources, to support its ongoing 
activities, following the anticipated submission of 
marketing authorisation applications for MED3000 in 
Europe and the US, and to generate significant funding 
through entering into strategic collaborations for the 
commercialisation of MED3000 and its other products, in 
the US and Europe. These events or conditions, along 
with the other matters as set forth in note 2.2, indicate 
that a material uncertainty exists that may cast 
significant doubt on the group and parent company’s 
ability to continue as a going concern. Our opinion is not 
modified in respect of this matter.

Overview of our audit approach

  Overall group materiality: £547,000, which represents 
approximately 4.9% of the group’s loss on ordinary 
activities before taxation.

  The key audit matter identified was the valuation of 

investment in the subsidiary. 

  We performed full scope audit procedures on the 

financial statements of the significant components 
Futura Medical plc and Futura Medical Developments 
Limited, and analytical procedures on the financial 
statements of Futura Consumer Healthcare Limited.

OPINION

Our opinion on the financial statements is unmodified

We have audited the financial statements of Futura 
Medical plc (the ‘parent company’) and its subsidiaries 
(the ‘group’) for the year ended 31 December 2019, which 
comprise the consolidated statement of comprehensive 
income, the consolidated statement of changes in equity, 
the consolidated statement of financial position, the 
consolidated statement of cash flows, the parent 
company balance sheet, the parent company statement 
of changes in equity, and notes to the financial 
statements, including a summary of significant 
accounting policies. The notes to the financial statements 
comprise the notes to the consolidated financial 
statements and the notes to the parent company 
financial statements. The financial reporting framework 
that has been applied in the preparation of the group 
financial statements is applicable law and International 
Financial Reporting Standards (IFRSs) as adopted by the 
European Union. The financial reporting framework that 
has been applied in the preparation of the parent 
company financial statements is applicable law and 
United Kingdom Accounting Standards, including 
Financial Reporting Standard 101 ‘Reduced Disclosures 
Framework’ (United Kingdom Generally Accepted 
Accounting Practice).

In our opinion:

  the financial statements give a true and fair view of the 
state of the group’s and of the parent company’s affairs 
as at 31 December 2019 and of the group’s loss for the 
year then ended;

  the group financial statements have been properly 

prepared in accordance with IFRSs as adopted by the 
European Union;

  the parent company financial statements have been 

properly prepared in accordance with United Kingdom 
Generally Accepted Accounting Practice; and

  the financial statements have been prepared in 

accordance with the requirements of the Companies 
Act 2006.

Basis for opinion

We conducted our audit in accordance with International 
Standards on Auditing (UK) (ISAs (UK)) and applicable law. 
Our responsibilities under those standards are further 
described in the ‘Auditor’s responsibilities for the audit of 
the financial statements’ section of our report. We are 
independent of the group and the parent company in 
accordance with the ethical requirements that are 
relevant to our audit of the financial statements in the 
UK, including the FRC’s Ethical Standard as applied to 

50

Stock Code: FUMFutura Medical plc Annual Report 2019KEY AUDIT MATTERS

Key audit matters are those matters that, in our professional judgement, were of most significance in our audit of the 
financial statements of the current period and include the most significant assessed risks of material misstatement 
(whether or not due to fraud) that we identified. These matters included those that had the greatest effect on: the 
overall audit strategy; the allocation of resources in the audit; and directing the efforts of the engagement team. These 
matters were addressed in the context of our audit of the financial statements as a whole, and in forming our opinion 
thereon, and we do not provide a separate opinion on these matters.

Key Audit Matters – Parent company

Valuation of investment in the subsidiary

The assessment of impairment of the investment is 
carried out when there is an indication of impairment.

The assessment of any potential impairment requires 
management to make significant assumptions and 
judgements about the recoverability of the investment, 
especially as concerns the future cash flows of the 
subsidiary. 

We therefore identified the valuation of investment in 
the subsidiary as a significant risk, which was one of the 
most significant assessed risks of material misstatement.

How the matter was addressed in the audit –  
Parent company

Our audit work included, but was not restricted to: 
  Obtaining management’s impairment review and 

comparing the recoverable amounts to the valuation 
of the investment; 

  Inspecting in detail the key underlying assumptions 
within management’s impairment review, assessing 
each against market data, where relevant and 
available, and performing a sensitivity analysis on each 
of these assumptions; 

  Corroborating the key inputs used in support of the 
key underlying assumptions to relevant supporting 
documentation;

  An auditor expert assessed and challenged the key 

assumptions within management’s model;

  Assessing the disclosures of estimates and 

judgements made in the financial statements for 
compliance with the requirements of International 
Accounting Standard (IAS) 1 ‘Presentation of Financial 
Statements’.

The company's accounting policy relating to carrying 
value of investment in subsidiaries is shown in note 2 of 
the parent’s financial statements.

Key observations

Based on our audit work we determined that 
management’s assesment that the recoverability of the 
investment exceeded the book value with reference to 
future cashflows was reasonable.

51

www.futuramedical.comGOVERNANCEINDEPENDENT AUDITOR’S REPORT

TO THE MEMBERS OF FUTURA MEDICAL PLC

OUR APPLICATION OF MATERIALITY

We define materiality as the magnitude of misstatement in the financial statements that makes it probable that the 
economic decisions of a reasonably knowledgeable person would be changed or influenced. We use materiality in 
determining the nature, timing and extent of our audit work and in evaluating the results of that work. 

Materiality was determined as follows:

Materiality measure

Group

Parent

Financial statements as a whole

£547,000, which is approximately 
4.9% of the group’s loss on ordinary 
activities before taxation. This 
benchmark is considered the most 
appropriate because the purpose of 
the group is to produce economic 
benefit.

£513,000, which is approximately 
1.0% of the parent company’s total 
assets at year end. This benchmark 
is considered the most appropriate 
because the parent company is a 
holding company which has the 
purpose of holding significant assets 
on behalf of the group.

Performance materiality used to drive 
the extent of our testing

70% of financial statement materiality, 
being £383,000.

70% of financial statement materiality, 
being £359,000.

Specific materiality

We determined a lower level of 
specific materiality for certain areas 
such as Directors’ remuneration.

Communication of misstatements to 
the audit committee

£27,000 and misstatements below 
that threshold that, in our view, 
warrant reporting on qualitative 
grounds.

£26,000 and misstatements below 
that threshold that, in our view, 
warrant reporting on qualitative 
grounds.

The graph below illustrates how performance materiality interacts with our overall materiality and the tolerance for 
potential uncorrected misstatements.

Overall materiality – Group

Overall materiality – Parent

30%

30%

70%

70%

Tolerance for potential uncorrected mis-statements

Performance materiality

52

Stock Code: FUMFutura Medical plc Annual Report 2019OUR OPINION ON OTHER MATTERS PRESCRIBED BY 
THE COMPANIES ACT 2006 IS UNMODIFIED

In our opinion, based on the work undertaken in the 
course of the audit:

  the information given in the strategic report and the 
directors’ report for the financial year for which the 
financial statements are prepared is consistent with 
the financial statements; and

  the strategic report and the directors’ report have been 

prepared in accordance with applicable legal 
requirements.

MATTER ON WHICH WE ARE REQUIRED TO REPORT 
UNDER THE COMPANIES ACT 2006

In the light of the knowledge and understanding of the 
group and the parent company and its environment 
obtained in the course of the audit, we have not identified 
material misstatements in the strategic report or the 
directors’ report.

MATTERS ON WHICH WE ARE REQUIRED TO REPORT 
BY EXCEPTION

We have nothing to report in respect of the following 
matters in relation to which the Companies Act 2006 
requires us to report to you if, in our opinion:

  adequate accounting records have not been kept by 

the parent company, or returns adequate for our audit 
have not been received from branches not visited by 
us; or

  the parent company financial statements are not in 

agreement with the accounting records and returns; or

  certain disclosures of directors’ remuneration specified 

by law are not made; or

  we have not received all the information and 

explanations we require for our audit.

AN OVERVIEW OF THE SCOPE OF OUR AUDIT

Our audit approach was a risk-based approach founded 
on a thorough understanding of the group's business, its 
environment and risk profile and in particular included: 

  Evaluating the group’s internal control environment 
and documenting our understanding of controls 
relevant to the audit;

  Determining the scope of the group audit based on 

the relative contribution of revenue, expenses and net 
assets of each component to the group. We performed 
full scope audit procedures on the financial statements 
of Futura Medical plc and Futura Medical 
Developments Limited. We performed analytical 
procedures on the financial statements of Futura 
Consumer Healthcare Limited;

  Our audit procedures provided coverage of 100% of 

each of the group and parent company’s revenue and 
100% of the group’s loss before tax; and

  Reperforming the group consolidation, to confirm the 

accuracy of management’s computations and to 
demonstrate the group financial information was 
consistent with the financial information per the 
audited financial statements of the significant 
components.

