Product Development - Vivani Medical's lead programs NPM-115 and NPM-119 are miniature, 6-month GLP-1 implant candidates targeting chronic weight management and type 2 diabetes, respectively [346]. - In February 2024, Vivani reported that NPM-115 achieved approximately 20% weight loss in a preclinical study, comparable to semaglutide injections [356]. - An Investigational New Drug Application for NPM-119 was filed with the FDA on July 14, 2023, but the study is currently on clinical hold due to insufficient CMC information [352]. - Vivani's NanoPortal technology allows for long-term, near constant-rate delivery of medications, aiming to improve adherence in chronic disease treatment [345]. - The company established Vivani Medical Australia Pty Ltd. to support studies of its products and candidates [355]. Financial Performance - Net loss increased by 11.8million,from13.9 million in 2022 to 25.7millionin2023,attributedtohigheroperatingexpensesandtheprioryear′sgainonthebargainpurchasefromtheSecondSightacquisition[374].−Cash,cashequivalents,andrestrictedcashdecreasedby24.5 million, from 46.4millionin2022to22.0 million in 2023 [378]. - Cash used in operating activities was 23.7millionin2023,comparedto18.8 million in 2022, primarily due to a net loss of 25.7million[379][381].−Otherincomedecreasedsignificantlyfrom7.4 million in 2022 to 1.3millionin2023,primarilyduetotheabsenceofagainonbargainpurchasefromtheSecondSightacquisition[373].FundingandCapitalManagement−Vivaniraisedapproximately15.0 million through a registered direct offering of 3,947,368 shares at 3.80pershareonMarch5,2024[362].−Thecompanyhasreceiveda1.6 million grant from the NIH, with a total potential funding of 6.4millionoverfiveyears,tosupportaclinicaltrial[360].−ThecompanyenteredintoaSecuritiesPurchaseAgreementonMarch1,2024,fortheissuanceof3,947,368sharesatapurchasepriceof3.80 per share, generating gross proceeds of approximately 15.0million[376].−Thecompanyestimatesthatcurrentcashwillmeetplannedobligationsintothesecondhalfof2025,contingentondevelopingprofitableoperationsorraisingadditionalcapital[377].OperationalChanges−AsofDecember31,2023,Cortigent,awholly−ownedsubsidiary,had5,000,000sharesofcommonstockoutstandingaftera1−for−4reversestocksplit[349].−ThecompanyhasreducedCortigent′sworkforcefrom14to7employeestoconservecashwhilecontinuingclinicalstudies[354].−Workingcapitaldecreasedfrom40.7 million in 2022 to 17.3millionin2023[378].−Thecompanyhasexperiencedrecurringoperatinglossesandnegativeoperatingcashflowssinceinception,relyingonequitysecuritiessalesforworkingcapital[375].ExpenseManagement−Researchanddevelopmentexpensesincreasedby2.8 million, or 20%, from 14.2millionin2022to17.0 million in 2023, primarily due to higher payroll and the inclusion of the neuromodulation division from the Second Sight acquisition [371]. - General and administrative expenses rose by 2.9million,or417.1 million in 2022 to $10.0 million in 2023, driven by increased payroll, rent, and the inclusion of the neuromodulation division [372].