Financial Position - As of June 30, 2022, the company had an accumulated deficit of $729.7 million and expects to incur substantial expenses and increasing losses from operations in the foreseeable future [49]. - The company had $235.8 million in cash, cash equivalents, and short-term investments as of June 30, 2022, indicating a need for substantial additional funding to support ongoing operations [49]. - The company had $235.8 million in cash, cash equivalents, and short-term investments as of June 30, 2022, down from $305.2 million as of December 31, 2021 [62]. - Cash used in operating activities was $57.8 million for the six months ended June 30, 2022, primarily due to the net loss [64]. - The net loss for the six months ended June 30, 2022, was $81.7 million, compared to a net loss of $72.8 million for the same period in 2021 [64]. Product Development - The lead product candidate, Ixo-vec, is being developed for wet age-related macular degeneration (wet AMD), which affects approximately 20 million individuals worldwide [41]. - The OPTIC trial for Ixo-vec completed enrollment in July 2020, with strong signals of therapeutic efficacy observed, including stable aflibercept levels from 10 weeks to three years [41]. - The company initiated the Phase 2 LUNA trial of Ixo-vec, anticipating dosing the first patient in Q3 2022, evaluating two doses in up to 72 patients [42]. - The European Medicines Agency granted Ixo-vec Priority Medicines (PRIME) designation, enhancing support for its development due to significant unmet medical need [42]. - ADVM-062, the second product candidate, received Orphan Drug Designation from the FDA and targets blue cone monochromacy, a rare condition affecting 1 to 9 in 100,000 males [43]. Operational Changes - The company restructured operations in July 2022, including headcount reductions, to prioritize Ixo-vec's clinical development and extend its cash runway into 2025 [44]. - The company has not experienced significant disruptions to its supply chain and manufacturing due to the COVID-19 pandemic, but remains vigilant about potential future impacts [48]. Financial Performance - Research and development expenses increased by $7.7 million to $30.3 million for the three months ended June 30, 2022, compared to $22.6 million for the same period in 2021 [58]. - General and administrative expenses decreased by $8.2 million to $13.8 million for the three months ended June 30, 2022, from $21.9 million for the same period in 2021 [60]. - Research and development expenses for the six months ended June 30, 2022, totaled $53.2 million, an increase of $10.6 million from $42.6 million for the same period in 2021 [58]. - General and administrative expenses for the six months ended June 30, 2022, were $28.9 million, down from $38.1 million for the same period in 2021 [60]. - The company recognized an income tax provision of $19,000 for the three months ended June 30, 2022, related to foreign operations [61]. - Net cash provided by investing activities for the six months ended June 30, 2022, was $115.1 million, compared to $44.4 million for the same period in 2021 [63]. Future Outlook - The company expects research and development expenses to decrease in future periods as it focuses on advancing its gene therapy product candidate Ixo-vec [58]. - The company emphasizes the need to expand research and development activities [67]. - The costs associated with commercialization activities, including product sales, marketing, manufacturing, and distribution, are significant [67]. - The company may face delays or reductions in development programs if additional funds are not raised [67]. - There is a need for additional infrastructure and internal systems to support growth [67]. - The ability to hire additional personnel is crucial for future operations [67]. - The emergence of competing technologies poses a risk to market acceptance of products [67]. - The effects of the COVID-19 pandemic continue to impact the company's business and financial condition [67].
Adverum Biotechnologies(ADVM) - 2022 Q2 - Quarterly Report