OTHER INFORMATION

The directors are responsible for the other information. 
The other information comprises the information 
included in the annual report and accounts 2019, other 
than the financial statements and our auditor’s report 
thereon. Our opinion on the financial statements does 
not cover the other information and, except to the extent 
otherwise explicitly stated in our report, we do not 
express any form of assurance conclusion thereon. 

In connection with our audit of the financial statements, 
our responsibility is to read the other information and, in 
doing so, consider whether the other information is 
materially inconsistent with the financial statements or 
our knowledge obtained in the audit or otherwise 
appears to be materially misstated. If we identify such 
material inconsistencies or apparent material 
misstatements, we are required to determine whether 
there is a material misstatement of the financial 
statements or a material misstatement of the other 
information. If, based on the work we have performed, we 
conclude that there is a material misstatement of this 
other information, we are required to report that fact. 

We have nothing to report in this regard.

53

www.futuramedical.comGOVERNANCEINDEPENDENT AUDITOR’S REPORT

TO THE MEMBERS OF FUTURA MEDICAL PLC

USE OF OUR REPORT

This report is made solely to the company’s members, as 
a body, in accordance with Chapter 3 of Part 16 of the 
Companies Act 2006. Our audit work has been 
undertaken so that we might state to the company’s 
members those matters we are required to state to them 
in an auditor’s report and for no other purpose. To the 
fullest extent permitted by law, we do not accept or 
assume responsibility to anyone other than the company 
and the company’s members as a body, for our audit 
work, for this report, or for the opinions we have formed.

MARK BISHOP FCA

Senior Statutory Auditor for and on behalf of 
Grant Thornton UK LLP  
Statutory Auditor, Chartered Accountants  
Oxford

31 March 2020

RESPONSIBILITIES OF DIRECTORS FOR THE 
FINANCIAL STATEMENTS

As explained more fully in the statement of directors’ 
responsibilities in respect of the Annual Report and the 
financial statements set out on page 48, the directors are 
responsible for the preparation of the financial 
statements and for being satisfied that they give a true 
and fair view, and for such internal control as the directors 
determine is necessary to enable the preparation of 
financial statements that are free from material 
misstatement, whether due to fraud or error.

In preparing the financial statements, the directors are 
responsible for assessing the group’s and the parent 
company’s ability to continue as a going concern, 
disclosing, as applicable, matters related to going concern 
and using the going concern basis of accounting unless 
the directors either intend to liquidate the group or the 
parent company or to cease operations, or have no 
realistic alternative but to do so.

AUDITOR’S RESPONSIBILITIES FOR THE AUDIT OF THE 
FINANCIAL STATEMENTS

Our objectives are to obtain reasonable assurance about 
whether the financial statements as a whole are free 
from material misstatement, whether due to fraud or 
error, and to issue an auditor’s report that includes our 
opinion. Reasonable assurance is a high level of 
assurance, but is not a guarantee that an audit 
conducted in accordance with ISAs (UK) will always 
detect a material misstatement when it exists. 
Misstatements can arise from fraud or error and are 
considered material if, individually or in the aggregate, 
they could reasonably be expected to influence the 
economic decisions of users taken on the basis of these 
financial statements.

A further description of our responsibilities for the audit of 
the financial statements is located on the Financial 
Reporting Council’s website at: www.frc.org.uk/
auditorsresponsibilities. This description forms part of our 
auditor’s report.

54

Stock Code: FUMFutura Medical plc Annual Report 2019CONSOLIDATED STATEMENT OF COMPREHENSIVE INCOME

FOR THE YEAR ENDED 31 DECEMBER 2019

Revenue

Research and development costs

Administrative costs

Operating loss

Finance income

Loss before tax

Taxation recoverable 

Loss for the year being total comprehensive loss attributable to owners of 
the Parent Company

Basic and diluted loss per share (pence)

All amounts relate to continuing activities.

The Notes on pages 59 to 74 form part of these consolidated financial statements.

Year 
ended 
31 December
             2019
                  £

Year 
ended 
31 December
             2018
                  £

31,778

–

(10,051,148)

(6,038,941)

(1,144,397)

(1,227,547)

(11,163,767)

(7,266,488)

22,283

27,576

(11,141,484)

(7,238,912)

2,222,194

1,358,336

Notes

2.4

6

8

9

(8,919,290)

(5,880,576)

10

(4.36)

(4.46)

55

www.futuramedical.comFINANCIAL STATEMENTSCONSOLIDATED STATEMENT OF CHANGES IN EQUITY

FOR THE YEAR ENDED 31 DECEMBER 2019

At 1 January 2018

241,392

44,671,396

1,152,165

(36,959,195)

9,105,758

Share
 Capital
                £

Share  
Premium
                 £

Merger
 Reserve
               £

Retained
Losses
                  £

Total
Equity
£

Notes

Total comprehensive loss for the year 

Share-based payment

Shares issued during the year

Transactions with owners

At 31 December 2018

Total comprehensive loss for the year 

Share-based payment

Shares issued during the year

Transactions with owners

At 31 December 2019

18

17

18

17

–

–

–

–

167,775

167,775

5,312,464

5,312,464

–

–

–

–

(5,880,576)

(5,880,576)

146,833

146,833

–

5,480,239

146,833

5,627,072

409,167

49,983,860

1,152,165

(42,692,938)

8,852,254

–

–

154

154

–

–

19,130

19,130

–

–

–

–

(8,919,290)

(8,919,290)

101,404

–

101,404

101,404

19,284

120,688

53,652

409,321

50,002,990

1,152,165

(51,510,824)

Merger reserve represents the reserve arising on the acquisition of Futura Medical Developments Limited in 2001 via  
a share for share exchange accounted for as a group reconstruction previously using merger accounting under 
UK GAAP.

Retained losses represent all other net gains and losses not recognised elsewhere.

Share premium represents amounts subscribed for share capital in excess of nominal value, less the related costs of 
share issues.

The Notes on pages 59 to 74 form part of these consolidated financial statements.

56

Stock Code: FUMFutura Medical plc Annual Report 2019FINANCIAL STATEMENTSCONSOLIDATED STATEMENT OF FINANCIAL POSITION

AS AT 31 DECEMBER 2019

Assets

Non-current assets

Plant and equipment

Total non-current assets

Current assets

Inventories 

Trade and other receivables

Taxation recoverable

Cash and cash equivalents

Total current assets

Liabilities

Current liabilities

Trade and other payables

Total liabilities

Total net assets

Capital and reserves attributable to owners of the Parent Company

Share capital

Share premium

Merger reserve

Retained losses

Total equity 

As at 
31 December
2019
£

As at 
31 December
2018
£

Notes

11

12

14

9

15

59,505

59,505

47,473

47,473

7,780

101,192

2,222,194

2,510,501

7,780

306,408

1,358,192

9,157,916

4,841,667

10,830,296

16

(4,847,520)

(2,025,515)

(4,847,520)

(2,025,515)

53,652

8,852,254

17

409,321

409,167

50,002,990

49,983,860

1,152,165

1,152,165

(51,510,824)

(42,692,938)

53,652

  8,852,254

The consolidated financial statements were approved and authorised for issue by the Board on 31 March 2020.

The Notes on pages 59 to 74 form part of these consolidated financial statements.

By order of the Board

JAMES BARDER
Chief Executive 
Registered number: 04206001

57

www.futuramedical.comFINANCIAL STATEMENTSCONSOLIDATED STATEMENT OF CASH FLOWS

FOR THE YEAR ENDED 31 DECEMBER 2019

Cash flows from operating activities

Loss before tax

Adjustments for:

Depreciation

Loss on disposal of fixed assets

Finance income

Share-based payment charge

Cash flows used in operating activities before changes in working capital

Decrease in inventories

(Increase)/decrease in trade and other receivables

(Decrease)/increase in trade and other payables

Cash used in operations

Income tax received

Net cash used in operating activities

Cash flows from investing activities

Purchase of plant and equipment

Interest received

Cash generated (used in)/by investing activities

Cash flows from financing activities

Issue of ordinary shares

Expenses paid in connection with share issue

Cash generated by financing activities

(Decrease)/increase in cash and cash equivalents

Cash and cash equivalents at beginning of year

Cash and cash equivalents at end of year

The Notes on pages 59 to 74 form part of these consolidated financial statements.

