Avinger Reports Second Quarter 2023 Results

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REDWOOD CITY, CA / ACCESSWIRE / July 27, 2023 / Avinger, Inc. (NASDAQ:AVGR), a commercial-stage medical device company developing and marketing the first and only intravascular image-guided, catheter-based systems for diagnosis and treatment of vascular disease, today reported results for the second quarter ended June 30, 2023.

Second Quarter and Recent Highlights

  • Second quarter revenue of $2.0 million, and gross margin of 30%
  • Received 510(k) clearance and initiated limited launch for Tigereye ST, Avinger’s next generation image-guided CTO-crossing device, with full commercial launch anticipated in the third quarter
  • Received 510(k) clearance for the new Pantheris LV (large vessel) image-guided atherectomy device, and initiated limited launch in the third quarter
  • Advanced development of the first-ever image-guided coronary CTO-crossing system through successful completion of the first round of animal studies and preparing for a second round of animal studies at a leading clinical center in the third quarter
  • Continued to generate excellent clinical outcomes data in the treatment of advanced disease in the Pantheris SV IMAGE-BTK study (small vessel, below-the-knee), with full enrollment expected to be completed in the third quarter
  • Avinger’s technology, products and clinical data featured in multiple key opinion leader (KOL) presentations at the Charing Cross, New Cardiovascular Horizons and LINC clinical conferences, with additional podium presentations scheduled at the AMP conference in August

“We received 510(k) clearance for two exciting new devices in the second quarter, completing development of the most advanced peripheral products portfolio in the industry, and providing the opportunity for two important new product launches in the second half of this year,” commented Jeff Soinski, Avinger’s President and CEO. “With our expanded product portfolio and portable Lightbox 3 imaging platform, a growing body of clinical evidence demonstrating unsurpassed clinical results with our proprietary image-guided devices, and strategic investment in our sales team, we believe Avinger is well positioned for growth in the coming quarters.”

“We intend to advance the Tigereye ST CTO-crossing system to full commercial launch in the third quarter, having now completed more than 30 cases with excellent results during our limited launch process. In addition, we have commenced a limited launch of the recently cleared Pantheris LV device and if all goes according to plan expect to move to full commercial launch in the fourth quarter. We are excited about the potential for these innovative devices to bring new capabilities to our platform and expand the addressable market for our products.

“In support of our clinical expansion, we continue to document best-in-class clinical outcomes in a variety of challenging patient cases. This includes the most recent podium updates at key conferences on our IMAGE-BTK study, which we anticipate achieving full enrollment this quarter. The interim data from this study continue to show outstanding clinical outcomes in the treatment of advanced disease below-the-knee, with 96% freedom from target lesion revascularization (TLR) and 93% vessel patency at 12-months, and 100% freedom from major adverse events across enrollees.

“We are also making substantive progress on the development of our first coronary product application, designed to provide a superior, simplified, and more certain image-guided solution to cross chronic total occlusions in the coronary arteries. We have now completed our first round of animal studies and expect to complete a second round of animal studies at a top KOL center in the third quarter, as we work towards our goal of filing an IDE application with the FDA in the first half of next year to allow for initiation of a clinical study in 2024.”

Second Quarter 2023 Financial Results

Total revenue was $2.0 million for the second quarter of 2023, compared with $1.9 million in the first quarter of 2023 and $2.1 million in the second quarter of 2022 . Sales productivity for existing team members remained strong during the quarter, and the company hired four new clinical specialists to support expanded case activity in future quarters.

Gross margin for the first quarter of 2023 was 30%, compared with 34% in the first quarter of 2023 and 31% in the second quarter of 2022. Operating expenses for the second quarter of 2023 were $4.3 million, down from $4.9 million in the first quarter of 2023 and $4.4 million in the second quarter of 2022 as the company maintains an efficient operating expense structure. With the receipt of two FDA clearance notifications in the second quarter, the Company has substantially completed its peripheral R&D programs and is redirecting its R&D activities to focus on the development of its coronary CTO-crossing device.

Net loss and comprehensive loss for the second quarter of 2023 was $4.2 million, compared with $4.6 million in the first quarter of 2023 and $4.2 million in the second quarter of 2022.

