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Healios | Company Profile | iPS Cells & Regenerative Medicine

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COMPANY PROFILE / iPS CELLS & REGENERATIVE MEDICINE

Healios
It has an iPS cell technology base, but its lead product today is HLCM051, an adult bone-marrow stem cell therapy. It has no approved product yet

Healios was founded in 2011 to treat age-related macular degeneration with retinal cells derived from iPS cells. As of October 2026, however, it has no approved product, and its revenue for the year ended December 2025 was just ¥104 million. Its top priority now is not iPS cells but a treatment for acute respiratory distress syndrome (ARDS) based on HLCM051 (invimestrocel), a somatic stem cell product derived from adult bone marrow, for which it is preparing an application for conditional and time-limited approval in Japan. On the iPS cell side it has the "universal donor cell" (UDC), an iPS cell line gene-edited to be less prone to immune rejection; a genetically modified NK cell, "eNK"; and the ophthalmic retinal pigment epithelial cell product "HLCR011" (led by RACTHERA, successor to Sumitomo Pharma's business). Its Annual Securities Report also records a situation that casts material doubt on the going-concern assumption. This profile sets out what the company has invested, who it works with, what has been confirmed and what remains open, using primary sources only.

Primary sources: Healios's Annual Securities Report for the year ended December 2025 (filed 24 March 2026), its Interim Report for January to June 2026 (filed 12 August 2026), timely disclosures and results briefing materials, and the jRCT and ClinicalTrials.gov registries. Last updated October 2026.

What this article covers
  1. Healios in 30 seconds, and where it stands in iPS cells and regenerative medicine
  2. The logo and how the name is written
  3. Where the company sits in iPS cells and regenerative medicine
  4. Scale of the company
  5. Resources committed to iPS cells and regenerative medicine
  6. Track record so far
  7. Plans ahead
  8. What the company is aiming for in iPS cells and regenerative medicine
  9. Partnership map
  10. Technologies, products and services
  11. The risks this company carries
  12. Glossary, references and claim-to-source audit

1. Healios in 30 seconds, and where it stands in iPS cells and regenerative medicine

LEGAL NAMEHEALIOS K.K.Originally Japan Retinal Research Institute Co., Ltd.
HEADQUARTERSYurakucho, Chiyoda-ku,
Tokyo
As stated in the interim report (August 2026). Research laboratory in Kobe
LISTINGTSE Growth: 4593Listed on the TSE Mothers market in June 2015. Fiscal year ends in December; reports under IFRS
CATEGORYiPS cell & cell therapy
(led by a somatic stem cell product)
iPS cells are a pillar of long-term strategy; the near-term lead is somatic stem cells
HOW IT WORKSBone-marrow-derived somatic stem cells given by intravenous dripHLCM051. On the iPS side: cells engineered to resist immune rejection, and modified NK cells
APPROVAL STATUSNo approved productsPreparing a conditional and time-limited approval application for ARDS
REVENUE¥104 millionYear ended December 2025 (consolidated; ¥560 million the year before)
EMPLOYEES75Consolidated, as of 31 December 2025 (27 temporary staff not included)
The one thing to grasp first

Healios is known as an "iPS cell company", but its business has two layers Sourced. The company's strategy has two parts: in the short term, a somatic stem cell product (HLCM051) with a prospect of approval in Japan; in the long term, a base technology that uses iPS cells. On the iPS side, the trial of retinal pigment epithelial cells for the eye has been led since 2019 by the Sumitomo Pharma side (now RACTHERA), and as far as the primary sources show, no trial of an iPS cell-derived product led by Healios itself has started. In addition, the company expressly states in its financial results that there is a situation that casts material doubt on the going-concern assumption (the company judges that, given its countermeasures, there is no material uncertainty). This article does not judge the merits of any product or whether a treatment is appropriate; it sets out the company's current state from primary sources.

2. The logo and how the name is written

A note on names: the company is HEALIOS K.K. It was established in February 2011 as Japan Retinal Research Institute Co., Ltd. and took its present name in September 2013. Its US subsidiary is Healios NA, Inc., so care is needed not to confuse it with companies of similar name. The product name "HLCM051" corresponds to MultiStem (generic name invimestrocel), developed by the US company Athersys; in April 2024 Healios acquired substantially all of Athersys's assets and holds the global rights. The iPS cell-derived ophthalmic product "HLCR011" is being taken through trials mainly by RACTHERA, which took over Sumitomo Pharma's business.

Official site: https://www.healios.co.jp/

3. Where the company sits in iPS cells and regenerative medicine

Three types of company in iPS cells and regenerative medicine All are "regenerative medicine companies", yet they treat patients in entirely different ways Large pharma & strategic partners Genome editing & gene therapy iPS cell & cell therapy Enters by deal; has sales channels Rewrites genes directly to treat Makes cells, then transplants them Vertex / Novartis Bristol Myers Squibb and others CRISPR Therapeutics / Intellia Beam / Prime Medicine and others Fate / Sana Cuorips / Heartseed and others Funds for late trials and sales Editing tools and safety know-how Cell manufacturing and QC scale Thin in-house cell and gene base Hit by partners' change of course Costly to make; long-term safety Healios is in the right-hand type, yet its lead product is an adult bone-marrow stem cell therapy No company-led iPS trial yet; RACTHERA leads in ophthalmology; nothing is approved
Fig. 1 The three types of company in iPS cells and regenerative medicine, and where Healios sits. The classification is our own, and the example companies are drawn from those covered in this series Our calculation. That Healios operates in two fields, "somatic stem cell regenerative medicines" and "iPSC regenerative medicines", and that no company-led trial of an iPS cell-derived product has started, is based on its Annual Securities Report and Interim Report.