Year ended 
31 December
2019
£

Year ended 
31 December
2018
£

Notes

(11,141,484)

(7,238,912)

20,704

–

(22,283)

101,404

19,850

703

(27,576)

146,833

(11,041,659)

(7,099,102)

–

62,633

204,928

(125,332)

11

8

18

12

16

2,822,004

1,526,375

(8,014,727)

(5,635,426)

1,358,480

927,391

(6,656,247)

(4,708,035)

11

(32,736)

22,283

(10,453)

(4,510)

27,576

23,066

17

19,284

5,943,421

–

(463,182)

19,284

5,480,239

(6,647,415)

795,270

9,157,916

8,362,646

15

2,510,501

9,157,916

58

Stock Code: FUMFutura Medical plc Annual Report 2019FINANCIAL STATEMENTSNOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS

FOR THE YEAR ENDED 31 DECEMBER 2019

1. CORPORATE INFORMATION

Futura Medical plc (the “Company”) is a public limited company incorporated and domiciled in the United Kingdom 
and whose shares are publicly traded on the AIM Market of the London Stock Exchange. The registered office is 
located at Surrey Technology Centre, 40 Occam Road, Guildford, Surrey, GU2 7YG.

These Group financial statements consolidate those of the Company and its subsidiaries (together referred to as “the 
Group” and individually as “Group entities”) for the year ended 31 December 2019.

The consolidated financial statements of the Company and the Group for the year ended 31 December 2019 were 
authorised for issue by the Board of Directors on 31 March 2020.

The Group is principally engaged in the development of pharmaceutical and healthcare products.

2. ACCOUNTING POLICIES

2.1 Basis of preparation

The consolidated financial statements have been prepared on a going concern basis and under the historical cost 
convention and have been prepared and approved by the Directors in accordance with International Financial 
Reporting Standards (“IFRSs”) as adopted by the European Union. The principal accounting policies applied in the 
preparation of the consolidated financial information are set out below. These policies have been consistently applied 
to all years presented, unless otherwise stated.

The consolidated financial statements are presented in sterling. 

2.2 Going Concern

For the year ended 31 December 2019, the Group made an operating loss of £11.16 million. Cash and cash equivalents at  
31 December 2019 were £2.51 million. The Board has considered the applicability of the going concern basis in the 
preparation of the financial statements. This included the review of internal budgets and financial results and a review 
of cash flow forecasts for the 12 months period following the date of signing the financial statements. Under current 
business plans which assume a significant reduction in R&D spend, the Group’s cash resources will extend to Q2 2021. 
Based on this, additional funding is expected to be required to support the Group’s and the Company’s going concern 
status. Dependent upon the funds raised and the level of income generated from licensing activities, further funding 
may be required to reach profitability. The Group completed a £3.25 million fundraising with existing and new 
investors in January 2020. The Directors have a reasonable expectation that the Group will be able to raise further 
financing, which could come from a variety of dilutive and non-dilutive sources, to support its ongoing activities, 
following the anticipated submission of regulatory dossiers for MED3000 in Europe and the US, both expected in H2 
2020. The Directors also have a reasonable expectation that the Group will be able to generate significant funding 
through entering into strategic collaborations for the commercialisation of MED3000 and its other products in the US 
and Europe. 

However, there can be no guarantee that the Group will be able to raise sufficient funding from existing and new 
investors, nor that the Group will be able to secure strategic collaborations for its product pipeline. In the event that 
the Group does not successfully raise new financing, the Directors consider that the Group would be able to reduce 
expenditure on its development programmes, potentially extending the Group’s cash resources to more than 12 
months from the date of signing the financial statements. 

Based on the above factors the Directors believe that it remains appropriate to prepare the financial statements on a 
going concern basis. However, the above factors give rise to a material uncertainty which may cast significant doubt 
on the Group’s and the Company’s ability to continue as a going concern and, therefore, to continue realising its assets 
and discharging its liabilities in the normal course of business. The financial statements do not include any 
adjustments that would result from the basis of preparation being inappropriate.

2.3 Standards, amendments and interpretation to existing standards

The Directors have considered all new standards, amendments to standards and interpretations which are mandatory 
for the first time for the financial year beginning 1 January 2019. From 1 January 2019 the Group adopted IFRS 16 Leases.

The Group has taken the exemption not to account for short-term leases on the balance sheet. The Group has elected 
to account for short-term leases and leases of low-value assets using the practical expedients. Instead of recognising a 
right-of-use asset and lease liability, the payments in relation to these are recognised as an expense in profit or loss on 
a straight-line basis over the lease term.

59

www.futuramedical.comFINANCIAL STATEMENTS2. ACCOUNTING POLICIES (CONTINUED)

2.4 Revenue

To determine whether to recognise revenue, the Group follows a five-step process:

1 

Identifying the contract with a customer

2  Identifying the performance obligations

3  Determining the transaction price

4  Allocating the transaction price to the performance obligations

5  Recognising revenue when/as performance obligation(s) are satisfied.

During the year, revenue was recognised on a collaborative transaction. In accordance with IFRS 15, revenue is 
calculated based on the consideration to which the Group expects to be entitled and is recognised over the length of 
services provided under the contract and once performance obligations have been met. The transaction fee is 
allocated over the length of the service being provided in accordance with the project plan. It is recognised as a 
contract liability at the time of the initial transaction and is released over the expected period of service on the basis of 
work completed and performance obligations delivered. The progress is re-evaluated by management at each 
reporting date and the revenue recognised is remeasured accordingly. No revenue was recognised in the prior year.

2.5 Leased assets

As described in Note 2.3, the Group has applied IRFS 16 using the modified retrospective approach and therefore 
comparative information has not been restated. This means that comparative information is still reported under IAS 17.

For any new contracts entered into on or after 1 January 2019, the Group considers whether a contract is, or contains a 
lease. A lease is defined as a contract, or part of a contract, that conveys the right to use an asset (the underlying asset) 
for a period of time in exchange for consideration. To apply this definition the Group assesses whether the contract 
meets three key evaluations which are whether:

  The contract contains an identified asset, which is either explicitly in the contract or implicitly specified by being 

identified at the time the asset is made available to the Group.

  The Group has the right to obtain substantially all of the economic benefits from the use of the identified asset 

throughout the period of use, considering its rights within the defined scope of the contract.

  The Group has the right to direct the use of the identified asset throughout the period of use. The Group assess 
whether it has the right to direct “how and for what purpose” the asset is used throughout the period of use.

Leases, which contain terms whereby the Group does not assume substantially all the risks and rewards incidental to 
ownership of the leased item are classified as operating leases. Operating lease rentals are charged to the 
Consolidated Statement of Comprehensive Income on a straight-line basis over the lease term. The Group does not 
hold any assets under finance leases.

2.6 Intangible assets

Research and development (“R&D”)
Expenditure incurred on the development of internally generated products is capitalised if it can be demonstrated 
that:

  it is technically feasible to develop the product for it to be sold;

  adequate resources are available to complete the development;

  there is an intention to complete and sell the product;

  the Group is able to out-license or sell the product;

  sale of the product will generate future economic benefits; and

  expenditure on the project can be measured reliably.

60

Stock Code: FUMFutura Medical plc Annual Report 2019FINANCIAL STATEMENTSNOTES TO THE CONSOLIDATED FINANCIAL STATEMENTSFOR THE YEAR ENDED 31 DECEMBER 20192. ACCOUNTING POLICIES (CONTINUED)

Capitalised development costs, including patents and trademarks, are amortised over the periods in which the Group 
expects to benefit from selling the products developed but not exceeding five years. The amortisation expense is 
included in R&D costs recognised in the Consolidated Statement of Comprehensive Income. The useful life and the 
value of the capitalised development cost are assessed for indicators of impairment at least annually. The value is 
written down immediately if impairment has occurred and the unimpaired cost amortised over the reduced useful life.

The Directors consider that the criteria to capitalise development expenditure are not yet met for any of its products as 
they have either not yet been approved or commercially launched in at least one major market therefore commercial 
feasibility of the product is not yet certain. 

Development expenditure, not satisfying the above criteria, and expenditure on the research phase of internal projects 
are included in R&D costs recognised in the Consolidated Statement of Comprehensive Income as incurred.

2.7 Plant and equipment

Plant and equipment is initially recognised at cost, and subsequently at cost less accumulated depreciation and any 
accumulated impairment losses. Cost includes expenditure that is directly attributable to the acquisition of the items. 
Depreciation is charged to the Consolidated Statement of Comprehensive Income at rates calculated to write off the 
cost, less estimated residual value, of each asset on a straight-line basis over their estimated useful lives.

