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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
FORM 10-Q

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
for the quarterly period ended SeptemberJune 30, 20212022
OR
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
COMMISSION FILE NUMBER: 001-37590
AVALO THERAPEUTICS, INC.
(Exact name of registrant as specified in its charter)
Delaware
(State of incorporation)
45-0705648
(I.R.S. Employer Identification No.)
540 Gaither Road, Suite 400
Rockville, Maryland 20850
(Address of principal executive offices)
(410) 522-8707
(Registrant’s telephone number,
including area code)
Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading SymbolName of each exchange on which registered
Common Stock, $0.001 par value

AVTXNasdaq Capital Market
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes No ☐ 
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes No ☐
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b‑2 of the Exchange Act.
Large accelerated filer
Accelerated filer ☐
Non-accelerated filer ☑Smaller reporting company ☑
Emerging growth company ☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b‑2 of the Exchange Act). Yes   No ☑
As of November 5, 2021,August 2, 2022, the registrant had 112,317,8299,414,105 shares of common stock outstanding.


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AVALO THERAPEUTICS, INC.
 
FORM 10-Q
 
For the Quarter Ended SeptemberJune 30, 20212022
 
TABLE OF CONTENTS 
      
     Page
    
  
      
   
      
  a) 
     
  b) 
     
d)
    
 c)
  e) 
     
  
     
  
     
  
 
     
  
     
  
  
    
  
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PART I - FINANCIAL INFORMATION
Item 1.  Financial Statements.
AVALO THERAPEUTICS, INC. and SUBSIDIARIES

Condensed Consolidated Balance Sheets (Unaudited)
(In thousands, except share and per share data)
 
September 30, 2021December 31, 2020June 30, 2022December 31, 2021
(unaudited)
AssetsAssets        Assets        
Current assets:Current assets:  Current assets:  
Cash and cash equivalentsCash and cash equivalents$71,506 $18,919 Cash and cash equivalents$11,249 $54,585 
Accounts receivable, netAccounts receivable, net1,435 2,177 Accounts receivable, net544 1,060 
Other receivablesOther receivables2,477 2,208 Other receivables1,306 3,739 
Inventory, netInventory, net16 Inventory, net23 38 
Prepaid expenses and other current assetsPrepaid expenses and other current assets1,408 2,660 Prepaid expenses and other current assets1,885 2,372 
Restricted cash, current portionRestricted cash, current portion164 38 Restricted cash, current portion14 51 
Total current assetsTotal current assets77,006 26,005 Total current assets15,021 61,845 
Property and equipment, netProperty and equipment, net1,410 1,607 Property and equipment, net2,567 2,695 
Other long-term assetOther long-term asset2,000 — Other long-term asset— 1,000 
Intangible assets, netIntangible assets, net304 1,585 Intangible assets, net— 38 
GoodwillGoodwill14,409 14,409 Goodwill14,409 14,409 
Restricted cash, net of current portionRestricted cash, net of current portion227 149 Restricted cash, net of current portion227 227 
Total assetsTotal assets$95,356 $43,755 Total assets$32,224 $80,214 
Liabilities and stockholders’ equity  
Liabilities and stockholders’ (deficit) equityLiabilities and stockholders’ (deficit) equity  
Current liabilities:Current liabilities:  Current liabilities:  
Accounts payableAccounts payable$3,568 $2,574 Accounts payable$2,164 $3,369 
Accrued expenses and other current liabilitiesAccrued expenses and other current liabilities15,460 11,310 Accrued expenses and other current liabilities13,231 16,519 
Current liabilities of discontinued operations10 1,341 
Total current liabilitiesTotal current liabilities19,038 15,225 Total current liabilities15,395 19,888 
Notes payable32,483 — 
Notes payable, non-currentNotes payable, non-current18,713 32,833 
Royalty obligationRoyalty obligation2,000 2,000 Royalty obligation2,000 2,000 
Deferred tax liability, netDeferred tax liability, net130 90 Deferred tax liability, net128 113 
Other long-term liabilitiesOther long-term liabilities1,396 1,878 Other long-term liabilities1,939 2,298 
Total liabilitiesTotal liabilities55,047 19,193 Total liabilities38,175 57,132 
Stockholders’ equity:  
Common stock—$0.001 par value; 200,000,000 shares authorized at September 30, 2021 and December 31, 2020; 112,317,829 and 75,004,127 shares issued and outstanding at September 30, 2021 and December 31, 2020, respectively112 75 
Preferred stock—$0.001 par value; 5,000,000 shares authorized at September 30, 2021 and December 31, 2020; 0 and 1,257,143 shares issued and outstanding at September 30, 2021 and December 31, 2020, respectively— 
Additional paid-in capital283,167 202,276 
Stockholders’ (deficit) equity:Stockholders’ (deficit) equity:  
Common stock—$0.001 par value; 200,000,000 shares authorized at June 30, 2022 and December 31, 2021; 9,405,724 and 9,399,517 shares issued and outstanding at June 30, 2022 and December 31, 2021, respectively1
Common stock—$0.001 par value; 200,000,000 shares authorized at June 30, 2022 and December 31, 2021; 9,405,724 and 9,399,517 shares issued and outstanding at June 30, 2022 and December 31, 2021, respectively1
Additional paid-in capital1
Additional paid-in capital1
291,244 285,239 
Accumulated deficitAccumulated deficit(242,970)(177,790)Accumulated deficit(297,204)(262,166)
Total stockholders’ equity40,309 24,562 
Total liabilities and stockholders’ equity$95,356 $43,755 
Total stockholders’ (deficit) equityTotal stockholders’ (deficit) equity(5,951)23,082 
Total liabilities and stockholders’ (deficit) equityTotal liabilities and stockholders’ (deficit) equity$32,224 $80,214 

1 Results have been retroactively adjusted to reflect the 1-for-12 reverse stock split effected on July 7, 2022. See Note 1 for details.

See accompanying notes to the unaudited condensed consolidated financial statements.
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AVALO THERAPEUTICS, INC. and SUBSIDIARIES
 
Condensed Consolidated Statements of Operations and Comprehensive Loss (Unaudited)
(In thousands, except per share data)
 
Three Months EndedNine Months EndedThree Months EndedSix Months Ended
September 30,September 30, June 30,June 30,
2021202020212020 2022202120222021
Revenues:Revenues:Revenues:
Product revenue, netProduct revenue, net$1,350 $1,111 $4,554 $5,202 Product revenue, net$1,033 $2,730 $2,206 $3,204 
License revenueLicense revenue— — 625 — License revenue— 625 — 625 
Total revenues, netTotal revenues, net1,350 1,111 5,179 5,202 Total revenues, net1,033 3,355 2,206 3,829 
Operating expenses:Operating expenses:Operating expenses:
Cost of product salesCost of product sales908 77 1,067 221 Cost of product sales1,567 83 2,286 159 
Research and developmentResearch and development10,551 8,872 48,325 19,556 Research and development8,510 12,569 18,094 37,774 
Acquired in-process research and development— — — 25,549 
General and administrative5,188 4,573 16,718 13,350 
Sales and marketing738 462 1,959 1,792 
Selling, general and administrativeSelling, general and administrative2,784 7,404 14,468 12,751 
Amortization expenseAmortization expense428 404 1,281 1,238 Amortization expense— 428 38 853 
Total operating expensesTotal operating expenses17,813 14,388 69,350 61,706 Total operating expenses12,861 20,484 34,886 51,537 
(16,463)(13,277)(64,171)(56,504)(11,828)(17,129)(32,680)(47,708)
Other (expense) income:
Change in fair value of Investment in Aytu— — — 5,208 
Other (expense) income, net(15)19 (20)447 
Interest (expense) income, net(985)— (1,207)— 
Total other (expense) income, net from continuing operations(1,000)19 (1,227)5,655 
Other expense:Other expense:
Other expense, netOther expense, net— (5)(20)(5)
Interest expense, netInterest expense, net(1,154)(239)(2,323)(222)
Total other expense, net from continuing operationsTotal other expense, net from continuing operations(1,154)(244)(2,343)(227)
Loss from continuing operations before taxesLoss from continuing operations before taxes(17,463)(13,258)(65,398)(50,849)Loss from continuing operations before taxes(12,982)(17,373)(35,023)(47,935)
Income tax expense (benefit)Income tax expense (benefit)(180)(2,607)Income tax expense (benefit)(199)15 (188)
Loss from continuing operationsLoss from continuing operations$(17,471)$(13,261)$(65,218)$(48,242)Loss from continuing operations$(12,987)$(17,174)$(35,038)$(47,747)
Income (loss) from discontinued operations, net of tax76 (198)38 385 
Income (loss) from discontinued operationsIncome (loss) from discontinued operations— 69 — (38)
Net lossNet loss$(17,395)$(13,459)$(65,180)$(47,857)Net loss$(12,987)$(17,105)$(35,038)$(47,785)
Net (loss) income per share of common stock, basic and diluted:
Net loss per share of common stock, basic and diluted1:
Net loss per share of common stock, basic and diluted1:
Continuing operationsContinuing operations$(0.17)$(0.16)$(0.67)$(0.68)Continuing operations$(1.38)$(2.12)$(3.73)$(5.97)
Discontinued operationsDiscontinued operations0.00 (0.01)0.00 0.00 Discontinued operations0.00 0.01 0.00 0.00 
Net loss per share of common stock, basic and dilutedNet loss per share of common stock, basic and diluted$(0.17)$(0.17)$(0.67)$(0.68)Net loss per share of common stock, basic and diluted$(1.38)$(2.11)$(3.73)$(5.97)
Net (loss) income per share of preferred stock, basic and diluted:
Net loss per share of preferred stock, basic and diluted1:
Net loss per share of preferred stock, basic and diluted1:
Continuing operationsContinuing operations$(0.82)$(3.34)$(3.40)Continuing operations$(0.88)$(2.49)
Discontinued operationsDiscontinued operations(0.01)0.00 0.02 Discontinued operations0.00 0.00 
Net loss per share of preferred stock, basic and dilutedNet loss per share of preferred stock, basic and diluted$(0.83)$(3.34)$(3.38)Net loss per share of preferred stock, basic and diluted$(0.88)$(2.49)

1 Results have been retroactively adjusted to reflect the 1-for-12 reverse stock split effected on July 7, 2022. See Note 1 for details.

See accompanying notes to the unaudited condensed consolidated financial statements.
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AVALO THERAPEUTICS, INC. and SUBSIDIARIES

Condensed Consolidated Statements of Changes in Stockholders’ (Deficit) Equity (Unaudited)
(In thousands, except share amounts)

 Common stockPreferred StockAdditional paid-inAccumulatedTotal stockholders’
 SharesAmountSharesAmountcapitaldeficitequity
Three Months Ended September 30, 2021
Balance, June 30, 202196,008,951 $96 — $— $247,067 $(225,575)$21,588 
Issuance of common stock in underwritten public offering, net14,308,878 14 — — 29,032 — 29,046 
Issuance of common stock pursuant to ATM Program, net2,000,000 — — 5,310 — 5,312 
Stock-based compensation— — — — 1,758 — 1,758 
Net loss— — — — — $(17,395)(17,395)
Balance, September 30, 2021112,317,829 $112 — $— $283,167 $(242,970)$40,309 
 Common stockPreferred StockAdditional paid-inAccumulatedTotal stockholders’
 SharesAmountSharesAmountcapitaldeficitequity
Nine Months Ended September 30, 2021
Balance, December 31, 202075,004,127 $75 1,257,143 $$202,276 $(177,790)$24,562 
Issuance of shares of common stock and pre-funded warrants in underwritten public offering, net13,971,889 14 — — 37,639 — 37,653 
Issuance of common stock in underwritten public offering, net14,308,878 14 — — 29,032 — 29,046 
Issuance of common stock pursuant to ATM Program, net2,000,000 — — 5,310 — 5,312 
Issuance of equity classified warrants related to venture debt financing agreement— — — — 861 — 861 
Exercise of stock options580,617 — — 1,567 — 1,568 
Conversion of preferred stock to common stock6,285,715 (1,257,143)(1)(5)— — 
Shares purchased through employee stock purchase plan88,686 — — — 207 — 207 
Restricted stock units vested during period77,917 — — — — — — 
Stock-based compensation— — — — 6,280 — 6,280 
Net loss— — — — — (65,180)(65,180)
Balance, September 30, 2021112,317,829 $112 — $— $283,167 $(242,970)$40,309 
 Common stockAdditional paid-inAccumulatedTotal stockholders’
 
Shares1
Amount1
capital1
deficitdeficit
Three Months Ended June 30, 2022
Balance, March 31, 20229,399,517 $$290,550 $(284,217)$6,342 
Restricted stock units vested during period938 — — — $— 
Shares purchased through employee stock purchase plan5,269 — 25 — $25 
Stock-based compensation— — 669 — 669 
Net loss— — — (12,987)(12,987)
Balance, June 30, 20229,405,724 $$291,244 $(297,204)$(5,951)



 Common stockAdditional paid-inAccumulatedTotal stockholders’
 
Shares1
Amount1
capital1
deficitdeficit
Six Months Ended June 30, 2022
Balance, December 31, 20219,399,517 $$285,239 $(262,166)$23,082 
Restricted stock units vested during period938 — — — $— 
Shares purchased through employee stock purchase plan5,269��— 25 — $25 
Stock-based compensation— — 5,980 — 5,980 
Net loss— — — (35,038)(35,038)
Balance, June 30, 20229,405,724 $$291,244 $(297,204)$(5,951)
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 Common stockPreferred StockAdditional paid-inAccumulatedTotal stockholders’
 
Shares1
Amount1
SharesAmount
capital1
deficitequity
Three Months Ended June 30, 2021
Balance, March 31, 20217,425,401 $1,257,143 $$241,617 $(208,470)$33,155 
Conversion of preferred stock to common stock523,810 (1,257,143)(1)— — — 
Restricted stock units vested during period6,493 — — — — — — 
Shares purchased through employee stock purchase plan7,391 — — — 207 — 207 
Issuance of equity classified warrants related to venture loan and security agreement— — — — 861 — 861 
Exercise of stock options37,651 — — — 1,396 — 1,396 
Stock-based compensation— — — — 3,074 — 3,074 
Net loss— — — — — (17,105)(17,105)
Balance, June 30, 20218,000,746 $— $— $247,155 $(225,575)$21,588 

 Common stockPreferred StockAdditional paid-inAccumulatedTotal stockholders’
 
Shares1
Amount1
SharesAmount
capital1
deficitequity
Six Months Ended June 30, 2021
Balance, December 31, 20206,250,344 $1,257,143 $$202,345 $(177,790)$24,562 
Issuance of shares of common stock and pre-funded warrants in underwritten public offering, net1,164,323 — — 37,652 — 37,653 
Conversion of preferred stock to common stock523,810 (1,257,143)(1)— — — 
Restricted stock units vested during period6,493 — — — — — — 
Shares purchased through employee stock purchase plan7,391 — — — 207 — 207 
Issuance of equity classified warrants related to venture loan and security agreement— — — — 861 — 861 
Exercise of stock options and warrants48,385 — — — 1,568 — 1,568 
Stock-based compensation— — — — 4,522 — 4,522 
Net loss— — — — — (47,785)(47,785)
Balance, June 30, 20218,000,746 $— $— $247,155 $(225,575)$21,588 

1
Results have been retroactively adjusted to reflect the 1-for-12 reverse stock split effected on July 7, 2022. See Note 1 for details.

 Common stockPreferred StockAdditional paid-inAccumulatedTotal stockholders’
 SharesAmountSharesAmountcapitaldeficitequity
Three Months Ended September 30, 2020
Balance, June 30, 202074,900,047 $75 1,257,143 $$199,191 $(148,689)$50,578 
Stock-based compensation— — — — 1,448 — 1,448 
Net loss— — — — — (13,459)(13,459)
Balance, September 30, 202074,900,047 $75 1,257,143 $$200,639 $(162,148)$38,567 
 Common stockPreferred StockAdditional paid-inAccumulatedTotal stockholders’
 SharesAmountSharesAmountcapitaldeficitequity
Nine Months Ended September 30, 2020
Balance, December 31, 201944,384,222 $44 2,857,143 $$135,239 $(114,291)$20,995 
Conversion of preferred stock to common stock8,000,000 (1,600,000)(2)(6)— — 
Issuance of shares related to Aevi Merger3,893,361 — — 15,492 — 15,496 
Issuance of shares pursuant to registered direct offering, net1,306,282 — — 5,135 — 5,137 
Issuance of shares pursuant to common stock private placement, net1,951,219 — — 3,886 — 3,888 
Issuance of shares of common stock in underwritten public offering, net15,180,000 15 — — 35,413 — 35,428 
Exercise of stock options and warrants50,239 — — — 92 — 92 
Restricted stock units vested during period111,667 — — — — — — 
Restricted stock units withheld for taxes(35,279)— — — (94)— (94)
Shares purchased through employee stock purchase plan58,336 — — — 133 — 133 
Stock-based compensation— — — — 5,349 — 5,349 
Net loss— — — — — (47,857)(47,857)
Balance, September 30, 202074,900,047 $75 1,257,143 $$200,639 $(162,148)$38,567 
See accompanying notes to the unaudited condensed consolidated financial statements.
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AVALO THERAPEUTICS, INC. and SUBSIDIARIES

Condensed Consolidated Statements of Cash Flows (Unaudited)
(Amounts in thousands)
 Nine Months Ended September 30,
 20212020
Operating activities        
Net loss$(65,180)$(47,857)
Adjustments to reconcile net loss used in operating activities:
Depreciation and amortization1,362 1,305 
Stock-based compensation6,280 5,349 
Accretion of debt discount445 — 
Acquired in-process research and development, including transaction costs— 25,549 
Deferred taxes40 29 
Change in fair value of Investment in Aytu— (5,208)
Change in fair value of warrant liability and unit purchase option liability— (14)
Change in value of Guarantee— (1,755)
Changes in assets and liabilities:
Accounts receivable, net742 (172)
Other receivables(269)(4,184)
Other long-term asset(2,000)— 
Inventory, net(13)12 
Prepaid expenses and other assets1,252 (744)
Accounts payable994 (548)
Income taxes payable— 288 
Accrued expenses and other liabilities2,604 1,776 
Lease liability, net(50)10 
Net cash used in operating activities(53,793)(26,164)
Investing activities  
Proceeds from sale of Investment in Aytu, net— 12,837 
Net cash paid in merger with Aevi— (1,251)
Purchase of property and equipment(102)(63)
Net cash used in investing activities(102)11,523 
Financing activities  
Proceeds from issuance of common stock and pre-funded warrants in underwritten public offering, net37,653 — 
Proceeds from Notes and warrants, net of debt issuance costs paid32,900 — 
Proceeds from issuance of common stock in underwritten public offering, net29,046 35,429 
Proceeds from common stock pursuant to ATM Program, net5,312 — 
Proceeds from registered direct offering, net— 5,136 
Proceeds from sale of shares pursuant to common stock private placement, net— 3,888 
Proceeds from exercise of stock options1,568 92 
Proceeds from issuance of common stock under employee stock purchase plan207 133 
Restricted stock units withheld for taxes— (94)
Net cash provided by financing activities106,686 44,584 
Increase in cash, cash equivalents and restricted cash52,791 29,943 
Cash, cash equivalents, and restricted cash at beginning of period19,106 3,729 
Cash, cash equivalents, and restricted cash at end of period$71,897 $33,672 
Supplemental disclosures of cash flow information  
Cash paid for interest$796 $— 
Cash paid for taxes$— $316 
Supplemental disclosures of non-cash activities
Issuance of common stock in Aevi Merger$— $15,496 
Leased asset obtained in exchange for new operating lease liability$— $376 
7
 Six Months Ended June 30,
 20222021
Operating activities        
Net loss$(35,038)$(47,785)
Adjustments to reconcile net loss used in operating activities:
Depreciation and amortization97 907 
Stock-based compensation5,980 4,522 
Accretion of debt discount686 104 
Allowance for other long-term asset1,000 — 
Deferred taxes15 31 
Changes in assets and liabilities:
Accounts receivable, net516 (1,943)
Other receivables2,433 1,210 
Inventory, net15 (17)
Prepaid expenses and other assets487 910 
Accounts payable(1,205)(324)
Accrued expenses and other liabilities(3,537)4,916 
Lease liability, net14 (34)
Net cash used in operating activities(28,537)(37,503)
Investing activities  
Purchase of property and equipment(56)(21)
Net cash used in investing activities(56)(21)
Financing activities  
Proceeds from issuance of common stock and pre-funded warrants in underwritten public offering, net— 37,653 
Proceeds from Notes and warrants, net of debt issuance costs paid— 19,615 
Prepayment on Notes(14,806)— 
Proceeds from exercise of stock options— 1,568 
Proceeds from issuance of common stock under employee stock purchase plan25 207 
Net cash (used in) provided by financing activities(14,781)59,043 
(Decrease) increase in cash, cash equivalents and restricted cash(43,374)21,519 
Cash, cash equivalents, and restricted cash at beginning of period54,864 19,106 
Cash, cash equivalents, and restricted cash at end of period$11,490 $40,625 
Supplemental disclosures of cash flow information  
Cash paid for interest$1,657 $— 
Unpaid debt issuance costs$— $1,715 


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The following table provides a reconciliation of cash, cash equivalents and restricted cash reported within the condensed consolidated balance sheets that sum to the total of the same such amounts shown in the condensed consolidated statements of cash flows (in thousands):
September 30,June 30,
2021202020222021
Cash and cash equivalentsCash and cash equivalents$71,506 $33,391 Cash and cash equivalents$11,249 $40,435 
Restricted cash, currentRestricted cash, current164 132 Restricted cash, current14 41 
Restricted cash, non-currentRestricted cash, non-current227 149 Restricted cash, non-current227 149 
Total cash, cash equivalents and restricted cashTotal cash, cash equivalents and restricted cash$71,897 33,672 Total cash, cash equivalents and restricted cash$11,490 40,625 
See accompanying notes to the unaudited condensed consolidated financial statements.