Adjusted EBITDA, as defined under non-GAAP financial measures in this press release, was a loss of $3.4 million, improved from a loss of $3.9 million in the first quarter of 2023 and a loss of $3.7 million in the second quarter of 2022. For more information regarding non-GAAP financial measures discussed in this press release, please see “Non-GAAP Financial Measures” below, as well as the reconciliation of non-GAAP measures to the nearest GAAP measure, provided in the tables below.

Cash and cash equivalents totaled $7.1 million as of June 30, 2023.

Conference Call

Avinger will hold a conference call today, July 27, 2023, at 4:30pm ET to discuss its first quarter 2023 financial results.

To listen to a live webcast, please visit http://www.avinger.com and select Investor Relations. To join the call by telephone, please dial +1-973-528-0011 and use passcode 794222. A webcast replay of the call will be available on Avinger’s website following completion of the call at www.avinger.com.

About Avinger, Inc.

Avinger is a commercial-stage medical device company that designs and develops the first and only image-guided, catheter-based system for the diagnosis and treatment of patients with Peripheral Artery Disease (PAD). PAD is estimated to affect over 12 million people in the U.S. and over 200 million worldwide. Avinger is dedicated to radically changing the way vascular disease is treated through its Lumivascular platform, which currently consists of the Lightbox imaging console, the Ocelot and Tigereye ® family of chronic total occlusion (CTO) catheters, and the Pantheris® family of atherectomy devices. Avinger is based in Redwood City, California. For more information, please visit www.avinger.com.

Follow Avinger on Twitter and Facebook.

Forward-Looking Statements

This news release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934 and the Private Securities Litigation Reform Act of 1995. These forward-looking statements include statements regarding our future performance, our expected timing relating to the full commercial launch of Tigereye ST and Pantheris LV, patient and physician benefits of our products , the impacts of our products on the treatment of vascular disease, our ability to successfully develop new products, including products relating to the treatment of coronary artery disease (CAD), the timing of the development of new products, the impact of products developed for the treatment of CAD on our business and results of operations, the potential success of our coronary product application, the expected enrollment and timing of our Pantheris IMAGE-BTK study, and our expectation regarding assessing coronary prototypes in animal studies and the timing relating to our goal of filing an IDE application relating to a clinical study, and the timing regarding the initiation of a clinical study. Such statements are based on current assumptions that involve risks and uncertainties that could cause actual outcomes and results to differ materially. These risks and uncertainties, many of which are beyond our control, include our dependency on a limited number of products; the resource requirements related to Pantheris, Tigereye and our Lightbox imaging console; the outcome of clinical trial results; the adoption of our products by physicians; our ability to obtain regulatory approvals for our products; as well as the other risks described in the section entitled “Risk Factors” and elsewhere in our Annual Report on Form 10-K filed with the Securities and Exchange Commission on March 16, 2023, as amended, and Quarterly Reports on Form 10-Q. These forward-looking statements speak only as of the date hereof and should not be unduly relied upon. Avinger disclaims any obligation to update these forward- looking statements.

Non-GAAP Financial Measures

Avinger has provided in this press release financial information that has not been prepared in accordance with generally accepted accounting principles in the United States (GAAP). The Company uses these non-GAAP financial measures internally in analyzing its financial results and believes that the use of these non-GAAP financial measures is useful to investors as an additional tool to evaluate ongoing operating results and trends and in comparing the Company’s financial results with other companies in its industry, many of which present similar non-GAAP financial measures.

The presentation of these non-GAAP financial measures should not be considered in isolation or as a substitute for comparable GAAP financial measures, and should be read only in conjunction with the Company’s financial statements prepared in accordance with GAAP. A reconciliation of the Company’s non-GAAP financial measures to their most directly comparable GAAP measures has been provided in the financial statement tables included in this press release, and investors are encouraged to review these reconciliations.

Adjusted EBITDA. Avinger defines Adjusted EBITDA as net loss and comprehensive loss plus interest expense, net, plus other income, net, plus stock-based compensation expense plus certain inventory charges plus certain depreciation and amortization expense. Investors are cautioned that there are a number of limitations associated with the use of non-GAAP financial measures as analytical tools. Furthermore, these non-GAAP financial measures are not based on any standardized methodology prescribed by GAAP, and the components that Avinger excludes in its calculation of non-GAAP financial measures may differ from the components that its peer companies exclude when they report their non-GAAP results of operations. Avinger compensates for these limitations by providing specific information regarding the GAAP amounts excluded from these non-GAAP financial measures. In the future, the Company may also exclude other non-recurring expenses and other expenses that do not reflect the Company’s core business operating results.

