The following discussion and analysis of our financial condition and results of
operations should be read in conjunction with our unaudited condensed
consolidated financial statements and related notes appearing elsewhere in this
Quarterly Report on Form 10-Q and with the audited consolidated financial
statements and related notes included in our Annual Report on Form 10-K for the
fiscal year ended
Overview
We are a clinical stage biopharmaceutical company focused on developing drugs
that meaningfully improve the lives of patients with rare cardiopulmonary
disease. Our initial focus is on advancing AV-101, our dry powder inhaled
formulation of imatinib for the treatment of pulmonary arterial hypertension, or
PAH, a devastating disease impacting approximately 70,000 people in
We do not have any products approved for sale and have incurred significant operating losses since our inception and expect to continue to incur significant operating losses for the foreseeable future.
COVID-19 Pandemic
The global coronavirus disease 2019, or COVID-19, pandemic continues to evolve, and we will continue to monitor the COVID-19 situation. The extent of the impact of the ongoing COVID-19 pandemic and its variants on our business, operations and clinical development timelines, supply chain and plans remains uncertain, and will depend on certain developments, including the duration and spread of the outbreak, including the identification of new variants of the virus, and its impact on our clinical trial enrollment and trial sites, both of which could impact the timing of our release of trial data, contract research organizations, or CROs, third-party manufacturers, and other third parties with whom we do business, as well as its impact on regulatory authorities and our key scientific and management personnel. The ultimate impact of the ongoing COVID-19 pandemic or a similar health epidemic is highly uncertain and subject to change. To the extent possible, we are conducting business as usual, with only necessary or advisable modifications to employee travel.
We will continue to actively monitor the rapidly evolving situation related to COVID-19 and may take further actions that alter our operations, including those that may be required by federal, state or local authorities, or that we determine are in the best interests of our employees and other third parties with whom we do business. At this point, the extent to which the ongoing COVID-19 pandemic may affect our business, operations and clinical development timelines and plans, including the resulting impact on our expenditures and capital needs, remains uncertain and is subject to change.
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Components of Results of Operations
Revenue
We currently have no products approved for sale, and we have not generated any revenue to date. In the future, we may generate revenue from collaboration or license agreements we may enter into with respect to our drug candidate, as well as product sales from any approved product, which approval we do not expect to occur for at least the next several years, if ever. Our ability to generate product revenue will depend on the successful development and eventual commercialization of AV-101 and any other drug candidates we may pursue. If we fail to complete the development of AV-101 in a timely manner, or to obtain regulatory approval, our ability to generate future revenue and our results of operations and financial position would be materially adversely affected.
Operating Expenses Research and Development
To date, our research and development expenses have related to the development of AV-101. Research and development expenses are recognized as incurred and payments made prior to the receipt of goods or services to be used in research and development are capitalized until the goods or services are received.
Research and development expenses include:
? external research and development expenses incurred under agreements with CROs and consultants to conduct and support clinical trials of AV-101 and our preclinical studies; ? costs related to manufacturing AV-101 for use in clinical trials; and ? personnel-related costs, including salaries, payroll taxes, employee benefits, and stock-based compensation charges for those individuals involved in research and development efforts.
Our research and development expenses consist principally of direct costs, such as fees paid to CROs, investigative sites and consultants in connection with our clinical trials, preclinical and non-clinical studies, and costs related to manufacturing clinical trial materials. We deploy our personnel related resources across all of our research and development activities. We track direct expenses on a clinical and non-clinical basis.
We plan to substantially increase our research and development expenses for the foreseeable future as we continue the development of AV-101. We cannot determine with certainty the timing of initiation, the duration or the completion costs of current or future clinical trials and nonclinical studies of AV-101 or any future product candidates due to the inherently unpredictable nature of clinical and preclinical development. Clinical and preclinical development timelines, the probability of success and development costs can differ materially from expectations. We will need to raise substantial additional capital in the future.