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AVALO THERAPEUTICS, INC. and SUBSIDIARIES
 
Notes to Unaudited Condensed Consolidated Financial Statements 

 
1. Business

Avalo Therapeutics, Inc. (the “Company” or “Avalo” or “we”) is a leading clinical-stage precision medicine company that discovers, develops, and commercializes targeted therapeutics for patients with significant unmet clinical need in immunology immuno-oncology, and rare genetic diseases. The Company has built a diverse portfolio of innovative therapies to deliver meaningful medical impact for patients in urgent need. Avalo’s clinical candidates commonly have a proven mechanistic rationale, biomarkers and/or an established proof-of-concept to expedite and increase the probability of success.

In August 2021, the Company changed its corporate name change from Cerecor Inc. to Avalo Therapeutics, Inc. by filing a Certificate of Amendment to our Amended and Restated Certificate of Incorporation with the Secretary of State of the State of Delaware and merged certain wholly-owned subsidiaries into the Company to consolidate its corporate structure. The name change underscores the Company’s transition to developing innovative targeted therapies in immunology, immuno-oncology, and rare genetic diseases.

Avalo was incorporated in Delaware and commenced operation in 2011, and completed its initial public offering in October 2015.

LiquidityOn July 7, 2022, Avalo effected a 1-for-12 reverse stock split. The Company has retroactively applied the reverse stock split made effective on July 7, 2022 to share and per share amounts in the unaudited condensed consolidated financial statements for the three and six months ended June 30, 2022 and 2021 and the year ended December 31, 2021. Additionally, pursuant to their terms, a proportionate adjustment was made to the per share exercise price and number of shares issuable under all of the Company’s outstanding options and warrants, and the number of shares authorized for issuance pursuant to the Company’s equity incentive plans have been reduced proportionately. Avalo retroactively applied such adjustments in the notes to the unaudited condensed consolidated financial statements for the three and six months ended June 30, 2022 and 2021 and the year ended December 31, 2021. The reverse stock split did not reduce the number of authorized shares of common and preferred stock and did not alter the par value.

As of September 30, 2021, Avalo had $71.5 million in cash and cash equivalents. In September 2021, the Company closed an underwritten public offering of 14,308,878 shares of common stock for net proceeds of approximately $29.0 million. Additionally, in August 2021, the Company sold 2.0 million shares of common stock under its “at-the-market” sales agreement (the “ATM Program”) for net proceeds of approximately $5.3 million.

In June 2021, the Company entered into a $35.0 million venture debt financing agreement (the “Loan Agreement”) with Horizon Technology Finance Corporation and Powerscourt Investments XXV, LP (collectively, the “Lenders”). As of September 30, 2021, the Company has received the full $35.0 million, $20.0 million of which was funded on the closing date in the second quarter of 2021 and the remaining $15.0 million was funded during the third quarter of 2021 in 2 separate tranches. The Loan Agreement contains certain covenants and certain other specified events that could result in an event of default, which if not cured or waived, could result in the acceleration of all or a substantial portion of the notes. As of the filing date of this Quarterly Report on Form 10-Q, the Company was not aware of any breach of covenants nor received any notice of event of default from the Lenders.

In the first quarter of 2021, the Company closed an underwritten public offering of 13,971,889 shares of its common stock and 1,676,923 pre-funded warrants for net proceeds of approximately $37.7 million.Liquidity

In order to meet its cash flow needs, the Company applies a disciplined decision-making methodology as it evaluates the optimal allocation of the Company’s resources between investing in the Company’s existing pipeline assets and acquisitions or in-licensing of new assets. As of June 30, 2022, Avalo had $11.2 million in cash and cash equivalents. Subsequent to June 30, 2022, in August 2022, Avalo received the approximate $15 million of upfront payment from its transfer of AVTX-007 on July 29, 2022. Refer to Note 14 for further information. For the ninesix months ended SeptemberJune 30, 2021,2022, Avalo generated a net loss of $65.2$35.0 million and negative cash flows from operations of $53.8$28.5 million. As of SeptemberJune 30, 2021,2022, Avalo had an accumulated deficit of $243.0$297.2 million.

In June 2022, as collectively agreed upon with the Lenders, the Company made a partial prepayment of $15.0 million ($14.8 million of which was applied to principal) under its venture loan and security agreement (the “Loan Agreement”) with Horizon Technology Finance Corporation (“Horizon”) and Powerscourt Investments XXV, LP (“Powerscourt”, and together with Horizon, the “Lenders”). Avalo intends to consider additional prepayments prior to principal loan amounts coming due, if collectively agreed upon with the Lenders. As of June 30, 2022, the carrying value of the Notes (as defined in Note 9) was $18.7 million.

The accompanying unaudited condensed consolidated financial statements have been prepared assuming the Company will continue as a going concern; however, losses are expected to continue as the Company continues to invest in its research and development pipeline assets. The Company will require additional financing to fund its operations and to continue to execute its business strategy at leastwithin one year after the date the unaudited condensed consolidated financial statements included herein were issued. These conditions raise substantial doubt about the Company’s ability to continue as a going concern.

To mitigate these conditions and to meet the Company’s capital requirements, management plans to use its current cash on hand along with some combination of the following: (i) dilutive and/or non-dilutive financings, (ii) federal and/or private grants, (iii) other out-licensing or strategic alliances/collaborations of its current pipeline assets, and (iv)(iii) out-licensing or sale of its non-core assets.assets, and (iv) federal and/or private grants. If the Company raises additional funds through collaborations, strategic alliances or licensing arrangements with third parties, the Company might have to relinquish valuable rights to its technologies, future revenue streams, research programs or product candidates. Subject to limited exceptions, our venture debt financing agreementthe Loan Agreement prohibits usthe Company from incurring certain additional indebtedness, making certain asset dispositions, and entering into certain mergers, acquisitions or other business combination transactions without the prior consent of the Lenders. Additionally, the Loan Agreement contains certain covenants and certain other specified events that could result in an event of default, which if not cured or waived, could result in the immediate acceleration of all or a substantial portion of the outstanding notes. As of the filing date of this Quarterly Report on Form 10-Q, the Company was not aware of any breach of covenants or occurrence of material adverse change, nor had it received any notice of event of default from the Lenders (refer to Note 9 of the condensed consolidated financial statements for more information).

If the Company requires but is unable to obtain additional funding, the Company may be forced to make reductions in spending, delay, suspend, reduce or eliminate some or all of its planned research and development programs, or liquidate assets where possible. Due to
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the uncertainty regarding future financing and other potential options to raise additional funds, management has
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concluded that substantial doubt exists with respect to the Company’s ability to continue as a going concern within one year after the date that the financial statements in this Quarterly Report on Form 10-Q were issued.

Over the long term, the Company’s ultimate ability to achieve and maintain profitability will depend on, among other things, the development, regulatory approval, and commercialization of its pipeline assets, and the potential receipt and sale of any PRVspriority review vouchers it receives.

2. Basis of Presentation and Significant Accounting Policies
 
Basis of Presentation
 
The Company’s unaudited condensed consolidated financial statements have been prepared in accordance with U.S. generally accepted accounting principles (“GAAP”). Any reference in these notes to applicable guidance is meant to refer to the authoritative GAAP as found in the Accounting Standards Codification (“ASC”) and Accounting Standards Updates (“ASU”) of the Financial Accounting Standards Board (“FASB”).

In the opinion of management, the accompanying unaudited condensed consolidated financial statements include all adjustments, consisting of normal recurring adjustments, which are necessary to present fairly the Company’s financial position, results of operations, and cash flows. The condensed consolidated balance sheet at December 31, 20202021 has been derived from audited financial statements at that date. The interim results of operations are not necessarily indicative of the results that may occur for the full fiscal year. Certain information and footnote disclosure normally included in the financial statements prepared in accordance with GAAP have been condensed or omitted pursuant to instructions, rules, and regulations prescribed by the United States Securities and Exchange Commission (“SEC”).

The Company believes that the disclosures provided herein are adequate to make the information presented not misleading when these unaudited condensed consolidated financial statements are read in conjunction with the December 31, 20202021 audited consolidated financial statements.

In the second quarter of 2022, the Company concluded that it would include sales and marketing expenses within the selling, general and administrative line in the Company’s condensed consolidated statement of operations. The Company reclassified $0.8 million and $1.2 million from sales and marketing expense to selling, general and administrative expense for the three and six months ended June 30, 2021, respectively, to conform with the current period presentation.

Unless otherwise indicated, all amounts in the following tables are in thousands except share and per share amounts.

Significant Accounting Policies

During the ninesix months ended SeptemberJune 30, 2021,2022, there were no significant changes to the Company’s summary of significant accounting policies contained in the Company’s Annual Report on Form 10-K for the year ended December 31, 2020,2021, as filed with the SEC on March 8, 2021.2, 2022.

3. Revenue

The Company generates substantially all of its revenue from sales of Millipred®, an oral prednisolone indicated across a wide variety of inflammatory conditions, which is considered a prescription drug. The Company sells its prescription drug in the United States primarily through wholesale distributors. Wholesale distributors account for substantially all of the Company’s net product revenues and trade receivables. For the three months ended SeptemberJune 30, 2021,2022, the Company’s threetwo largest customers accounted for approximately 52%86% and 14%, 24%, and 24%respectively, of the Company’s total net product revenues. For the ninesix months ended SeptemberJune 30, 2021,2022, the Company’s threetwo largest customers accounted for approximately 62%79% and 21%, 20%, and 17%respectively, of the Company’s total net product revenues. RevenueNet revenue from sales of prescription drugs was $1.4$1.0 million and $1.1$2.7 million for the three months ended SeptemberJune 30, 20212022 and 2020,2021, respectively, and $4.6$2.2 million and $5.2$3.2 million for the ninesix months ended SeptemberJune 30, 20212022 and 2020,2021, respectively.

The Company has a license and supply agreement for the Millipred® product with a wholly owned subsidiary of Teva Pharmaceutical Industries Ltd. (“Teva”), which expires on September 30, 2023. Beginning July 1, 2021, Avalo is required to pay Teva 50 percent of the net profit of the Millipred® product following each calendar quarter, subject to a $0.5 million quarterly minimum payment. For the three and ninesix months ended SeptemberJune 30, 2021,2022, the Company recognized $0.7$0.4 million and $1.0 million, respectively, in cost of product
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sales related to the royalty. Dr. Sol Barer served as the Chairman of the Company’s board of directors until June 2021 and currently serves as the Chairman of Teva’s board of directors.

License revenue was $0.6 million for the nine months ended September 30, 2021, which was related to upfront fees received in the second quarter of 2021 as a result of the out-licenses of the Company’s rights to its non-core neurology pipeline assets: AVTX-301 to Alto Neuroscience, Inc. (“Alto”) and AVTX-406 to ES Therapeutics, LLC (“ES”). ES is a wholly-owned subsidiary of Armistice Capital Master Fund Ltd. (an affiliate of Armistice Capital, LLC and collectively “Armistice”), which is a significant stockholder of
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Aytu BioScience, Inc. (“Aytu”), to which the Company and whose chief investment officer, Steven Boyd, and managing director, Keith Maher, serve on the Company’s Board of Directors. The transaction with ES was approved in accordance with the Company’s related party transaction policy. Avalo is eligible to receive additional payments upon achievement of specified development, regulatory and sales-based milestones for both AVTX-301 and AVTX-406 and is also eligible to royalty payments based on net sales of AVTX-301; refer to Note 14 for more information.

4. Aytu Divestiture

Overview of Sale of Pediatric Portfolio and Related Commercial Infrastructure to Aytu BioScience

On November 1, 2019, the Company closed on an asset purchase agreement to sell the Company’ssold its rights, title, and interestinterests in assets relating to certain commercialized products in 2019 (the “Pediatric Portfolio”“Aytu Transaction”) and the corresponding commercial infrastructure to Aytu BioScience, Inc. (“Aytu”). Aytu paid consideration of $4.5 million in cash and approximately 9.8 million shares of Aytu convertible preferred stock, and assumed certain of the Company’s liabilities, including the Company’s payment obligations to Deerfield CSF, LLC (“Deerfield”) and certain other liabilities primarily related to contingent consideration and sales returns. Steve Boyd, chief investment officer of Armistice Capital, LLC, a significant stockholder of the Company and a member of the Company’s Board of Directors, served on Aytu’s Board from March 2019 until August 30, 2021. The transactions and agreements between the Company and Aytu were approved in accordance with the Company’s related party transaction policy.

Upon the sale of the Pediatric Portfolio to Aytu, the Pediatric Portfolio met all conditions to be classified as discontinued operations. Therefore, the accompanying condensed consolidated financial statements for the three and nine months ended September 30, 2021 and 2020 and as of December 31, 2020 reflect the operations, net of taxes, and related assets and liabilities of the Pediatric Portfolio as discontinued operations. Refer to the “Discontinued Operations” section below for more information, including Avalo’s continuing involvement, which the Company expects to end in the second quarter of 2022.

Avalo retained all rights to Millipred®, which the Company considers a non-core asset. Aytu managed Millipred® commercial operations until June 30,August 31, 2021 pursuant to transition service agreements, entered into between Aytu and Avalo, which included managing the third-party logistics provider and providing accounting reporting services. Aytu collectingcollected cash on behalf of Avalo for revenue generated by sales of Millipred® untilfrom the second quarter of 2020.2020 through the third quarter of 2021 and is obligated to transfer cash generated by such sales to Avalo. In the third quarter of 2021, Avalo finalized its trade and distribution channel to allow it to control third partythe third-party distribution and began managing Millipred®commercial operations at that time. The Company agreedcurrent transition services agreement allows Aytu to postpone receiptwithhold cash of $2.0 million until September 30, 2022 and $1.0 million until December 2024. The Company received $2.2 million from Aytu in orderfirst quarter of 2022. As of June 30, 2022, the total receivable balance was approximately $1.9 million. As most recently public disclosed in their Quarterly Report on Form 10-Q for the quarter ended March 31, 2022, Aytu concluded that substantial doubt exists with respect to better facilitatetheir ability to continue as a going concern within one year after the transition of commercial operations from Aytu.date that the financial statements were issued, or May 2023. As such, the Company fully reserved for the $1.0 million of the postponement will become due in December 20222024 and the remainder in December 2024. The Company recognized the $2.0 million as an other long-term asset on the Company’s condensed consolidated balance sheet as of September 30, 2021.

Deerfield Guarantee

As of the closing date of the Aytu Divestiture on November 1, 2019, Aytu assumed the Company’s debt obligation to Deerfield which included monthly payments of $0.1 million through January 2021, with a balloon payment of $15.0 million that was to be duerelated expense in January 2021. Aytu also assumed the contingent consideration liability related to future royalties on Avadel Pharmaceuticals PLC’s (“Avadel”) pediatric products, which included minimum monthly payments of $0.1 million through February 2026. In conjunction with the closing of this transaction, the Company entered into a guarantee in favor of Deerfield, which guarantees the payment of the assumed liabilities to Deerfield, which included the debt obligation and includes the contingent consideration related to future royalties on Avadel’s pediatric products (collectively referred to as the “Guarantee”).

Aytu publicly reported that it had paid the $15.0 million balloon payment to Deerfield before it came due in June 2020 and the fixed monthly payments to Deerfield ended in January 2021, thus satisfying the debt obligation. Aytu publicly reported that it had entered into a Waiver, Release and Consent in June 2021, pursuant to which it paid $2.8 million to Deerfield in early satisfaction of the remaining contingent consideration related to future royalties on Avadel’s pediatric products. Aytu agreed to pay the remaining fixed obligation of $3.0 million in 6 equal quarterly payments of $0.5 million over the next 6 quarters commencing September 1, 2021.

Avalo is required to make a payment under the Guarantee upon demand by Deerfield if all or any part of the fixed payments are not paid by Aytu when due or upon breach of a covenant. The remaining minimum commitments payable (as most recently publicly reported by Aytu) was $3.0 million as of June 30, 2021, which represents Avalo’s estimated maximum potential future payments under the Guarantee.

The fair value of the Guarantee, which relates to the Company’s obligation to make future payments if Aytu defaults, was determined at the time of the Aytu Divestiture as the difference between (i) the estimated fair value of the assumed payments using Avalo’s estimated cost of debt and (ii) the estimated fair value of the assumed payments using Aytu’s estimated cost of debt. At each
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subsequent reporting period, the value of the Guarantee is determined based on the expected credit loss of the Guarantee with changes recorded in (loss) income from discontinued operations, net of tax within the consolidated statements of operations and comprehensive loss. The Company concluded that the expected credit loss of the Guarantee was de minimis as of September 30, 2021 based on considerations such as recent financings, cash position, operating cash flows and trends and Aytu’s ability to meet its financial commitments.

