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Saving Lives Through
Antibiotic Sensitivity
Precision Diagnostics
astekdx.com
Grand Vision
Current Focus Delivery Roadmap
Urine CSF Effluent Blood
Q1 2025 2026 2027 2028
EXPECTED FDA APPROVAL TIMELINE
2
Universal Platform
While Astek Diagnostics has prioritized going to market first with a urine-based test, its
vision is for the Jiddu system to confirm bacterial infections and assess antibiotic
sensitivity across 4 sample types: urine, CSF, effluent, and blood.
Urine CSF Effluent Blood
3
▶ UTI confirmation and antibiotic sensitivity in 1 hour.
▶ 408 urine-based tests already completed with increasingly high accuracy
over time (c.97% accuracy level currently achieved: MedStar Health pilot).
Urine
▶ Meningitis confirmation and antibiotic sensitivity in 1 hour.
▶ Proof of concept data with 12 samples has already been accumulated as
part of an active grant from the Henry Jackson Foundation.
CSF
Comprehensive Approach
4
Comprehensive Approach (Cont’d)
▶ Surgical site infection confirmation and antibiotic sensitivity in 1 hour.
▶ Proof of concept data with 12 samples has already been accumulated in
advance of ramping up work on this fluid as part of a pending DOD contract.
Effluent
▶ Bacteremia confirmation and antibiotic sensitivity test in 1 hour.
▶ Proof of concept data from a study involving 59 ICU patients has already
been accumulated with the company as part of an active NSF SBIR Phase 1
grant.
Blood
5
Current Focus: The UTI Problem
8.1m UTI-caused hospital visits per
year in the US (1)
$1.6B (4) of annual cost from mistreated UTIs
that require hospitalization
47% 47% treated with inappropriate
antibiotics (2)
Empiric therapy causes antibiotic resistant
bacteria to increase by 300% per annum (5)
25% 25% of sepsis cases
are caused by UTIs (3)
68,000 lives lost (6) per annum in the US alone
as a result of UTI-related sepsis cases
50% accuracy of dipstick
urinalysis (7) Current testing is inaccurate
Source:
(1) Link
(2) Link
(3) Link
(4) The Global Burden of Bacterial Antimicrobial Resistance in Urinary Tract Infections in 2019, by A. J. C. van den Berg et al., published in PLOS Medicine in 2022.
(5) Empiric Therapy and the Emergence of Antibiotic Resistance, by J. A. Leggett et al., published in Nature Microbiology in 2019.
(6) Link
(7) Link
6
72h test processing for urine
cultures takes 24-72 hrs Current testing is slow
Current Focus: The UTI Problem
Mainly caused by
overuse and misuse
of antimicrobials
Leads to the emergence
of new and more
resistant strains of
bacteria
The economic cost of
AMR in the US alone is
estimated at c.$55
billion per year
Super Bug
Inadequate diagnostics
Improper antibiotic prescription
Development of resistant strains &
serious complications like sepsis
Even harder infections
Inadequate diagnostics
7
The Solution: The Jiddu system
1-Hour Results
▶ Rapid UTI detection
▶ Antibiotic sensitivity indication (1)
Point-of-Care Testing
▶ Actionable results
▶ Expedited treatment
Ease of Use
▶ Basic training requirement
▶ Automated testing & Disposable cartridges
Cost effective
▶ $10K as a one-time device purchase
▶ $50 per test cartridge (recurring revenue stream)
(1) The device screens for 5 different antibiotics 8
How it works
Place the sample into the cartridge
The sample is placed in a specialized microfluidic cartridge.
The type of cartridge utilized varies with the sample type.
Once attached, the cartridge is placed in the device and the
automated testing process begins.
Bacteria from the sample is captured
Through an automated filtering process, the bacteria is
captured from the sample. For the blood panel, this capturing
process incorporates a step to eliminate hemoglobin from
lysed blood cells.
1 2
9
How it works (Cont’d)
The sample is subdivided into multiple channels, allowing it
to be mixed with specified antibiotics, as well as have two
control channels. Once divided and mixed, the sample
channels are cultivated for 35 minutes in a conducive media.
The sample channels mix with specified reagents before moving
to an analysis chamber. After 15 minutes, the device can confirm
the presence of bacteria in the sample as well as provide
antibiotic sensitivity results for the pre-selected antibiotics.
