(State or other jurisdiction of incorporation) | (Commission File Number) | (I.R.S. Employer Identification No.) |
Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425) |
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12) |
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b)) |
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c)) |
Emerging growth company |
Title of class | Trading symbol | Name of exchange on which registered |
Exhibit No. | Description | |
99.1 | ||
104 | Cover Page Interactive Date File - the cover page XBRL tags are embedded within the Inline XBRL document. |
AXONICS MODULATION TECHNOLOGIES, INC. | ||||
Date: August 6, 2020 | By: | /s/ Raymond W. Cohen | ||
Raymond W. Cohen | ||||
Chief Executive Officer |
• | Net revenue was $15.2 million in the second quarter ended June 30, 2020 as compared to net revenue of $1.5 million for the same period of the prior year. Net revenue for the first half of 2020 was $41.5 million as compared to $2.6 million for the first half of 2019. |
◦ | As previously disclosed, new order flow was de minimis in April due to COVID-19 related restrictions on elective procedures and began a gradual recovery in early May as restrictions were lifted in certain states. New orders in June continued to improve. Average weekly new order flow in June was approximately 70% of the weekly average achieved in the first quarter of 2020 prior to the COVID-19 related postponement of elective procedures in mid-March. |
• | Axonics raised $140 million of net proceeds in a public equity offering in May 2020. As of June 30, 2020, cash and cash equivalents were $288 million. |
• | Through the end of July 2020, over 540 unique accounts (hospitals and ambulatory surgery centers) in the U.S. have implanted the Axonics r-SNM System® in patients on an outpatient basis since the product launched in November 2019. |
• | Since the U.S. launch, over 135 corporate agreements have been signed with national and regional integrated delivery networks (IDN) as well as large urology groups and ambulatory surgery centers. Included in this group are agreements with 12 of the largest 17 national IDNs in the U.S. |
• | Axonics recently reported 2-year topline clinical results from its ARTISAN-SNM pivotal study. At 2-years post-implant, 88% of all patients were therapy responders, consistent with the 89% therapy responder rate reported at 1-year. The 2-year results demonstrate that patients continue to experience clinically meaningful and statistically significant improvements in urinary urgency incontinence symptoms and quality of life. Eighty percent of patients achieved >75% reduction in symptoms, with 37% being completely dry. There were no serious or unanticipated device related events. |
• | In April 2020, the U.S. Food & Drug Administration (FDA) approved a next generation rechargeable implantable neurostimulator (INS) for the Axonics r-SNM System under a premarket approval (PMA) supplement. The new INS extends the recharge interval for patients to only once a month for about one hour and for some patients, only once every two months. The next generation Axonics INS is shipping to U.S. customers this week. |
• | In June 2020, the FDA approved a new wireless patient remote control with SmartMRI™ technology for the Axonics r-SNM System under a PMA supplement. The new remote control simplifies the process by which patients can receive a full-body MRI. An MRI technician can perform a simple check using a patient’s remote control immediately prior to an MRI, avoiding the need for the patient to visit their implanting physician’s office or involving personnel from Axonics. |
• | In July 2020, the FDA approved 3T full-body MRI conditional labeling for the Axonics r-SNM System under a PMA supplement. With this incremental approval, the Axonics device is MRI compatible for both 1.5T and 3T full-body scans. |
• | Net revenue was $15.2 million in the second quarter 2020, as compared to net revenue of $1.5 million for the same period of the prior year. Net revenue from the U.S. accounted for $14.6 million, with select European markets and Canada accounting for the balance of second quarter 2020 revenue. |
• | Gross margin was 44.4% in the second quarter 2020, as compared to 48.1% for the same period of the prior year. The decrease in gross margin was primarily due to lower overhead absorption related to the COVID-19 pandemic in second quarter 2020. Management anticipates gross margin will return to the low to mid sixty percent range in the second half of 2020 and anticipates the low to mid seventy percent range over the longer-term. |