Discontinued Operations

The following tables summarizes the liabilities of the discontinued operations as of September 30, 2021 and December 31, 2020 (in thousands):
 September 30,December 31,
 20212020
Liabilities  
Current liabilities:
Accrued expenses and other current liabilities$10 $1,341 
Total current liabilities of discontinued operations$10 $1,341 
Aytu assumedproduct sales returns of the Pediatric Portfolio made after the transaction close date related to sales prior to November 1, 2019 only to the extent such post-Closing sales returns exceed $2.0 million and are less than $2.8 million (in other words, Aytu will only assume $0.8 million of such returns). Therefore, Avalo is liable for future sales returns of the Pediatric Portfolio sold prior to the transaction close date in excess of the $0.8 million assumed by Aytu. The Company estimated future returns on sales made prior to the transaction close date as of September 30, 2021, which was recognized within accrued expenses and other current liabilities from discontinued operations (and shown in the table above).

Changes to the Company’s estimate of sales returns related to the Pediatric Portfolio is included within discontinued operations on the statement of operations and comprehensive loss and is shown within product revenue, net in the table summarizing the results of discontinued operations below. In future periods, as additional information becomes available, the Company expects to recognize expense (or a benefit) related to actual sales returns of the Pediatric Portfolio in excess (or less than) the returns reserve recorded, which will be recognized within discontinued operations. The Company expects this involvement to continue until sales returns are no longer accepted on sales of the Pediatric Portfolio made prior to November 1, 2019. Returns of these products may be accepted through the second quarter of 2022 (in line with the products’ return policies).

The following table summarizes the results of discontinued operations for the three and ninesix months ended SeptemberJune 30, 20212022. The remaining $0.9 million is included within other receivables and 2020 (in thousands):
 Three Months Ended September 30,Nine Months Ended September 30,
 2021202020212020
Product revenue, net$76 $(198)$139 $(1,370)
Operating expenses:
Sales and marketing— — 101 — 
Total operating expenses— — 101 — 
Other income:
Change in value of Guarantee— — — 1,755 
Total other income— — — 1,755 
Income (loss) from discontinued operations, net of tax$76 $(198)$38 $385 

There were no non-cash operating items from discontinued operations foris contractually owed in the nine months ended September 30, 2021 and no non-cash investing items from the discontinued operations for the nine months ended September 31, 2021 and 2020. The significant non-cash operating item from the discontinued operations for the nine months ended September 30, 2020 is contained below (in thousands).
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 Nine Months Ended September 30,
 20212020
Change in value of Guarantee— $(1,755)

5.4. Net Loss Per Share

The Company computes earnings per share (“EPS”) using the two-class method. The two-class method of computing EPS is an earnings allocation formula that determines EPS for common stock and any participating securities according to dividends declared and participation rights in undistributed earnings.

The Company had only common stock outstanding during the three and six months ended June 30, 2022. The Company had 2 classes of stock outstanding during the ninethree and six months ended SeptemberJune 30, 2021; common stock and preferred stock. The preferred stock outstanding during the prior period converted to shares of common stock on an approximately 1-for-0.42 ratio (ratio adjusted for the reverse stock split) and had the same rights, preferences and preferencesprivileges as the Company’s common stock other than being non-voting, and is convertible into share of common stock on a 1-for-5 ratio.it held no voting rights. In April 2021, Armistice Capital, LLC, (“Armistice”), which is a significant stockholder of the Company and whose chief investment officer, Steven Boyd, and managing director, Keith Maher, serve on the Board of the Company, converted the remainingthen outstanding 1,257,143 shares of convertible preferred stock into 6,285,715523,810 shares of Avalo’s common stock (refer to Note 1110 for more information). Therefore, the Company had only common stock outstanding during the three months ended September 30, 2021. Under the two-class method, the convertible preferred stock was considered a separate class of stock until the time it was converted to common shares for EPS purposes and thereforepurposes. Therefore, basic and diluted EPS is provided below for common stock for the three and six months ended June 30, 2022, and both common stock and preferred stock for the three and six months ended SeptemberJune 30, 2020 and the nine months ended September 30, 2020 and 2021.

EPS for common stock and EPS for preferred stock is computed by dividing the sum of distributed earnings and undistributed earnings for each class of stock by the weighted average number of shares outstanding for each class of stock for the period. In applying the two-class method, undistributed earnings are allocated to common stock and preferred stock based on the weighted average shares outstanding during the period, which assumesassumed the convertible preferred stock hashad been converted to common stock. The weighted average number of common shares outstanding as of SeptemberJune 30, 2022 and 2021 includesinclude the weighted average effect of the pre-funded warrants issued in connection with the underwritten public offering that closed in January 2021, the exercise of which requires nominal consideration for the delivery of the shares of common stock (refer to Note 1110 for more information).

Diluted net (loss) incomeloss per share includes the potential dilutive effect of common stock equivalents as if such securities were converted or exercised during the period, when the effect is dilutive. Common stock equivalents include: (i) outstanding stock options and restricted stock units, which are included under the “treasury stock method” when dilutive; and (ii) common stock to be issued upon the exercise of outstanding warrants, which are included under the “treasury stock method” when dilutive. Because the impact of these items is generally anti-dilutive during periods of net loss, there is no difference between basic and diluted loss per common share for periods with net losses. In periods of net loss, losses are allocated to the participating security only if the security has not only the right to participate in earnings, but also a contractual obligation to share in the Company’s losses.

The following tables set forth the computation of basic and diluted net (loss) incomeloss per share of common stock for the three and six months ended June 30, 2022, and common stock and preferred stock for the three and ninesix months ended SeptemberJune 30, 2021 and 2020 (in thousands, except share and per share amounts): 

Three Months Ended
 September 30, 2021
Common stock
Continuing OperationsDiscontinued Operations
Numerator:
Allocation of undistributed net loss$(17,471)$76 
Denominator:
Weighted average shares100,490,389 100,490,389 
Basic and diluted net loss per share$(0.17)$0.00 


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Three Months Ended
June 30, 2022
Common stock
Numerator:
Allocation of undistributed net loss$(12,987)
Denominator:
Weighted average shares9,400,902 
Basic and diluted net loss per share$(1.38)



Nine Months Ended
 September 30, 2021
Common stockPreferred stock
Continuing OperationsDiscontinued OperationsContinuing OperationsDiscontinued Operations
Numerator:
Allocation of undistributed net loss$(63,602)$37 $(1,616)$
Denominator:
Weighted average shares95,125,817 95,125,817 483,517 483,517 
Basic and diluted net loss per share$(0.67)$0.00 $(3.34)$0.00 
Six Months Ended
June 30, 2022
Common stock
Numerator:
Allocation of undistributed net loss$(35,038)
Denominator:
Weighted average shares9,400,214 
Basic and diluted net loss per share$(3.73)

Three Months EndedThree Months Ended
September 30, 2020 June 30, 2021
Common stockPreferred stockCommon stockPreferred stock
Continuing OperationsDiscontinued OperationsContinuing OperationsDiscontinued OperationsContinuing OperationsDiscontinued OperationsContinuing OperationsDiscontinued Operations
Numerator:Numerator:Numerator:
Allocation of undistributed net lossAllocation of undistributed net loss$(12,234)$(183)$(1,027)$(15)Allocation of undistributed net loss$(16,991)$68 $(183)$
Denominator:Denominator:Denominator:
Weighted average sharesWeighted average shares74,900,047 74,900,047 1,257,143 1,257,143 Weighted average shares8,014,966 8,014,966 207,221 207,221 
Basic and diluted net loss per shareBasic and diluted net loss per share$(0.16)$(0.01)$(0.82)$(0.01)Basic and diluted net loss per share$(2.12)$0.01 $(0.88)$0.00 


Nine Months EndedSix Months Ended
September 30, 2020 June 30, 2021
Common stockPreferred stockCommon stockPreferred stock
Continuing OperationsDiscontinued OperationsContinuing OperationsDiscontinued OperationsContinuing OperationsDiscontinued OperationsContinuing OperationsDiscontinued Operations
Numerator:Numerator:Numerator:
Allocation of undistributed net lossAllocation of undistributed net loss$(43,511)$347 $(4,731)$38 Allocation of undistributed net loss$(45,934)$(37)$(1,813)$(1)
Denominator:Denominator:Denominator:
Weighted average sharesWeighted average shares63,920,795 63,920,795 1,389,990 1,389,990 Weighted average shares7,699,923 7,699,923 729,282 729,282 
Basic and diluted net loss per shareBasic and diluted net loss per share$(0.68)$0.00 $(3.40)$0.02 Basic and diluted net loss per share$(5.97)$0.00 $(2.49)$0.00 

The following outstanding securities have been excluded from the computation of diluted weighted shares outstanding for the three and ninesix months ended SeptemberJune 30, 20212022 and 2020,2021, as they could have been anti-dilutive: 
 Three and Nine Months Ended
September 30,
 20212020
Stock options13,473,4129,548,262
Warrants on common stock1
4,406,2244,024,708
Restricted Stock Units77,916155,833
1 The above table excludes 1,676,923 pre-funded warrants for the three and nine months ended September 30, 2021. See “Q1 2021 Financing” in Note 11 for more information.

6. Asset Acquisition

Aevi Merger

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 Three and Six Months Ended
June 30,
 20222021
Stock options1,379,5701,053,785
Warrants on common stock1
366,990367,186
Restricted Stock Units6,493

1


InThe weighted average number of common shares outstanding as of June 30, 2021 includes the first quarterweighted average effect of 2020, the Company consummated its merger139,747 pre-funded warrants issued in connection with Aevi Genomic Medicine Inc. (“Aevi”),the underwritten public offering that closed in which Avalo acquiredJanuary 2021 because the rights to AVTX-002, AVTX-006 and AVTX-007 (the “Merger” orexercise of such warrants requires only nominal consideration ($0.012 per share exercise price for each pre-funded warrant). During 2021, the “Aevi Merger”).

The Merger considerationholder exercised 25,740 of the pre-funded warrants. As of June 30, 2022, the weighted average number of common shares outstanding includes the weighted average effect of the remaining 114,007 pre-funded warrants outstanding. These pre-funded warrants are not included (i) stock valued at approximately $15.5 million, resulting in the issuance of approximately 3.9 million shares of Avalo common stock to Aevi stockholders, (ii) forgiveness of $4.1 million the Company had loaned Aevi prior to the Merger closing, (iii) contingent value rights for up to an additional $6.5 million in subsequent payments based on certain development milestones (discussed further in Note 14), and (iv) transaction costs of $1.5 million.

table above.
The Company recorded this transaction as an asset purchase as opposed to a business combination because management concluded that substantially all the value received was related to one group of similar identifiable assets, which was the in-process research and development (“IPR&D”) for two early phase therapies. The Company considered these pipeline assets similar due to similarities in the risks of development, stage of development, regulatory pathway, patient populations and economics of commercialization. The fair value of $25.5 million (consisting primarily of $24.0 million IPR&D, $0.3 million of cash and $0.9 million of assembled workforce) was immediately recognized as acquired in-process research and development expense in the Company’s consolidated statement of operations and comprehensive loss because the IPR&D asset has no alternate use due to the stage of development. The assembled workforce asset was recorded to intangible assets and will be amortized over an estimated useful life of two years.

7.5. Fair Value Measurements
 
ASC No. 820, Fair Value Measurements and Disclosures (“ASC 820”), defines fair value as the price that would be received to sell an asset, or paid to transfer a liability, in the principal or most advantageous market in an orderly transaction between market participants on the measurement date. The fair value standard also establishes a three‑level hierarchy, which requires an entity to maximize the use of observable inputs and minimize the use of unobservable inputs when measuring fair value. The valuation hierarchy is based upon the transparency of inputs to the valuation of an asset or liability on the measurement date. The three levels are defined as follows:
Level 1—inputs to the valuation methodology are quoted prices (unadjusted) for an identical asset or liability in an active market.
Level 2—inputs to the valuation methodology include quoted prices for a similar asset or liability in an active market or model‑derived valuations in which all significant inputs are observable for substantially the full term of the asset or liability. 
Level 3—inputs to the valuation methodology are unobservable and significant to the fair value measurement of the asset or liability.
 
The following table presents, for each of the fair value hierarchy levels required under ASC 820, the Company’s assets and liabilities that are measured at fair value on a recurring basis (in thousands): 
 SeptemberJune 30, 2022
Fair Value Measurements Using
Quoted prices inSignificant otherSignificant
active markets forobservableunobservable
identical assetsinputsinputs
(Level 1)(Level 2)(Level 3)
Assets
Investments in money market funds*$10,508 $— $— 
December 31, 2021
 Fair Value Measurements Using
 Quoted prices inSignificant otherSignificant
 active markets forobservableunobservable
 identical assetsinputsinputs
 (Level 1)(Level 2)(Level 3)
Assets            
Investments in money market funds*$70,366 $— $— 
December 31, 2020
Fair Value Measurements Using
Quoted prices inSignificant otherSignificant
active markets forobservableunobservable
identical assetsinputsinputs
(Level 1)(Level 2)(Level 3)
Assets
Investments in money market funds*$17,50354,010 $— $— 

*Investments in money market funds are reflected in cash and cash equivalents on the accompanying condensed consolidated balance sheets.

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As of SeptemberJune 30, 20212022 and December 31, 2020,2021, the Company’s financial instruments included cash and cash equivalents, restricted cash, accounts receivable, other receivables, prepaid and other current assets, accounts payable, accrued expenses and other current liabilities, and long-term debt. The carrying amounts reported in the accompanying condensed consolidated financial statements for cash and cash equivalents, restricted cash, accounts receivable, other receivables, prepaid and other current assets, accounts payable, and accrued expenses and other current liabilities approximate their respective fair values because of the short-term nature of these accounts. The estimated fair value of the Company’s debt approximates its carrying value as of SeptemberJune 30, 20212022 and is in Level Two of the fair value hierarchy (refer to Note 109 for more information).

No changes in valuation techniques or inputs occurred during the ninesix months ended SeptemberJune 30, 20212022 and 2020.2021. No transfers of assets between Level 1 and Level 2 of the fair value measurement hierarchy occurred during the ninesix months ended SeptemberJune 30, 20212022 and 2020.2021.

8.6. Leases

The Company currently occupies 2 leased properties, both of which serve as administrative office space. The Company determined that both of these leases are operating leases based on the lease classification test performed at lease commencement.

The annual base rent for the Company’s office located in Rockville, Maryland is $0.2 million, subject to annual 2.5% increases over the term of the lease. The applicable lease provided for a rent abatement for a period of 12 months following the Company’s date of occupancy. The lease has an initial term of 10 years from the date the Company makesmade its first annual fixed rent payment, which occurred in January 2020. The Company has the option to extend the lease 2 times, each for a period of five years, and may terminate the lease as of the sixth anniversary of the first annual fixed rent payment, upon the payment of a termination fee. As of the lease commencement date, it was not reasonably certain that the Company will exercise the renewal periods or early terminate the lease and therefore the end date of the lease for accounting purposes is January 31, 2030.

The Company entered into a subleaseinitial annual base rent for additional administrativethe Company’s office spacelocated in Chesterbrook, Pennsylvania in May 2020 (the “Chesterbrook Lease”).is $0.2 million and the annual operating expenses are approximately $0.1 million. The annual base rent underis subject to periodic increases of approximately 2.4% over the Chesterbrook Lease is $0.3 million.term of the lease. The lease expires on November 30, 2021.

In anticipationprovided for a rent abatement period of the expiry of the Chesterbrook Lease on November 30, 2021, in September 2021, the Company entered into athree months following lease for administrative office space in Chesterbrook, Pennsylvania that commences on December 1, 2021 (the “New Chesterbrook Lease”).commencement. The New Chesterbrook Leaselease has an initial term of 5.25 years from the lease commencement date. The initial annual base rent under the New Chesterbrook Lease is approximately $0.2 million. The Company will evaluate the accounting impact in the fourth quarter of 2021, including the lease classification test and the recognition of the lease right-of-use (“ROU”) asset and corresponding lease liability as of the lease commencement date on December 1, 2021. Therefore,

The weighted average remaining term of the information contained below excludes the New Chesterbrook Lease.operating leases at June 30, 2022 was 6.0 years.

Supplemental balance sheet information related to the leased properties (excluding the New Chesterbrook Lease) is as followsinclude (in thousands):
As of As of
September 30, 2021December 31, 2020 June 30, 2022December 31, 2021
Property and equipment, netProperty and equipment, net$698 $917 Property and equipment, net$1,877 $2,001 
Accrued expenses and other current liabilitiesAccrued expenses and other current liabilities$219 $426 Accrued expenses and other current liabilities$524 $485 
Other long-term liabilitiesOther long-term liabilities977 1,038 Other long-term liabilities1,869 2,018 
Total operating lease liabilitiesTotal operating lease liabilities$1,196 $1,464 Total operating lease liabilities$2,393 $2,503 
    
The operating lease ROU assets are included in property and equipment, net and the lease liabilities are included in accrued expenses and other current liabilities and other long-term liabilities in our condensed consolidated balance sheets. The Company utilized a weighted average discount rate of 7.6%9.2% to determine the present value of the lease payments. The weighted average remaining term of the operating leases at September 30, 2021 was 8.0 years.

The components of lease expense for the three and ninesix months ended SeptemberJune 30, 20212022 and 20202021 were as follows (in thousands):
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 Three Months Ended September 30,Nine Months Ended September 30,
2021202020212020
Operating lease cost*$97 $102 $287 $244 
 Three Months Ended June 30,Six Months Ended June 30,
2022202120222021
Operating lease cost*$122 $95 $239 $190 
*Includes short-term leases, which are immaterial.

The following table shows a maturity analysis of the operating lease liabilities as of SeptemberJune 30, 202112022 (in thousands):
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 Undiscounted Cash Flows
October 1, 2021 through December 31, 2021$89 
2022174 
2023178 
2024183 
2025187 
2026192 
Thereafter621 
Total lease payments$1,624 
Less implied interest(428)
Total$1,196 
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 Undiscounted Cash Flows
July 1, 2022 through December 31, 2022$261 
2023528 
2024537 
2025547 
2026557 
2027258 
Thereafter426 
Total lease payments$3,114 
Less implied interest(721)
Total$2,393 

1The New Chesterbrook Lease is not included in the table above given its lease commencement date for accounting purposes is December 1, 2021. The New Chesterbrook lease has an initial lease term of 5.25 years from the lease commencement date and annual base rent is approximately $0.2 million.

9.7. Accrued Expenses and Other Current Liabilities

Accrued expenses and other current liabilities as of SeptemberJune 30, 20212022 and December 31, 20202021 consisted of the following (in thousands): 
As of As of
September 30, 2021December 31, 2020 June 30, 2022December 31, 2021
Research and developmentResearch and development$7,425 $4,939 Research and development$6,183 $8,221 
Compensation and benefitsCompensation and benefits3,436 3,119 Compensation and benefits3,327 4,310 
General and administrative1,364 771 
Sales and marketing360 31 
Selling, general and administrativeSelling, general and administrative1,142 1,386 
Commercial operationsCommercial operations1,993 1,913 Commercial operations1,770 1,733 
Royalty paymentRoyalty payment653 — Royalty payment282 375 
Lease liability, currentLease liability, current219 426 Lease liability, current524 485 
OtherOther10 111 Other
Total accrued expenses and other current liabilitiesTotal accrued expenses and other current liabilities$15,460 $11,310 Total accrued expenses and other current liabilities$13,231 $16,519 

8. Cost Reduction Plan

In the first quarter of 2022, the Board approved a cost reduction plan to enable the Company to execute its strategy of prioritizing the development of its most promising programs (the “Plan”). As part of the Plan, the Company is winding down internal development efforts of AVTX-006 and paused development efforts of AVTX-802. Accordingly, a reduction in workforce plan was approved to reduce headcount and related expenses. The reduction in workforce plan, which was considered a one-time termination benefit, was completed in the second quarter of 2022.