In terms of how it treats patients, Healios's lead is an allogeneic cell therapy: somatic stem cells from the bone marrow of a healthy adult donor, given intravenously by drip. The Annual Securities Report explains that these cells are thought to work by suppressing the activation of inflammatory immune cells Sourced. On the iPS cell side, there are allogeneic iPS cells (UDC) engineered to be less prone to immune rejection, as a "raw material", NK cells strengthened by gene introduction (eNK), a suspension of retinal pigment epithelial cells and so on. For the difference between allogeneic and autologous cells, see our explainer on autologous and allogeneic cells in this series; for how immune rejection is suppressed, see our explainer on MHC and universal donor cells.

4. Scale of the company

Healios is a small research-led company with almost no revenue. Amounts are in Japanese yen under IFRS, and the fiscal year runs from January to December Sourced.

Metric (consolidated, ¥ millions)FY ended Dec 2023FY ended Dec 2024FY ended Dec 2025Jan to Jun 2026
Revenue12156010415
Loss before tax−3,626−4,061−2,126−2,278
Loss attributable to owners of the parent−3,823−4,235−2,217−2,286
Cash flow from operating activities−2,822−1,817−3,165−2,514
Cash and cash equivalents at period-end6,7223,6725,6799,074
Employees (people, at period-end)646575-

R&D expense for the year ended December 2025 was ¥2,024 million (¥1,960 million the year before), and for January to June 2026 it was ¥1,733 million (¥1,066 million in the same period a year earlier). There were 115,727,200 shares in issue (31 December 2025), and potential shares from stock acquisition rights came to 24,404,700 (21.1% of shares in issue).

A caution

The Annual Securities Report and the Interim Report both state that a situation exists that casts material doubt on the going-concern assumption. The reason is continuing operating losses and negative operating cash flow. The company has judged that there is currently no material uncertainty, because it is taking countermeasures: securing revenue sources, developing the ARDS treatment, finding partners, cutting costs and having stock acquisition rights exercised Sourced. This does not mean the company is failing, but it does show that this is a company whose business plan depends directly on whether it can raise funds.

5. Resources committed to iPS cells and regenerative medicine

Healios spends the same company's money on two fields, somatic stem cells and iPS cells, and the amount for iPS cells alone is not disclosed. We separate what could be confirmed from what could not.

Type of resourceDetailsCategory
People (headcount)75 consolidated employees (57 in R&D and 18 in administration, 31 December 2025; 27 temporary staff not included). 66 on a non-consolidated basis. The number dedicated to iPS cells is not disclosedCould not be confirmed (dedicated headcount)
People (sites)Kobe Research Laboratory in Kobe (opened 2013). A company-managed cell processing facility for eNK cells in the Kobe Medical Innovation Center (operating since July 2022), and a cell processing facility for culture supernatant in the Kobe Biomedical Creation Center (operating since January 2026)Sourced
Money (R&D expense)¥2,024 million in the year ended December 2025 (¥1,960 million the year before) and ¥1,733 million in January to June 2026 (¥1,066 million a year earlier). The split between somatic stem cells (HLCM051) and iPS cells is not disclosedSourced
Money (fundraising)On 29 January 2026 the board resolved to issue 19,275,000 new shares (¥325 each, about ¥6.26 billion) and the 27th series of stock acquisition rights to seven overseas investment funds; payment was completed on 13 February. Proceeds from "issuance of new shares" in January to June 2026 were ¥6,098 million. Cash and cash equivalents at the end of June 2026 were ¥9,074 millionSourced
Money (manufacturing facilities and public funding)A subsidy of about ¥7 billion under the Ministry of Economy, Trade and Industry (METI) subsidy for regenerative-medicine CDMO capacity (award decided on 27 March 2026). A cell processing facility is to be built in rented laboratory space in Kobe, with operations planned for January 2028. The company says it aims for a scale able to supply an ARDS treatment for 40,000 patients a year, with a 500 L bioreactorSourced
Investment in and acquisition of other companiesIn April 2024 it acquired substantially all of the assets of the US company Athersys (after Athersys entered bankruptcy proceedings), gaining the global rights to MultiStem/HLCM051. It holds as a consolidated subsidiary a fund investing in regenerative medicine (Saisei Bioventures, L.P.). No acquisition of an iPS cell-related company is stated in the Annual Securities ReportSourced
Technology brought in (licences)iPS Academia Japan (the basic patents on establishing iPS cells; non-exclusive), RIKEN (patents on retinal pigment epithelial cells; exclusive), Yokohama City University (organ bud technology), and RIKEN and Osaka University (the manufacturing method for retinal pigment epithelial cells, April 2024). The consideration is a certain royalty, and the amount is not disclosedSourced
Technology licensed outA non-exclusive licence outside Japan of the manufacturing patents for retinal pigment epithelial cells to Astellas Institute for Regenerative Medicine (upfront payment of US$3 million, and US$8 million on US approval). A GMP-grade iPS cell line supplied to RxCell (upfront payment of US$0.5 million). UDC and iPS cell lines supplied to more than ten companies in Japan and overseas for evaluationSourced
Links with universities and research institutesNational Cancer Center Japan, Hyogo Medical University, Hiroshima University, Kyushu University (eNK/CAR-eNK cells), the Institute of Medical Science of the University of Tokyo (liver bud), the National Center for Global Health and Medicine (pancreatic beta cells from UDC), and Northwestern University in the United States. A grant from CIRM (California Institute for Regenerative Medicine) for research on next-generation UDC (decided October 2023), and a grant from Japan's AMED for non-clinical research on eNK cells (decided December 2024)Sourced

