Company Description
DiaMedica Therapeutics Inc. (Nasdaq: DMAC) is a clinical-stage biopharmaceutical company focused on developing novel treatments for serious ischemic and vascular diseases. According to the company’s public statements, its research is centered on preeclampsia (PE), fetal growth restriction (FGR) and acute ischemic stroke (AIS), conditions associated with significant maternal, neonatal and neurological complications. DiaMedica is incorporated under the laws of British Columbia, Canada and maintains offices in Minneapolis, Minnesota.
The company’s lead product candidate is DM199 (rinvecalinase alfa), described as the first pharmaceutically active recombinant (synthetic) form of the KLK1 protein to be clinically studied in the United States. KLK1 is a serine protease enzyme involved in regulating diverse physiological processes through mechanisms that increase production of nitric oxide, prostacyclin and endothelium-derived hyperpolarizing factor. DiaMedica reports that human-derived KLK1 is an established therapeutic modality in Asia, including China, for the treatment of acute ischemic stroke, preeclampsia and other vascular diseases, and that DM199 is being developed as a recombinant form of this protein.
DiaMedica positions itself as being committed to improving the lives of people suffering from serious ischemic diseases. Company disclosures emphasize a focus on preeclampsia, fetal growth restriction and acute ischemic stroke, with DM199 in clinical development across these indications. In multiple communications, DiaMedica highlights preeclampsia and fetal growth restriction as areas of high unmet medical need due to a lack of approved treatment options, and AIS as an area of urgent unmet need.
Clinical programs and development focus
In preeclampsia, DiaMedica is supporting an investigator-sponsored Phase 2 trial of DM199. Interim results from Part 1a of this study, as reported by the company, showed that DM199 achieved pre-specified safety and efficacy endpoints in women with preeclampsia. The company states that DM199 demonstrated statistically significant and clinically meaningful reductions in systolic and diastolic blood pressure for certain cohorts, as well as a statistically significant reduction in uterine artery pulsatility index, suggesting an improvement in uterine artery blood flow and placental perfusion. DiaMedica also reports that interim data showed no evidence of placental transfer of DM199, which it views as important for minimizing fetal exposure.
The preeclampsia Phase 2 program includes multiple parts. Part 1a involves patients with preeclampsia and planned delivery within a defined time window, and has progressed through multiple cohorts into an expansion cohort at an expected therapeutic dose level. Based on learnings from Part 1a, DiaMedica has described protocol amendments for Parts 1b and 2 to refine treatment regimens, including a cohort focused on early-onset preeclampsia managed expectantly. Part 3 is planned to enroll participants with early-onset fetal growth restriction who do not have preeclampsia, reflecting the company’s interest in extending DM199 evaluation into FGR.
In acute ischemic stroke, DiaMedica is conducting the Phase 2/3 ReMEDy2 trial of DM199. Company updates describe this as a global trial with an adaptive design, with enrollment progressing toward an interim analysis based on a specified number of participants. DiaMedica has indicated that enrollment is advancing and that the trial is intended to evaluate DM199 as a potential treatment option in AIS, building on the historical use of KLK1-based therapies in certain markets.
Regulatory interactions and non-clinical work
DiaMedica has engaged with the United States Food and Drug Administration (FDA) regarding its preeclampsia program. The company reports that it requested and completed an in-person pre-investigational new drug (pre-IND) meeting with the FDA to discuss plans for a U.S. Phase 2 DM199 study in preeclampsia. According to an 8-K filing and accompanying press release, minutes from this meeting affirmed the FDA’s request for an additional non-clinical, 10-day modified embryo-fetal development (EFD) and pre- and postnatal development (PPND) study in a rabbit model before submitting an IND. DiaMedica states that preparations for this study have commenced.
Across its disclosures, DiaMedica underscores the complexity of conducting clinical studies in pregnant women and describes its ongoing engagement with regulators as an important step in advancing DM199 for preeclampsia and fetal growth restriction. The company also notes that its clinical and non-clinical development plans are subject to regulatory feedback and the results of ongoing and future studies.
Pipeline and additional candidates
In addition to DM199, earlier descriptions of DiaMedica’s pipeline reference DM300, a patented recombinant human ulinastatin. DM300 is characterized as a broad-spectrum serine protease inhibitor being developed as a potential therapy for severe acute pancreatitis. While recent company communications focus primarily on DM199 and its applications in preeclampsia, fetal growth restriction and acute ischemic stroke, DM300 remains identified as another product candidate in the company’s development portfolio based on prior summaries.
Capital markets and corporate activity
DiaMedica’s common shares trade on Nasdaq under the symbol DMAC. The company has reported inclusion in the Russell 2000 and Russell 3000 indexes, identifying it as part of the U.S. small-cap equity segment. To support its clinical programs and corporate operations, DiaMedica has utilized both private placements and at-the-market (ATM) offerings.
In a Form 8-K, DiaMedica disclosed a private placement of common shares with accredited investors pursuant to a securities purchase agreement, with stated gross proceeds expected to be used to continue the DM199 preeclampsia clinical development program and for working capital and general corporate purposes. The company also entered into a Sales Agreement with a broker-dealer to offer and sell common shares from time to time in an at-the-market offering under a shelf registration statement, with compensation to the sales agent based on a percentage of gross proceeds.
DiaMedica’s SEC filings and press releases also describe its use of inducement stock option grants under a Nasdaq listing rule as part of compensation for new non-executive employees and for executive appointments, such as the Chief Medical Officer role. These disclosures provide insight into the company’s approach to attracting and retaining personnel with experience in clinical development and rare disease programs.
Management and expertise
Company communications highlight the importance of clinical and scientific leadership in advancing DM199. DiaMedica has announced the appointment of a Chief Medical Officer with more than two decades of experience in biotech and pharmaceuticals, including involvement in drug approvals and preeclampsia drug development. The company describes this experience as relevant to guiding DM199 through later-stage development in preeclampsia and acute ischemic stroke.
Public statements from DiaMedica’s management emphasize the goal of developing what they describe as a potentially disease-modifying therapy for preeclampsia and fetal growth restriction, based on interim trial results and the biological rationale for KLK1-based treatment. At the same time, the company’s forward-looking statements and risk factor references acknowledge that clinical outcomes, regulatory timelines and ultimate approvals remain uncertain.
Risk disclosures and forward-looking information
DiaMedica’s press releases and SEC filings contain cautionary notes regarding forward-looking statements. The company identifies risks and uncertainties that could cause actual results to differ from expectations, including the possibility that existing preclinical and clinical data may not predict results of later trials, potential adverse events, challenges in trial enrollment and site activation, regulatory review outcomes, and the need for continued funding to complete current and planned studies. Investors are directed in these documents to the company’s annual and quarterly reports for detailed risk factors.
Overall, DiaMedica Therapeutics Inc. presents itself, through its public disclosures, as a clinical-stage biopharmaceutical company advancing a recombinant KLK1-based therapy, DM199, across preeclampsia, fetal growth restriction and acute ischemic stroke, supported by ongoing clinical trials, regulatory interactions, and capital-raising activities.