Full Press Release Details
Avalo Reports First Quarter 2023 Financial Results and Provides Business Updates
Topline data expected in the second quarter of 2023 from the Phase 2 PEAK Trial of AVTX-002 in non-eosinophilic asthma (NEA)
Disclosed cash of approximately $16.7 million as of March 31, 2023
WAYNE, PA AND ROCKVILLE, MD, May 4, 2023 - Avalo Therapeutics, Inc. (Nasdaq AVTX), today announced business updates and financial results for the first quarter of 2023.
"We made significant progress advancing our Phase 2 PEAK trial of AVTX-002 in patients with NEA and we are very excited to be on the cusp of the corresponding and potentially transformational topline data release," said Dr. Garry Neil, Chief Executive Officer and Chairman of the Board. "There is strong clinical evidence that cytokines regulated by decoy receptor 3 (DcR3) LIGHT (and its signaling network including BTLA), TL1A and FasL are key drivers of inflammatory diseases in the lung, gut and skin. We believe our upcoming data readout will validate the opportunity for AVTX-002 in NEA and support further development in eosinophilic asthma and COPD, as well as other chronic inflammatory diseases of the lung."
Program Updates and Milestones
AVTX-002 Anti-LIGHT monoclonal antibody (mAb) targeting immune-inflammatory diseases.
NEA Avalo has completed enrollment of the Phase 2 PEAK trial evaluating the safety and efficacy of AVTX-002 in 91 patients with NEA. Topline data expected in the second quarter of 2023.
AVTX-008 B and T Lymphocyte Attenuator (BTLA) agonist fusion protein targeting immune dysregulation disorders.
Avalo identified a lead molecule and is currently evaluating several immune dysregulation disorders, with a target IND submission planned in 2024.
AVTX-803 Fucose replacement for leukocyte adhesion deficiency type II (LAD II, also known as SLC35C1-CDG), a congenital disorder of glycosylation (CDG).
Timing of pivotal data from the pivotal LADDER trial evaluating the safety and efficacy of AVTX-803 in approximately 2 patients with LAD II is under evaluation.
First Quarter 2023 Financial Update
Avalo had $16.7 million in cash and cash equivalents as of March 31, 2023, representing a $3.5 million increase compared to December 31, 2022. The increase was driven by $13.7 million of net proceeds from an equity financing offset by operating expenditures. Total operating expenses decreased $12.8 million for the three months ended March 31, 2023 as compared to the three months ended March 31, 2022. This decrease was primarily driven by decreases to both selling, general and administrative and research and development expenses as a result of cost savings initiatives implemented in the first quarter of 2022.
The net loss and net loss per share for the three months ended March 31, 2023 was largely driven by operating expenses.
Consolidated Balance Sheets
(In thousands, except share and per share data)
| March 31, 2023 | December 31, 2022 | |||||||
| (unaudited) | ||||||||
| Assets | ||||||||
| Current assets | ||||||||
| Cash and cash equivalents | $ | 16,687 | $ | 13,172 | ||||
| Other receivables | 857 | 1,919 | ||||||
| Inventory, net | 19 | 20 | ||||||
| Prepaid expenses and other current assets | 1,627 | 1,290 | ||||||
| Restricted cash, current portion | 63 | 15 | ||||||
| Total current assets | 19,253 | 16,416 | ||||||
| Property and equipment, net | 2,442 | 2,411 | ||||||
| Goodwill | 14,409 | 14,409 | ||||||
| Restricted cash, net of current portion | 131 | 131 | ||||||
| Total assets | $ | 36,235 | $ | 33,367 | ||||
| Liabilities and stockholders' deficit | ||||||||
| Current liabilities | ||||||||
| Accounts payable | $ | 5,565 | $ | 2,882 | ||||
| Deferred revenue | 111 | 88 | ||||||
| Accrued expenses and other current liabilities | 8,273 | 13,214 | ||||||
| Notes payable, current | 9,296 | 5,930 | ||||||
| Total current liabilities | 23,245 | 22,114 | ||||||
| Notes payable, non-current | 10,470 | 13,486 | ||||||
| Royalty obligation | 2,000 | 2,000 | ||||||
| Deferred tax liability, net | 148 | 141 | ||||||
| Derivative liability | 5,010 | 4,830 | ||||||
| Other long-term liabilities | 1,629 | 1,711 | ||||||
| Total liabilities | 42,502 | 44,282 | ||||||
| Stockholders' deficit | ||||||||
| Common stock-$0.001 par value 200,000,000 shares authorized at March 31, 2023 and December 31, 2022 13,200,535 and 9,430,535 shares issued and outstanding at March 31, 2023 and December 31, 2022, respectively | 13 | 9 | ||||||
| Additional paid-in capital | 307,499 | 292,900 | ||||||
| Accumulated deficit | (313,779) | (303,824) | ||||||
| Total stockholders' deficit | (6,267) | (10,915) | ||||||
| Total liabilities and stockholders' deficit | $ | 36,235 | $ | 33,367 |
The condensed consolidated balance sheets as of March 31, 2023 and December 31, 2022 have been derived from the reviewed and audited financial statements, respectively, but do not include all of the information and footnotes required by accounting principles accepted in the United States for complete financial statements.