6. Track record so far

WhenWhat happenedWhat it means
February 2011Founded as Japan Retinal Research Institute Co., Ltd. Began developing a treatment for age-related macular degeneration by transplanting retinal pigment epithelial cells derived from iPS cellsOphthalmic use of iPS cells was the starting point
February to December 2013Obtained patent licences from iPS Academia Japan and RIKEN. In December agreed with Dainippon Sumitomo Pharma (now Sumitomo Pharma) to co-develop retinal pigment epithelial cell products in JapanThe ophthalmic development set-up was settled
June 2015Listed on the TSE Mothers market-
January 2016Signed a licence agreement with the US company Athersys for the somatic stem cell product MultiStem in JapanThe somatic stem cell pillar was created
June 2019New co-development agreement with Sumitomo Pharma. The party running clinical trials changed to the Sumitomo Pharma side. Healios is to receive royalties totalling ¥1 billion as development milestones, according to progress of the retinal pigment epithelial cell productLeadership of the ophthalmic trials moved over
2020 to 2021UDC clinical-grade line (2020) and master cell bank (2021) completedBase technology for iPS cells put in place
June 2023Phase 1/2 trial of HLCR011 in retinal pigment epithelium tear began (led by the Sumitomo Pharma side)Start of a trial using Healios's technology
April 2024Acquired Athersys's assets and gained the global rights to MultiStem/HLCM051The somatic stem cell rights came in-house
June 2024Basic business alliance agreement and a bond purchase agreement with Alfresa. Licence agreement with Astellas Institute for Regenerative MedicineSecuring a sales network and funding
January 2025Established Akatsuki Therapeutics (a consolidated subsidiary), and signed a joint business agreement and a licence option agreement under which it leads R&D on eNK cellsA mechanism for raising money for eNK cells outside the company
August 2025A Japanese patent on UDC was granted (a Chinese patent grant on 19 August 2026 was also disclosed)Intellectual property for the base technology
October 2025Collaboration with Minaris Advanced Therapies on commercial production of HLCM051. The business and capital alliance with Nikon was dissolvedManufacturing set-up rearranged
9 December 2025Announced that it would prioritise development of the ARDS treatment and would not make a rolling submission of application materials for acute ischaemic strokeResources narrowed
3 February 2026Ready to start the Japanese part of the global Phase 3 trial of the ARDS treatment (REVIVE-ARDS) (the clinical trial notification was filed on 20 January)The confirmatory trial for conditional and time-limited approval
27 March 2026METI subsidy (about ¥7 billion) awardedFoundation for the CDMO business
24 August 2026Obtained again a marketing authorisation holder licence for regenerative medicine products from the Governor of Hyogo Prefecture (disclosed on 31 August)Part of the set-up needed to sell after approval