  Computer equipment 

2 – 5 years straight-line

  Fixtures and fittings  

3 – 10 years straight-line

The assets’ residual values and useful lives are determined by the Directors and reviewed and adjusted, if appropriate, 
at each Consolidated Statement of Financial Position date.

2.8 Impairment of non-financial assets

An impairment review is carried out for assets being amortised or depreciated when a change in market conditions 
and other circumstances indicate that the carrying value may not be recoverable. The recoverable amount is the 
higher of an asset’s fair value less costs to sell and value-in-use. For the purpose of assessing impairment, assets are 
grouped at the lowest levels for which they are separately identifiable cash flows.

2.9 Inventories

Inventories are consumable materials to be used in development and are initially recognised at cost, and subsequently 
at the lower of cost and net realisable value. Cost includes materials, related contract manufacturing costs and other 
direct costs. Cost is calculated using the first in, first out method. Net realisable value is based on estimated selling 
price, less further costs expected to be incurred to completion and disposal.

A provision is recognised immediately in the Consolidated Statement of Comprehensive Income in respect of obsolete 
or defective items, where appropriate.

2.10 Financial instruments

i) Recognition and initial measurement 
At the year-end, the Group had no financial assets or liabilities designated at fair value through the Consolidated 
Statement of Comprehensive Income (2018: £nil). Trade receivables and debt securities are initially recognised when 
they are originated. All other financial assets and liabilities are initially recognised when the Group becomes a party to 
the contractual provisions in the instrument. A financial asset (unless it is a trade receivable without a significant 
financing component) or a financial liability is initially measured at fair value plus, for items not measured at fair value 
through profit and loss (“FVTPL”), transaction costs that are directly attributable to its acquisition or issue. A trade 
receivable without a significant financing component is measured at the transaction price. 

ii) Classification and subsequent measurement 
Financial assets 
On initial recognition a financial instrument is classified as measured at: amortised cost, fair value through other 
comprehensive income (“FVOCI”) or FVTPL. Financial assets are not reclassified subsequent to their initial recognition 
unless the Group changes its business model for managing financial assets. 

61

www.futuramedical.comFINANCIAL STATEMENTS 
 
2. ACCOUNTING POLICIES (CONTINUED)

2.10 Financial instruments (continued)

A financial asset is measured at amortised cost if it meets both the following conditions and is not designated 
as FVTPL: 

  it is held within a business model whose objective is to hold assets to collect contractual cash flows; and 

  its contractual terms give rise on a specified date to cash flows that are solely the payment of principal and interest 

on the principal outstanding. 

A debt investment is measured at FVOCI if it meets both the following conditions and is not designated as FVTPL: 

  it is held within a business model whose objective is achieved by both collecting contractual cash flows and selling 

financial assets; and 

  its contractual terms give rise on specified dates to cash flows that are solely payments of principal and interest on 

the principal amount outstanding. 

On initial recognition of an equity investment that is not held for trading the Group may irrevocably elect to present 
subsequent changes in the investment’s fair value in OCI. This election is made on an investment by investment basis. 

Financial assets at amortised cost are subsequently measured at amortised cost using the effective interest method. 
The amortised cost is reduced by impairment losses. 

Financial liabilities 
Financial liabilities are classified as measured at amortised cost or FVTPL. A financial liability is classified as FVTPL if it is 
held for trading, it is a derivative or it is designated as such on initial recognition. Other financial liabilities are 
subsequently measured at amortised cost using the effective interest method. Interest expense is recognised in profit 
or loss. At the year-end, the Group had no financial assets or liabilities designated at FVOCI (2018: £nil).

iii) Derecognition 
Financial assets 
The Group derecognises a financial asset when the contractual rights to the cash flows from the financial asset expire, 
or it transfers the rights to receive the contractual cash flows in a transaction in which substantially all the risks and 
rewards of ownership of the financial asset are transferred or in which the Group neither transfers nor retains 
substantially all of the risks and rewards of ownership and it does not retain control of the financial asset. 

Financial liabilities 
The Group derecognises a financial liability when the contractual obligations are discharged or cancelled, or expire. 
The Group also derecognises a financial liability when its terms are modified and the cash flows of the modified 
liability are substantially different, in which case a new financial liability based on the modified terms is recognised at 
fair value. On derecognition of a financial liability, the difference between the carrying amount extinguished and the 
consideration paid is recognised in profit or loss.

2.11 Taxation

Income tax is recognised or provided at amounts expected to be recovered or to be paid using the tax rates and tax 
laws that have been enacted or substantively enacted at the Consolidated Statement of Financial Position date. R&D 
tax credits are recognised on an accruals basis and are included as an income tax credit under current assets.

Deferred tax assets and liabilities are recognised where the carrying amount of an asset or liability on the Consolidated 
Statement of Financial Position date differs from its tax base, except for differences arising on:

  the initial recognition of an asset or liability in a transaction which is not a business combination and which at the 

time of the transaction affects neither accounting profit nor taxable profit; and

  investments in subsidiaries and jointly controlled entities where the Group is able to control the timing of the 

reversal of the difference and it is probable that the difference will not reverse in the foreseeable future.

Recognition of deferred tax assets is restricted to those instances where it is probable that taxable profits will be 
available against which the difference can be utilised.

The amount of the asset or liability is determined using tax rates that have been enacted or substantively enacted by 
the Consolidated Statement of Financial Position date and are expected to apply when the deferred tax liabilities/
(assets) are settled/(recovered). Deferred tax balances are not discounted.

62

Stock Code: FUMFutura Medical plc Annual Report 2019FINANCIAL STATEMENTSNOTES TO THE CONSOLIDATED FINANCIAL STATEMENTSFOR THE YEAR ENDED 31 DECEMBER 20192. ACCOUNTING POLICIES (CONTINUED)

Deferred tax assets and liabilities are offset when the Group has a legally enforceable right to offset current tax assets 
and liabilities and the deferred tax assets and liabilities relate to taxes levied by the same tax authority on either:

  the same taxable group company; or

  different group entities which intend to settle current tax assets and liabilities on a net basis, or to realise the assets 
and settle the liabilities simultaneously, on each future period in which significant amounts of deferred tax assets 
or liabilities are expected to be settled or recovered.

2.12 Foreign currency translation

Foreign currency transactions are translated into the functional currency using the exchange rates prevailing at the 
dates of the transactions. Foreign exchange gains and losses resulting from the settlement of such transactions and 
from the translation at period end exchange rates of monetary assets and liabilities denominated in foreign currencies 
are recognised in the Consolidated Statement of Comprehensive Income in the period in which they arise.

2.13 Employee benefits

Defined contribution plans
The Group provides retirement benefits to all employees who wish to participate in defined contribution pension 
schemes. The assets of these schemes are held separately from those of the Group in independently administered 
funds. Contributions made by the Group are charged to the Consolidated Statement of Comprehensive Income in the 
period in which they become payable.

Accrued holiday pay
Provision is made at each Consolidated Statement of Financial Position date for holidays accrued but not taken, at 
applicable rates of salary. The expected cost of compensated short-term absence (holidays) is charged to the 
Consolidated Statement of Comprehensive Income on an accruals basis.

Share-based payment transactions
The Group operates an equity-settled share-based compensation plan. For all share options awarded to employees, 
and others providing similar services, the fair value of the share options at the date of grant is charged to the 
Consolidated Statement of Comprehensive Income over the vesting period. Non-market vesting conditions are taken 
into account by adjusting the number of equity instruments expected to vest at each Consolidated Statement of 
Financial Position date so that, ultimately, the cumulative amount recognised over the vesting period is based on the 
number of share options that eventually vest. There are no market vesting conditions. If the terms and conditions of 
share options are modified before they vest, the change in the fair value of the share options, measured immediately 
before and after the modification, is also charged to the Consolidated Statement of Comprehensive Income over the 
remaining vesting period. The proceeds received when share options are exercised, net of any directly attributable 
transaction costs, are credited to share capital (nominal value) and the remaining balance to share premium. All 
employee share option holders enter into an HM Revenue & Customs joint election to transfer the employers’ national 
insurance contribution potential liability to the employee, therefore no Group asset or liability arises.

Long-term incentive plan
The Group operates a long-term incentive plan for all staff and Directors. The quantum of any awards receivable will 
depend on the Group achieving set milestones and the share price at the time relative to targets set in advance. The 
Group plan is intended to be settled in equity with cash settlement possible at the discretion of the Board. There was 
no charge recognised in the year as the milestones and targets were not met.

2.14 Finance income

Interest income is recognised on a time-proportion basis using the effective interest rate method.

