Financial Position - As of March 31, 2023, the company had an accumulated deficit of $831.7 million and expects to incur substantial expenses and continuing losses from operations in the foreseeable future [52]. - The company had $164.3 million in cash, cash equivalents, and short-term investments as of March 31, 2023, which is believed to be sufficient to fund operations into 2025 [53]. - The company has not generated any revenue from product sales to date and relies on third-party contract research organizations for clinical development [52][53]. - The company has not generated any revenue from product sales, with $3.6 million in license revenue for the three months ended March 31, 2023, primarily from a milestone payment related to a license agreement with Lexeo Therapeutics [63]. - The net loss for the three months ended March 31, 2023, was $29.1 million, an improvement of $8.9 million compared to a net loss of $37.9 million for the same period in 2022 [62]. - Net cash used in operating activities was $22.4 million for the three months ended March 31, 2023, compared to $28.9 million for the same period in 2022 [71]. - The company expects to incur substantial expenditures for the development and potential commercialization of its product candidates, indicating a need for additional funding in the future [68]. - The company may need to raise additional funds sooner than expected due to various risks and uncertainties, which could impact its financial condition and business strategies [68]. Clinical 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 [42]. - The OPTIC trial for Ixo-vec completed enrollment in July 2020, showing strong therapeutic efficacy signals, including stable aflibercept protein levels and improvements in best-corrected visual acuity [42]. - The LUNA trial, initiated in September 2022, is evaluating two doses of Ixo-vec in up to 72 subjects with wet AMD, focusing on mean change in best-corrected visual acuity and central subfield thickness [45]. - The FDA granted Fast Track designation for Ixo-vec for the treatment of wet AMD, and the European Medicines Agency granted it Priority Medicines (PRIME) designation [42][45]. - The company has restructured operations to prioritize Ixo-vec's clinical development, completing the restructuring in Q4 2022, which is expected to extend the cash runway into 2025 [47]. - The company is collaborating with the BCM Families Foundation to advance the development of ADVM-062, a gene therapy for blue cone monochromacy, which currently has no other therapies in development [46]. - The company anticipates that research and development expenses will fluctuate as it focuses on advancing its Ixo-vec program for the treatment of wet AMD [64]. Operational Impact - The company is continuously evaluating the impact of the COVID-19 pandemic on its operations, with limited impact reported on ongoing clinical trials [50]. - Research and development expenses decreased by $1.9 million to $21.1 million for the three months ended March 31, 2023, compared to $23.0 million for the same period in 2022, mainly due to a reduction in personnel costs [64]. - General and administrative expenses decreased by $2.4 million to $12.8 million for the three months ended March 31, 2023, from $15.2 million in the same period in 2022, driven by lower headcount and reduced professional services costs [65]. - Other income, net increased to $1.2 million for the three months ended March 31, 2023, from $0.2 million in the same period in 2022, due to higher average yields on investments [66].
Adverum Biotechnologies(ADVM) - 2023 Q1 - Quarterly Report