3 4
Cultivation and antibiotic testing Detection of bacteria presence
10
Technology: Metabolic Activity Detection
0
1
2
3
4
5
Sample TMP-SMX
(Bactrim)
Ceftriaxone Levofloxacin Nitrofurantoin Cephalexin
A high metabolic activity shows that an infection is present
TMP-SMX (marketed as Bactrim) is the go-to drug administered for UTIs
A decline in metabolic activity indicates the antibiotic is working
Metabolic
Activity
11
Team
12
Isabella Penafiel
Bioengineer
Chris Skipwith PhD
Microbiologist
Sam Wuyyuru
Computer Scientist
Mustafa Al-Adhami
Chief Executive Officer
Kevin Tran
Chief Technology
Officer
Rick Faint
Chief Financial
Officer
Scott O’Brian
Chief Commercial
Officer
Courtney Cavin
Engineer
Ayisha Korme
Engineer
Urine-based
Testing
Blood-based
Testing
Advisory Board
Alan Wolfe, PhD
Professor of Microbiology and
Immunology, Loyola
University
Suzanne Groah, MD
Director of the SCI Rehabilitation
and Recovery Program &
Director of Spinal Cord Injury
(SCI) Research at MedStar NRH
Richard Colgan, MD
Professor and Executive Vice Chairman
of the Department of Family and
Community Medicine at University of
Maryland School of Medicine
Alan Cross, MD
Professor of Medicine at the
Center for Vaccine Development
and Global Health
Jeff Hasday, MD, PhD
Head of the Pulmonary and
Critical Care Medicine Division at
the University of Maryland School
of Medicine
Alastair Mackay, PhD
Senior Principal, New Ventures,
University of Maryland at
Baltimore
Shree Koushik, PhD
Managing Partner, BDRA
Consulting, LLC
Mohan Tulapurkar, PhD
Research Associate at
University of Maryland at
Baltimore
Microbiology Neurogenic Diseases Family Medicine
Intensive Care Grantsmanship Regulatory Affairs
Infectious Diseases
ICU
13
Daniel Oberlin, MD
Fellowship-trained Board-
Certified Urologist at Golden
Gate Urology, Inc.
Urology
Pedram Ilbeigi, D.O.
FACS
Board-certified urologist and
CEO, Men’s Health at HALO Dx
Urology
Technology Validation
Technology Pilot Partners
Status: Completed Status: Ongoing Status: Pending
Duration: Jun 2022 - May 2023 Duration: Jul 2023 - Jan 2024 Duration: Mar 2024 - May 2024
Accuracy: A: 82.00%; B: 95.60% Accuracy: A: 96.97%; B: TBD Accuracy: TBD
Early Pilot Results: Jiddu System
UMB Pilot (A)
Jun - Dec 2022
UMB Pilot (B)
Jan - May 2023
MedStar Pilot (A)
Jul 2023 - Sep 2023
MedStar Pilot (B)
Oct 2023 - Jan 2024
Samples 150 208 50 62
Accuracy 82.00% 95.60% 96.97% Alpha Verification
▶ The Jiddu system has already completed 408 tests with increasingly high accuracy over time.
14
IP Overview
Area Patent Disclosure
Test Algorithm (Issued) Method and apparatus for rapid detection of bacterial
contamination. Publication number: 20210223177.
Fluidic Cartridge (Pending) Apparatus for separating the cellular and liquid portions of a whole
blood sample. Publication number: 20210252507.
Reagent Mix (Pending) Method and device for detecting presence, concentration, and
antibiotic resistance of bacteria in urine samples. Application
number: 63/525,510.
Rapid Cartridge Modification System and method for automated translation of user requirements
into engineering specifications and provide instructions for
numerical control (NC) machines. Docket Number: 103662.20100.
15
Pilots Pipeline:
Current Pilots:
Company Validation
Pilot Partners Industry Recognition
Scientific Grants ($1.4m) Investors ($2.6m)
Notable
angels
16
Timeline
>2022 2023 2024 2026
2025
Pre-Seed:
$XXM
Seed:
$XXM
Series A:
TBD
Pre-Series A:
$XXM
Go-to-Market:
10 Pilots
▶ Breadboard
prototype
▶ Technology
validation
▶ Alpha Prototype
(April 2024)
▶ Beta Prototype
(Nov 2024)
▶ Clinical Trials (Jan
2025)
▶ FDA Clearance
(April 2025)
▶ Commercializatio
n strategy and
execution
▶ UMB
▶ MedStar Health
▶ John Hopkins
▶ Halo Dx
▶ VA
▶ Rio Grande Urology
▶ Total Urology
▶ Aceso
▶ Others
UMB Urology Pilot B:
95.60% Accuracy
MedStar Pilot A:
96.97% Accuracy
UMB Urology Pilot A:
82.00% Accuracy
▶ CLIA waiver 17
>2022 2023 2024 2025 2025
Investment Terms
Key Terms Rationale
Amount: $XXM via convertible
notes
Required to get to Series A Target Milestones
Cap: $XXM pre-money cap Astek’s Board is open to a priced term sheet but is
prioritizing speed by offering convertible notes
Discount: XX% In line with market and prior convertible notes
Interest Rate: XX% In line with market and prior convertible notes
Biotechnology Investment
Incentive Tax Credit (BIITC)
▶ Investors (putting in the first $3.6M in the round) are
eligible for a 33% tax refund (up to $250K per investor).
