Orchestra BioMed | AVIM Therapy & Virtue SAB Developer

Orchestra BioMed | AVIM Therapy & Virtue SAB Developer

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Company Profile

Orchestra BioMed Holdings, Inc. is a US-based biomedical innovator of    bioelectronic and interventional cardiovascular therapies, headquartered in    New Hope, Pennsylvania, USA. Founded in    2017 by David P. Hochman and Darren R. Sherman, the company operates as a    publicly listed entity on    Nasdaq (OBIO) with    86 employees,    serving global cardiovascular markets through strategic risk-reward sharing partnerships with    Medtronic plc and    Terumo Corporation.

Core Products & Technologies

Bioelectronic Therapy

AVIM Therapy (Atrioventricular Interval Modulation): Investigational bioelectronic therapy delivered as a firmware upgrade to standard dual-chamber pacemakers to substantially and persistently lower blood pressure in hypertensive heart disease patients
   • CNT-HF (Cardiac Neuromodulation Therapy for Heart Failure): Preclinical bioelectronic candidate designed to reduce chronic sympathetic nervous system activity in heart failure

Interventional Drug Delivery

Virtue Sirolimus AngioInfusion Balloon (Virtue SAB): First-of-its-kind non-coated microporous angioplasty balloon system delivering proprietary extended-release sirolimus formulation (SirolimusEFR™) for atherosclerotic artery disease
   • BACKBEAT Global Pivotal Study: Ongoing trial evaluating AVIM Therapy safety and efficacy in pacemaker-indicated patients with uncontrolled hypertension; target enrollment completion mid-2026
   • Virtue Trial (US IDE Pivotal): Ongoing 740-patient, 75-site US pivotal trial comparing Virtue SAB to paclitaxel-coated balloon for coronary in-stent restenosis; target enrollment completion mid-2027

Market Position & Certifications

Orchestra BioMed holds an emerging leadership position in the    partnership-driven cardiovascular therapy space, competing with    Boston Scientific (Agent paclitaxel-coated balloon) in coronary ISR and developing novel bioelectronic alternatives to pharmacologic hypertension management. Key strengths include:

9 years of US biomedical innovation heritage
   • Dual breakthrough designations: FDA Breakthrough Device Designation for AVIM Therapy (uncontrolled hypertension, April 2026) and Virtue SAB (coronary ISR, coronary small vessel disease, below-the-knee PAD)
   • Strategic partnerships: AVIM co-development with Medtronic; Virtue SAB coronary ROFR and $30M strategic agreement with Terumo
   • Clinical evidence: MODERATO II showed immediate 13.2 mmHg oSBP reduction and 97% patient response rate; sustained 8.1 mmHg 24-hour aSBP reduction at 6 months
   • Strong balance sheet: $106.5M cash as of December 2025, further enhanced by $35M received from Medtronic and Ligand in May 2026

Corporate Timeline

2017 — Founded in New Hope, Pennsylvania, USA
   2022 — Completed SPAC merger and began trading on Nasdaq (OBIO)
   2023 — Reported positive MODERATO II six-month data for AVIM Therapy
   2024 — Received FDA IDE approval for Virtue SAB coronary ISR pivotal trial
   2025 — Enrolled first patients in Virtue Trial (October); entered new $30M ROFR agreement with Terumo (October); secured nearly $150M in total capital and committed capital
   2026 — FDA granted second Breakthrough Device Designation for AVIM Therapy (April); received $35M strategic capital from Medtronic ($20M) and Ligand ($15M) (May); target completion of BACKBEAT enrollment mid-2026

Target Markets & Applications

Uncontrolled Hypertension: AVIM Therapy for pacemaker-indicated patients with systolic BP above target despite medication, addressing an estimated 7.7 million US adults
   • Coronary In-Stent Restenosis: Virtue SAB for coronary ISR lesions occurring in up to 10% of stented patients annually
   • Peripheral Artery Disease: Virtue SAB for below-the-knee arterial disease via non-coated sirolimus delivery

Contact Information

Global Headquarters

Address: 150 Union Square Drive, New Hope, PA 18938, USA

Corporate Status

Entity Type: Publicly Listed Company (No Parent Company)
   Stock: Nasdaq: OBIO
   Website: orchestrabiomed.com
   Investor Relations: investors.orchestrabiomed.com

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