7. Plans ahead

ARDS TREATMENT (JAPAN)Preparing a conditional and time-limited approval applicationTiming not disclosed. The company says the application is taking time
GLOBAL PHASE 3REVIVE-ARDS
up to 550 patients
Preparing to start in Japan from February 2026. Preparing in the US and elsewhere outside Japan
MANUFACTURINGPreparing commercial production at Minaris (Yokohama)Full-scale manufacturing at 50 L completed; engineering run in progress
CDMO SITEOperations planned for
January 2028
Kobe. 500 L bioreactor, subsidy of about ¥7 billion
Planned or in-development itemWhere it stands (company's account)Category
HLCM051 (ARDS)Preparing to apply in Japan for conditional and time-limited approval, on the basis of the results of the ONE-BRIDGE trial (Phase 2) in Japan and the MUST-ARDS trial in the US and UK, with the REVIVE-ARDS trial as the confirmatory trial. REVIVE-ARDS is double-blind, randomised and placebo-controlled, with up to 550 patients (275 on HLCM051, 275 on placebo) and interim analyses at 300 and 400 patients. The primary endpoint is ventilator-free days (VFD) over 28 days, and a secondary endpoint is mortality within 90 days of dosingNot yet confirmed
HLCM051 (acute ischaemic stroke, trauma)For stroke, because the primary endpoint was not met in the TREASURE trial in Japan, the company is considering its development policy in discussion with regulators and does not plan a rolling submission of application materials. For trauma, a 156-patient Phase 2 trial (MATRICS-1), funded by the US Department of Defense and others, is under wayNot yet confirmed
HLCR011 (iPS cell-derived retinal pigment epithelial cells)A Phase 1/2 trial in Japan in retinal pigment epithelium tear (jRCT2073230077, company-sponsored) is under way, led by RACTHERA (formerly Sumitomo Pharma's regenerative and cell medicine business). Status: recruitingNot yet confirmed
eNK cells (AKT-01 / HLCN061)Research on gene-engineered iPS cell-derived NK cells for solid tumours. The company is consulting the PMDA and the US FDA with the aim of starting a trial. R&D is led by Akatsuki Therapeutics, with Healios acting as contractor. Research on CAR-eNK cells (brain tumour, glioma) is also under wayNot yet confirmed
UDC (universal donor cell)An allogeneic iPS cell platform that suppresses immune rejection regardless of HLA type. The clinical-grade line and master cell bank are complete. Supplied to more than ten companies in Japan and overseas for evaluation. Pancreatic beta cells have been made from UDC (joint research with the National Center for Global Health and Medicine). The company's own trial has not startedNot yet confirmed
Liver bud (HLCL041)Being prepared for carve-out from the company, to be advanced jointly with outside partners such as venture capitalNot yet confirmed
Culture supernatant (HLSI071 and others)An effort to sell culture supernatant, a by-product of cell manufacturing, as a cosmetics ingredient and similar. Shipment of the first order from JENECELL (Korea), worth ¥144 million, slipped to October 2026 because of delays in logistics procedures, so the revenue is expected to be booked in the fourth quarter (disclosure of 30 September 2026)Not yet confirmed
What could not be confirmed

None of the following appears in the primary sources, or the company has not disclosed it Not yet confirmed.

The specific timing of the ARDS treatment's approval application and its expected approval date / when a trial of eNK cells will start / plans for a company-led trial using UDC / when HLCR011 will be filed for approval (RACTHERA's plan) / when the REVIVE-ARDS trial will start in the United States (it says only that an IND is being prepared). In its results briefing materials of August 2026 the company explains that the timing of the Japanese application does not wait for the REVIVE-ARDS results, but that the results are a precondition for full approval and for expansion into the US and Europe. This article does not use timings or market-size figures from press reports.

8. What the company is aiming for in iPS cells and regenerative medicine

This section includes things the company does not say directly. We set them out as inferences within what the primary sources support, with the evidence for each.

What the evidence suggestsPrimary information it rests onCategory
For now the axis of the business has shifted to HLCM051 (ARDS), not iPS cellsIn December 2025 it announced that it would prioritise development of the ARDS treatment and set aside the rolling submission. The main milestones in the 2026 results briefing materials are also centred on the ARDS approval application, commercial manufacturing and building a sales organisationInference
For iPS cells the weight is on taking the materials and base technology outside and earning from themUDC and iPS cell lines supplied to more than ten companies; an upfront payment from supplying RxCell; and an upfront payment of US$3 million (US$8 million on US approval) for licensing patents to Astellas Institute for Regenerative MedicineInference
Development of iPS cell-derived therapeutics is being handed to outside funding and outside partiesThe Sumitomo Pharma side leads on retinal pigment epithelial cells, Akatsuki leads on eNK cells with Healios as contractor, and the liver bud is to be carved outSourced
It sees the CDMO business as a candidate for a stable source of revenueIt is building a CDMO site in Kobe with a subsidy of about ¥7 billion and sets becoming the world's number one cell medicine maker as its business policy. Sales of culture supernatant are also described as a way of securing revenueInference
The ultimate goal is to keep a set-up that takes iPS cell products through to approval and sales in-houseThe basic management policy says build a system to carry out approval and sales ourselves around the world. This differs, however, from its present prioritiesSourced
One piece of evidence in more detail

The reading that "iPS cells are a matter of taking the materials outside and earning from them" rests on the kinds of consideration the company is actually receiving. The material contracts in the Annual Securities Report include an upfront payment of US$0.5 million from RxCell, an upfront payment of US$3 million from Astellas Institute for Regenerative Medicine with US$8 million due on US approval, and development milestones totalling ¥1 billion from the Sumitomo Pharma side (according to progress of the retinal pigment epithelial cell product) Sourced. Yet revenue for the year ended December 2025 was only ¥104 million, so most of this consideration has not yet turned into revenue. We therefore think that the iPS cell technology is valued by outside parties, but this is not yet showing up much in the company's own earnings Not yet confirmed. This inference says nothing about which technology is better or whether it will succeed.

