Avalo Therapeutics, Inc. quarterly report, Q2 FY2020

Cerecor Inc. (filing identifies issuer as Cerecor, not Avalo Therapeutics) — Q2 2020 Form 10-Q

Reporting period: Three and six months ended June 30, 2020; unaudited. The filing describes Cerecor as a biopharmaceutical company developing treatments for rare pediatric and orphan diseases. Its commercial product was Millipred; its pediatric portfolio had been sold to Aytu in 2019 and is presented as discontinued operations.

Key financial results

MetricQ2 2020Q2 2019Six months 2020Six months 2019
Continuing-operations product revenue$1.34 million$1.39 million$4.09 million$3.97 million
Loss from continuing operations$12.83 million$2.54 million$34.98 million$7.71 million
Net loss$13.28 million$6.22 million$34.40 million$13.68 million
Basic and diluted common-stock loss per share$0.19$0.11$0.52$0.24
Operating cash usedNot separately providedNot separately provided$14.29 million$9.84 million

Revenue was broadly stable year over year, while losses increased. First-half continuing-operations expenses included $25.55 million of acquired in-process R&D from the Aevi transaction. R&D expense was $10.68 million versus $7.11 million; G&A was $8.78 million versus $5.02 million. No gross margin is stated in the filing; comparison is affected by a 2019 reversal of Ulesfia-related product cost.

Financial position and liquidity

  • At June 30, 2020, cash and cash equivalents were $45.39 million, compared with $3.61 million at December 31, 2019. Including restricted cash, cash was $45.60 million.
  • Current assets were $50.24 million and current liabilities were $14.60 million. Total assets were $69.20 million; total liabilities were $18.63 million; stockholders’ equity was $50.58 million.
  • Operating cash use was partly funded by $44.58 million of financing cash inflows, principally equity offerings, and $12.84 million net proceeds from selling Aytu shares. The company raised $35.43 million net in a June public offering, $5.14 million in a February registered direct offering, and $3.89 million in a March private placement.
  • The filing reports a $0.4 million PPP loan, recorded as other income because management believed it qualified for forgiveness; forgiveness was not yet approved. The filing does not report conventional long-term borrowings at June 30, but it does report lease and other obligations, a $2.0 million royalty obligation, and liabilities of discontinued operations.

Material changes and unusual items

  • The February 2020 Aevi merger expanded the pipeline, including CERC-002, CERC-006 and CERC-007. It issued approximately 3.9 million shares and included forgiveness of a $4.1 million loan and up to $6.5 million in potential development milestone payments. The acquired IPR&D was expensed immediately.
  • The Aytu investment generated a $5.21 million fair-value gain for the first half, but a $1.87 million loss in Q2 as the share value declined before sale. All Aytu shares were sold in April, generating approximately $12.8 million net proceeds.
  • Common shares outstanding increased to 74.9 million at June 30 from 44.4 million at year-end 2019, reflecting offerings, merger shares and preferred-stock conversion, among other issuances.
  • First-half discontinued operations reported $0.58 million income, including a $1.76 million gain from reassessing the Aytu-related guarantee; Q2 discontinued operations recorded a $0.46 million loss, largely associated with sales returns.

Outlook, risks and contingencies

  • Management expects continued significant expenses and operating losses and states that additional financing will be required. It concluded that substantial doubt exists about the company’s ability to continue as a going concern within one year after issuance of the filing, despite the June financing and cash balance.
  • Management is evaluating financing, collaborations, grants, licensing or sale of assets, including Millipred and non-core neurology assets. A possible transfer of CERC-301 and CERC-406 was under discussion, with no binding terms.
  • In July 2020, the first patient entered a CERC-002 COVID-19 ARDS proof-of-concept trial; top-line data was expected in Q4 2020. The CERC-002 Crohn’s disease trial, paused due to COVID-related endoscopy restrictions, resumed in July. The CDG FIRST trial concluded, with results intended to inform future pivotal trial design.
  • Cerecor guaranteed certain Aytu obligations to Deerfield. The estimated maximum future guarantee payments were $9.0 million at June 30, 2020. Cerecor also retained exposure to certain pre-divestiture pediatric-product returns, with a $1.6 million reserve.
  • Former TRx owners threatened claims seeking up to $18.2 million and other relief. Mediation did not resolve the dispute; no lawsuit had been filed as of the report. Management disputed the claims, considered a loss possible but not probable, and recorded no accrual.

Important facts for investors to verify

  1. Confirm the issuer and reporting history: this supplied filing is under Cerecor Inc., although the request names Avalo Therapeutics.
  2. Assess cash runway against the disclosed going-concern substantial doubt, operating cash burn and need for additional financing.
  3. Track clinical-trial execution and data timing for CERC-002, and development plans for the remaining pipeline.
  4. Monitor potential dilution, including future equity needs and contingent merger milestone payments of up to $6.5 million.
  5. Follow PPP forgiveness, the Deerfield guarantee and sales-return exposure, and developments in the TRx dispute.