▶ Astek’s management team has already navigated this
state tax incentive program very effectively in the past to
the benefit of current investors
18
Commercial & Exit Strategy
Commercial Strategy
▶ Astek Diagnostics plans to outsource all activities related to the design, manufacturing, delivery
and maintenance of the Jiddu system to vendors like Key Tech.
▶ The company also plans to engage large MedTech players in the distribution of the Jiddu system
while remaining focused on R&D in order to expand the platform to CSF, effluent and blood.
Exit Strategy
▶ In spite of the company’s early stage of development, Astek Diagnostics has already been
approached by several strategic investors regarding a potential acquisition (e.g., BioMerieux, BD,
Qiagen, Bio-Rad, etc).
▶ The company is of significant interest to such industry players, given its platform strategy of
ultimately testing urine, CSF, effluent and blood with the same device but different cartridges.
▶ The Board of Directors believes that upon FDA clearance (expected by April 2025), Astek
Diagnostics will become a prime acquisition target which could be bought out as early as Q1 2025.
19
Comparable Transactions
Transaction Comps
Target Deal Date Buyer Purchase
Price
Revenue Revenue
Multiple
Specific Diagnostics 2022 BioMérieux 417 7 59.5x
Mesa Biotech 2021 Thermo Fisher Scientific 450 40 11.3x
Abaxis 2018 Zoetis 2,000 245 8.2x
STAT-Dx 2018 Qiagen 191 7 27.3x
Accriva Diagnostics 2017 Werfen 380 100 3.8x
BioFire 2014 2014 BioMérieux 450 80 5.6x
Source: Pitch Book and
other public/private
sources
Low 3.8x
High 59.5x
Mean 19.3x
Median 9.7x
20
Executive Summary
Raised
$XXM
Built and verified
a fully functional
platform
prototype
with 95%+ accuracy
21
Currently seeking
in a seed round to
finalize platform
development and
complete clinical trials
$XXM

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  • 1. Saving Lives Through Antibiotic Sensitivity Precision Diagnostics astekdx.com
  • 2. Grand Vision Current Focus Delivery Roadmap Urine CSF Effluent Blood Q1 2025 2026 2027 2028 EXPECTED FDA APPROVAL TIMELINE 2
  • 3. Universal Platform While Astek Diagnostics has prioritized going to market first with a urine-based test, its vision is for the Jiddu system to confirm bacterial infections and assess antibiotic sensitivity across 4 sample types: urine, CSF, effluent, and blood. Urine CSF Effluent Blood 3
  • 4. ▶ UTI confirmation and antibiotic sensitivity in 1 hour. ▶ 408 urine-based tests already completed with increasingly high accuracy over time (c.97% accuracy level currently achieved: MedStar Health pilot). Urine ▶ Meningitis confirmation and antibiotic sensitivity in 1 hour. ▶ Proof of concept data with 12 samples has already been accumulated as part of an active grant from the Henry Jackson Foundation. CSF Comprehensive Approach 4
  • 5. Comprehensive Approach (Cont’d) ▶ Surgical site infection confirmation and antibiotic sensitivity in 1 hour. ▶ Proof of concept data with 12 samples has already been accumulated in advance of ramping up work on this fluid as part of a pending DOD contract. Effluent ▶ Bacteremia confirmation and antibiotic sensitivity test in 1 hour. ▶ Proof of concept data from a study involving 59 ICU patients has already been accumulated with the company as part of an active NSF SBIR Phase 1 grant. Blood 5
  • 6. Current Focus: The UTI Problem 8.1m UTI-caused hospital visits per year in the US (1) $1.6B (4) of annual cost from mistreated UTIs that require hospitalization 47% 47% treated with inappropriate antibiotics (2) Empiric therapy causes antibiotic resistant bacteria to increase by 300% per annum (5) 25% 25% of sepsis cases are caused by UTIs (3) 68,000 lives lost (6) per annum in the US alone as a result of UTI-related sepsis cases 50% accuracy of dipstick urinalysis (7) Current testing is inaccurate Source: (1) Link (2) Link (3) Link (4) The Global Burden of Bacterial Antimicrobial Resistance in Urinary Tract Infections in 2019, by A. J. C. van den Berg et al., published in PLOS Medicine in 2022. (5) Empiric Therapy and the Emergence of Antibiotic Resistance, by J. A. Leggett et al., published in Nature Microbiology in 2019. (6) Link (7) Link 6 72h test processing for urine cultures takes 24-72 hrs Current testing is slow