The one-time termination benefits mainly relate to severance payments to separated employees. As a result, the Company recognized $1.5 million of expense during the first quarter of 2022, of which $0.7 million was recognized in research and development expense, and $0.8 million was recognized in selling, general and administrative expense.

Of the $1.5 million initial liability recognized in the first quarter of 2022, $0.8 million was paid in the six months ended June 30, 2022. The remaining severance liability will be paid over the next one to nine months as dictated in each separation agreement. Additionally, $0.4 million of stock-based compensation expense was recognized in the first quarter of 2022 related to the Plan, which was mainly related to accelerated vesting of certain separated employees’ stock options.

In addition, previously and separately, during the first quarter of 2022, the Company separated certain section 16 executive officers. Each of the former executives are entitled to the benefits provided in their respective separation agreements, which include severance payments to be paid over twelve to eighteen months. As a result, the Company recognized $1.7 million expense for the six months ended June 30, 2022 within selling, general and administrative expenses. Additionally, the Company accelerated the vesting of certain outstanding stock options and extended the exercisability periods, which resulted in $3.9 million of compensation cost recognized in first quarter of 2022. Refer to Note 11 for information regarding stock compensation expense related to separations entered into in the first quarter of 2022.
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10.9. Notes Payable

Overview

On June 4, 2021, the Company entered into athe $35.0 million Loan Agreement with Horizon Technology Finance Corporation (“Horizon”) and Powerscourt Investments XXV, LP (“Powerscourt”, together with Horizon, the “Lenders”).Lenders. In accordance with the Loan Agreement, $20.0 million of the $35.0 million was funded on the closing date (the “Initial Note”), with the remaining $15.0 million fundable upon the Company achieving certain predetermined milestones, which the Company met in the third quarter of 2021. On July 30, 2021, after achieving thea predetermined milestones,milestone, the Company borrowed an additional $10.0 million, which was evidenced by a second note payable (the “Second Note”). On September 29, 2021, after achieving thea second predetermined milestones,milestone, the Company borrowed the remaining $5.0 million, which was evidenced by a third note payable (the “Third Note”, and collectively with the Initial and Second Notes, the “Notes”).

17In June 2022, the Company, as collectively agreed upon with the Lenders, prepaid $15.0 million to the Lenders, of which $14.8 million was applied to principal and the remainder applied to accrued interest. As of June 30, 2022, the outstanding notes payable balance was $18.7 million, inclusive of the final payment fee. Avalo intends to consider additional prepayments prior to principal loan amounts coming due, if collectively agreed upon with the Lenders.


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Each advance under the Loan Agreement will mature 42 months from the first day of the month following the funding of the advance. Each advance accrues interest at a per annum rate of interest equal to 6.25% plus the prime rate, as reported in the Wall Street Journal (subject to a floor of 3.25%). The Loan Agreement provides for interest-only payments for each advance for the first 18 months, however the interest-only period was extended to 24 months as a result of the Company satisfying the Interest Only Extension Milestone (as defined in the Loan Agreement) in the third quarter of 2021. Thereafter, amortization payments will be payable in monthly installments of principal and interest through each advance’s maturity date. Upon 10 business days’ prior written notice, the Company may prepay all of the outstanding advances by paying the entire principal balance and all accrued and unpaid interest, subject to prepayment charges of up to 3% of the then outstanding principal balance. Upon the earlier of (i) payment in full of the principal balance, (ii) an event of default, or (iii) the maturity date, the Company will pay an additional final payment of 3% of the principal loan amount to the Lenders.

Each advance of the loan is secured by a lien on substantially all of the assets of the Company, other than Intellectual Property and Excluded Collateral (in each case as defined in the Loan Agreement), and contains customary covenants and representations, including a financial reporting covenant and limitations on dividends, indebtedness, collateral, investments, distributions, transfers, mergers or acquisitions taxes, corporate changes, deposit accounts, and subsidiaries.

The events of default under the Loan Agreement include, but are not limited to, failing to make a payment, breach of covenant, or occurrence of a material adverse change. If an event of default occurs, the Lenders are entitled to accelerate the loan amounts due or take other enforcement actions. The accelerated payment obligations would include the outstanding principal balance (inclusive of the 3% final payment fee), a prepayment charge on the outstanding principal balance of up to 3%, and any accrued and unpaid interest. As of the filing date of this Quarterly Report on Form 10-Q, the Company was not aware of any breach of covenants, occurrence of a material adverse change, nor had it received any notice of event of default from the Lenders.

On June 4, 2021, pursuant to the Loan Agreement, the Company issued warrants to the Lenders to purchase 403,84433,656 shares of the Company’s common stock with an exercise price of $2.60$31.20 per share (the “Warrants”). The Warrants are exercisable for ten years from the date of issuance. The Lenders may exercise the Warrants either by (a) cash or check or (b) through a net issuance conversion. The Warrants, which met equity classification, were recognized as a component of permanent stockholders’ equity within additional paid-in-capital and were recorded at the issuance date using a relative fair value allocation method. The Company valued the Warrants at issuance, which resulted in a discount on the debt, and allocated the proceeds from the loan proportionately to the Notes and to the Warrants, of which $0.9 million was allocated to the Warrants.

ForIn the nine months ended September 30,second quarter of 2021, the Company incurred $2.1 million in debt issuance costs, including legal fees in connection with the Loan Agreement, fees paid directly to the lender,Lenders, and other direct costs, of which $1.7 million were paid in the third quarter of 2021.costs. All fees, warrants, and costs paid to the Lenders and all direct costs incurred by the Company are recognized as a debt discount and are amortized to interest expense using the effective interest method over the term of the loan. The Company did not incur any debt issuance costs for$1.1 million final payment fee is included in the three months ended September 30, 2021.contractual cash flows and is accreted to interest expense using the effective interest method over the term of the loan.

The effective interest rate of the Notes, including the accretion of the final payment, was 13.5%17.7% as of SeptemberJune 30, 2021.2022.

Balance sheet information related to the note payable for the Notes is as follows (in thousands):
As of
September 30, 2021December 31, 2020Maturity
Initial Note20,600 — January 2025
Second Note10,300 — February 2025
Third Note5,150 — April 2025
Notes payable, gross1
36,050 — 
Less: Unamortized debt discount and issuance costs3,567 — 
Carrying value of notes payable, non-current$32,483 $— 
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As of
 June 30, 2022December 31, 2021Maturity
Initial Note12,139 20,600 January 2025
Second Note6,070 10,300 February 2025
Third Note3,035 5,150 April 2025
Notes payable, gross1
21,244 36,050 
Less: Unamortized debt discount and issuance costs2,531 3,217 
Carrying value of notes payable, non-current18,713 32,833 

1 Balance includes $1.1 million final payment fee for the Notes, which represents 3% of the original principal loan amount.

As of SeptemberJune 30, 2021,2022, the estimated future principal payments due on the Notes were as follows (in thousands):

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As of September 30, 2021 As of June 30, 2022
2021$— 
20222022— 2022$— 
2023202310,278 20235,930 
2024202423,333 202413,463 
202520252,439 20251,851 
Total principal payments1
Total principal payments1
$36,050 
Total principal payments1
$21,244 

1 Balance includes $1.1 million final payment fee, which represents 3% of the original principal loan amount.


11.10. Capital Structure
 
Pursuant to the Company’s amended and restated certificate of incorporation, the Company is authorized to issue 2 classes of stock, common stock and preferred stock. At SeptemberJune 30, 2021,2022, the total number of shares of capital stock the Company was authorized to issue was 205,000,000 of which 200,000,000 was common stock and 5,000,000 was preferred stock. All shares of common and preferred stock have a par value of $0.001 per share.

Common Stock

2021 Financings

Q3 2021 Equity Financing

On September 17, 2021, the Company closed an underwritten public offering of 14,308,878approximately 1.2 million shares of its common stock for net proceeds of $29.0 million. Armistice which is a significant stockholder of the Company and whose chief investment officer, Steven Boyd, and managing director, Keith Maher, currently serve on the Board of the Company, participated in the offering by purchasing 5,454,545approximately 0.5 million shares of common stock, on the same terms as all other investors. Certain affiliates of Nantahala Capital Management LLC (collectively, “Nantahala”), which beneficially owned greater than 5% of the Company’s outstanding common stock at the time of the offering, participated in the offering on the same terms as all other investors.

At-the-Market Offering Program

In July 2021, the Company entered into an “at-the-market” sales agreement with Cantor Fitzgerald & Co. and RBC Capital Markets, LLC (together, the “Agents”), pursuant to which the Company may sell from time to time, shares of its common stock having an aggregate offering price of up to $50.0 million through the Agents. In August 2021, the Company sold 2.0approximately 0.2 million shares of common stock under the ATM Program for net proceeds of approximately $5.3$5.2 million.

Q2 2021 Debt Financing Agreement

As part of the Loan Agreement entered into in the second quarter of 2021, on June 4, 2021, the Company issued warrantsWarrants to Horizon and Powerscourt to purchase 403,84433,656 shares of the Company’s common stock with an exercise price of $2.60.$31.20 per share. The warrantsWarrants are exercisable for ten years from the date of issuance. Refer to Note 109 for additional information.

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Q1 2021 Financing

In January 2021, the Company closed an underwritten public offering of 13,971,889approximately 1.2 million shares of its common stock and 1,676,923139,747 pre-funded warrants for net proceeds of $37.7 million. Armistice participated in the offering by purchasing 2,500,000approximately 0.2 million shares of common stock, on the same terms as all other investors. Nantahala participated in the offering by purchasing 1,400,000approximately 0.1 million shares of common stock, on the same terms as all other investors.

Nantahala also purchased the pre-funded warrants to purchase up to an aggregate of 1,676,923139,747 shares of common stock at a purchase price of $2.599,$31.188, which represents the per share public offering price for the common stock less the $0.001$0.012 per share exercise price for each pre-funded warrant.

The pre-funded warrants are exercisable at any time after their original issuance at the option of each holder, in such holder’s discretion, by (i) payment in full in immediately available funds for the number of shares of common stock purchased upon such exercise or (ii) a cashless exercise, in which case During 2021, the holder would receive upon such exercise the net number of shares of common
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stock determined according to the formula set forth in the pre-funded warrant. A holder will not be entitled to exercise any portion of any pre-funded warrant if the holder’s ownership of the Company’s common stock would exceed 9.99% following such exercise.

In the event of certain fundamental transactions, the holdersexercised 25,740 of the pre-funded warrants will be entitled to receive upon exercisewarrants. As of the pre-funded warrants the kind of amounts of securities, cash or other property that the holders would have received had they exercised the pre-funded warrants immediately prior to such fundamental transaction without regard to any limitations on exercise contained in the pre-funded warrants.

TheJune 30, 2022, 114,007 pre-funded warrants were classified as a component of permanent stockholders’ equity within additional paid-in capital and were recorded at the issuance date using a relative fair value allocation method. The pre-funded warrants are equity classified because they (i) are freestanding financial instruments that are legally detachable and separately exercisable from the equity instruments, (ii) are immediately exercisable, (iii) do not embody an obligation for the Company to repurchase its shares, (iv) permit the holders to receive a fixed number of shares of common stock upon exercise, (v) are indexed to the Company’s common stock and (vi) meet the equity classification criteria. In addition, such pre-funded warrants do not provide any guarantee of value or return. The Company valued the pre-funded warrants at issuance, concluding that their sales price approximated their fair value, and allocated net proceeds from the sale proportionately to the common stock and pre-funded warrants, of which $4.4 million was allocated to the pre-funded warrants and recorded as a component of additional paid-in capital.

2020 Financings

On June 11, 2020, the Company closed an underwritten public offering of 15,180,000 shares of its common stock for net proceeds of approximately $35.4 million. Armistice participated in the offering by purchasing 2,000,000 shares of common stock, on the same terms as all other investors. Additionally, certain of the Company’s officers participated in the offering by purchasing an aggregate of 110,000 shares of common stock, on the same terms as all other investors.

On March 17, 2020, the Company entered into a securities purchase agreement with Armistice pursuant to which the Company sold 1,951,219 shares of the Company’s common stock for net proceeds of approximately $3.9 million.
On February 6, 2020, the Company closed a registered direct offering with certain institutional investors for the sale by the Company of 1,306,282 shares of the Company’s common stock for net proceeds of approximately $5.1 million. Armistice participated in the offering by purchasing 1,256,282 shares of common stock from the Company, on the same terms as all other investors.

Aevi Merger

On February 3, 2020, under the terms of the Aevi Merger noted above in Note 6, the Company issued approximately 3.9 million shares of common stock.outstanding.

Common Stock Warrants
 
At SeptemberJune 30, 2021,2022, the following common stock warrants were outstanding: 
Number of common sharesExercise priceExpiration
underlying warrantsper sharedate
2,380$8.68 May 2022
4,000,000$12.50 June 2024
1,676,923$0.001 
403,844$2.60 June 2031
6,083,147  

Convertible Preferred Stock

On December 26, 2018, the Company filed a Certificate of Designation of Preferences of Series B Non-Voting Convertible Preferred Stock (“Series B Convertible Preferred Stock” or “convertible preferred stock”) of Avalo Therapeutics, Inc. (the “Certificate of Designation of the Series B Preferred Stock”) classifying and designating the rights, preferences and privileges of the Series B Convertible Preferred Stock. The Certificate of Designation of the Series B Convertible Preferred Stock authorized 2,857,143 shares of convertible preferred stock. The Series B Convertible Preferred Stock converted to shares of common stock on a 1-for-5 ratio and has the same rights, preferences, and privileges as common stock other than it held no voting rights. During the first quarter of 2020,
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the holder of the Series B Preferred Stock, Armistice, converted 1,600,000 shares of the convertible preferred stock into 8,000,000 shares of Avalo’s common stock. In April 2021, Armistice converted the remaining 1,257,143 shares of Series B Convertible Preferred Stock into 6,285,715 shares of Avalo’s common stock. As of September 30, 2021, the Company had no preferred stock outstanding.
Number of common sharesExercise priceExpiration
underlying warrantsper sharedate
333,334$150.00 June 2024
114,007$0.012 
33,656$31.20 June 2031
480,997  

12.11. Stock-Based Compensation

2016 Equity Incentive Plan

OnIn April 5, 2016, the Company’sour board of directors adopted the 2016 Equity Incentive Plan, (the “2016 Plan”) as the successor to the 2015 Omnibus Plan (the “2015 Plan”). The 2016 Planwhich was approved by the Company’s stockholders and became effective on May 18, 2016 (the “2016 Plan Effective Date”). Upon the 2016 Plan Effective Date, the 2016 Plan reserved and authorized up to 600,000 additional shares of common stock for issuance, as well as 464,476 unallocated shares remaining available for grant of new awards under the 2015 Plan. An Amended and Restated 2016 Equity Incentive Plan (the “2016 Amended Plan”) was approved by the Company’sour stockholders in May 2016 and which was subsequently amended and restated in May 2018 which increased the share reserve by an additional 1.4 million shares. A Second Amended and Restated 2016 Equity Incentive Plan (the “2016 Second Amended Plan”) was approved by the Company’s stockholders in August 2019 which increasedwith the share reserve by an additional 850,000 shares. A Third Amendedapproval of our board of directors and Restated Equity Incentive Planour stockholders (the “2016 Third Amended Plan”) was approved by the Company’s stockholders in June 2020 which increased the share reserve by an additional 2,014,400 shares.. During the term of the 2016 Third Amended Plan, the share reserve will automatically increase on the first trading day in January of each calendar year ending on (and including) January 1, 2026, by an amount equal to 4% of the total number of outstanding shares of common stock of the Company on the last trading day in December of the prior calendar year. On January 1, 2022, pursuant to the terms of the 2016 Third Amended and Restated Plan an additional 375,981 shares were made available for issuance. As of SeptemberJune 30, 2021,2022, there were 1,748,433243,228 shares available for future issuance under the 2016 Third Amended Plan.

Option grants expire after ten years. Employee options typically vest over three or four years. Employees typically receive a new hire option grant, as well as an annual grant in the first or second quarter of each year. In addition, in the first quarter of 2022, employees were also granted options that vest on the first anniversary of the grant date. Options granted to directors typically vest either immediately or over a period of one or three years. Directors may elect to receive stock options in lieu of board compensation, which vest immediately. For stock options granted to employees and non-employee directors, the estimated grant date fair market value of the Company’s stock-based awards is amortized ratably over the individuals’ service periods, which is the period in which the awards vest. Stock-based compensation expense includes expense related to stock options, restricted stock units and employee stock purchase plan shares. The amount of stock-based compensation expense recognized for the three and ninesix months ended SeptemberJune 30, 20212022 and 20202021 was as follows (in thousands): 
Three Months Ended September 30,Nine Months Ended September 30, Three Months Ended June 30,Six Months Ended June 30,
2021202020212020 2022202120222021
Research and developmentResearch and development$480 $384 $1,244 $1,156 Research and development$365 $467 $653 $765 
General and administrative1,171 972 4,720 3,959 
Sales and marketing107 92 316 234 
Selling, general and administrativeSelling, general and administrative304 2,607 5,327 3,757 
Total stock-based compensationTotal stock-based compensation$1,758 $1,448 $6,280 $5,349 Total stock-based compensation$669 $3,074 $5,980 $4,522 

In June 2021,As a result of separation agreements that the Company’s former ChairmanCompany entered into in the first quarter of 2022 and in accordance with the terms of the Board resigned from the Board. The Company and the former Chairman subsequently entered into an agreement for him to serve as a strategic advisor to the Board andpre-existing employment agreements, the Company including serving onaccelerated the Company’s Scientific Advisory Board, for a periodvesting of at least one year. As consideration for these services, the Companycertain separated employees’ stock options and modified his outstanding stock optioncertain awards to allow them to continue to vest during the term during which he serves as a strategic advisor. Additionally, any option award previously granted was amended to extend the exercisability period.periods. As a result, of the modification, the Company recognized $1.4$4.3 million of compensation cost $1.0 million
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in the secondfirst quarter of 2021. This expense2022, all of which was recognized in selling, general and administrative expenses. At September 30, 2021, thereexpense. There was $0.2 million of unrecognized compensation cost0 additional expense related to the modification of service-based options that will be recognized over a weighted-average period of 0.7 years.modifications in the three months ended June 30, 2022.

Stock options with service-based vesting conditions

The Company has granted awardsoptions that contain service-based vesting conditions. The compensation cost for these options is recognized on a straight-line basis over the vesting periods. A summary of option activity for the ninesix months ended SeptemberJune 30, 20212022 is as follows:
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 Options Outstanding
 Number of sharesWeighted average exercise price per shareWeighted average grant date fair value per shareWeighted average remaining contractual term (in years)
Balance at December 31, 20208,830,674 $3.95 $2.36 7.7
Granted5,017,690 $3.24 $2.17 
Exercised(580,617)$2.70 $1.74 
Forfeited(439,341)$3.55 $2.27 
Expired(354,994)$4.53 $2.69 
Balance at September 30, 202112,473,412 $3.72 $2.30 8.4
Exercisable at September 30, 20214,437,524 $4.20 $2.41 7.4
 Options Outstanding
 Number of sharesWeighted average exercise price per shareWeighted average grant date fair value per shareWeighted average remaining contractual term (in years)
Balance at December 31, 20211,054,277 $44.26 $27.45 8.1
Granted439,590 $9.29 $6.66 
Forfeited(168,063)$32.37 $21.64 
Expired(29,569)$54.12 $42.09 
Balance at June 30, 20221,296,235 $33.72 $20.82 6.8
Exercisable at June 30, 2022707,059 $45.36 $27.01 4.8

In March 2021,2022, the Company granted its newly appointed Chief Financial Officer options with service-based vesting conditions to purchase 0.5 million shares of common stock as an inducement option grant, pursuant to NASDAQ Listing Rule 5635(c)(4). In January 2021, the Company granted 2.70.3 million options with service-based vesting conditions to its employees as part of its annual stock option award.award that vest over four years. Additionally in March 2022, the Company granted 0.1 million options to its employees that vest on the first anniversary of the grant date. As a result of the reduction of workforce plan, 0.1 million options were forfeited in the first quarter of 2022, and 0.1 million options were forfeited as a result of other terminations during the six months ended June 30, 2022.