63

www.futuramedical.comFINANCIAL STATEMENTS3. CRITICAL ACCOUNTING JUDGEMENTS, ASSUMPTIONS AND ESTIMATES

The preparation of the consolidated financial statements in conformity with IFRS requires management to make 
certain estimates, assumptions and judgements that affect the application of accounting policies and the reported 
amounts of assets and liabilities and the reported amounts of income and expenses in the year.

Critical accounting estimates, assumptions and judgements are continually evaluated by the Directors based on 
available information and experience. As the use of estimates is inherent in financial reporting, actual results could 
differ from these estimates. No significant estimates were identified during the year. Other estimates are disclosed 
below.

3.1 Estimates and assumptions

Share-based payments
The Group operates an equity-settled share-based compensation plan for employee (and consultant) services to be 
received and the corresponding increases in equity are measured by reference to the fair value of the equity 
instruments as at the date of grant. The fair value determination is based on the principles of the Black–Scholes Model 
which uses an input of volatility based on historical data. Historical volatility may not be indicative of future volatility, yet 
the Directors judge this to be the most appropriate method of calculation. Given the share option expense of £101,404 
(2018: £146,833), the volatility methodology used is not expected to have a material impact on these financial 
statements. Details of the fair value calculation for options granted during the year, including other inputs into the 
Black–Scholes model, are disclosed in Note 18.

3.2 Judgements

Deferred tax recognition
The determination of probable future profits, against which the Group’s deferred tax profits can be offset, requires 
judgement. To date no deferred tax assets have been recognised.

R&D tax credits
The current tax receivable as disclosed in Note 9, represents an R&D tax credit based on an advance claim with HMRC. 
The final receivable is subject to the correct application of complex R&D rules and HMRC approval. Historically, claims 
have been successful and the Group expects the current year to be successful too.

R&D costs
Management are required to make a judgement about certainty of commercial success of their products. No 
Research and Development costs have been capitalised in the current or prior period and further details can be found 
in Note 2.6.

4. FINANCIAL RISK

4.1 Financial risk factors

The Group’s activities expose it to a variety of financial risks: market risk (including foreign exchange rate risk, cash flow 
interest rate risk and fair value interest rate risk); credit risk and liquidity risk. It is Group policy not to enter into 
speculative positions using complex financial instruments. 

(i) Market risk
Foreign exchange rate risk
The Group primarily enters into supplier contracts which are to be settled in sterling. However, some contracts involve 
other currencies including the US dollar and the euro. The Group may use forward exchange contracts as an economic 
hedge against currency risk, where cash flow can be judged with reasonable certainty. There were no material open 
forward contracts as at 31 December 2019 or at 31 December 2018.

At 31 December 2019 the Group had trade payables denominated in a foreign currency totalling £101,899 (31 December 
2018: £931,532).

Cash flow interest rate risk and fair value interest rate risk
The Group’s interest rate risk arises from short-term money market deposits.

64

Stock Code: FUMFutura Medical plc Annual Report 2019FINANCIAL STATEMENTSNOTES TO THE CONSOLIDATED FINANCIAL STATEMENTSFOR THE YEAR ENDED 31 DECEMBER 20194. FINANCIAL RISK (CONTINUED)

(ii) Credit risk
Credit risk arises from cash and cash equivalents and money market deposits as well as credit exposure in relation to 
outstanding receivables. The exposure relating to outstanding receivables is immaterial and the carrying amount of 
cash balances is as follows:

Cash at bank and in hand

Sterling short-term money market funds

31 December
 2019
 £

31 December
 2018
 £

2,137,599

5,706,519

372,902

3,451,397

2,510,501

9,157,916

The Directors consider the Group’s exposure to credit risk to be acceptable and normal for a similar entity at its stage 
in development.

(iii) Liquidity risk
The Group’s approach to managing liquidity is to ensure that, as far as possible, it will always have sufficient liquidity to 
meet its liabilities when due, under both normal and stressed conditions, without incurring losses or risking damage 
to the Group’s reputation.

The Group manages all of its external bank accounts centrally and in accordance with defined treasury policies. The 
policies include a minimum acceptable credit rating of relationship bank accounts and financial transaction authority 
limits. Any material change to the Group’s principal bank facility requires Board approval. 

4.2 Capital risk management

The Group’s policy is to maintain a strong capital base. The Group does not yet have significant recurring revenues and 
has mainly financed its operations through the issue of new shares and management of working capital. The Group’s 
capital resources are managed to ensure it has resources available to invest in operational activities designed to 
generate future income. These resources were represented by £2,510,501 of cash and fixed-term deposits as at  
31 December 2019 (31 December 2018: £9,157,916).

5. SEGMENT REPORTING

The Group is organised and operates as one segment. The Group’s R&D costs are analysed by development 
programme as follows:

MED

TPR

CSD

Other

Year ended 
31 December 
2019
£

Year ended 
31 December 
2018
£

 8,019,710 

 3,538,059 

 230,639 

 41,554 

 183,038 

 172,925 

 391,782 

 70,217 

 8,474,941 

 4,172,984 

65

www.futuramedical.comFINANCIAL STATEMENTS 
6. OPERATING LOSS

Operating loss is stated after charging:

Depreciation of plant and equipment (Note 11)

Loss on disposal of plant and equipment

Inventories consumed in R&D

Short-term leases: property

Gain/(loss) on foreign exchange

Year ended 
31 December 
2019
£

Year ended 
31 December 
2018
£

 20,704

–

 –

 117,275

 8,468

 19,850

703

 62,633

 114,142

 (12,606)

The 2019 fees of the Group’s Auditor Grant Thornton LLP (2018: KPMG LLP) for services provided are analysed below:

Audit services

Parent Company

Subsidiaries

Other Non-audit services

iXBRL Tagging

Total fees

The 2018 fees of the Group’s Auditor KPMG LLP for services provided are analysed below:

Audit services

Parent Company

Subsidiaries

Tax services

Parent Company

Subsidiaries

Total fees

Year ended 
31 December 
2019
£

35,000

7,000

1,000

43,000

 Year ended
 31 December
 2018
£

33,000

9,000

 4,000

 –

46,000

7. STAFF NUMBERS AND COSTS

The average number of persons (including all Executive and excluding Non-Executive Directors) employed by the 
Group during the year, analysed by category, was as follows:

R&D staff

Finance and Administration staff

Executive Directors

66

 Year ended
31 December  
2019

 Year ended
 31 December
 2018

 8

 2

 3

13

 10

 2

 3

15

Stock Code: FUMFutura Medical plc Annual Report 2019FINANCIAL STATEMENTSNOTES TO THE CONSOLIDATED FINANCIAL STATEMENTSFOR THE YEAR ENDED 31 DECEMBER 20197. STAFF NUMBERS AND COSTS (CONTINUED)

The aggregate payroll costs of these persons were as follows:

Wages and salaries

Social security costs

Other pension and insurance benefits costs

Total cash-settled emoluments

Share-based payment remuneration charge 

Total emoluments

All employees of the Group are employed by Futura Medical Developments Limited.

Directors’ emoluments

Aggregate emoluments

Other pension and insurance benefit costs

Subtotal per remuneration report 

Share-based payment remuneration charge

Employer’s national insurance charge

Total emoluments

Year ended 
31 December 
2019
£

Year ended 
31 December 
2018
£

 1,315,760

 1,603,513

 181,544

180,342

 172,805

 182,282

1,677,646

 1,958,600

101,404

 146,833

1,779,050

2,105,433

Year ended 
31 December 
2019
£

Year ended 
31 December 
2018
£

693,353

22,506

715,859

47,866

73,811

929,608

19,748

949,356

74,647

86,991

837,536

1,110,994

In 2019 there were no Directors whose share options were exercised under the Group share option schemes and no 
gain was realised (2018: £6,000). In respect of the highest paid Director the realised gain was £nil (2018: £nil).

In 2019 there were no Directors (2018: no Directors) who participated in a private money purchase defined contribution 
pension scheme. Emoluments for individual Directors are disclosed within the Remuneration Committee Report.

The Directors consider that there are no Key Management Personnel other than the Directors.

Emoluments above include the following amounts in respect of the highest paid Director:

Aggregate emoluments

Employer pension contributions

Subtotal per remuneration report

Share-based payment remuneration charge

Employer’s national insurance charge

Total emoluments

8. FINANCE INCOME

Interest receivable in 2019 on treasury funds was £22,283 (2018: £27,576).