  • 7. Current Focus: The UTI Problem Mainly caused by overuse and misuse of antimicrobials Leads to the emergence of new and more resistant strains of bacteria The economic cost of AMR in the US alone is estimated at c.$55 billion per year Super Bug Inadequate diagnostics Improper antibiotic prescription Development of resistant strains & serious complications like sepsis Even harder infections Inadequate diagnostics 7
  • 8. The Solution: The Jiddu system 1-Hour Results ▶ Rapid UTI detection ▶ Antibiotic sensitivity indication (1) Point-of-Care Testing ▶ Actionable results ▶ Expedited treatment Ease of Use ▶ Basic training requirement ▶ Automated testing & Disposable cartridges Cost effective ▶ $10K as a one-time device purchase ▶ $50 per test cartridge (recurring revenue stream) (1) The device screens for 5 different antibiotics 8
  • 9. How it works Place the sample into the cartridge The sample is placed in a specialized microfluidic cartridge. The type of cartridge utilized varies with the sample type. Once attached, the cartridge is placed in the device and the automated testing process begins. Bacteria from the sample is captured Through an automated filtering process, the bacteria is captured from the sample. For the blood panel, this capturing process incorporates a step to eliminate hemoglobin from lysed blood cells. 1 2 9
  • 10. How it works (Cont’d) The sample is subdivided into multiple channels, allowing it to be mixed with specified antibiotics, as well as have two control channels. Once divided and mixed, the sample channels are cultivated for 35 minutes in a conducive media. The sample channels mix with specified reagents before moving to an analysis chamber. After 15 minutes, the device can confirm the presence of bacteria in the sample as well as provide antibiotic sensitivity results for the pre-selected antibiotics. 3 4 Cultivation and antibiotic testing Detection of bacteria presence 10
  • 11. Technology: Metabolic Activity Detection 0 1 2 3 4 5 Sample TMP-SMX (Bactrim) Ceftriaxone Levofloxacin Nitrofurantoin Cephalexin A high metabolic activity shows that an infection is present TMP-SMX (marketed as Bactrim) is the go-to drug administered for UTIs A decline in metabolic activity indicates the antibiotic is working Metabolic Activity 11
  • 12. Team 12 Isabella Penafiel Bioengineer Chris Skipwith PhD Microbiologist Sam Wuyyuru Computer Scientist Mustafa Al-Adhami Chief Executive Officer Kevin Tran Chief Technology Officer Rick Faint Chief Financial Officer Scott O’Brian Chief Commercial Officer Courtney Cavin Engineer Ayisha Korme Engineer
  • 13. Urine-based Testing Blood-based Testing Advisory Board Alan Wolfe, PhD Professor of Microbiology and Immunology, Loyola University Suzanne Groah, MD Director of the SCI Rehabilitation and Recovery Program & Director of Spinal Cord Injury (SCI) Research at MedStar NRH Richard Colgan, MD Professor and Executive Vice Chairman of the Department of Family and Community Medicine at University of Maryland School of Medicine Alan Cross, MD Professor of Medicine at the Center for Vaccine Development and Global Health Jeff Hasday, MD, PhD Head of the Pulmonary and Critical Care Medicine Division at the University of Maryland School of Medicine Alastair Mackay, PhD Senior Principal, New Ventures, University of Maryland at Baltimore Shree Koushik, PhD Managing Partner, BDRA Consulting, LLC Mohan Tulapurkar, PhD Research Associate at University of Maryland at Baltimore Microbiology Neurogenic Diseases Family Medicine Intensive Care Grantsmanship Regulatory Affairs Infectious Diseases ICU 13 Daniel Oberlin, MD Fellowship-trained Board- Certified Urologist at Golden Gate Urology, Inc. Urology Pedram Ilbeigi, D.O. FACS Board-certified urologist and CEO, Men’s Health at HALO Dx Urology