In March 2020, our Chief Executive Officer entered into an amended employment agreement in which his salary in cash was reduced to $35,568 (the “Reduction”), which represents the minimum exempt annual salary. In consideration for the Reduction, on a quarterly basis, the Company grants stock options, which vest immediately, for the purchase of a number of shares of the Company’s common stock with a total value (based on the Black-Scholes valuation methodology) based on a pro rata total annual value of the foregone salary.

The aggregate intrinsic value of stock options is calculated as the difference between the exercise price of the stock options and the fair value of the Company’s common stock for those stock options that had exercise prices lower than the fair value of the Company’s common stock. As of September 30, 2021, the aggregate intrinsic value of options outstanding was $0.2 million. The aggregate intrinsic value of options currently exercisable as of September 30, 2021 was $0.2 million. There were 2,466,684311,164 options that vested during the ninesix months ended SeptemberJune 30, 20212022 with a weighted average exercise price of $3.64$40.79 per share.share, which included the acceleration of vesting of certain options in accordance with the separation agreements entered in in the first quarter of 2022. The total grant date fair value of shares which vested during the ninesix months ended SeptemberJune 30, 20212022 was $5.6$8.2 million.

The Company recognized stock-based compensation expense of $1.7$0.6 million and $5.0$5.9 million related to stock options with service-based vesting conditions for the three and ninesix months ended SeptemberJune 30, 2021,2022, respectively. At SeptemberJune 30, 2021,2022, there was $14.8$6.3 million of total unrecognized compensation cost related to unvested service-based vesting condition awards. The unrecognized compensation cost is expected to be recognized over a weighted-average period of 2.82.4 years.

Stock-based compensation assumptions

The following table shows the assumptions used to compute stock-based compensation expense for stock options with service-based vesting conditions granted under the Black-Scholes valuation model for the ninesix months ended SeptemberJune 30, 2021:2022:
Service-based options 
Expected annual dividend yieldterm of option (in years) —%5 - 6.25
Expected stock price volatility 73.0%84.0% - 86.5%
Expected term of option (in years)0.76 - 6.2586.8%
Risk-free interest rate 0.07%1.50% - 1.23%3.61%
Expected annual dividend yield0%

Stock options with market-based vesting conditions

As of June 30, 2022 there were 0.1 million exercisable stock options that contained market-based vesting conditions (that had been previously satisfied). The following table summarizes the Company’soptions have a weighted average share price per share of $39.53 and a weighted average remaining contractual term of 2.0 years. There were no stock options with market-based option activityvesting conditions granted, exercised, or forfeited for the ninesix months ended SeptemberJune 30, 2021 (in thousands except, for share amounts):2022.

Restricted Stock Units
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 Options Outstanding
 Number of sharesWeighted average exercise price per shareWeighted average remaining contractual term (in years)Aggregate intrinsic value (1)
Balance at December 31, 20201,000,000 $3.29 9.5$65 
Granted— $— 
Balance at September 30, 20211,000,000 $3.29 2.7$— 
Exercisable at September 30, 20211,000,000 $— 
(1) The aggregate intrinsic value in the above table represents the total pre-tax amount that a participant would receive if the option had been exercised on the last day of the respective fiscal period. Options with a market value less than its exercise value are not included in the intrinsic value amount.

Restricted Stock Units

The Company measures the fair value of the restricted stock units using the stock price on the date of the grant. The restricted shares typically vest annually over a four-year period beginning on the first anniversary of the award. The following table summarizes the Company’sAs of June 30, 2022, there were no unvested restricted stock unit (“RSU”) activity forunits outstanding. 937 restricted stock units vested during the ninethree and six months ended SeptemberJune 30, 2021:2022 and had a weighted average grant date fair value of $54.00.
 RSUs Outstanding
 Number of sharesWeighted average grant date fair value
Unvested RSUs at December 31, 2020155,833 $4.91 
Vested(77,917)0
Unvested RSUs at September 30, 202177,916 $4.91 

Employee Stock Purchase Plan

On April 5, 2016, the Company’s board of directors approved the 2016 Employee Stock Purchase Plan (the “ESPP”). The ESPP was approved by the Company’s stockholders and became effective on May 18, 2016 (the “ESPP Effective Date”).

Under the ESPP, eligible employees can purchase common stock through accumulated payroll deductions at such times as are established by the administrator. The ESPP is administered by the compensation committee of the Company’s board of directors. Under the ESPP, eligible employees may purchase stock at 85% of the lower of the fair market value of a share of the Company’s common stock (i) on the first day of an offering period or (ii) on the purchase date. Eligible employees may contribute up to 15% of their earnings during the offering period. The Company’s board of directors may establish a maximum number of shares of the Company’s common stock that may be purchased by any participant, or all participants in the aggregate, during each offering or offering period. Under the ESPP, a participant may not accrue rights to purchase more than $25,000 of the fair market value of the Company’s common stock for each calendar year in which such right is outstanding.

Upon the ESPP Effective Date, theThe Company initially reserved and authorized up to 500,00041,667 shares of common stock for issuance under the ESPP. On January 1 of each calendar year, the aggregate number of shares that may be issued under the ESPP shall automatically increases by a number equal to the lesser of (i) 1% of the total number of shares of the Company’s capital stock outstanding on December 31 of the preceding calendar year, and (ii) 500,00041,667 shares of the Company’s common stock, or (iii) a number of shares of the Company’s common stock as determined by the Company’s board of directors or compensation committee. The number of shares were increased by 500,00041,667 on January 1, 2021.2022. As of SeptemberJune 30, 2021, 1,836,6222022, 181,028 shares remained available for issuance.

In accordance with the guidance in ASC 718-50, Employee Share Purchase Plans, the ability to purchase shares of the Company’s common stock at the lower of the offering date price or the purchase date price represents an option and, therefore, the ESPP is a compensatory plan under this guidance. Accordingly, stock-based compensation expense is determined based on the option’s grant-date fair value and is recognized over the requisite service period of the option. The Company used the Black-Scholes valuation model and recognized stock-based compensation expense of $81$41.5 thousand and $170$84.7 thousand for the three and ninesix months ended SeptemberJune 30, 2021,2022, respectively.

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13.12. Income Taxes

ForThe Company recognized minimal income tax expense for the ninethree and six months ended SeptemberJune 30, 20212022 due to the significant valuation allowance against the Company’s deferred tax assets and 2020, the current year losses. The Company recognized an income tax benefit of $0.2 million for the three and $2.6 million, respectively.six months ended June 30, 2021 due to the receipt of its refund claim related to the tax year 2017. The tax benefit recognized for the ninesix months ended SeptemberJune 30, 2020 was a result of a tax law change signed into law as part of the Coronavirus Aid, Relief and Economic Security Act (“CARES Act”), which allowed the Company to carry back certain losses for taxes paid in fiscal year 2017 and thus resulted in a refund claim. The 2021 income tax benefit was a result of the updated estimate of interest receivable and abatement of penalties on the refund claim, as the final federal refund payment was received from the Internal Revenue Service in 2021. The Company recognized a minimal income tax expense for the three months ended September 30, 2021 and 2020.second quarter of 2021.

14.13. Commitments and Contingencies
 
Litigation

Litigation - General
    
The Company may become party to various contractual disputes, litigation, and potential claims arising in the ordinary course of business. The Company currently does not believe that the resolution of such matters will have a material adverse effect on its financial position or results of operations except as otherwise disclosed in this report.

Deerfield Guarantee

As consideration of the sale of the rights to the Company’s rights, title and interest in assets relating to certain commercialized products to Aytu in 2019, Aytu assumed our financial obligations to Deerfield CSF, LLC (“Deerfield”), which currently includes the
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remaining contingent consideration related to future royalties on the divested products. In conjunction with the closing of the transaction in 2019, the Company entered into a guarantee in favor of Deerfield, which guarantees the payment of the assumed liabilities to Deerfield (the “Guarantee”). Aytu publicly reported that it had entered into a Waiver, Release and Consent in June 2021, pursuant to which it paid a portion of the contingent consideration early and agreed to pay the remaining fixed obligations of $3.0 million in 6 equal quarterly payments of $0.5 million commencing September 30, 2021.

Avalo is required to make a payment under the Guarantee upon demand by Deerfield if all or any part of the fixed payments are not paid by Aytu when due or upon breach of a covenant. In accordance with the Waiver, Release and Consent, as of June 30, 2022, the Company estimates Aytu has 2 quarterly payments of $0.5 million remaining, which represents Avalo’s estimated maximum potential future payments under the Guarantee. The Company concluded that the expected credit loss of the Guarantee was de minimis as of June 30, 2022, based on considerations of Aytu’s ability to meet its current financial commitments including recent financings, cash position, operating cash flows and trends.

Karbinal Royalty Make-Whole Provision

In 2018, in connection with the acquisition of Avadel’s pediatriccertain commercialized products, the Company entered into a supply and distribution agreement (the “Karbinal Agreement”) with TRIS Pharma Inc. (“TRIS”). As part of the Karbinal Agreement, the Company had an annual minimum sales commitment, which is based on a commercial year that spans from August 1 through July 31, of 70,000 units through 2025. The Company was required to pay TRIS a royalty make whole payment (“Make-Whole Payments”) of $30 for each unit under the 70,000 units annual minimum sales commitment through 2025. 

As a part of the Aytu Divestiture, which closed on November 1, 2019,transaction, the Company assigned all payment obligations, including the Make-Whole Payments, under the Karbinal Agreement (collectively, the “TRIS Obligations”) to Aytu. However, under the original license agreement, the Company could ultimately be liable for the TRIS Obligations to the extent Aytu fails to make the required payments. The future Make-Whole Payments to be made by Aytu are unknown as the amount owed to TRIS is dependent on the number of units sold.

Possible Future Milestone Payments for In-Licensed Compounds

General

The Company is a party to license and development agreements with various third parties, which contain future payment obligations such as royalties and milestone payments (discussed further below). The Company recognizes a liability (and related expense) for each milestone if and when such milestone is probable and can be reasonably estimated. As typical in the biotechnology industry, each milestone has its own unique risks that the Company evaluates when determining the probability of achieving each milestone and the probability of success evolves over time as the programs progress and additional information is obtained. The Company considers numerous factors when evaluating whether a given milestone is probable including (but not limited to) the regulatory pathway, development plan, ability to dedicate sufficient funding to reach a given milestone and the probability of success.

AVTX-002 KKC License Agreement

On March 25, 2021, the Company entered into a license agreement with Kyowa Kirin Co., Ltd. (“KKC”) for exclusive worldwide rights to develop, manufacture and commercialize AVTX-002, KKC’s first-in-class fully human anti-LIGHT (TNFSF14) monoclonal antibody for all indications (the “KKC License Agreement”). The KKC License Agreement replaced the Amended and Restated Clinical Development and Option Agreement between the Company and KKC dated May 28, 2020.

Under the KKC License Agreement, the Company paid KKC an upfront license fee equal to $10.0 million. The Company is also required to pay KKC up to $112.5 million based on the achievement of specified development and regulatory milestones. Upon commercialization, the Company is required to pay KKC sales-based milestones aggregating up to $75$75.0 million tied to the achievement of annual net sales targets.

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Additionally, the Company is required to pay KKC royalties during a country-by-country royalty term equal to a mid-teen percentage of annual net sales. The Company is required to pay KKC a double digitdouble-digit percentage (less than 30%) of the payments that the Company receives from sublicensing of its rights under the KKC License Agreement, subject to certain exclusions. Avalo is responsible for the development and commercialization of AVTX-002 in all indications worldwide (other than the option in the KKC License Agreement that, upon exercise by KKC, allows KKC to develop, manufacture and commercialize AVTX-002 in Japan).

No expense related to the KKC License Agreement was recognized in the six months ended June 30, 2022. The Company recognized the upfront license fee of $10.0 million within research and development expenses forin the ninesix months ended SeptemberJune 30, 2021 and made the payment in April 2021. There has
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been no cumulative expense recognized as of SeptemberJune 30, 20212022 related to the milestones under this license agreement. The Company will continue to monitor the milestones at each reporting period.

AVTX-006 Astellas License Agreement

The Company has an exclusive license agreement with OSI Pharmaceuticals, LLC, an indirect wholly owned subsidiary of Astellas Pharma, Inc. (“Astellas”), for the worldwide development and commercialization of the novel, second generation mTORC1/2 inhibitor (which we refer to as AVTX-006)(AVTX-006). Under the terms of the license agreement, there was an upfront license fee of $0.5 million. The Company is required to pay Astellas up to $5.5 million based on the achievement of specified development and regulatory milestones. The Company is also required to pay Astellas a tiered mid-to-high single digit percentage of the payments that Avalo receives from sublicensing of its rights under the Astellas license agreement, subject to certain exclusions. Upon commercialization, the Company is required to pay Astellas royalties during a country-by-country royalty term equal to a tiered mid-to-high single digit percentage of annual net sales. Avalo is fully responsible for the development and commercialization of the program.

ForNo expense related to this license agreement was recognized in the ninesix months ended SeptemberJune 30, 2021, the Company recognized a $0.5 million development milestone payment within research and development expenses.2022. There has been $0.5 million of cumulative expense recognized as of SeptemberJune 30, 20212022 related to the milestones under this license agreement.agreement, which was recognized in the six months ended June 30, 2021. The Company will continue to monitor the remaining milestones at each reporting period.

AVTX-007 AstraZenecaMedImmune License Agreement

As discussed further in Note 14, on July 29, 2022, the Company granted Apollo AP43 Limited, a wholly owned subsidiary of Apollo Therapeutics Group Limited (collectively, “Apollo”), a worldwide, exclusive license to research, develop, manufacture and commercialize AVTX-007. Under the terms of the agreement, Apollo will assume responsibility for the future development of AVTX-007.

The Company has an exclusive global license with MedimmuneAVTX-007 program was originally licensed to Avalo by MedImmune Limited, a subsidiary of AstraZeneca plc (“AstraZeneca”MedImmune”), and such license was transferred to develop and commercialize a fully human, anti-IL-18 monoclonal antibody (which we refer toApollo as AVTX-007). Under the termspart of the license agreement, there was an upfront license fee of $6.0 million in cash and equity. The Company is required to payAstraZeneca up to $71.5 million based on the achievement of certain development and regulatory milestones. Upon commercialization,transaction. Accordingly, the Company is required to pay AstraZeneca sales-based milestone payments aggregating up to $90.0 million tied to the achievement of annual net sales targets.Additionally, the Company is also required to pay AstraZeneca royalties during a country-by-country royalty term equal to a tiered low double digit percentage of annual net sales. Avalo is fullyno longer responsible for future milestones or royalties under the development and commercialization of the program.

No expense relatedoriginal license with MedImmune. Refer to this license agreement was recognized in the nine months ended September 30, 2021. There has been $1.5 million of cumulative expense recognized as of September 30, 2021 related to the milestones under this license agreement.The Company will continue to monitor the remaining milestones at each reporting period.Note 14 for further information.

AVTX-008 Sanford Burnham Prebys License Agreement

On June 22, 2021, the Company entered into an Exclusive Patent License Agreement with Sanford Burnham Prebys Medical Discovery Institute (the “Sanford Burnham Prebys License Agreement”) under which the Company obtained an exclusive license to a portfolio of issued patents and patent applications covering an immune checkpoint program (which we refer to as AVTX-008)(AVTX-008).

Under the terms of the agreement, the Company incurred an upfront license fee of $0.4 million, as well as patent costs of $0.5 million. The Company is required to pay Sanford Burnham Prebys up to $24.2 million based on achievement of specified development and regulatory milestones. Upon commercialization, the Company is required to pay Sanford Burnham Prebys sales-based milestone payments aggregating up to $50.0 million tied to annual net sales targets. Additionally, the Company is required to pay Sanford Burnham Prebys royalties during a country-by-country royalty term equal to a low-to-mid single digit percentage of annual net sales. The Company is also required to pay Sanford Burnham Prebys a tiered low-double digit percentage of the payments that Avalo receives from sublicensing of its rights under the Sanford Burnham Prebys license agreement,License Agreement, subject to certain exclusions. Avalo is fully responsible for the development and commercialization of the program.

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No expense related to the Sanford Burnham Prebys License Agreement was recognized in the six months ended June 30, 2022. The Company recognized the upfront license fee of $0.4 million within research and development expenses and the upfront patent expense of $0.5 million within selling, general and administrative expenses forin the ninethree and six months ended SeptemberJune 30, 2021. There has been no cumulative expense recognized as of SeptemberJune 30, 20212022 related to the milestones under this license agreement.the Sanford Burnham Prebys License Agreement. The Company will continue to monitor the milestones at each reporting period.

Possible Future Milestone Proceeds for Out-Licensed Compounds

AVTX-301 Out-License

On May 28, 2021, the Company out-licensed its rights in respect of its non-core asset, AVTX-301, to Alto.Alto Neuroscience, Inc. (“Alto”). The Company initially in-licensed the compound from an affiliate of Merck & Co., Inc. (“Merck”) in 2013.

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Under the out-license agreement, the Company received a mid-six digit upfront payment from Alto. The Company is also eligible to receive up to $18.6 million based on the achievement of specified development, regulatory and commercial sale milestones. Additionally, the Company is entitled to a less than single digit percentage royalty based on annual net sales. Alto is fully responsible for the development and commercialization of the program.

Avalo recognized the upfront fee as license revenue forin the ninethree and six months ended SeptemberJune 30, 2021. The Company has not recognized any milestones as of SeptemberJune 30, 2021.2022.

AVTX-406 License Assignment

On June 9, 2021, the Company assigned its rights, title, interest, and obligations under an in-license covering its non-core asset, AVTX-406, to ES Therapeutics, LLC (“ES”), a wholly-owned subsidiary of Armistice, which is a significant stockholder of the Company and whose chief investment officer, Steven Boyd, and managing director, Keith Maher, currently serve on the Board of the Company.Armistice. The transaction with ES was approved in accordance with Avalo’s related party transaction policy.

Under the assignment agreement, the Company received a low-six digit upfront payment from ES. The Company is also eligible to receive up to $6.0 million based on the achievement of specified development and regulatory milestones. Upon commercialization, the Company is eligible to receive sales-based milestone payments aggregating up to $20.0 million tied to annual net sales targets. ES is fully responsible for the development and commercialization of the program.

Avalo recognized the upfront fee as license revenue forin the ninethree and six months ended SeptemberJune 30, 2021. The Company has not recognized any milestones as of SeptemberJune 30, 2021.2022.

AVTX-501 Sale to Janssen

In August 2017, the Company sold its worldwide rights to AVTX-501 to Janssen Pharmaceuticals, Inc. (“Janssen”) in exchange for initial gross proceeds of $25.0 million. The Company is also eligible to receive up to $20.0 million based on the achievement of specified development and regulatory milestones. Janssen is fully responsible for the development and commercialization of the program.

The Company has not recognized any milestones as of SeptemberJune 30, 2021.2022.