9. Partnership map

Partnership and support links centred on Healios Only links stated in the securities report, interim report and disclosures; press-reported links excluded Healios Somatic + iPS RACTHERA Co-develops ophthalmic cells Astellas Institute Licensed retinal cell patents RIKEN, Osaka University Retinal cell patents licensed in Akatsuki Therapeutics Leads eNK cell R&D Kyushu Univ. and others CAR-eNK cell joint research Minaris Advanced Commercial production of HLCM051 Satake Multimix Culture equipment (capital tie) Alfresa, JENECELL Culture supernatant trade, sales METI Facility subsidy, about ¥7 billion 7 overseas funds New shares, ¥6.26 bn (Feb 2026) Co-development, licensing Manufacturing, equipment, supernatant Equity, public funds (dotted)
Fig. 2 Partnership and support links centred on Healios. Sources: the Annual Securities Report for the year ended December 2025, the Interim Report for 2026, timely disclosures and the results briefing materials of 12 August 2026. The figure includes only links stated in official materials, not links reported in the press. RACTHERA is the joint venture with Sumitomo Chemical that took over Sumitomo Pharma's regenerative and cell medicine business. Another customer for culture supernatant, AND medical group, is in litigation with Healios, so it is not in the figure and is dealt with in section 11.

How to read the figure: Healios leaves development of the ophthalmic iPS cell product to RACTHERA and of eNK cells to Akatsuki, and concentrates itself on the somatic stem cell HLCM051 and the iPS cell base technology (UDC). On manufacturing, it has a two-step approach: it outsources commercial production of HLCM051 to Minaris while building its own CDMO site in Kobe (with a subsidy of about ¥7 billion) Sourced.

10. Technologies, products and services

ItemDetails (from the Annual Securities Report and public materials)
HLCM051 (invimestrocel)Somatic stem cells (MultiStem) derived from the bone marrow of healthy adult donors. An allogeneic product given intravenously for ARDS, acute ischaemic stroke and trauma. Thought to suppress the activation of inflammatory immune cells and so limit excessive inflammation in the lungs and damage to the capillary endothelium. Made by three-dimensional culture (bioreactor). Designated an orphan regenerative medicine product in Japan for ARDS (November 2019). The filings say it has received Fast Track and RMAT designations from the US FDA (stated in a note to the list of development items)
UDC (universal donor cell)Allogeneic iPS cells from which the HLA genes have been removed, into which genes involved in immunosuppression and a suicide gene as a safety switch have been introduced. Supplied as a raw material for cell therapy. Patents granted in Japan (August 2025) and China (August 2026)
eNK cellsiPS cell-derived NK cells in which gene introduction has raised cytotoxic activity and strengthened the ability to recruit the patient's immune cells and to infiltrate tumours. Antitumour effects have been confirmed in animal models of lung cancer, mesothelioma, liver cancer and gastric cancer (results in animals and organoids)
HLCR011A product in which allogeneic iPS cells are differentiated into retinal pigment epithelial cells, purified and given as a suspension under the retina. A Phase 1/2 trial in retinal pigment epithelium tear is under way, led by RACTHERA
Culture supernatantThe liquid fraction obtained when cells are cultured. Supplied as a raw material for cosmetics and as material for therapies. Trades with AND medical group, Alfresa, JENECELL and others
CDMO (contract development and manufacturing)A business that takes on process development, manufacturing and quality control as one package. Operations planned for January 2028 in Kobe
A materials engineer's view: from the "flat culture dish" to the bioreactor

In this company's product, what matters for materials and processes is the step that culture cells in large quantities in three dimensions Sourced. The company's results briefing explains that conventional two-dimensional culture is manual work in culture dishes, which tends to produce lot-to-lot differences and requires experienced staff to be sent for technology transfer, whereas fully automated culture in a closed bioreactor is more reproducible and easier to transfer. It has already completed full-scale manufacturing at the 50 L scale and is carrying out an engineering run (checking under the same conditions as real production); next it plans a PPQ run, repeated commercial-scale manufacture under GCTP to confirm quality. In future it aims for 40,000 patients a year with a 500 L unit (the company's materials assume equipment from Sartorius, with a note that its use is not guaranteed).

In three-dimensional suspension culture in general, the specifications of materials and processes such as culture medium, cell scaffolds (carriers), agitation conditions, harvest and concentration steps, cryopreservation solution and single-use culture bags affect product quality and cost Not yet confirmed. Which materials Healios uses has not been disclosed. On the other hand, the company discloses that moving the commercial production site from overseas to Minaris's Yokohama site meant rebuilding from the technology transfer (section 11). See also our explainers in this series on bioreactors, cell manufacturing and cell banks, GMP, and CDMO.