Our future clinical development costs may vary significantly based on factors such as:
? per patient trial costs; ? the number of trials required for approval; ? the number of sites included in the trials; ? the countries in which the trials are conducted; ? the length of time required to enroll eligible patients; ? the number of patients that participate in the trials; 20 Table of Contents ? the number of doses evaluated in the trials; ? the drop-out or discontinuation rates of patients; ? potential additional safety monitoring requested by regulatory agencies; ? the duration of patient participation in the trials and follow-up; and ? the efficacy and safety profile of the product candidate. General and Administrative
General and administrative expenses consist primarily of personnel-related
costs, including salaries, payroll taxes, employee benefits, and stock-based
compensation charges for those individuals in executive, finance and other
administrative functions. Other significant costs include legal fees relating to
intellectual property and corporate matters, professional fees for accounting
and consulting services, and insurance costs. We anticipate that our general and
administrative expenses will increase for the foreseeable future to support our
continued research and development activities, pre-commercial preparation
activities and commercialization activities for AV-101. We also anticipate
increased expenses related to audit, legal, regulatory, and tax-related services
associated with maintaining compliance with exchange listing and
Interest Income
Interest income consists of interest earned on our cash and cash equivalents and short-term investments.
Results of Operations
Comparison of the Three Months Ended
The following table summarizes our results of operations for the three months
ended
Three Months Ended June 30, 2022 2021 Change (unaudited) Operating expenses: Research and development $ 8,363$ 4,327 $ 4,036 General and administrative 3,852 1,447 2,405 Total operating expenses 12,215 5,774 6,441 Loss from operations (12,215 ) (5,774 ) (6,441 ) Other income (expense): Interest income 230 2 228 Other expense (6 ) (3 ) (3 ) Total other income (expense) 224 (1 ) 225 Net loss$ (11,991 ) $ (5,775 ) $ (6,216 )
Research and Development Expenses
Research and development expenses for the three months ended
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General and Administrative Expenses
General and administrative expenses for the three months ended
Total Other Income (Expense)
Other income for the three months ended
Comparison of the Six Months Ended
The following table summarizes our results of operations for the six months
ended
Six Months Ended June 30, 2022 2021 Change (unaudited) Operating expenses: Research and development$ 15,618 $ 6,523 $ 9,095 General and administrative 7,615 2,031 5,584 Total operating expenses 23,233 8,554 14,679 Loss from operations (23,233 ) (8,554 ) (14,679 ) Other income (expense): Interest income 338 2 336 Other expense (6 ) (4 ) (2 ) Total other income (expense) 332 (2 ) 334 Net loss$ (22,901 ) $ (8,556 ) $ (14,345 )
Research and Development Expenses
Research and development expenses for the six months ended
General and Administrative Expenses
General and administrative expenses for the six months ended
Total Other Income (Expense)
Other income for the six months ended
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Liquidity and Capital Resources
From our inception through
Future Funding Requirements
We have prepared operating plans and cash flow forecasts which indicate that our
existing cash and cash equivalents and short-term investments on-hand as of
Our future capital requirements will depend on many factors, including:
? the type, number, scope, results, costs and timing of preclinical studies and clinical trials of AV-101, including changes to our development plan based on feedback received from regulatory authorities, and preclinical studies or clinical trials of other potential drug candidates or indications we may choose to pursue in the future; ? the costs and timing of manufacturing for AV-101 or any other product candidates, including commercial scale manufacturing; ? the costs, timing and outcome of regulatory review and approval of AV-101 or any other drug candidates; ? the costs of obtaining, maintaining and enforcing our patents and other intellectual property rights; ? our efforts to enhance operational systems and hire additional personnel to satisfy our obligations as a public company, including enhanced internal controls over financial reporting; ? the costs associated with hiring additional personnel and consultants as our business grows, including additional clinical development personnel; ? the terms and timing of establishing and maintaining collaborations, licenses and other similar arrangements; ? the timing and amount of the milestone or other payments we must make to any future licensors, if we enter into any license agreements; ? the costs and timing of establishing or securing sales and marketing capabilities if AV-101 or any other product candidate is approved; ? our ability to achieve sufficient market acceptance, coverage and adequate reimbursement from third- party payors and adequate market share and revenue for any approved products; ? patients' ability and willingness to pay out-of-pocket costs for any approved products in the absence of coverage and/or adequate reimbursement from third-party payors; and ? costs associated with any products or technologies that we may in-license or acquire. 23 Table of Contents