  • 14. Technology Validation Technology Pilot Partners Status: Completed Status: Ongoing Status: Pending Duration: Jun 2022 - May 2023 Duration: Jul 2023 - Jan 2024 Duration: Mar 2024 - May 2024 Accuracy: A: 82.00%; B: 95.60% Accuracy: A: 96.97%; B: TBD Accuracy: TBD Early Pilot Results: Jiddu System UMB Pilot (A) Jun - Dec 2022 UMB Pilot (B) Jan - May 2023 MedStar Pilot (A) Jul 2023 - Sep 2023 MedStar Pilot (B) Oct 2023 - Jan 2024 Samples 150 208 50 62 Accuracy 82.00% 95.60% 96.97% Alpha Verification ▶ The Jiddu system has already completed 408 tests with increasingly high accuracy over time. 14
  • 15. IP Overview Area Patent Disclosure Test Algorithm (Issued) Method and apparatus for rapid detection of bacterial contamination. Publication number: 20210223177. Fluidic Cartridge (Pending) Apparatus for separating the cellular and liquid portions of a whole blood sample. Publication number: 20210252507. Reagent Mix (Pending) Method and device for detecting presence, concentration, and antibiotic resistance of bacteria in urine samples. Application number: 63/525,510. Rapid Cartridge Modification System and method for automated translation of user requirements into engineering specifications and provide instructions for numerical control (NC) machines. Docket Number: 103662.20100. 15
  • 16. Pilots Pipeline: Current Pilots: Company Validation Pilot Partners Industry Recognition Scientific Grants ($1.4m) Investors ($2.6m) Notable angels 16
  • 17. Timeline >2022 2023 2024 2026 2025 Pre-Seed: $XXM Seed: $XXM Series A: TBD Pre-Series A: $XXM Go-to-Market: 10 Pilots ▶ Breadboard prototype ▶ Technology validation ▶ Alpha Prototype (April 2024) ▶ Beta Prototype (Nov 2024) ▶ Clinical Trials (Jan 2025) ▶ FDA Clearance (April 2025) ▶ Commercializatio n strategy and execution ▶ UMB ▶ MedStar Health ▶ John Hopkins ▶ Halo Dx ▶ VA ▶ Rio Grande Urology ▶ Total Urology ▶ Aceso ▶ Others UMB Urology Pilot B: 95.60% Accuracy MedStar Pilot A: 96.97% Accuracy UMB Urology Pilot A: 82.00% Accuracy ▶ CLIA waiver 17 >2022 2023 2024 2025 2025
  • 18. Investment Terms Key Terms Rationale Amount: $XXM via convertible notes Required to get to Series A Target Milestones Cap: $XXM pre-money cap Astek’s Board is open to a priced term sheet but is prioritizing speed by offering convertible notes Discount: XX% In line with market and prior convertible notes Interest Rate: XX% In line with market and prior convertible notes Biotechnology Investment Incentive Tax Credit (BIITC) ▶ Investors (putting in the first $3.6M in the round) are eligible for a 33% tax refund (up to $250K per investor). ▶ Astek’s management team has already navigated this state tax incentive program very effectively in the past to the benefit of current investors 18
  • 19. Commercial & Exit Strategy Commercial Strategy ▶ Astek Diagnostics plans to outsource all activities related to the design, manufacturing, delivery and maintenance of the Jiddu system to vendors like Key Tech. ▶ The company also plans to engage large MedTech players in the distribution of the Jiddu system while remaining focused on R&D in order to expand the platform to CSF, effluent and blood. Exit Strategy ▶ In spite of the company’s early stage of development, Astek Diagnostics has already been approached by several strategic investors regarding a potential acquisition (e.g., BioMerieux, BD, Qiagen, Bio-Rad, etc). ▶ The company is of significant interest to such industry players, given its platform strategy of ultimately testing urine, CSF, effluent and blood with the same device but different cartridges. ▶ The Board of Directors believes that upon FDA clearance (expected by April 2025), Astek Diagnostics will become a prime acquisition target which could be bought out as early as Q1 2025. 19
  • 20. Comparable Transactions Transaction Comps Target Deal Date Buyer Purchase Price Revenue Revenue Multiple Specific Diagnostics 2022 BioMérieux 417 7 59.5x Mesa Biotech 2021 Thermo Fisher Scientific 450 40 11.3x Abaxis 2018 Zoetis 2,000 245 8.2x STAT-Dx 2018 Qiagen 191 7 27.3x Accriva Diagnostics 2017 Werfen 380 100 3.8x BioFire 2014 2014 BioMérieux 450 80 5.6x Source: Pitch Book and other public/private sources Low 3.8x High 59.5x Mean 19.3x Median 9.7x 20
  • 21. Executive Summary Raised $XXM Built and verified a fully functional platform prototype with 95%+ accuracy 21 Currently seeking in a seed round to finalize platform development and complete clinical trials $XXM