11. The risks this company carries

RiskDetailsCategory
Going-concern assumptionOperating losses (¥3,340 million in the year ended December 2025 and ¥2,404 million in January to June 2026) and negative operating cash flow continue, and the filings state that there is a situation that casts material doubt. The company judges that, given its countermeasures, there is no material uncertainty. The countermeasures include raising funds through the exercise of stock acquisition rightsSourced
Dilution of sharesPotential shares from stock acquisition rights are 24,404,700 (end of December 2025, 21.1% of shares in issue). New shares and the 27th series of stock acquisition rights were also issued in 2026Sourced
The approval application is delayedThe company says the application is taking time, giving as the reason that moving the commercial production site from overseas to Minaris's Yokohama site meant rebuilding from the technology transfer. The timing of the application is not disclosedSourced
Dependence on the result of the confirmatory trialUnder conditional and time-limited approval, efficacy must be shown in the confirmatory trial (REVIVE-ARDS) within the period. The company itself explains that the results are a precondition for full approval and for expansion into the US and Europe. There is always a chance that the trial will not proceed as planned or will not meet its primary endpointSourced
Missed endpoints in past trialsThe TREASURE trial in acute ischaemic stroke (Phase 2/3, double-blind, placebo-controlled, 206 enrolled) did not meet its primary endpoint. The MASTERS-2 trial in the US and Europe concluded that further enrolment was needed for statistical significance, and ClinicalTrials.gov shows it as terminatedSourced
Leadership of iPS cell products lies with other companiesThe ophthalmic HLCR011 is led by the Sumitomo Pharma side (now RACTHERA), and eNK cells by Akatsuki. Healios's revenue depends on milestones tied to the progress of the other side's trialsInference
Litigation with a trading partnerAND medical group (a general incorporated association) claims ¥120 million plus litigation costs from Healios, alleging breach of the joint research agreement on culture supernatant (April 2024) (Tokyo District Court, filed November 2025). In June 2026 Healios filed a counterclaim seeking payment of ¥66 million plus delay damages. No ruling has been givenSourced
Small staff and reliance on outside manufacturing75 consolidated employees. Commercial production is at Minaris, and its own CDMO site is planned to open in January 2028 and partly depends on the subsidyInference

12. Glossary

Somatic stem cell
A stem cell found in tissues such as bone marrow. It can change into fewer kinds of cell than an iPS cell.
HLCM051 (MultiStem)
An allogeneic somatic stem cell product from the bone marrow of healthy adult donors, developed by Healios. Generic name invimestrocel.
ARDS (acute respiratory distress syndrome)
A condition in which, after pneumonia, injury or the like, fluid builds up in the lungs and causes severe respiratory failure.
VFD
Ventilator-free days: the number of days (out of 28) without a ventilator. The primary endpoint of the REVIVE-ARDS trial.
Conditional and time-limited approval
A Japanese system that lets a regenerative medicine product go on the market early, with conditions and a time limit, when a small trial has confirmed safety and some efficacy can be expected. Efficacy is then confirmed after launch.
UDC
Universal donor cell. An allogeneic iPS cell made less prone to immune rejection by gene editing.
NK cell
Natural killer cell. An immune cell (a type of white blood cell) that attacks cancer cells and virus-infected cells.
Retinal pigment epithelial cell
A cell that supports the photoreceptors of the retina, supplying nutrients and breaking down waste.
Culture supernatant
The liquid left after cells have been cultured. It contains proteins and other substances the cells have secreted.
CDMO
Contract development and manufacturing organisation. A company that develops and manufactures drugs or cells on commission.
PPQ
Process performance qualification. A step of repeated commercial-scale manufacture to confirm that quality is stable and meets specifications.
Going-concern assumption
The accounting premise that a company will continue in business into the future. Where there is doubt, it is noted in the financial statements.
Fig. 3 Concept diagram of how somatic stem cells are grown in large quantities in three dimensions, made into a preparation and delivered to hospitals (AI-generated concept; it does not depict actual equipment or products).