Year ended 
31 December 
2019
£

Year ended 
31 December 
2018
£

235,593

273,855

–

–

235,593

273,855

18,410

31,680

28,711

36,284

285,683

 338,850

67

www.futuramedical.comFINANCIAL STATEMENTS9. TAXATION

9.1 Current tax

UK corporation tax credit on loss on ordinary activities

Year ended 
31 December 
2019
£

Year ended 
31 December 
2018
£

2,222,194

 1,358,336

The tax assessed for the year was lower than the UK corporation tax rate (2018: higher). The differences are explained below:

Loss on ordinary activities before tax

Loss on ordinary activities at an average standard rate of corporation tax in the UK of 19% 
(2018: 19%)

Expenses not deductible for tax purposes 

Unrecognised deferred tax

Unutilised tax losses

Share scheme deduction 

R&D expenditure credit

Loss surrendered for refund

Additional relief for R&D claims

UK corporation tax credit 

Adjustment to tax charge relating to prior period

R&D expenditure credit re 2018

R&D expenditure credit re 2019

UK corporation tax credit reported in the Consolidated Statement  
of Comprehensive Income

Year ended 
31 December 
2019
£

Year ended 
31 December 
2018
£

11,141,484

7,238,912

2,116,882

1,375,393

(304)

(15,701)

(215)

(29,578)

(841,959)

(581,892)

–

(4,969)

5,529

(3,296)

(683,072)

(417,236)

1,630,136

995,722

2,201,013

1,344,427

–

–

21,181

(144)

14,053

–

2,222,194

1,358,336

The Group has tax losses of approximately £31,265,826 (2018: £26,834,483) available for offset against future taxable profits.

The corporation tax credit for the year represents research and development tax credits of £2,201,012 (2018: £1,344,428), 
arising from the surrender of losses (rather than carrying forward to future years) of £15,179,395 (2018: £9,271,916) at 
14.5%, under HMRC’s small and medium size enterprise scheme. The taxable loss for the year is in excess of the 
accounting loss for various reasons, principally the additional deductions given for tax purposes on research and 
development expenditure. 

In addition a small claim under the large company Research and Development Expenditure Credit (RDEC) scheme 
resulted in a refund of £21,181 (2018: 14,053).

68

Stock Code: FUMFutura Medical plc Annual Report 2019FINANCIAL STATEMENTSNOTES TO THE CONSOLIDATED FINANCIAL STATEMENTSFOR THE YEAR ENDED 31 DECEMBER 20199. TAXATION (CONTINUED)

9.2 Deferred tax

Deferred tax assets amounting to £5,649,021 (2018: £4,881,640) have not been recognised due to it not being probable 
that taxable profits will be available, against which these deductible temporary differences can be utilised. Reductions 
in the UK corporation tax rate from 20% to 19% (effective from 1 April 2017) were substantively enacted on 26 October 
2015. The unrecognised deferred tax asset at 31 December 2019 has been calculated assuming a prevailing tax rate 
when the timing differences reverse of 17% (2018: 17%) and comprises:

Depreciation differential versus capital allowances

Other short-term timing differences

Unutilised tax losses

Year ended 
31 December 
2019
£

Year ended 
31 December 
2018
£

(1,770)

2,108

 335,600

 317,670

 5,315,191

 4,561,862

 5,649,021

 4,881,640

10. LOSS PER SHARE 

The calculation of basic and diluted earnings per share (“EPS”) is based on the following data: 

Loss for the purposes of basic EPS and diluted EPS (£)

 2019

 2018

8,919,290

5,880,576

Weighted average of ordinary shares for purposes of basic and diluted EPS (number)

204,657,741

131,936,761

Loss per share basic and diluted (pence)

4.36

 4.46

Diluted EPS is calculated in the same way as basic EPS but also with reference to reflect the dilutive effect of share 
options in existence at the year-end which were 7,255,000 (2018: 5,700,000). The diluted loss per share is identical to the 
basic loss per share, as potential dilutive shares are not treated as dilutive since they would reduce the loss per share.

69

www.futuramedical.comFINANCIAL STATEMENTS11. PLANT AND EQUIPMENT

Cost

At 1 January 2019

Additions

Disposals

At 31 December 2019

Depreciation

At 1 January 2019

Eliminated on disposals

Charge for year

At 31 December 2019

Net book value

At 31 December 2019

At 31 December 2018

Cost

At 1 January 2018

Additions

Disposals

At 31 December 2018

Depreciation

At 1 January 2018

Eliminated on disposals

Charge for year

At 31 December 2018

Net book value

At 31 December 2018

At 31 December 2017

Computer 
Equipment 
£

Furniture
 and Fittings
£

 86,602

 32,736

 –

 63,285

 –

 –

 Total
£

149,887

 32,736

 –

 119,338

 63,285

 182,623

 47,495

 54,919

 102,414

 –

19,250

 66,745

 52,593

 39,107

 –

 1,454

 56,373

 6,912

 8,366

Computer 
Equipment 
£

Furniture
 and Fittings
£

 –

 20,704

 123,118

 59,505

 47,473

 Total
£

 91,243

 63,285

 154,528

 4,510 

 (9,151)

–

–

4,510

(9,151)

 86,602

 63,285

149,887

 37,915

(8,447)

 18,027

47,495

39,107

53,328

53,096

–

1,823

54,919

8,366

10,189

91,011

(8,447)

19,850

102,414

47,473

63,517

All fixed assets of the Group are held in Futura Medical Developments Limited.

70

Stock Code: FUMFutura Medical plc Annual Report 2019FINANCIAL STATEMENTSNOTES TO THE CONSOLIDATED FINANCIAL STATEMENTSFOR THE YEAR ENDED 31 DECEMBER 201912. INVENTORIES

Consumable materials used for development

13. FINANCIAL INSTRUMENTS BY CATEGORY

31 December
 2019
£

31 December
 2018
£

 7,780

7,780

The accounting policies for financial instruments have been applied to the line items below:

Assets as per Consolidated Statement of Financial Position
Loans and receivables at amortised cost

Trade and other receivables (Note 14)

Cash and cash equivalents (Note 15)

Total receivables

Liabilities as per Consolidated Statement of Financial Position at amortised cost

Trade and other payables (Note 16)

Total payables

31 December
 2019
£

31 December
 2018
£

59,968

2,510,501

248,426

9,157,916

2,570,469

9,406,342

31 December
 2019
£

31 December
 2018
£

4,847,520

1,246,247

 4,847,520

1,246,247 

The Directors consider that there is no material difference between the carrying values of financial assets and liabilities 
and their fair value.

14. TRADE AND OTHER RECEIVABLES

Amounts receivable within one year:

Trade receivables

Other receivables

Financial assets (Note 13)

Prepayments

31 December
 2019
£

31 December
 2018
£

5,627

54,341

59,968

41,224

101,192

627

247,799

248,426

57,982

306,408

Trade and other receivables do not contain any impaired assets. The Group does not hold any collateral as security and 
the maximum exposure to credit risk at the Consolidated Statement of Financial Position date is the fair value of each 
class of receivable.

15. CASH AND CASH EQUIVALENTS

Cash at bank and in hand

Sterling short-term money market funds

31 December
 2019
£

31 December
 2018
£

2,137,599

5,706,519

372,902

3,451,397

2,510,501

9,157,916

71

www.futuramedical.comFINANCIAL STATEMENTS16. TRADE AND OTHER PAYABLES

Trade payables

Social security and other taxes

Deferred Income

Accrued expenses 

31 December
 2019
£

31 December
 2018
£

2,625,359

1,246,247

39,970

218,222

42,684

–

1,963,969

736,584

4,847,520

2,025,515

The increase in payables is reflective of the increase in research and development activities relating to the Phase 3 
study completed in the year.