AVTX-611 License Assignment

In August 2019, the Company assigned its rights, title, interest, and obligations under an in-license covering its non-core asset, AVTX-611, to ES, a wholly-owned subsidiary of Armistice, which is a significant stockholder of the Company and whose chief investment officer, Steven Boyd, and managing director, Keith Maher, currently serve on the Board of the Company.Armistice. The transaction with ES was approved in accordance with Avalo’s related-party transaction policy.

Upon commercialization, the Company is eligible to receive sales-based milestone payments aggregating up to $20.0 million tied to annual net sales targets. ES is fully responsible for the development and commercialization of the program.

The Company has not recognized any milestones as of SeptemberJune 30, 2021.2022.

Acquisition Related and Related Party and Acquisition Related Contingent Liabilities

Aevi Merger Possible Future Milestone Payments

In the first quarter of 2020, the Company consummated its merger with Aevi Genomic Medicine Inc. (“Aevi”), in which Avalo acquired the rights to AVTX-002, AVTX-006 and AVTX-007 (the “Merger” or the “Aevi Merger”). A portion of the consideration for the Aevi Merger included 2 future contingent development milestones worth up to an additional $6.5 million, payable in either shares of Avalo’s common stock or cash, at the election of Avalo.

The first milestone was the enrollment of a patient in a Phase 2 study related to AVTX-002 (for treatment of pediatric onset Crohn’s disease), AVTX-006 (for treatment of any indication) or AVTX-007 (for treatment of any indication) prior to February 3, 2022, which would have resulted in a milestone payment of $2.0 million. The Company did not meet the first milestone prior to February 3, 2022. Therefore, no contingent consideration related to this milestone was recognized as of June 30, 2022 and no future contingent consideration will be recognized.

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The second milestone is the receipt of NDA approval for either AVTX-006 or AVTX-007 from the FDA on or prior to February 3, 2025. If this milestone is met, the Company is required to make a milestone payment of $4.5 million. The contingent consideration related to the second development milestone will be recognized if and when such milestone is probable and can be reasonably estimated. No contingent consideration related to the development milestone has been recognized as of June 30, 2022. The Company will continue to monitor the second development milestones at each reporting period.

AVTX-006 Royalty Agreement with Certain Related Parties
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Prior to Avalo entering into the Aevi Merger, inIn July 2019, Aevi entered into a royalty agreement, with Mike Cola, Avalo’s current Chief Executive Officer, Joseph J. Grano, Jr., Kathleen Jane Grano, Joseph C. Grano,and liabilities thereunder were assumed by the Company upon closing the Aevi Merger in February 2020. The Grano Children’s Trust, Joseph C. Grano, trustee androyalty agreement provided certain Aevi investors, including LeoGroup Private Investment Access, LLC on behalf of Garry A. Neil, Avalo’s currentthe Company’s Chief ScientificExecutive Officer, and Mike Cola, the Company’s former Chief Executive Officer (collectively, the “Investors”), a royalty stream, in exchange for a one-time aggregate payment of $2.0 million (the “Royalty Agreement”). Collectively,Pursuant to the Royalty Agreement, the Investors will be entitled collectively to an aggregate amount equal to a low-single digit percentage of the aggregate net sales of Astellas’the Company’s second generation mTORC1/2 inhibitor, AVTX-006. At any time beginning three years after the date of the first public launch of AVTX-006, Avalo may exercise, at its sole discretion, a buyout option that terminates any further obligations under the Royalty Agreement in exchange for a payment to the Investors of an aggregate of 75% of the net present value of the royalty payments. A majority of the independent members of the board of directors and the audit committee of Aevi approved the Royalty Agreement.

Avalo assumed this Royalty Agreement upon closing of the Aevi Merger and it is recorded as a royalty obligation within the Company’sCompany's accompanying condensed consolidated balance sheet as of SeptemberJune 30, 2021.2022. Because there is a significant related party relationship between the Company and the Investors, the Company has treated its obligation to make royalty payments under the Royalty Agreement as an implicit obligation to repay the funds advanced by the Investors. As the Company makes royalty payments in accordance with the Royalty Agreement, it will reduce the liability balance. At the time that such royalty payments become probable and estimable, and if such amounts exceed the liability balance, the Company will impute interest accordingly on a prospective basis based on such estimates, which will result in a corresponding increase in the liability balance.

Aevi Merger Possible Future Milestone Payments

A portion of the consideration for the Aevi Merger includes 2 future contingent development milestones worth up to an additional $6.5 million. The first milestone is the enrollment of a patient in a Phase 2 study related to AVTX-002 for use in pediatric onset Crohn’s disease, AVTX-006 (any indication) or AVTX-007 (any indication) prior to February 3, 2022. If this milestone is met, the Company is required to make a milestone payment of $2.0 million. The second milestone is the receipt of a NDA approval for either AVTX-006 or AVTX-007 from the FDA on or prior to February 3, 2025. If this milestone is met, the Company is required to make a milestone payment of $4.5 million. All milestones are payable in either shares of the Company’s common stock or cash, at the election of the Company.

The contingent consideration related to the development milestones will be recognized if and when such milestones are probable and can be reasonably estimated. As of the consummation of the Merger on February 3, 2020 and as of September 30, 2021, no contingent consideration related to the development milestone has been recognized. The Company will continue to monitor the development milestones at each reporting period.

Ichorion Asset Acquisition Possible Future Milestone Payments

In September 2018, the Company acquired Ichorion Therapeutics, Inc. including acquiring 3 compounds for inherited metabolic disorders known as CDGs (AVTX-801, AVTX-802 and AVTX-803) and 1 other preclinical compound. Consideration for the transaction included shares of Avalo common stock and 3 future contingent development milestones for the acquired compounds worth up to an additional $15.0 million. million, payable in either shares of Avalo’s common stock or cash, at the election of Avalo.

The first milestone isand second milestones were marketing approval of the first and second product, being approved for marketingrespectively, by the FDA on or prior to December 31, 2021. If this2021, which would have resulted in milestone is met, the Company is required to make a milestone paymentpayments of $6.0 million.million and $5.0 million, respectively. The Company did not meet the first or second milestone is the second product being approved for marketing by the FDA on or prior toas of December 31, 2021. If this milestone is met, the Company is requiredAs a result, no contingent consideration related to make a milestone paymentthese milestones was recognized as of $5.0 million. June 30, 2022 and no future contingent consideration will be recognized.

The third milestone is the marketing approval of a protide molecule being approved by the FDA on or prior to December 31, 2023. If this milestone is met, the Company is required to make a milestone payment of $4.0 million. All milestones are payable in either shares of the Company’s common stock or cash, at the election of the Company.

The contingent consideration related to the third development milestonesmilestone will be recognized if and when such milestones aremilestone is probable and can be reasonably estimated. As of September 30, 2021, noNaN contingent consideration related to the third development milestone has been recognized.recognized as of June 30, 2022. The Company will continue to monitor the third development milestones at each reporting period.

14. Subsequent Events

On July 29, 2022, the Company entered into a license agreement with Apollo pursuant to which the Company: (i) granted to Apollo a worldwide, exclusive license granting rights to Apollo to research, develop, manufacture and commercialize AVTX-007 (the “Apollo License Agreement”) and (ii) entered into a novation agreement, dated July 29, 2022, pursuant to which the MedImmune license, dated August 6, 2019, between the Company and MedImmune, was replaced by a substantially similar novated license agreement between Apollo and MedImmune.

In August 2022, the Company received $5 million as an upfront fee and an additional approximate $10 million as partial consideration for transition, consulting and transfer activities. The Company is also eligible to receive up to $6.25 million in regulatory or development milestones and up to $67.5 million in milestones based on annual global net sales of products licensed under the Apollo License Agreement. Additionally, the Company is entitled to a royalty payment of a low single digit percentage of annual net sales,
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which percentage increases to another low single digit percentage if annual net sales exceed a specified amount, subject to certain adjustments.

Pursuant to the terms of the Apollo License Agreement, Apollo will assume responsibility for future development of AVTX-007, including the ongoing clinical trial of AVTX-007 for the treatment of adult-onset Still’s disease. The Company will also assign certain AVTX-007 related contracts and other assets to Apollo. The Company will evaluate the accounting impact of the transaction in the third quarter of 2022.


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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
 
This Quarterly Report on Form 10-Q and the information incorporated herein by reference contain forward-looking statements that involve a number of risks and uncertainties, as well as assumptions that, if they never materialize or prove incorrect, could cause our results to differ materially from those expressed or implied by such forward-looking statements. Forward-looking statements can be identified by the use of forward-looking words such as “believes,” “expects,“projects,” “may,” “might,” “will,” “plans,” “intends,” “estimates,” “could,” “should,“would,“would,“should,” “continue,” “seeks,” “aims,” “projects,” “predicts,” “pro forma,“believes,” “expects,” “anticipates,” “potential”“estimates,” “intends,” “plans,” “potential,” “pro forma” or other similar words (including their use in the negative), or by discussions of future matters such asas: the future financial and operational outlook; the development of product candidates or products, technology enhancements, possible changes in legislation,candidates; and other statements that are not historical. Although our forward-looking statements reflect the good faith judgment of our management, these statements can only be based on facts and factors currently known by us. Consequently, forward-looking statements are inherently subject to risks and uncertainties, and actual results and outcomes may differ materially from results and outcomes discussed in the forward-looking statements. Factors that could cause or contribute to these differences include those below and elsewhere in this Quarterly Report on Form 10-Q, particularly in Part II – Item 1A, “Risk Factors,” as well as in our Annual Report on Form 10-K filed with the Securities and Exchange Commission, or SEC, on March 8, 2021,2, 2022, and in our other filings with the SEC. Statements made herein are as of the date of the filing of this Quarterly Report on Form 10-Q with the SEC and should not be relied upon as of any subsequent date. Unless otherwise required by applicable law, we do not undertake, and we specifically disclaim any obligation to update any forward-looking statements to reflect occurrences, developments, unanticipated events or circumstances after the date of such statement.
 
The following discussion and analysis of our financial condition and results of operations should be read in conjunction with our unaudited financial statements and related notes that appear in Item 1 of this Quarterly Report on Form 10-Q and with our audited financial statements and related notes for the year ended December 31, 20202021 appearing in our Annual Report on Form 10-K filed with the SEC on March 8, 2021.2, 2022.     
 
Overview

Avalo Therapeutics, Inc. (the “Company” or “Avalo” or “we”) is a leading clinical-stage precision medicine company that discovers, develops, and commercializes targeted therapeutics for patients with significant unmet clinical need in immunology immuno-oncology, and rare genetic diseases. We have built a diverse portfolio of innovative therapies to deliver meaningful medical impact for patients in urgent need. Our clinical candidates commonly have a proven mechanistic rationale, biomarkers and/or an established proof-of-concept to expedite and increase the probability of success.

Management’s primary evaluation of the success of the Company is the ability to progress its pipeline assets forward towards commercialization or opportunistically out-licensing rights to indications or geographies. This success depends not only on the operational execution of the programs, but also the ability to secure sufficient funding to support the programs. We believe the ability to achieve the anticipated milestones (as presented in the Research and Development milestone chart below), represents our most immediate evaluation points.

We have made significant progress in 2021 toward our key goal of advancing the pipeline as highlighted by the data release of the first cohort of the AVTX-002 Phase 1b trial in Crohn’s Disease, data release of the first cohort of the AVTX-002 Phase 2 proof-of-concept trial in COVID-19 ARDS and subsequent receipt of fast-track designation (“FTD”), completion of the first cohort of the AVTX-007 Phase 1b trial in Multiple Myeloma, receipt of FTD for AVTX-803 and enrollment of the first patient in the AVTX-007 Phase 1b open-label proof-of-concept trial in AOSD. We also believe our licensing activity during the first half of 2021, including in-licenses of immunology and immuno-oncology assets (including the expanded license agreement for AVTX-002 and the license agreement for AVTX-008) and out-licenses of non-core assets, enhances our focus on the development of innovative therapies in areas of high unmet need within the fields of immunology, immuno-oncology, and rare genetic disorders. Additionally, we have executed a combination of debt and equity financings in 2021 for total net proceeds of approximately $105 million, to strengthen and extend our financial resources to advance our clinical pipeline towards key development milestones.

Recent Developments

In August 2021, the Company changed its corporate name change from Cerecor Inc. to Avalo Therapeutics, Inc. by filing a Certificate of Amendment to our Amended and Restated Certificate of Incorporation with the Secretary of State of the State of Delaware and merged certain wholly-owned subsidiaries into the Company to consolidate its corporate structure. The name change underscores the Company’s transition to developing innovative targeted therapies in immunology, immuno-oncology, and rare genetic diseases.

In September 2021, the Company closed an underwritten public offering of 14,308,878 shares of common stock for net proceeds of approximately $29.0 million (the “September Offering”).
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During the third quarter of 2021, the Company received $15.0 million as a result of completing its second and third drawdowns under its previously announced $35.0 million venture debt financing agreement (the “Loan Agreement”) with Horizon Technology Finance Corporation and Powerscourt Investments XXV, LP. With the closing of the second and third tranches, the Company has received the full $35.0 million under its debt financing agreement.

In October 2021, the board of directors of the Company appointed Keith Maher, MD, to the Board pursuant to the right of Armistice to appoint two directors to the board of directors. Dr. Maher is employed by Armistice, which is a significant stockholder of the Company and whose chief investment officer, Steven Boyd, currently serves on the board of directors of the Company.

Research and Development

The following chart summarizes key information about our clinical-stage pipeline and anticipated research & development milestones:

avtx-20210930_g1.jpgavtx-20220630_g1.jpg


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Recent Developments

Our focus during the second quarter of 2022 was progressing our pipeline programs forward to meaningful data readouts, notably AVTX-002 for the treatment of non-eosinophilic asthma (“NEA”) and AVTX-803 for the treatment of leukocyte adhesion deficiency type II (“LAD-II”). In May 2022, we dosed the first patient in the Company’s Phase 2 PEAK (A Phase 2, Randomized, Double-Blind, Placebo-Controlled, Parallel Group Study to Evaluate the Safety and Efficacy of AVTX-002 for the Treatment of Poorly Controlled Non-Eosinophilic Asthma K) trial evaluating AVTX-002 for NEA.

Further, in July 2022, we dosed the first patient in the Company’s Phase 3 LADDER (A Phase 3, Randomized, Double-Blind, Two-Period, Crossover, Withdrawal Study to Assess the Efficacy and Safety of AVTX-803 in Subjects with Leukocyte ADhesion Deficiency Type II (LADD) (ER)) trial evaluating AVTX-803 in patients with LAD II. This trial is to be followed by an open-label extension.

On July 7, 2022, Avalo effected a 1-for-12 reverse stock split. The Company implemented the reverse stock split to increase the per share price of its common stock to regain compliance with the listing requirements of the Nasdaq Capital Market. Avalo regained compliance on July 22, 2022.

On July 29, 2022, Avalo granted a worldwide, exclusive license to Apollo Therapeutics Group Limited (“Apollo”), granting rights to Apollo to research, develop, manufacture and commercialize AVTX-007, Avalo’s anti-IL-18 monoclonal antibody product. In August 2022, Avalo received the approximate $15 million of upfront payment. Avalo is also eligible to receive up to $74 million of milestones, as well as a royalty payment of a low single digit percentage of annual net sales. The AVTX-007 program was originally licensed to Avalo by MedImmune Limited, a subsidiary of AstraZeneca plc, and such license was transferred to Apollo as part of the transaction.

Our Strategy
Our strategy for increasing stockholder value includes:

Advancing our pipeline of compounds through development and to regulatory approval;
Acquiring or licensing rights to targeted, complementary differentiated preclinical and clinical stage compounds;
Developing the go-to-market strategy to quickly and effectively market, launch, and distribute each of our compounds that receive regulatory approval; and
Opportunistically out-licensing rights to indications or geographies.geographies; and
Acquiring or licensing rights to targeted, complementary differentiated preclinical and clinical stage compounds.

Results of Operations

Comparison of the Three Months Ended SeptemberJune 30, 20212022 and 20202021

Product Revenue, netNet    

Net product revenue was $1.4 million for the three months ended September 30, 2021, which was largely consistent with the net product revenue for the three months ended September 30, 2020 of $1.1 million.

Aytu BioScience, Inc. (“Aytu”), to which the Company sold its rights, title and interest in assets relating to certain commercialized products in 2019, managed Millipred® commercial operations through June 30, 2021 pursuant to transition service agreements. In
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the third quarter of 2021, the Company finalized its trade and distribution channel to allow it to control third party distribution and began managing Millipred® commercial operations at that time.

Cost of Product Sales

Cost of product sales were $0.9 million for the three months ended September 30, 2021, compared to $0.1 million for the three months ended September 30, 2020. The increase was driven by the Company’s requirement to pay its supplier fifty percent of the net profit of the Millipred® product following each calendar quarter beginning July 1, 2021, subject to a $0.5 million quarterly minimum payment. We expect cost of product sales to continue to increase as compared to historic periods due to the net profit share.

Research and Development Expenses

The following table summarizes our research and development expenses for the three months ended September 30, 2021 and 2020 (in thousands):
 Three Months Ended September 30,
 20212020
Preclinical expenses$1,485 $1,105 
Clinical expenses2,658 2,768 
CMC expenses3,366 3,200 
Internal expenses:
Salaries, benefits and related costs2,499 1,377 
Stock-based compensation expense480 384 
Other63 38 
 $10,551 $8,872 
Research and development expenses increased $1.7 million for the three months ended September 30, 2021 compared to the same period in 2020. The overall increase was driven by an increase in research and development activities as the Company continues to develop its maturing pipeline assets.

Salaries, benefits and related costs increased by $1.1 million mainly due to an increase in headcount to grow our research and development activities as we continue to invest in our maturing pipeline.

Research and development expense is likely to continue to outpace historic periods as the Company advances its maturing pipeline.

General and Administrative Expenses
The following table summarizes our general and administrative expenses for the three months ended September 30, 2021 and 2020 (in thousands): 
 Three Months Ended September 30,
 20212020
Salaries, benefits and related costs$1,299 $957 
Legal, consulting and other professional expenses2,425 2,389 
Stock-based compensation expense1,172 972 
Other292 255 
 $5,188 $4,573 
General and administrative expenses increased $0.6 million for the three months ended September 30, 2021 compared to the same period in 2020. The increase was driven by a $0.3 million increase in salaries, benefits and related costs coupled with a $0.2 million increase in stock-based compensation expense, both of which are related to increased headcount to support the Company’s expanded research and development efforts. Overall, legal, consulting, and other professional expenses were largely consistent period over period. For the three months ended September 30, 2021, professional expenses increased mainly as a result of increased information technology services and consulting costs, however such increases were mostly offset by the recognition of a prior period legal settlement that did not repeat in the current period.
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General and administrative expense is likely to continue to outpace historic periods as a result of the increased infrastructure to support the Company’s maturing research and development efforts.

Sales and Marketing Expenses
The following table summarizes our sales and marketing expenses for the three months ended September 30, 2021 and 2020 (in thousands): 
 Three Months Ended September 30,
 20212020
Salaries, benefits and related costs$135 $214 
Stock-based compensation expense107 92 
Advertising and marketing expense482 141 
Other14 15 
 $738 $462 
Sales and marketing expenses primarily consist of expenses related to initiatives to support the go-to-market strategy of our pipeline assets. Sales and marketing expenses increased $0.3 million for the three months ended September 30, 2021 compared to the same period in 2020, which was largely driven by advertising and marketing expense incurred in the current period related to the corporate name change to Avalo Therapeutics, Inc.