13. References

  1. Healios Annual Securities Report (15th fiscal year, year ended December 2025, filed with the Kanto Local Finance Bureau on 24 March 2026) (in Japanese). History, business description, management policy, risks, going-concern assumption, R&D activities and material contracts. https://ssl4.eir-parts.net/doc/4593/yuho_pdf/S100XTBP/00.pdf
  2. Healios Interim Report (first half of the 16th fiscal year, January to June 2026, filed 12 August 2026) (in Japanese). https://ssl4.eir-parts.net/doc/4593/yuho_pdf/S100YVX6/00.pdf
  3. Healios Second-quarter results briefing materials for the year ending December 2026 (12 August 2026) (in Japanese). Progress on the ARDS application and manufacturing, and the bioreactor. https://ssl4.eir-parts.net/doc/4593/tdnet/2871247/00.pdf
  4. Healios Timely disclosure, "On the development and application policy for HLCM051 (ARDS and acute ischaemic stroke)" (9 December 2025) (in Japanese). https://ssl4.eir-parts.net/doc/4593/tdnet/2729220/00.pdf
  5. Healios Timely disclosure, "Start of the global Phase 3 trial of the ARDS treatment (REVIVE-ARDS) in Japan" (3 February 2026) (in Japanese). https://ssl4.eir-parts.net/doc/4593/tdnet/2749345/00.pdf
  6. Healios Timely disclosure, "Notice of award decision for the Ministry of Economy, Trade and Industry FY2024 supplementary budget subsidy for investment in manufacturing facilities for regenerative, cell and gene therapies" (27 March 2026) (in Japanese). https://ssl4.eir-parts.net/doc/4593/tdnet/2782569/00.pdf
  7. Healios Timely disclosure, "Notice on obtaining a marketing authorisation holder licence for regenerative medicine products" (31 August 2026) (in Japanese). https://ssl4.eir-parts.net/doc/4593/tdnet/2879456/00.pdf
  8. Healios Timely disclosure, "Notice of collaboration with Minaris Advanced Therapies on commercial production of HLCM051" (7 October 2025) (in Japanese). https://ssl4.eir-parts.net/doc/4593/tdnet/2694919/00.pdf
  9. Healios Timely disclosure, "Notice on the issuance of new shares and the 27th series of stock acquisition rights by third-party allotment" (29 January 2026) (in Japanese). https://ssl4.eir-parts.net/doc/4593/tdnet/2745520/00.pdf
  10. Healios Timely disclosure, "Notice on the shipment timing of the first order of culture supernatant products to JENECELL" (30 September 2026) (in Japanese). https://ssl4.eir-parts.net/doc/4593/tdnet/2889294/00.pdf
  11. Healios Timely disclosure, "Notice of a lawsuit for damages filed against the company" (29 December 2025) (in Japanese). https://ssl4.eir-parts.net/doc/4593/tdnet/2736557/00.pdf
  12. Healios Timely disclosure, "Notice of a counterclaim in the lawsuit against the company" (9 June 2026) (in Japanese). https://ssl4.eir-parts.net/doc/4593/tdnet/2833387/00.pdf
  13. Ministry of Health, Labour and Welfare (MHLW) Japan Registry of Clinical Trials (jRCT), jRCT2073230077, "Phase I/II study of HLCR011 in patients with retinal pigment epithelium tear" (in Japanese). https://jrct.mhlw.go.jp/latest-detail/jRCT2073230077
  14. U.S. National Library of Medicine ClinicalTrials.gov NCT03807804 (ONE-BRIDGE trial, Phase 2 in ARDS in Japan). https://clinicaltrials.gov/study/NCT03807804
  15. U.S. National Library of Medicine ClinicalTrials.gov NCT02611609 (MUST-ARDS trial, Phase 1/2 in ARDS in the US and UK). https://clinicaltrials.gov/study/NCT02611609
  16. U.S. National Library of Medicine ClinicalTrials.gov NCT02961504 (TREASURE trial, Phase 2/3 in acute ischaemic stroke). https://clinicaltrials.gov/study/NCT02961504
  17. U.S. National Library of Medicine ClinicalTrials.gov NCT04533464 (MATRICS-1 trial, Phase 2 in trauma). https://clinicaltrials.gov/study/NCT04533464
  18. U.S. National Library of Medicine ClinicalTrials.gov NCT03545607 (MASTERS-2 trial, acute ischaemic stroke). https://clinicaltrials.gov/study/NCT03545607
  19. Healios Official website (source of the logo). https://www.healios.co.jp/