Consolidated Statements of Operations (Unaudited)
(In thousands, except per share data)
| Three Months Ended | ||||||||
| March 31, | ||||||||
| 2023 | 2022 | |||||||
| Revenues | ||||||||
| Product revenue, net | $ | 475 | $ | 1,173 | ||||
| Total revenues, net | 475 | 1,173 | ||||||
| Operating expenses | ||||||||
| Cost of product sales | 551 | 720 | ||||||
| Research and development | 6,008 | 9,584 | ||||||
| Selling, general and administrative | 2,708 | 11,684 | ||||||
| Amortization expense | - | 38 | ||||||
| Total operating expenses | 9,267 | 22,026 | ||||||
| (8,792) | (20,853) | |||||||
| Other expense | ||||||||
| Interest expense, net | (949) | (1,169) | ||||||
| Change in fair value of derivative liability | (180) | - | ||||||
| Other expense, net | (26) | (20) | ||||||
| Total other expense, net | (1,155) | (1,189) | ||||||
| Loss before taxes | (9,947) | (22,042) | ||||||
| Income tax expense | 8 | 9 | ||||||
| Net loss and comprehensive loss | $ | (9,955) | $ | (22,051) | ||||
| Net loss per share of common stock, basic and diluted 1 | $ | (0.85) | $ | (2.35) |
1 Amounts for prior periods presented have been retroactively adjusted to reflect the 1-for-12 reverse stock split effected on July 7, 2022.
The unaudited condensed consolidated statements of operations for the three months ended March 31, 2023 and 2022 have been derived from the reviewed financial statements but do not include all of the information and footnotes required by accounting principles generally accepted in the United States for complete financial statements.
AVTX-002, Avalo's lead development asset, is a fully human monoclonal antibody (mAb), directed against human LIGHT (Lymphotoxin-like, exhibits Inducible expression, and competes with Herpes Virus Glycoprotein D for Herpesvirus Entry Mediator (HVEM), a receptor expressed by T lymphocytes). There is increasing evidence that the dysregulation of the LIGHT-signaling network which includes LIGHT, its receptors HVEM and LT R and the downstream checkpoint BTLA, is a disease-driving mechanism in autoimmune and inflammatory reactions in barrier organs. Therefore, we believe reducing LIGHT levels can moderate immune dysregulation in many acute and chronic inflammatory disorders, including NEA. AVTX-002 previously demonstrated proof of concept in COVID-19 induced acute respiratory distress syndrome including reduction in mortality and respiratory failure.
About AVTX-002 PEAK Trial
The Phase 2 PEAK Trial is a randomized, double-blind, placebo-controlled, parallel group trial designed to evaluate the safety and efficacy of AVTX-002 for the treatment of poorly controlled NEA (NCT05288504).
Following 12 weeks of treatment, the efficacy and safety of AVTX-002 will be evaluated compared with placebo. The primary endpoint is the proportion of patients who experience any of the following asthma-related events (i) 6 additional reliever puffs of a short-acting beta-agonist (compared to baseline) in a 24-hour period on 2 consecutive days, or (ii) increase in inhaled corticosteroid dose 4 times than the dose at baseline, or (iii) a decrease in peak flow of 30% or more (compared to baseline) on 2 consecutive days of treatment, or (iv) an asthma exacerbation requiring the use of systemic corticosteroids (tablets, suspension, or injection) for at least 3 days, or (v) a hospitalization or emergency room visit because of an asthma exacerbation.
About Avalo Therapeutics
Avalo Therapeutics is a clinical stage biotechnology company focused on the treatment of immune dysregulation by developing therapies that target the LIGHT network.
LIGHT (Lymphotoxin-like, exhibits Inducible expression, and competes with HSV Glycoprotein D for Herpesvirus Entry Mediator (HVEM), a receptor expressed by T lymphocytes also referred to as TNFSF14) is an immunoregulatory cytokine. LIGHT and its signaling receptors, HVEM (TNFRSF14), and lymphotoxin receptor (TNFRSF3), form an immune regulatory network with two co-receptors of herpesvirus entry mediator, checkpoint inhibitor B and T Lymphocyte Attenuator (BTLA), and CD160 (the LIGHT-signaling network). Accumulating evidence points to the dysregulation of the LIGHT network as a disease-driving mechanism in autoimmune and inflammatory reactions in barrier organs. Therefore, we believe reducing LIGHT levels can moderate immune dysregulation in many acute and chronic inflammatory disorders.
For more information about Avalo, please visit www.avalotx.com.
Forward-Looking Statements
This press release may include forward-looking statements made pursuant to the Private Securities Litigation Reform Act of 1995. Forward-looking statements are statements that are not historical facts. Such forward-looking statements are subject to significant risks and uncertainties that are subject to change based on various factors (many of which are beyond Avalo's control), which could cause actual results to differ from the forward-looking statements. Such statements may include, without limitation, statements with respect to Avalo's plans, objectives, projections, expectations and intentions and other statements identified by words such as "projects," "may," "might," "will," "could," "would," "should," "continue," "seeks," "aims," "predicts," "believes," "expects," "anticipates," "estimates," "intends," "plans," "potential," or similar expressions (including their use in the negative), or by discussions of future matters such as timing and success of trial results and regulatory review potential attributes and benefits of product candidates the future financial and operational outlook the development of product candidates or products and other statements that are not historical. These statements are based upon the current beliefs and expectations of Avalo's management but are subject to significant risks and uncertainties, including Avalo's debt and cash position and the need for it to raise additional capital in the near future the results of our clinical and pre-clinical studies drug development costs, timing and other risks, including reliance on investigators and enrollment of patients in clinical trials, which might be slowed by the COVID-19 pandemic reliance on key personnel regulatory risks general economic and market risks and uncertainties, including those caused by the COVID-19 pandemic and the war in Ukraine and those other risks detailed in Avalo's filings with the SEC. Actual results may differ from those set forth in the forward-looking statements. Except as required by applicable law, Avalo expressly disclaims any obligations or undertaking to release publicly any updates or revisions to any forward-looking statements contained herein to reflect any change in Avalo's expectations with respect thereto or any change in events, conditions or circumstances on which any statement is based.
For media and investor inquiries
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Avalo Therapeutics, Inc.
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