17. SHARE CAPITAL

Authorised

31 December
 2019
Number

31 December
2018
Number

31 December
 2019
 £

 31 December
2018
£

Ordinary shares of 0.2 pence each

500,000,000 500,000,000

1,000,000

1,000,000

Allotted, called up and fully paid

Ordinary shares of 0.2 pence each

31 December
 2019
Number

31 December
 2018
Number

31 December
 2019
 £

31 December
 2018
 £

204,660,267 204,583,439

409,321

409,167

The number of issued ordinary shares as at 1 January 2018 was 120,696,002. During the year ended 31 December 2018, 
the Company issued shares of 0.2 pence each as follows:

Month

January 2018

January 2018

May 2018

Reason for issue

Option exercise at 30.00 pence per share

Option exercise at 30.00 pence per share

Option exercise at 30.00 pence per share

November 2018

Share placing at 7.00 pence per share

November 2018

Open Offer placing at 7.00 pence per share

Gross 
Consideration
£

 24,000

 24,000

 45,000

 Shares 
Issued
 Number

 80,000

 80,000

 150,000

 5,600,000  80,000,000

 250,421

 3,577,437

5,943,421

83,887,437

72

Stock Code: FUMFutura Medical plc Annual Report 2019FINANCIAL STATEMENTSNOTES TO THE CONSOLIDATED FINANCIAL STATEMENTSFOR THE YEAR ENDED 31 DECEMBER 201917. SHARE CAPITAL (CONTINUED)

The number of issued ordinary shares as at 1 January 2019 was 204,583,439. During the year ended 31 December 2019, 
the Company issued shares of 0.2 pence with each ordinary share carrying the right to one vote as follows:

Month

Reason for issue

January 2019

Non-Executive Director Share Award

Gross 
Consideration
£

19,284

19,284

 Shares 
Issued
 Number

76,828

76,828

18. SHARE OPTIONS

At 31 December 2019, the number of ordinary shares of 0.2 pence each subject to share options granted under the 
Company’s Approved and Unapproved Share Option Schemes were: 

Exercise Period 

1 October 2014 – 30 September 2019

1 October 2015 – 30 September 2020

1 October 2016 – 30 September 2021

1 October 2017 – 30 September 2022

1 October 2018 – 30 September 2023

1 October 2019 – 30 September 2024

7 January 2020 – 6 January 2029

31 August 2020 – 6 January 2029

Exercise 
Price per 
Share
 Pence

 61.50

 71.50

 51.75

 30.00

 57.50

 30.50

7.20

7.20

At 
1 January 
2019
 Number

310,000

620,000

580,000

750,000

960,000

1,140,000

–

–

1 October 2020 – 30 September 2025

 7.50

1,340,000

1 October 2021 – 30 September 2026

 31.00

–

5,700,000

 Options 
Exercised
 Number

 –

 –

 –

–

 –

 –

–

–

 –

 –

 –

Options 
Lapsed
Number

 (310,000)

 –

 –

 –

 –

 –

–

–

 –

 –

Options 
Granted
 Number

At 
31 December 
2019
 Number

 –

 –

 –

 –

 –

 –

212,500

212,500

–

620,000

580,000

750,000

960,000

1,140,000

212,500

212,500

 –

1,340,000

1,440,000

1,440,000

(310,000)

1,865,000

7,255,000

On 12 November 2019 share options over 1,390,000 new ordinary shares were granted to employees (including 
Executive Directors) at a price of 31.00p. The options have a two-year vesting period and the exercise period for these 
options is 1 October 2020 to 30 September 2025.

The share options outstanding at 31 December 2019 represented 3.54% of the issued share capital as at that date (2018: 
2.78%) and would generate additional funds of £2,433,900 (2018: £2,159,300) if fully exercised. The weighted average 
remaining life of the share options outstanding at 31 December 2019 was 51 months (2018: 52 months) with a weighted 
average remaining exercise price of 33.55 pence (2018: 50.26 pence).

The share options exercisable at 31 December 2019 totalled 3,850,000 (2018: 3,220,200) with an average exercise price of 
48.48 pence (2018: 51.28 pence) and would have generated additional funds of £1,766,650 (2018: £2,318,200) if fully 
exercised.

The Group’s share option scheme rules apply to 6,550,000 of the share options outstanding at 31 December 2019  
(31 December 2018: 5,320,000) and include a rule regarding forfeiture of unexercised share options upon the cessation 
of employment (except in specific circumstances). 

Options have historically been issued to advisers under the unapproved scheme. Such options generally vest 
immediately and are exercisable between one and two years after grant. There were 705,000 share options 
outstanding to advisers at 31 December 2019 (31 December 2018: 380,000).

There were no market vesting conditions within the terms of the grant of the share options.

The Black–Scholes formula is the option pricing model applied to the grants of all share options made in respect of 
calculating the fair value of the share options.

73

www.futuramedical.comFINANCIAL STATEMENTS18. SHARE OPTIONS (CONTINUED)

Share-based payments

Inputs to share option pricing model

Grant date

Number of shares under option

Share price as at date of grant

Option exercise price

Expected life of options: based on previous exercise history

Expected volatility: based on median fluctuations over 3 years

Dividend yield: no dividends assumed

31 December
 2019

31 December 
2018

17 September

19 November

 1,390,000

 1,340,000

30.70 pence

 6.95 pence

 31.00 pence

 7.50 pence

 3 years

 82.70%

 0%

 3 years

 82.70%

0%

Risk-free rate: yield on 3 year treasury stock as at date of grant

 0.48% p.a.

 0.84% p.a

Outputs generated from share option pricing model

Fair value per share under option

Total expected charge over the vesting period

Recognised in Consolidated Statement of Comprehensive Income 

The share-based remuneration charge comprises:

Share-based payments – employees

Share-based payments – consultants

Share-based payments

31 December
 2019

31 December 
2018

16.19 p

 £225,041

3.57p

 £47,838

31 December
 2019
£

31 December 
2018
£

32,019

 –

 32,019

3,016

 –

3,016

The total expense recognised for the year arising from share-based payments is as follows:

Group equity-settled share-based payment expense

19. PENSION COSTS

31 December
 2019
£

31 December 
2018
£

101,404

146,833

The pension charge represents contributions payable by the Group to independently administered funds which 
during the year ended 31 December 2019 amounted to £164,458 (2018: £86,990). Pension contributions payable in 
arrears at 31 December 2019, included in accrued expenses at the relevant Consolidated Statement of Financial 
Position date, totalled £10,225 (2018: £6,183).

20. COMMITMENTS

At 31 December 2019 the Group had operating lease commitments in respect of property leases cancellable on one 
month’s notice of £9,802 (2018: £9,767).

21. RELATED PARTY TRANSACTIONS

Related parties, as defined by IAS 24 “Related Party Disclosures”, are the wholly owned subsidiary companies, Futura 
Medical Developments Limited, Futura Consumer Healthcare Limited and the Board. Transactions between the 
Company and the wholly owned subsidiary companies have been eliminated on consolidation and are not disclosed.

Key management compensation

The Directors represent the key management personnel. Details of their compensation and share options are given in 
Note 7 and within the Remuneration Committee Report.

74

Stock Code: FUMFutura Medical plc Annual Report 2019FINANCIAL STATEMENTSNOTES TO THE CONSOLIDATED FINANCIAL STATEMENTSFOR THE YEAR ENDED 31 DECEMBER 2019PARENT COMPANY BALANCE SHEET

FOR THE YEAR ENDED 31 DECEMBER 2019
Company No. 04206001

Fixed assets

Investment

Current assets

Debtors – due within one year

Debtors – due after more than one year

Total debtors

Cash at bank and in hand

Creditors: amounts falling due within one year

Net current assets

Net assets

Capital and reserves

Called up share capital

Share premium account

Profit and loss account

Shareholders’ funds

As at
 31 December
2019
£

           As at
 31 December
             2018
             £

Notes

2

50,178,526

43,023,474

3

3

13,267

10,559

–

–

13,267

10,559

1,099,413

8,569,753

1,112,680

8,580,312

4

(200,158)

(119,328)

912,522

8,460,984

51,091,048

51,484,458

5

409,321

409,167

50,002,990

49,983,860

678,737

1,091,431

51,091,048

51,484,458

The loss in respect of the Company for the year was £514,098 (2018: £104,316). The Parent Company financial 
statements were approved and authorised for issue by the Board on 31 March 2020.

The Notes on pages 77 to 79 form part of these Parent Company financial statements.

By order of the Board

JAMES BARDER
Chief Executive

75

www.futuramedical.comFINANCIAL STATEMENTSPARENT COMPANY STATEMENT OF CHANGES IN EQUITY

FOR THE YEAR ENDED 31 DECEMBER 2019

Share
 Capital
                £

            Share
       Premium
                 £

Note

    Profit 
and Loss 
Account
                  £

 Total
   Equity
                 £

At 1 January 2018

    241,392      44,671,396      1,048,914      45,961,702

Total comprehensive loss for the year

               –

                  –

      (104,316)

        (104,316)

Share-based payment

Issue of shares

At 31 December 2018

  –                      –

        146,833           146,833

5

     167,775          5,312,464

–

5,480,239

409,167

49,983,860

1,091,431

51,484,458

Total comprehensive loss for the year

               –

                  –

      (514,098)

(514,098)

Share-based payment

Issue of shares

At 31 December 2019

  –                      –

101,404

5

154

19,130

                   –

101,404

19,284

409,321

50,002,990

678,737      51,091,048

Share premium represents amounts subscribed for share capital in excess of nominal value, less the related costs of 
share issues.

Profit and loss account represents the cumulative net profit recognised. The total comprehensive loss for the year 
represents the total recognised income and expense for the year.

The Notes on pages 77 to 79 form part of these Parent Company financial statements.

