Dyne Therapeutics, Inc. annual report, FY2023

Dyne Therapeutics, Inc. — FY2023 Form 10-K

Reporting period: Fiscal year ended December 31, 2023; filed March 5, 2024. Dyne is a clinical-stage biotechnology company developing oligonucleotide therapeutics for genetically driven muscle diseases using its FORCE delivery platform. It had no approved products and generated no revenue.

Financial performance and position

MetricFY2023FY2022Change
RevenueNoneNoneNo product revenue
Research and development expense$210.8 million$142.8 millionUp $68.0 million
General and administrative expense$31.4 million$28.2 millionUp $3.2 million
Total operating expenses / operating loss$242.2 million$171.0 millionExpense and loss increased $71.2 million
Net loss$235.9 million$168.1 millionLoss increased $67.8 million
Net loss per share, basic and diluted$3.95$3.23Loss per share increased
Net cash used in operating activities$188.2 million$153.6 millionUse increased $34.5 million
  • Cash and liquidity: At year-end, cash and cash equivalents were $121.6 million and marketable securities were $1.5 million, totaling $123.1 million. Restricted cash was $2.3 million. Total assets were $165.1 million; stockholders’ equity was $91.3 million.
  • Financing: FY2023 financing activities provided $54.3 million, including $52.4 million net proceeds from at-the-market share sales. In January 2024, the company raised a further $323.9 million net in a public offering. Management expects available funds, including those proceeds, to support operating and capital needs through 2025; this estimate depends on assumptions that may change.
  • Debt and obligations: The filing reports no borrowings in the presented balance sheet. Lease liabilities totaled $27.4 million, including $4.7 million current and $22.7 million non-current. The company leases its Waltham office and laboratory facility.
  • Margins: Not meaningful because the company had no revenue. Interest income was $7.6 million, versus $2.9 million in 2022; other expense, net, was $1.4 million.

Material changes and developments

  • Net loss increased as R&D spending rose, principally due to increased clinical-trial activity and manufacturing for DYNE-101 and DYNE-251, along with higher R&D headcount.
  • DYNE-101 direct program expense increased to $67.1 million from $31.3 million; DYNE-251 expense rose to $63.9 million from $48.4 million.
  • Operating cash use rose to $188.2 million from $153.6 million. Cash, cash equivalents and restricted cash declined by $50.5 million during 2023.
  • Common shares outstanding at December 31, 2023 were 61.5 million, compared with 55.6 million a year earlier. The January 2024 offering added 19.7 million shares; 81.96 million shares were outstanding as of February 29, 2024.

Pipeline, outlook and key risks

  • DYNE-101 (DM1): In an ongoing Phase 1/2 trial, initial data announced in January 2024 showed dose-related DMPK knockdown and splicing correction, and a mean 3.8-second improvement in myotonia at six months in the 1.8 mg/kg every-four-weeks cohort. The company reported a generally favorable initial safety profile; liver enzyme elevations occurred in approximately 18% of participants, with no reported impact on liver function. Higher-dose cohort data were expected in the second half of 2024, and the company aimed to initiate registrational cohorts by year-end 2024.
  • DYNE-251 (DMD): Initial Phase 1/2 data announced in January 2024 showed dystrophin expression, exon skipping and dystrophin-positive fibers at six months. The company compared results with a separate eteplirsen trial, but explicitly cautioned that the studies were not head-to-head and may not be directly comparable. Higher-dose cohort data were expected in the second half of 2024, with registrational cohorts targeted by year-end 2024.
  • FSHD: The IND submission for DYNE-301 had been deferred while the company prioritized its DM1 and DMD clinical programs. Dyne planned to update its FSHD program in 2024.
  • Other outlook: Dyne expects substantial operating losses and increased expenses as it advances its clinical programs and platform. It will need additional funding if development and operating needs exceed available resources; future financing could dilute shareholders or require licensing rights on unfavorable terms.
  • Principal risks: Clinical candidates remain early-stage and may fail or be delayed; initial clinical findings may not predict later results; the FORCE platform is unproven; trials may face enrollment or safety challenges; and the company depends on third parties, including a limited number of suppliers and manufacturers. Regulatory approval, reimbursement, competition, intellectual-property protection and access to capital are also material uncertainties.

Important facts for investors to verify

  • Current cash, burn rate and runway against management’s projection through 2025, including the impact of the January 2024 offering and increased share count.
  • Subsequent ACHIEVE and DELIVER trial results, especially dose response, durability, functional outcomes and safety, and whether planned registrational cohorts proceed on schedule.
  • How clinical results compare with appropriate controls; cross-trial comparisons with existing therapies are not direct evidence of comparative benefit.
  • Manufacturing capacity, supply continuity and the ability of third-party suppliers to meet clinical and potential commercial needs.
  • Progress and resourcing of the deferred FSHD program, and any changes to the company’s financing plans or expected cash runway.