14. Claim-to-source audit

Claim in the articleCategorySource
Legal name, former name, establishment, listing (TSE Growth 4593), head office, reporting under IFRSSourcedReferences 1, 2 and 19 https://ssl4.eir-parts.net/doc/4593/yuho_pdf/S100XTBP/00.pdf https://ssl4.eir-parts.net/doc/4593/yuho_pdf/S100YVX6/00.pdf https://www.healios.co.jp/
Revenue, losses, cash flow and employees (years ended December 2023 to 2025, and January to June 2026)SourcedReferences 1 and 2 https://ssl4.eir-parts.net/doc/4593/yuho_pdf/S100XTBP/00.pdf https://ssl4.eir-parts.net/doc/4593/yuho_pdf/S100YVX6/00.pdf
R&D expense (¥2,024 million in the year ended December 2025; ¥1,733 million in January to June 2026) and 24,404,700 potential sharesSourcedReferences 1 and 2 https://ssl4.eir-parts.net/doc/4593/yuho_pdf/S100XTBP/00.pdf https://ssl4.eir-parts.net/doc/4593/yuho_pdf/S100YVX6/00.pdf
The statement of a situation casting material doubt on the going-concern assumption, and the countermeasuresSourcedReferences 1 and 2 https://ssl4.eir-parts.net/doc/4593/yuho_pdf/S100XTBP/00.pdf https://ssl4.eir-parts.net/doc/4593/yuho_pdf/S100YVX6/00.pdf
New shares of about ¥6.26 billion and the 27th series of stock acquisition rights (January to February 2026)SourcedReference 9 https://ssl4.eir-parts.net/doc/4593/tdnet/2745520/00.pdf
Award of the METI subsidy of about ¥7 billion, and the Kobe CDMO site (operations planned for January 2028)SourcedReference 6 https://ssl4.eir-parts.net/doc/4593/tdnet/2782569/00.pdf
Acquisition of Athersys's assets (April 2024) and the rights to HLCM051SourcedReference 1 https://ssl4.eir-parts.net/doc/4593/yuho_pdf/S100XTBP/00.pdf
The co-development agreement with Sumitomo Pharma (now RACTHERA) (June 2019) and development milestones totalling ¥1 billionSourcedReference 1 https://ssl4.eir-parts.net/doc/4593/yuho_pdf/S100XTBP/00.pdf
Content and status of the HLCR011 trial (jRCT2073230077)SourcedReference 13 https://jrct.mhlw.go.jp/latest-detail/jRCT2073230077
Licences with Astellas Institute for Regenerative Medicine, RxCell, RIKEN, Osaka University and othersSourcedReference 1 https://ssl4.eir-parts.net/doc/4593/yuho_pdf/S100XTBP/00.pdf
The joint business agreement with Akatsuki Therapeutics, and the content of eNK cell researchSourcedReferences 1 and 2 https://ssl4.eir-parts.net/doc/4593/yuho_pdf/S100XTBP/00.pdf https://ssl4.eir-parts.net/doc/4593/yuho_pdf/S100YVX6/00.pdf
The content of UDC, and patent grants (Japan August 2025, China August 2026)SourcedReferences 1 and 2 https://ssl4.eir-parts.net/doc/4593/yuho_pdf/S100XTBP/00.pdf https://ssl4.eir-parts.net/doc/4593/yuho_pdf/S100YVX6/00.pdf
The policy of prioritising ARDS and not making a rolling submission for stroke (9 December 2025)SourcedReference 4 https://ssl4.eir-parts.net/doc/4593/tdnet/2729220/00.pdf
Design of the REVIVE-ARDS trial (up to 550 patients, VFD, interim analyses) and preparation to start in JapanSourcedReferences 4 and 5 https://ssl4.eir-parts.net/doc/4593/tdnet/2729220/00.pdf https://ssl4.eir-parts.net/doc/4593/tdnet/2749345/00.pdf
Outlines of the ONE-BRIDGE, MUST-ARDS, TREASURE, MATRICS-1 and MASTERS-2 trialsSourcedReferences 1, 14, 15, 16, 17 and 18 https://ssl4.eir-parts.net/doc/4593/yuho_pdf/S100XTBP/00.pdf https://clinicaltrials.gov/study/NCT03807804 https://clinicaltrials.gov/study/NCT02611609 https://clinicaltrials.gov/study/NCT02961504 https://clinicaltrials.gov/study/NCT04533464 https://clinicaltrials.gov/study/NCT03545607
Collaboration with Minaris, preparation for commercial production (50 L, engineering run), and rebuilding after the change of siteSourcedReferences 3 and 8 https://ssl4.eir-parts.net/doc/4593/tdnet/2871247/00.pdf https://ssl4.eir-parts.net/doc/4593/tdnet/2694919/00.pdf
Re-acquisition of the marketing authorisation holder licence for regenerative medicine products (dated 24 August 2026)SourcedReference 7 https://ssl4.eir-parts.net/doc/4593/tdnet/2879456/00.pdf
Culture supernatant trade (Alfresa, JENECELL) and the shipment timing of the first orderSourcedReferences 1, 2 and 10 https://ssl4.eir-parts.net/doc/4593/yuho_pdf/S100XTBP/00.pdf https://ssl4.eir-parts.net/doc/4593/yuho_pdf/S100YVX6/00.pdf https://ssl4.eir-parts.net/doc/4593/tdnet/2889294/00.pdf
The lawsuit and counterclaim with AND medical groupSourcedReferences 11 and 12 https://ssl4.eir-parts.net/doc/4593/tdnet/2736557/00.pdf https://ssl4.eir-parts.net/doc/4593/tdnet/2833387/00.pdf
Timing of the ARDS treatment's application in Japan, its expected approval date, and the start of eNK cell trialsNot yet confirmedNo outlook has been published. This article does not estimate them either
Headcount dedicated to iPS cells, and the breakdown of R&D expenseNot yet confirmedReference 1 https://ssl4.eir-parts.net/doc/4593/yuho_pdf/S100XTBP/00.pdf Not stated in reference 1. This article does not estimate them either
The three-type classification (large pharma / genome editing / iPS cell and cell therapy)Our calculationThis article's own grouping. Company names are examples from this series
The reading that the axis of the business has shifted to HLCM051 (ARDS) rather than iPS cellsInferenceThis article's interpretation of the December 2025 policy and the main milestones in the 2026 results briefing materials
The reading that for iPS cells the weight is on taking materials and base technology outside and earning from themInferenceThis article's interpretation of the descriptions of upfront payments, milestones and more than ten recipients
The reading that it sees the CDMO business as a candidate for a stable source of revenueInferenceThis article's interpretation of the subsidy-funded CDMO site and the stated business policy
The risk that leadership of iPS cell products lies with other companiesInferenceThis article's interpretation of the co-development agreement and the contract structure with Akatsuki
The risk of a small staff and reliance on outside manufacturingInferenceThis article's interpretation of the headcount and the outsourcing to Minaris

Last updated 1 October 2026 / Troy Technical
The figures in this article are based on Healios's Annual Securities Report, Interim Report, timely disclosures and results briefing materials, and on the jRCT and ClinicalTrials.gov registries. No research-firm estimates or press-based figures have been used. Passages marked "Inference" are this article's interpretation of the primary sources, not statements made by the company. This article does not recommend any treatment or product and is not medical advice.

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