Amortization Expense

The following table summarizes our amortization expense for the three months ended September 30, 2021 and 2020 (in thousands):

 Three Months Ended September 30,
 20212020
Amortization of intangible assets$428 $404 

Amortization expense, which relates to the amortization of an intangible asset acquired as part of a previous acquisition and an assembled workforce acquired as part of a previous merger, was largely consistent for the three months ended September 30, 2021 and 2020.

We expect amortization expense to decrease in future periods as the intangible asset and assembled workforce acquired will be fully amortized in the fourth quarter of 2021 and the first quarter of 2022, respectively.

Other (Expense) Income, Net

The following table summarizes our other (expense) income, net for the three months ended September 30, 2021 and 2020 (in thousands):
 Three Months Ended September 30,
 20212020
Other (expense) income, net(15)19 
Interest expense, net(985)— 
$(1,000)$19 

Other expense, net was $1.0 million for the three months ended SeptemberJune 30, 2021,2022, compared to minimal other income, net in the prior period. The change was mainly driven by the recognition of interest expense of $1.0$2.7 million for the three months ended SeptemberJune 30, 2021 related2021. The decrease was mainly attributable to a decrease in units sold, which may have been caused by disruptions to the Loan Agreement entered into in June 2021. Pursuant to the agreement, $20.0 million was funded on the close date in June 2021. The second $10.0 million and the third $5.0 million tranches of the loan were funded in July 2021 and September 2021, respectively. Given the second and third tranches were funded in the third quarter of 2021, we recognized a partial period of interest expense in the current period. We expect interest expense to increase in future periodssales channel as a result of recognizingthe transition of commercial operations from Aytu BioScience, Inc. (“Aytu”) to Avalo in the second half of 2021. The Company is uncertain whether these potential disruptions will be temporary or have a full period of interest.permanent impact on future sales.

Income Tax Expense
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The following table summarizes our income tax expenseAvalo recognized $0.6 million of license revenue for the three months ended September 30, 2021 and 2020 (in thousands):
 Three Months Ended September 30,
 20212020
Income tax expense$$
The Company recognized minimal income tax expense for both the three months ended September 30, 2021 and 2020.

Comparison of the Nine Months Ended September 30, 2021 and 2020

Product Revenue, net    

Net product revenue was $4.6 million for the nine months ended September 30, 2021, which was largely consistent with the net product revenue for the nine months ended September 30, 2020 of $5.2 million.

Aytu managed Millipred® commercial operations through June 30, 2021 pursuant to transition service agreements. In the third quarter of 2021, the Company finalized its trade and distribution channel to allow it to control third party distribution and began managing Millipred® commercial operations at that time.

License Revenue, net

License revenue was $0.6 million for the nine months ended September 30, 2021, which relatesrelated to upfront fees received as a result ofpursuant to the out-license and assignment, respectively, of the Company’s rights to its non-core neurology pipeline assets, AVTX-301 and AVTX-406 to Alto Neuroscience,Neurosciences, Inc. (“Alto”) and ES Therapeutics, LLC (“ES”), respectively. These transactions were unique to the prior period.

ES is a wholly-owned subsidiary of Armistice Capital Master Fund Ltd. (an affiliate of Armistice Capital, LLC and collectively “Armistice”), which is a significant stockholder of the Company and whose chief investment officer, Steven Boyd, and managing director, Keith Maher, currently serve on the Board of the Company. The transaction with ES was approved in accordance with Avalo’s related party transaction policy.

Avalo is eligible to receive additional payments upon achievement of specified development, regulatory and sales-based milestones for both AVTX-301 and AVTX-406 and is also entitled to royalty payments based on net sales of AVTX-301.

Cost of Product Sales

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Cost of product sales was $1.1were $1.6 million for the ninethree months ended SeptemberJune 30, 2021,2022, compared to $0.2$0.1 million for the nine months ended September 30, 2020. Thesame period in 2021. $0.4 million of the increase was primarily driven by the Company’s requirement to pay its supplier fifty percent of the net profit ofshare with the Millipred® product following each calendar quarter beginningsupplier that began on July 1, 2021, subject2021. Further, in the second quarter of 2022, we fully reserved for the $1.0 million receivable due in December 2024 pursuant to the transition service agreement with Aytu, given Aytu disclosed in their Quarterly Report on Form 10-Q for the quarter ended March 31, 2022, that substantial doubt exists with respect to their ability to continue as a $0.5 million quarterly minimum payment.going concern within one year after the date that the financial statements were issued, or May 2023. We expectrecognized the expense in cost of product sales to continue to increase as compared to historic periods due tofor the net profit share.three months ended June 30, 2022, which drove the remainder of the increase.

Research and Development Expenses

The following table summarizes our research and development expenses for the ninethree months ended SeptemberJune 30, 20212022 and 20202021 (in thousands):
 Nine Months Ended September 30,
 20212020
Preclinical expenses$5,829 $4,019 
Clinical expenses10,558 4,663 
CMC expenses13,005 5,721 
License and milestone expenses10,900 — 
Internal expenses:
Salaries, benefits and related costs6,595 3,891 
Stock-based compensation expense1,244 1,156 
Other194 106 
 $48,325 $19,556 
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 Three Months Ended June 30,
 20222021
Preclinical expenses$569 $2,110 
Clinical expenses3,248 2,460 
CMC expenses2,967 4,905 
License and milestone expenses— 400 
Internal expenses:
Salaries, benefits and related costs1,291 2,160 
Stock-based compensation expense365 467 
Other70 67 
 $8,510 $12,569 
 
Research and development expenses increased $28.8decreased $4.1 million for the ninethree months ended SeptemberJune 30, 20212022, compared to the same period in 2020. T2021.

he Company’s merger with Aevi Genomic Medicine Inc.
Notably, chemistry, manufacturing, and controls (“Aevi”CMC”) (the “Aevi Merger” or the “Merger”) in February 2020 was a transformative event as it significantly broadened our pipeline by adding the rightsand preclinical expenses decreased $1.9 million and $1.5 million, respectively. CMC expenses decreased largely due to three new assets, as well as bringing in critical leadership to guide the Company and development of the expanded pipeline. Given the timing of raw material purchases in the Merger,second quarter of 2021 that did not repeat in the first halfsecond quarter of 2020 was spent integrating2022. Preclinical expenses decreased due to non-clinical activities and initiatingbiomarker studies in the additional programs. Therefore,second quarter of 2021 that did not repeat in the main driversecond quarter of the increase for the nine months ended September 30, 2021 was attributable2022. These decreases were partially offset by increased clinical expenses related to the maturing pipeline.AVTX-002 PEAK study.

Additionally, we recognized a $10.0 million upfront license fee related to the expanded indication license agreement for AVTX-002 entered into with Kyowa Kirin Co. (“KKC”) in March 2021. CMC expenses increased $7.3 million due to additional spending on manufacturing to support the development of the progressing pipeline and in anticipation of drug supply to support future trials. Clinical expenses increased $5.9 million primarily due to costs incurred to advance the pipeline as we approach multiple clinical data read outs across our pipeline. Preclinical expenses increased by $1.8 million related to increased non-clinical toxicity studies and biomarker studies to support clinical development. Finally, salaries, benefits and related costs increased by $2.7decreased $0.9 million mainly due to an increasethe reduction in headcount to grow our research and development activities as we continue to investimplemented in our maturing pipeline.

Research and development expense is likely to continue to outpace historic periods (excluding the one-time KKC in-license charge) as the Company advances its maturing pipeline.

Acquired In-Process Research and Development Expenses

In the first quarter of 2020, the Company consummated its merger with Aevi, resulting in us acquiring $25.5 million of in-process research2022 and development (“IPR&D”). The fair value of the IPR&D was immediately recognized as acquired in-process research and development expense given such asset has no other alternate use due to the stage of development. There was no acquired IPR&D for the nine months ended September 30, 2021.cost savings initiatives.

Selling, General and Administrative Expenses
 
The following table summarizes our selling, general and administrative expenses for the ninethree months ended SeptemberJune 30, 20212022 and 20202021 (in thousands): 
Nine Months Ended September 30, Three Months Ended June 30,
20212020 20222021
Salaries, benefits and related costsSalaries, benefits and related costs$3,336 $3,725 Salaries, benefits and related costs$496 $1,300 
Legal, consulting and other professional expensesLegal, consulting and other professional expenses7,703 4,977 Legal, consulting and other professional expenses1,554 2,685 
Stock-based compensation expenseStock-based compensation expense4,720 3,963 Stock-based compensation expense304 2,607 
Advertising and marketing expenseAdvertising and marketing expense14 432 
OtherOther959 685 Other416 380 
$16,718 $13,350  $2,784 $7,404 
 
GeneralSelling, general and administrative expenses increased $3.3decreased $4.6 million for the ninethree months ended SeptemberJune 30, 20212022 compared to the same period in 2020. The increase was largely driven by a $2.72021 due to decreased headcount and cost savings initiatives. Notably, non-cash stock based compensation expense decreased $2.3 million increase in legal, consultingdue to decreased headcount and other professional expenses. The largest driver was higher legal expenses in the current period, including costs to execute the KKC expanded indication license agreement and the other licensing agreements executed in the current year. Additionally, there were increases to information technology services and director and officer insurance. Such increases were partially offset by a legal settlement$1.4 million of modification expense recognized in the prior period that did not repeat in the current period.

Stock-based compensation expense increased $0.8 million for the nine months ended September 30, 2021. The increase was largely driven by $1.4 million of expense related to the modifications of a former board members stock options during the second quarter of 2021, partially offset by increased expense in the prior year due to equity award grants and modifications to certain former executives and board members due to leadership changes in the first half of 2020.

These increases were offset by a $0.4 million decrease in salaries, benefits and related costs for the quarter due to a $0.8 million severance accrual in the prior year related to the resignation of an executive during the second quarter of 2020, which did not repeat for the nine months ended September 30, 2021. The overall decrease was partially offset by increased salaries cost driven by increased headcount in the current period.

General and administrative expense is likely to continue to outpace historic periods as a result of the increased infrastructure to support the Company’s maturing research and development efforts.

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not repeat. Legal, consulting and other professional expenses decreased $1.1 million due to reduced recruiting, consulting and legal expenses as a result of cost savings initiatives.



SalesWe expect selling, general and Marketing Expenses
The following table summarizes our sales and marketingadministrative expenses for the nine months ended September 30, 2021 and 2020 (in thousands): 
 Nine Months Ended September 30,
 20212020
Salaries, benefits and related costs$506 $530 
Stock-based compensation expense316 234 
Advertising and marketing expense1,044 989 
Other93 39 
 $1,959 $1,792 
Sales and marketing expenses primarily consist of expenses related to initiatives to support the go-to-market strategy of our pipeline assets. Sales and marketing expenses increased $0.2 million for the nine months ended September 30, 2021decrease as compared to the same period in 2020, which was largely driven by advertising and marketing expense relatedhistorical periods prior to the corporate name change to Avalo Therapeutics, Inc.reduction in headcount and other cost savings initiatives implemented in the first quarter of 2022.

Amortization Expense

The following table summarizes our amortization expense for the ninethree months ended SeptemberJune 30, 20212022 and 20202021 (in thousands):

 Nine Months Ended September 30,
 20212020
Amortization of intangible assets$1,281 $1,238 
 Three Months Ended June 30,
 20222021
Amortization of intangible assets$— $428 

Amortization expense, which relatesAvalo’s acquired assembled workforce and acquired product marketing rights were fully amortized in the first quarter of 2022 and fourth quarter of 2021, respectively, thus driving the $0.4 million decrease as compared to the amortization of an intangible asset acquired as part of a previous acquisition and an assembled workforce acquired as part of a previous merger, was consistent for the nine months ended September 30, 2021 and 2020.

prior period. We expect amortization expense to decrease in futureas compared to historical prior periods asgiven the intangible asset and assembled workforce will beassets are fully amortized in the fourth quarter of 2021 and the first quarter of 2022, respectively.amortized.

Other (Expense) Income,Expense, Net

The following table summarizes our other (expense) income,expense, net for the ninethree months ended SeptemberJune 30, 20212022 and 20202021 (in thousands):

 Nine Months Ended September 30,
 20212020
Change in fair value of Investment in Aytu (as defined below)$— $5,208 
Other (expense) income, net(20)447 
Interest expense, net(1,207)— 
$(1,227)$5,655 
 Three Months Ended June 30,
 20222021
Other expense, net— (5)
Interest expense, net(1,154)(239)
$(1,154)$(244)

Other expense, net was $1.2mainly comprised of interest expense related to the venture loan and security agreement for the three months ended June 30, 2022. Avalo entered into the loan agreement in June 2021 and therefore only recognized a partial period of interest expense in the prior period, which drove the increase for the three months ended June 30, 2022.

In June 2022, the Company made a partial prepayment of $15.0 million under the venture loan and security agreement. Therefore, we expect future interest expense to decrease as compared to prior periods.

Income Tax Expense

The following table summarizes our income tax expense for the three months ended June 30, 2022 and 2021 (in thousands):
 Three Months Ended June 30,
 20222021
Income tax expense (benefit)$$(199)
The Company recognized minimal income tax expense for the three months ended June 30, 2022 compared to an income tax benefit of $0.2 million for the ninethree months ended SeptemberJune 30, 2021 compared to other2021. The income nettax benefit in the prior period was a result of $5.7 million for the same period in 2020. Forupdated estimate of interest receivable and abatement of penalties on the nine months ended September 30, 2021,refund claim, as the Company recognized interest expense of $1.2 million related tofinal refund payment was received from the Loan Agreement entered intoInternal Revenue Service in the second quarter of 2021. Pursuant

Comparison of the Six Months Ended June 30, 2022 and 2021

Product Revenue, Net    

Net product revenue was $2.2 million for the six months ended June 30, 2022, compared to $3.2 million for the six months ended June 30, 2021. The decrease was mainly attributable to a decrease in units sold, which may have been caused by disruptions to the Loan Agreement, $20.0 million was funded on the close date in June 2021. The second $10.0 million and the third $5.0 million tranches of the loan were funded in July 2021 and September 2021, respectively. Given that we entered into the Notes midway through 2021, we recognized a portion of interest expense for the nine months ended September 30, 2021. We expect interest expense to increase in future periodssales channel as a result of recognizing full periodsthe transition of interest forcommercial operations from Aytu to Avalo in the Notes.second half of 2021. The Company is uncertain whether these potential disruptions will be temporary or have a permanent impact on future sales.

For the nine months ended September 30, 2020, other income, net was mainly comprised of a $5.2 million gain on the change in fair value of the Company’s previous Investment in Aytu. Each reporting period, the Company’s Investment in Aytu wasLicense Revenue
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Avalo recognized $0.6 million of license revenue for the six months ended June 30, 2021, related to upfront fees received pursuant to the out-license and assignment, respectively, of the rights to its non-core neurology pipeline assets, AVTX-301 and AVTX-406, to Alto and ES, respectively. These transactions were unique to the prior period.

ES is a wholly-owned subsidiary of Armistice. The transaction with ES was approved in accordance with Avalo’s related party transaction policy.
remeasured at its fair value. In
Cost of Product Sales

Cost of product sales were $2.3 million for the six months ended June 30, 2022, compared to $0.2 million for the same period in 2021. $1.0 million of the increase was driven by the fifty percent net profit share with the supplier that began on July 1, 2021. Further, in the second quarter of 2020,2022, we fully reserved for the $1.0 million receivable due in December 2024 pursuant to the transition service agreement with Aytu, given Aytu disclosed in their Quarterly Report on Form 10-Q for the quarter ended March 31, 2022 that substantial doubt exists with respect to their ability to continue as a going concern within one year after the date the financial statements were issued, or May 2023. We recognized expense in the cost of product sales for the six months ended June 30, 2022, which drove the remainder of the increase.

Research and Development Expenses

The following table summarizes our research and development expenses for the six months ended June 30, 2022 and 2021 (in thousands):
 Six Months Ended June 30,
 20222021
Preclinical expenses$1,568 $4,344 
Clinical expenses6,034 7,900 
CMC expenses5,113 9,639 
License and milestone expenses— 10,900 
Internal expenses:
Salaries, benefits and related costs4,559 4,097 
Stock-based compensation expense653 765 
Other167 129 
 $18,094 $37,774 
Research and development expenses decreased $19.7 million for the six months ended June 30, 2022 compared to the same period in 2021. In the first quarter of 2021, the Company soldrecognized a $10.0 million upfront license fee related to the commonexpanded indication license agreement for AVTX-002 with Kyowa Kirin Co., Ltd. (“KKC”), which did not repeat in the current period.

The remaining $9.7 million decrease was primarily driven by a decrease in CMC, preclinical and clinical expenses. CMC expenses decreased $4.5 million due to the timing of raw material purchases in the first half of 2021 that did not repeat in the first half of 2022. Preclinical expenses decreased $2.8 million primarily due to non-clinical activities and biomarker studies in the first half 2021 that did not repeat in the first half of 2022. Clinical expenses decreased $1.9 million due to fewer clinical trials ongoing in the current period as a result of certain programs being paused or wound down in 2022. However, these decreases were partially offset by increased clinical activities related to the AVTX-002 PEAK study.

The decreases noted above were partially offset by a $0.5 million increase to salaries, benefits and related costs driven by severance expense incurred as a result of the headcount reduction implemented in the first quarter of 2022.

Selling, General and Administrative Expenses
The following table summarizes our selling, general and administrative expenses for the six months ended June 30, 2022 and 2021 (in thousands): 
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 Six Months Ended June 30,
 20222021
Salaries, benefits and related costs$4,597 $2,409 
Legal, consulting and other professional expenses3,797 5,277 
Stock-based compensation expense5,327 3,757 
Advertising and marketing expense57 562 
Other690 746 
 $14,468 $12,751 
Selling, general and administrative expenses increased $1.7 million for the six months ended June 30, 2022 compared to the same period in 2021 due to expenses related to headcount reductions from the pipeline prioritization plan and other separations. Avalo recognized $2.4 million of severance expense and $4.3 million of stock-based compensation expense related to modifications of separated employee’s stock underlying its Investmentoptions during the period.

These increases were partially offset by a $1.5 million decrease in Aytulegal, consulting and other professional expenses and a $0.5 million decrease in advertising and marketing expenses. The decreases were driven by reduced recruiting, marketing, consulting and legal expenses as a result of cost savings initiatives.

We expect selling, general and administrative expenses to decrease as compared to historical periods prior to the reduction in headcount and other cost savings initiatives implemented in the first quarter of 2022.

Amortization Expense

The following table summarizes our amortization expense for the six months ended June 30, 2022 and 2021 (in thousands):

 Six Months Ended June 30,
 20222021
Amortization of intangible assets$38 $853 

Avalo’s acquired assembled workforce and acquired product marketing rights were fully amortized in the first quarter of 2022 and fourth quarter of 2021, respectively, thus driving the $0.8 million decrease as compared to the prior period. We expect amortization expense to decrease as compared to historical periods given the intangible assets are fully amortized.

Other Expense, Net

The following table summarizes our other expense, net proceedsfor the six months ended June 30, 2022 and 2021 (in thousands):
 Six Months Ended June 30,
 20222021
Other expense, net(20)(5)
Interest expense, net(2,323)(222)
$(2,343)$(227)

Other expense, net was comprised of $12.8interest expense related to the venture loan and security agreement for the six months ended June 30, 2022 and 2021. Avalo entered into the loan agreement in June 2021 and therefore only recognized a partial period of interest expense in the prior period, which drove the increase for the six months ended June 30, 2022.

In June 2022, the Company made a partial prepayment of $15.0 million which represented a gain of $5.2 million from its fair value on December 31, 2019.under the venture loan and security agreement. Therefore, we expect future interest expense to decrease as compared to prior periods.