• | Operating expenses were $26.2 million in the second quarter 2020, as compared to $20.0 million for the same period of the prior year. This increase was primarily due to higher personnel costs for the U.S. commercial team and in other parts of the organization. |
• | Net loss was $19.8 million in the second quarter 2020, as compared to a net loss of $19.1 million for the same period of the prior year. Cash used in operating activities in the second quarter 2020 was $13.0 million. |
• | As of June 30, 2020, cash and cash equivalents were $288 million. |
June 30, | December 31, | ||||||
2020 | 2019 | ||||||
(unaudited) | |||||||
ASSETS | |||||||
Current assets | |||||||
Cash and cash equivalents | $ | 287,679 | $ | 171,082 | |||
Short-term investments | — | 12,592 | |||||
Accounts receivable, net of allowance for doubtful accounts of $589 and $75 at June 30, 2020 and December 31, 2019, respectively | 14,115 | 7,879 | |||||
Inventory, net | 30,138 | 15,659 | |||||
Prepaid expenses and other current assets | 3,573 | 4,468 | |||||
Total current assets | 335,505 | 211,680 | |||||
Property and equipment, net | 5,562 | 3,047 | |||||
Intangible asset, net | 254 | 311 | |||||
Other assets | 7,415 | 4,784 | |||||
Total assets | $ | 348,736 | $ | 219,822 | |||
LIABILITIES AND STOCKHOLDERS’ EQUITY | |||||||
Current liabilities | |||||||
Accounts payable | $ | 10,728 | $ | 5,882 | |||
Accrued liabilities | 3,961 | 2,174 | |||||
Accrued compensation and benefits | 5,289 | 3,375 | |||||
Operating lease liability, current portion | 851 | 602 | |||||
Debt, current portion | 10,000 | — | |||||
Total current liabilities | 30,829 | 12,033 | |||||
Operating lease liability, net of current portion | 9,261 | 4,450 | |||||
Debt, net of unamortized debt issuance costs, net of current portion | 10,750 | 20,336 | |||||
Total liabilities | 50,840 | 36,819 | |||||
Stockholders’ equity | |||||||
Preferred stock, par value $0.0001 per share; 10,000,000 shares authorized, no shares issued and outstanding at June 30, 2020 and December 31, 2019 | — | — | |||||
Common stock, par value $0.0001, 50,000,000 shares authorized at June 30, 2020 and December 31, 2019; 39,462,405 and 34,110,995 shares issued and outstanding at June 30, 2020 and December 31, 2019, respectively | 4 | 3 | |||||
Additional paid-in capital | 512,588 | 363,012 | |||||
Accumulated deficit | (213,983 | ) | (179,584 | ) | |||
Accumulated other comprehensive loss | (713 | ) | (428 | ) | |||
Total stockholders’ equity | 297,896 | 183,003 | |||||
Total liabilities and stockholders’ equity | $ | 348,736 | $ | 219,822 |
Three Months Ended June 30, | Six Months Ended June 30, | ||||||||||||||
2020 | 2019 | 2020 | 2019 | ||||||||||||
Net revenue | $ | 15,213 | $ | 1,488 | $ | 41,509 | $ | 2,565 | |||||||
Cost of goods sold | 8,463 | 772 | 18,358 | 1,320 | |||||||||||
Gross profit | 6,750 | 716 | 23,151 | 1,245 | |||||||||||
Operating Expenses | |||||||||||||||
Research and development | 6,398 | 4,874 | 13,282 | 9,093 | |||||||||||
General and administrative | 5,537 | 4,362 | 13,190 | 8,377 | |||||||||||
Sales and marketing | 14,220 | 10,750 | 30,789 | 16,664 | |||||||||||
Total operating expenses | 26,155 | 19,986 | 57,261 | 34,134 | |||||||||||
Loss from operations | (19,405 | ) | (19,270 | ) | (34,110 | ) | (32,889 | ) | |||||||
Other Income (Expense) | |||||||||||||||
Interest income | 65 | 839 | 707 | 1,873 | |||||||||||
Interest and other expense | (443 | ) | (629 | ) | (995 | ) | (1,161 | ) | |||||||
Other income (expense), net | (378 | ) | 210 | (288 | ) | 712 | |||||||||
Loss before income tax expense | (19,783 | ) | (19,060 | ) | (34,398 | ) | (32,177 | ) | |||||||
Income tax expense | — | 1 | 1 | 1 | |||||||||||
Net loss | (19,783 | ) | (19,061 | ) | (34,399 | ) | (32,178 | ) | |||||||
Foreign currency translation adjustment | (108 | ) | (43 | ) | (285 | ) | (53 | ) | |||||||
Comprehensive loss | $ | (19,891 | ) | $ | (19,104 | ) | $ | (34,684 | ) | $ | (32,231 | ) | |||
Net loss per share, basic and diluted | $ | (0.54 | ) | $ | (0.68 | ) | $ | (0.98 | ) | $ | (1.15 | ) | |||
Weighted-average shares used to compute basic and diluted net loss per share | 36,440,846 | 27,945,393 | 35,040,180 | 27,887,121 |