Until such time, if ever, as we can generate substantial product revenue to support our cost structure, we expect to finance our cash needs through equity offerings, debt financings, or other capital sources, potentially including collaborations, licenses and other similar arrangements. However, we may be unable to raise additional funds or enter into such other arrangements when needed on favorable terms or at all. To the extent that we raise additional capital through the sale of equity or convertible debt securities, the ownership interest of our stockholders will be or could be diluted, and the terms of these securities may include liquidation or other preferences that adversely affect the rights of our common stockholders. Debt financing and equity financing, if available, may involve agreements that include covenants limiting or restricting our ability to take specific actions, such as incurring additional debt, making capital expenditures or declaring dividends. If we raise funds through collaborations, or other similar arrangements with third parties, we may have to relinquish valuable rights to our technologies, future revenue streams, research programs or drug candidates or grant licenses on terms that may not be favorable to us and/or may reduce the value of our common stock. Our failure to raise capital or enter into such other arrangements when needed could have a negative impact on our financial condition and on our ability to pursue our business plans and strategies. If we are unable to raise additional funds through equity or debt financings when needed, we may be required to delay, limit, reduce or terminate our product development or future commercialization efforts or grant rights to develop and market our drug candidates even if we would otherwise prefer to develop and market such drug candidates ourselves.
Lease Obligations
In
In
As of
We enter into contracts in the normal course of business for contract research services, contract manufacturing services, professional services and other services and products for operating purposes. These contracts generally provide for termination after a notice period, and, therefore, are cancelable contracts and not included above.
Cash Flows
Comparison of the Six Months Ended
The following table sets forth a summary of the net cash flow activity for the
six months ended
Six Months Ended June 30, 2022 2021 Net cash used in operating activities$ (14,537 ) $ (7,780 ) Net cash used in investing activities (12,205 ) (40 ) Net cash provided by financing activities 2 62,397
Net (decrease) increase in cash and cash equivalents
24 Table of Contents Operating Activities
Net cash used in operating activities for the six months ended
Net cash used in operating activities for the six months ended
Investing Activities
Net cash used in investing activities for the six months ended
Net cash used in investing activities for the six months ended
Financing Activities
Net cash provided by financing activities for the six months ended
Critical Accounting Estimates
Our consolidated financial statements are prepared in accordance with generally
accepted accounting principles in
There have been no significant changes in our critical accounting policies and
estimates during the six months ended
Research and Development Expenses
We are required to estimate our expenses resulting from obligations under contracts with vendors, consultants and CROs, in connection with conducting research and development activities. The financial terms of these contracts are subject to negotiations, which vary from contract to contract and may result in payment flows that do not match the periods over which materials or services are provided under such contracts. We reflect research and development expenses in our consolidated financial statements by matching those expenses with the period in which services and efforts are expended. We account for these expenses according to the progress of the preclinical or clinical study as measured by the timing of various aspects of the study or related activities. We determine clinical trial cost estimates through review of the underlying contracts along with preparation of financial models taking into account discussions with research and other key personnel and outsider service providers as to the progress of studies or other services being conducted. During the course of a study, we adjust our rate of expense recognition if actual results differ from our estimates.
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Emerging Growth Company Status
As an emerging growth company under the Jumpstart Our Business Startups Act of 2012, or the JOBS Act, we can take advantage of an extended transition period for complying with new or revised accounting standards. This allows an emerging growth company to delay the adoption of certain accounting standards until those standards would otherwise apply to private companies. We have elected to "opt out" of such extended transition period, which means that when a standard is issued or revised and it has different application dates for public or private companies, we will adopt the new or revised standard at the time public companies adopt the new or revised standard. The decision to opt out of the extended transition period under the JOBS Act is irrevocable.
Recently Issued Accounting Pronouncements
We have reviewed all recently issued accounting pronouncements by the
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