Income Tax BenefitExpense

The following table summarizes our income tax benefitexpense for the ninesix months ended SeptemberJune 30, 20212022 and 20202021 (in thousands):
 Nine Months Ended September 30,
 20212020
Income tax benefit$(180)$(2,607)
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 Six Months Ended June 30,
 20222021
Income tax expense (benefit)$15 $(188)
    
The Company recognized minimal income tax expense for the six months ended June 30, 2022 compared to an income tax benefit of $0.2 million and $2.6 million for the ninesix months ended SeptemberJune 30, 2021 and 2020, respectively. The tax benefit recognized for the nine months ended September 30, 2020 was a result of a tax law change signed into law as part of the CARES Act, which allowed the Company to carry back certain losses for taxes paid in fiscal year 2017 and thus resulted in a refund claim.2021. The income tax benefit in the currentprior period was a result of the updated estimate of interest receivable and abatement of penalties on the refund claim, as the final refund payment was received from the Internal Revenue Service in the second quarter of 2021.

Liquidity and Capital Resources

As of September 30, 2021, Avalo had $71.5 million in cash and cash equivalents. In September 2021, the Company closed an underwritten public offering of 14,308,878 shares of common stock for net proceeds of approximately $29.0 million. Additionally, in August 2021, the Company sold 2.0 million shares under its “at the market” Sales agreement (the “ATM Program”) for net proceeds of approximately $5.3 million.

In June 2021, the Company entered into a $35.0 million venture debt financing agreement with Horizon Technology Finance Corporation and Powerscourt Investments XXV, LP. As of September 30, 2021, the Company has received the full $35.0 million, $20.0 million of which was funded on the closing date in the second quarter of 2021 and the remaining $15.0 million was funded during the third quarter of 2021 in two separate tranches. The Loan Agreement contains certain covenants and certain other specified events that could result in an event of default, which if not cured or waived, could result in the acceleration of all or a substantial portion of the notes. As of the filing date of this Quarterly Report on Form 10-Q, the Company was not aware of any breach of covenants nor received any notice of event of default from the Lenders.

In the first quarter of 2021, the Company closed an underwritten public offering of 13,971,889 shares of its common stock and 1,676,923 pre-funded warrants for net proceeds of approximately $37.7 million.

In order to meet its cash flow needs, the Company applies a disciplined decision-making methodology as it evaluates the optimal allocation of the Company’s resources between investing in the Company’s existing pipeline assets and acquisitions or in-licensing of new assets. As of June 30, 2022, Avalo had $11.2 million in cash and cash equivalents. Subsequent to June 30, 2022, in August 2022, Avalo received the approximate $15 million of upfront payment from its transfer of AVTX-007 on July 29, 2022. Refer to Note 14 of the condensed consolidated financial statements for further information. For the ninesix months ended SeptemberJune 30, 2021,2022, Avalo generated a net loss of $65.2$35.0 million and negative cash flows from operations of $53.8$28.5 million. As of SeptemberJune 30, 2021,2022, Avalo had an accumulated deficit of $243.0$297.2 million.

In June 2022, as collectively agreed upon with the Lenders, the Company made a partial prepayment of $15.0 million ($14.8 million of which was applied to principal) under its venture loan and security agreement (the “Loan Agreement”) with Horizon Technology Finance Corporation (“Horizon”) and Powerscourt Investments XXV, LP (“Powerscourt”, and together with Horizon, the “Lenders”). Avalo intends to consider additional prepayments prior to principal loan amounts coming due, if collectively agreed upon with the Lenders. As of June 30, 2022, the carrying value of the Notes (as defined in Note 9 of the condensed consolidated financial statements) was $18.7 million.

The accompanying unaudited condensed consolidated financial statements have been prepared assuming the Company will continue as a going concern; however, losses are expected to continue as the Company continues to invest in its research and development pipeline assets. The Company will require additional financing to fund its operations and to continue to execute its business strategy at leastwithin one year after the date the unaudited condensed consolidated financial statements included herein were issued. These conditions raise substantial doubt about the Company’s ability to continue as a going concern.

To mitigate these conditions and to meet the Company’s capital requirements, management plans to use its current cash on hand along with some combination of the following: (i) dilutive and/or non-dilutive financings, (ii) federal and/or private grants, (iii) other out-licensing or strategic alliances/collaborations of its current pipeline assets, and (iv)(iii) out-licensing or sale of its non-core assets.assets, and (iv) federal and/or private grants. If the Company raises additional funds through collaborations, strategic alliances or licensing arrangements with third parties, the Company might have to relinquish valuable rights to its technologies, future revenue streams, research programs or product candidates. Subject to limited exceptions, our venture debt financing agreementthe Loan Agreement prohibits usthe Company from incurring certain additional indebtedness, making certain asset dispositions, and entering into certain mergers, acquisitions or other business combination transactions without the prior consent of the Lender. Lenders. Additionally, the Loan Agreement contains certain covenants and certain other specified events that could result in an event of default, which if not cured or waived, could result in the immediate acceleration of all or a substantial portion of the outstanding notes. As of the filing date of this Quarterly Report on Form 10-Q, the Company was not aware of any breach of covenants or occurrence of material adverse change, nor had it received any notice of event of default from the Lenders (refer to Note 9 of the condensed consolidated financial statements for more information).

If the Company requires but is unable to obtain additional funding, the Company may be forced to make reductions in spending, delay, suspend, reduce or eliminate some or all of its planned research and development programs, or liquidate assets where possible. Due to the uncertainty regarding future financing and other potential options to raise additional funds, management has concluded that substantial doubt exists with respect to the Company’s ability to
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continue as a going concern within one year after the date that the financial statements in this Quarterly Report on Form 10-Q were issued.

Over the long term, the Company’s ultimate ability to achieve and maintain profitability will depend on, among other things, the development, regulatory approval, and commercialization of its pipeline assets, and the potential receipt and sale of any PRVspriority review vouchers it receives.

Uses of Liquidity

The Company uses cash to primarily fund the ongoing development of our research and development pipeline assets and costs associated with its organizational infrastructure.
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Cash Flows
 
The following table summarizes our cash flows for the ninesix months ended SeptemberJune 30, 20212022 and 20202021 (in thousands): 
Nine Months Ended September 30, Six Months Ended June 30,
20212020 20222021
Net cash (used in) provided by:Net cash (used in) provided by:  Net cash (used in) provided by:  
Operating activitiesOperating activities$(53,793)$(26,164)Operating activities$(28,537)$(37,503)
Investing activitiesInvesting activities(102)11,523 Investing activities(56)(21)
Financing activitiesFinancing activities106,686 44,584 Financing activities(14,781)59,043 
Net increase in cash and cash equivalents$52,791 $29,943 
Net (decrease) increase in cash and cash equivalentsNet (decrease) increase in cash and cash equivalents$(43,374)$21,519 
 
Net cash used in operating activities

Net cash used in operating activities was $53.8$28.5 million for the ninesix months ended SeptemberJune 30, 2021, consisting of a net loss of $65.2 million, which was primarily driven by research2022, and development activities as the Company continued to fund its pipeline assets. The decrease was partially offset by non-cash stock-based compensation of $6.3 million. Additionally, changes in net liabilities increased by $3.5 million, mainly driven by a $2.6 million increase in accrued expenses primarily related to increased accrued research and development expense. We expect cash used in operating activities to continue to outpace historic periods due to anticipated increases in research and development spend on the maturing pipeline.

Net cash used in operating activities was $26.2 million for the nine months ended September 30, 2020. This consisted primarily of a net loss of $47.9$35.0 million which was driven by (i) increased research and development activities as the Company continued to fund its pipeline of development assets and (ii) non-cash adjustments to reconcile net loss to net cash used in operating activities including a $5.2 million realized gain related to the change in fair value of the Investment in Aytu and a $1.8 million gain related to the change in value of the Guarantee associated with the Aytu Divestiture. This decrease was offset by adjustments for non-cash acquired IPR&D expense of $25.5 million and non-cash stock-based compensation of $5.4 million.$6.0 million and the $1.0 million reserve on the other long-term asset due to the full reserve on the Aytu receivable due December 2024. Additionally, changes in net liabilities decreased by $1.3 million. The decrease was mainly driven by a $3.5 million decrease in accrued expenses and a $1.2 million decrease in accounts payable, partially offset by a $2.4 million decrease in other receivables, primarily due to the receipt of $2.2 million from Aytu in the first quarter of 2022.

Net cash used in operating activities was $37.5 million for the six months ended June 30, 2021 and consisted primarily of a net loss of $47.8 million. Changes in net liabilities increased by $3.9$4.6 million, mainly driven by a $4.3$4.9 million increase in accrued expenses and a $1.2 million decrease in other receivables, a $0.7 million decrease in prepaid expenses and a $1.8 million increase in accrued expenses, partially offset by a $0.5increased accounts receivable of $1.9 million. In April 2021, the Company paid the $10.0 million decrease in accounts payable.upfront license fee related to the expanded indication license agreement for AVTX-002 with KKC.

Net cash used in investing activities

Net cash used in investing activities was minimal for the ninesix months ended SeptemberJune 30, 2022 and June 30, 2021 and consistedconsistent primarily of the purchase of property and equipment.

NetNet cash provided by investingused in financing activities was $11.5 million for the nine months ended September 30, 2020 and consisted primarily of net proceeds of $12.8 million from the sale of the Aytu common stock during the second quarter of 2020 underlying the Company’s previous Investment in Aytu, slightly offset by transaction costs incurred as part of the Aevi Merger.

Net cash provided byused in financing activities
Net cash provided by financing activities was $106.7 million for the ninesix months ended SeptemberJune 30, 2021 and2022 consisted primarily of net proceeds of $104.9 million from equity and debt financings. Specifically, the Company received net proceeds of $37.7 million from an underwritten public offering closed in January 2021 (the “January Offering”), net proceeds of $32.9 million as part of the Loan Agreement entered into in the second quarter of 2021, and net proceeds of $29.0$14.8 million from an underwritten
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public offering that closed in September 2021. Additionally, in August 2021, the Company sold 2.0 million shares of common stockpartial prepayment applied to principal under the ATM Program for net proceeds of $5.3 million.

Armistice, which is a significant stockholder of the Company and whose chief investment officer, Steven Boyd, and managing director, Keith Maher, currently serve on the Board of the Company, participated in the January Offering by purchasing 2,500,000 shares of common stock and in the September Offering by purchasing 5,454,545 shares of common stock, both which were on the same terms as all other investors. Certain affiliates of Nantahala Capital Management LLC (collectively, “Nantahala”), which beneficially owned greater than 5% of the Company’s outstanding common stock at the time of both 2021 public offerings, participated in both offerings on the same terms as all other investors. As part of the January Offering, Nantahala also purchased pre-funded warrants to purchase up to an aggregate of 1,676,923 shares of common stock at a purchase price of $2.599, which represents the per share public offering price for the common stock less the $0.001 per share exercise price for each pre-funded warrant.Loan Agreement.

Net cash provided by financing activities was $44.6$59.0 million for the ninesix months ended SeptemberJune 30, 20202021 and consisted primarily of net proceeds of $35.4$37.7 million from an underwritten public offering. Armistice participated in the offering of common stock for 15,180,000 shares of common stock. The Company also received $5.1by purchasing approximately 0.5 million from a registered direct offering with certain institutional investors, which included Armistice, that closed in February 2020 for the sale of 1,306,282 shares of common stock, andon the same terms as all other investors. Additionally, Avalo received net proceeds of $3.9$19.6 million from a private placement of equity securities with Armisticethe Loan Agreement in March 2020.June 2021.

Critical Accounting Policies, Estimates, and Assumptions

This Management’s Discussion and Analysis of Financial Condition and Results of Operations is based on our unaudited condensed consolidated financial statements included in this Quarterly Report on Form 10-Q, which have been prepared in accordance with GAAP. In preparing the financial statements in conformity with GAAP, the Company makes estimates and assumptions that have an impact on assets, liabilities, revenue and expenses reported. These estimates can also affect supplemental information disclosed by us, including information about contingencies, risk, and financial condition. In our unaudited condensed consolidated financial statements, estimates are used for, but not limited to, revenue recognition, cost of product sales, stock-based compensation, fair value measurements, cash flows used in management’s going concern assessment, income taxes, goodwill, and other intangible assets and clinical trial accruals. The Company believes, given current facts and circumstances, that our estimates and assumptions are reasonable, adhere to GAAP and are consistently applied. Inherent in the nature of an estimate or assumption is the fact that actual results may differ from estimates, and estimates may vary as new facts and circumstances arise. Our most critical accounting estimates and assumptions are included in our Annual Report on Form 10-K for the year ended December 31, 2020
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2021 filed with the SEC on March 8, 2021.2, 2022. There have been no material changes to our critical accounting policies during the ninesix months ended SeptemberJune 30, 2021.2022.

Off-Balance Sheet Arrangements
 
We do not have any off-balance sheet arrangements, as defined by applicable SEC rules and regulations.
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Item 3. Quantitative and Qualitative Disclosures About Market Risk.
 
Interest Rate Risk
 
As a smaller reporting company, we are not required to provide the information required by this Item.
 
Item 4. Controls and Procedures.
 
Evaluation of Disclosure Controls and Procedures    

As required by Rule 13a-15(b) and Rule 15d-15(b) of the Securities Exchange Act of 1934, as amended, or the Exchange Act, our management, including our principal executive officer and our principal financial officer, conducted an evaluation as of the end of the period covered by this Quarterly Report on Form 10-Q of the effectiveness of the design and operation of our disclosure controls and procedures. In designing and evaluating our disclosure controls and procedures, our management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives. Based on that evaluation, our principal executive officer and principal financial officer concluded that our disclosure controls and procedures were effective at the reasonable assurance level as of the end of the period covered by this Quarterly Report on Form 10-Q.

Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information required to be disclosed by us in the reports we file or submit under the Exchange Act is accumulated and communicated to our management, including our principal executive officer and principal financial officer, as appropriate to allow timely decisions regarding required disclosure.

Changes in Internal Control Over Financial Reporting

There were no changes in our internal control over financial reporting identified in management’s evaluation pursuant to Rules 13a-15(d) or 15d-15(d) of the Exchange Act during the period covered by this Quarterly Report on Form 10-Q that materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.


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PART II – OTHER INFORMATION

Item 1. Legal Proceedings.

None.

Item 1A. Risk Factors.

In addition to the other information set forth in this Quarterly Report on Form 10-Q, you should carefully consider the factors discussed in Part I, “Item 1A. Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2020,2021, filed with the SEC on March 8, 2021, and our Current Report on Form 8-K filed with the SEC on July 2, 20212022, which could materially affect our business, financial condition, or future results. Our risk factors as of the date of this Quarterly Report on Form 10-Q have not changed materially from those described in the Form 10-K and 8-K referenced above. The risks described in the Form 10-K and 8-K referenced above are not the only risks facing our company.Company. Additional risks and uncertainties not currently known to us or that we currently deem to be immaterial also may materially adversely affect our business, financial condition, or future results of operations and the trading price of our common stock.

Item 5. Other Information.

On November 4, 2021, the Company entered into a Cooperation Agreement with Armistice Capital, LLC, (“Armistice”) which, together with its affiliates, is a significant stockholder of the Company and whose chief investment officer, Steven Boyd and managing director, Keith Maher, currently serves on the Board of Directors of the Company (the “Board”). Pursuant to the Cooperation Agreement, the Company agreed to take all necessary action to appoint Dr. June Almenoff to the Board no later than four (4) business days of the Effective Date of the Cooperation Agreement and a second director who will qualify as “independent” of the Company pursuant to Nasdaq listing standards, who is otherwise qualified to serve on the Audit Committee and who is not associated with Armistice, to be identified pursuant to an ongoing director search process. Pursuant to the Cooperation Agreement, Dr. Almenoff was appointed to the Board, effective November 10, 2021. In connection with the Cooperation Agreement, the Company has accepted the resignations of Dr. Suzanne Bruhn, effective upon the appointment of Dr. Almenoff, and Mr. Phil Gutry, effective on the date that is the earlier of forty-five (45) days following the effective date of the Cooperation Agreement and the appointment of the second director.

Pursuant to the Cooperation Agreement, the Company agreed that the Board would appoint Dr. Almenoff to each of the Nominating and Governance Committee and Audit Committee of the Board, that Mr. Gutry would step down from the Nominating and Governance Committee and that Dr. Magnus Persson would be appointed as the Chairman of the Nominating and Governance Committee and as the Board’s Lead Independent Director. In addition, the Company agreed to hold a frequency of say-on-pay and a say-on-pay vote at its 2022 annual meeting of stockholders. In connection with their resignations, the Company has agreed to accelerate the vesting of the outstanding stock options as if Dr. Bruhn and Mr. Gutry had served out their full term, pay them compensation as if they had served out their full term and to extend the exercise period of their options until the second anniversary of their resignations.

In exchange for the foregoing agreements, Armistice agreed pursuant to the Cooperation Agreement to certain customary standstill provisions prohibiting it from, among other things, soliciting proxies and exercising certain stockholder rights through the date that is immediately following the Company’s 2022 annual meeting of stockholders. The parties also agreed to certain customary non-disparagement provisions pursuant to which neither the Company nor Armistice will make a statement or announcement that constitutes an ad hominem attack on, or otherwise disparages, the other party for a period of two years from the Effective Date of the Cooperation Agreement.

The Cooperation Agreement was negotiated by a Special Committee of the Board that was comprised of all non-Armistice Independent Directors. The Cooperation Agreement was then approved by the Company’s Nominating and Corporate Governance Committee, Compensation Committee, Audit Committee and the full Board.

The foregoing description of the Cooperation Agreement does not purport to be complete and is qualified in its entirety by reference to the Cooperation Agreement, a copy of which is filed as Exhibit 10.1 to this Quarterly Report on Form 10-Q and is incorporated herein by reference.
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Item 6.  Exhibits.
Exhibit
Number
Description of Exhibit
3.1+3.1
3.2
10.1+
31.1+
31.2+
32.1+†
101
Interactive data files pursuant to Rule 405 of Regulation S-T: (i) Condensed Consolidated Balance Sheets (Unaudited) as of SeptemberJune 30, 20212022 and December 31, 2020;2021; (ii) Condensed Consolidated Statements of Operations (Unaudited) for the Three and NineSix Months Ended SeptemberJune 30, 20212022 and 2020;2021; (iii) Condensed Consolidated Statements of Cash Flows (Unaudited) for the NineSix Months Ended SeptemberJune 30, 20212022 and 2020;2021; (iv) Condensed Consolidated Statements of Changes in Stockholders’ (Deficit) Equity (Unaudited) for the Three and NineSix Months Ended SeptemberJune 30, 20212022 and 2020;2021; and (v) Notes to Unaudited Financial Statements.
104Cover Page Interactive Data File, formatted in XBRL (included in Exhibit 101).
+ Filed herewith.
† This certification is being furnished solely to accompany this Quarterly Report on Form 10-Q pursuant to 18 U.S.C. Section 1350, and is not being filed for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, and is not to be incorporated by reference into any filing of the registrant, whether made before or after the date hereof, regardless of any general incorporation language in such filing.

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SIGNATURES
Pursuant to the requirements of the Securities and Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
Avalo Therapeutics, Inc.
 
Date: November 9, 2021August 4, 2022/s/ Schond L. GreenwayChristopher Sullivan
Schond L. GreenwayChristopher Sullivan
Chief Financial Officer
(on behalf of the registrant and as the registrant’s principal financial officer)
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