76

Stock Code: FUMFutura Medical plc Annual Report 2019FINANCIAL STATEMENTSNOTES TO THE CONSOLIDATED FINANCIAL STATEMENTSFOR THE YEAR ENDED 31 DECEMBER 2019NOTES TO THE PARENT COMPANY FINANCIAL STATEMENTS

FOR THE YEAR ENDED 31 DECEMBER 2019

1. ACCOUNTING POLICIES

The Parent Company financial statements have been prepared on a going concern basis and under the historical cost 
convention and have been prepared and approved by the Directors in accordance with Financial Reporting Standard 
101 Reduced Disclosure Framework (“FRS 101”). The principal accounting policies applied in the preparation of the 
financial information and where advantage of the FRS 101 disclosure exemptions have been taken are set out below. 
These policies have been consistently applied to all years presented, unless otherwise stated.

The Parent Company financial statements presented are in sterling. 

As a Consolidated Statement of Comprehensive Income is published, no separate statement of comprehensive 
income for the Parent Company has been included in these financial statements, as permitted by section 408 of the 
Companies Act 2006. The loss in respect of the Company for the year was £514,098 (2018: £104,316). The remuneration 
of the Directors of the Company is disclosed in Note 7 to the consolidated financial statements. Auditor’s remuneration 
is disclosed in Note 6 to the consolidated financial statements.

Disclosure exemptions adopted

In preparing these financial statements the Company has taken advantage of all disclosure exemptions conferred by 
FRS 101. Therefore these financial statements do not include:

  certain comparative information as otherwise required by EU endorsed IFRS;

  financial instrument disclosures;

  certain disclosures regarding the Company’s capital;

  a statement of cash flows;

  the effect of future accounting standards not yet adopted;

  the disclosure of the remuneration of key management personnel; 

  disclosure of related party transactions with other wholly owned members of the Group; and

  disclosure of impairment of assets. 

Non-derivative financial instruments

Non-derivative financial instruments comprise investments in equity, trade and other debtors, cash and cash 
equivalents and trade and other creditors.

Trade and other debtors

Trade and other debtors are recognised initially at fair value. Subsequent to initial recognition they are measured at 
amortised cost using the effective interest method, less any impairment losses.

Trade and other creditors

Trade and other creditors are recognised initially at fair value. Subsequent to initial recognition they are measured at 
amortised cost using the effective interest method.

Cash and cash equivalents

Cash and cash equivalents comprise cash balances and treasury fund units.

Share-based employee remuneration

The Company has no employees but does issue shares to satisfy share option awards made by its subsidiary company 
Futura Medical Developments Limited.

The grant date fair value of share-based payments awards granted to employees is recognised as an increase in the 
investment, with a corresponding increase in equity, over the period in which the employees become unconditionally 
entitled to the awards. The fair value of the awards granted is measured using the Black–Scholes model, taking into 
account the terms and conditions upon which the awards are granted.

77

www.futuramedical.comFINANCIAL STATEMENTSNOTES TO THE PARENT COMPANY FINANCIAL STATEMENTS

FOR THE YEAR ENDED 31 DECEMBER 2019

1. ACCOUNTING POLICIES (CONTINUED)

Taxation

Tax on the profit or loss for the year comprises current and deferred tax. Tax is recognised in the profit and loss account 
except to the extent that it relates to items recognised directly in equity or other comprehensive income, in which case 
it is recognised directly in equity or other comprehensive income.

Current tax is the expected tax payable or receivable on the taxable profit or loss for the year, using tax rates enacted or 
substantively enacted at the balance sheet date, and any adjustment to tax payable in respect of previous years.

A deferred tax asset is recognised only to the extent that it is probable that future taxable profits will be available 
against which the temporary difference can be utilised.

2. INVESTMENT IN SUBSIDIARY

The investment represents 100% of the issued ordinary £1 shares in the subsidiary undertaking Futura Medical 
Developments Limited whose registered address is: 40 Occam Road, Guildford, Surrey GU2 7YG. The principal activity 
of the Company is the research and development of pharmaceutical drugs and medical devices and their commercial 
exploitation. The investment is stated at cost plus amounts capitalised in respect of the intercompany receivable (refer 
to Note 3). The results of the subsidiary are included in the consolidated financial statements.

The Company capitalises intercompany balances with its subsidiaries at each month-end (creating an investment in 
subsidiaries) up to the point where it believes the subsidiary is in a position to repay any balances within the next 12 
months. Capitalised balances are reviewed for impairment annually. It was concluded that there was no impairment 
required. This conclusion requires judgement and if regulatory approval of MED3000 is rejected, this could result in 
material impairment.

At 1 January 2018

Additions in the year

At 31 December 2018

Additions in the year

At 31 December 2019

£

 1,321,798 

41,701,676

43,023,474

7,155,052

50,178,526

Futura Medical Developments Limited owns 100% of the issued ordinary £1 shares of Futura Consumer Healthcare 
Limited whose registered address is: 40 Occam Road, Guildford, Surrey GU2 7YG. The principal activity of Futura 
Consumer Healthcare Limited is the commercial exploitation and branding of pharmaceutical drugs and medical 
devices developed by Futura Medical Developments Limited. This is an indirect investment and Futura Consumer 
Healthcare Limited has been dormant since the start of 2018. 

3. DEBTORS

Amounts receivable within one year: prepayments

4. CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR

Trade creditors

Accruals 

78

31 December 
2019
 £

31 December 
2018
 £

13,267

10,559

31 December 
2019
 £

31 December 
2018
 £

107,299

92,859

200,158

78,282

41,046

119,328

Stock Code: FUMFutura Medical plc Annual Report 2019FINANCIAL STATEMENTS5. CALLED UP SHARE CAPITAL

Authorised

31 December
 2019
Number

31 December
2018
Number

31 December
 2019
 £

 31 December
2018
£

Ordinary shares of 0.2 pence each

500,000,000 500,000,000

1,000,000

1,000,000

Allotted, called up and fully paid

Ordinary shares of 0.2 pence each

31 December
 2019
Number

31 December
 2018
Number

31 December
 2019
 £

31 December
 2018
 £

204,660,267 204,583,439

409,321

409,167

Details of shares issued by the Company in the year and details of share options outstanding are given in Notes 17 and 
18 to the consolidated financial statements.

6. RELATED PARTY TRANSACTIONS

The Company has taken the exemption in line with FRS 101 not to disclose related party transactions between wholly 
owned subsidiaries.

79

www.futuramedical.comFINANCIAL STATEMENTSCOMPANY INFORMATION

COMPANY NUMBER

04206001

DIRECTORS

John Clarke 
James Barder
Angela Hildreth
Ken James
Jonathan Freeman

AUDIT COMMITTEE

Jonathan Freeman
John Clarke

Non-Executive Chairman  
Chief Executive Officer
Finance Director and Chief Operating Officer
Executive Director
Non-Executive Director

REMUNERATION COMMITTEE

NOMINATIONS COMMITTEE

Jonathan Freeman
John Clarke

John Clarke
Jonathan Freeman

SECRETARY AND REGISTERED OFFICE

AUDITOR

Angela Hildreth
Futura Medical plc
Surrey Technology Centre
40 Occam Road
Guildford
Surrey
GU2 7YG

Grant Thornton
1020 Eskdale Road
Winnersh
Wokingham
Berkshire
RG41 5TS

REGISTRAR

Link Asset Services
The Registry
34 Beckenham Road
Beckenham
Kent
BR3 4TU

NOMINATED ADVISER AND BROKER

PATENT ATTORNEY

PUBLIC RELATIONS ADVISER

Liberum Capital Limited
Ropemaker Place, Level 12
25 Ropemaker Street
London
EC2Y 9LY

Withers & Rogers LLP
4 More London Riverside
London
SE1 2AU

Optimum Strategic Communications
Warnford Court
29 Throgmorton Street
London
EC2N 2AT

PRINCIPAL SOLICITOR

PRINCIPAL BANKER

INVESTMENT MANAGER

Square One Law
Anson House 
Fleming Business Centre 
Burdon Terrace
Jesmond
Newcastle Upon Tyne
NE2 3AE

HSBC Bank
12A North Street
Guildford
GU1 4AF

Royal London Asset Management Limited
PO Box 9035
Chelmsford
CM99 2XB

80

Stock Code: FUMFutura Medical plc Annual Report 2019F

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Futura Medical plc
Surrey Technology Centre
40 Occam Road
Guildford
Surrey
GU2 7YG

Tel: +44 (0) 1483 685670
Fax: +44 (0) 1483 685671
Email: info@futuramedical.com
Web: www.futuramedical.com