Investor Contact:
Matt Kreps
Darrow Associates Investor Relations
(214) 597-8200
mkreps@darrowir.com

Public Relations Contact:
Phil Preuss
Chief Marketing Officer
Avinger, Inc.
(650) 241-7942
pr@avinger.com

Statements of Operations and Comprehensive Loss
(in thousands, except per share amounts) (unaudited)

For the Three Months Ended Six Months Ended
June 30, March 31, June 30, June 30, June 30,
2023 2023 2022 2023 2022
Revenues
$ 2,041 $ 1,888 $ 2,132 $ 3,929 $ 4,020
Cost of revenues
1,436 1,252 1,475 2,688 2,839
Gross profit
605 636 657 1,241 1,181
Operating expenses
Research and development
988 1,356 1,086 2,344 2,158
Selling, general and administrative
3,346 3,538 3,330 6,884 7,478
Total operating expenses
4,334 4,894 4,416 9,228 9,636
Loss from operations
(3,729 ) (4,258 ) (3,759 ) (7,987 ) (8,455 )
Interest expense, net
(445 ) (392 ) (440 ) (837 ) (879 )
Other income (expense), net
(2 ) 6 (15 ) 4 (20 )
Net loss and comprehensive loss
(4,176 ) (4,644 ) (4,214 ) (8,820 ) (9,354 )
Accretion of preferred stock dividends
(1,218 ) (1,218 ) (1,129 ) (2,436 ) (2,254 )
Deemed dividend arising from beneficial conversion feature of convertible preferred stock
(5,111 )
Net loss applicable to common stockholders
$ (5,394 ) $ (5,862 ) $ (5,343 ) $ (11,256 ) $ (16,719 )
Net loss per share attributable to common stockholders
basic and diluted
$ (0.59 ) $ (0.71 ) $ (0.94 ) $ (1.30 ) $ (3.16 )
Weighted average common shares used to compute
net loss per share, basic and diluted
9,141 8,219 5,702 8,683 5,298

Reconciliation of Adjusted EBITDA to Net Loss and Comprehensive Loss
(in thousands) (unaudited)

For the Three Months Ended Six Months Ended
June 30, March 31, June 30, June 30, June 30,
2023 2023 2022 2023 2022
Net loss and comprehensive loss
$ (4,176 ) $ (4,644 ) $ (4,214 ) $ (8,820 ) $ (9,354 )
Add: Interest expense, net
445 392 440 837 879
Add: Other income (expense), net (1)
2 (6 ) 15 (4 ) 20
Add: Stock-based compensation
239 245 36 484 88
Add: Certain depreciation and amortization charges
68 72 64 140 79
Adjusted EBITDA
$ (3,422 ) $ (3,941 ) $ (3,659 ) $ (7,363 ) $ (8,288 )

(1) Other income(expense), net primarily represents other miscellaneous income and expenses. Since these charges are non-operational, unusual or infrequent in nature, they are excluded accordingly.

Balance Sheets
(in thousands, except per share amounts) (unaudited)

June 30, December 31,
Assets
2023 2022
Current assets:
Cash and cash equivalents
$ 7,127 $ 14,603
Accounts receivable, net of allowance for doubtful accounts
of $24 at March 31, 2023 and $73 at December 31, 2022
920 1,057
Inventories
5,519 4,965
Prepaid expenses and other current assets
890 362
Total current assets
14,456 20,987
Right of use asset
1,658 2,194
Property and equipment, net
566 702
Other assets
263 312
Total assets
$ 16,943 $ 24,195
Liabilities and stockholders’ (deficit) equity
Current liabilities:
Accounts payable
$ 423 $ 631
Accrued compensation
2,477 1,401
Accrued expenses and other current liabilities
755 657
Leasehold liability, current portion
1,150 1,092
Series A preferred stock dividends payable
2,435
Borrowings
15,203 14,165
Total current liabilities
22,443 17,946
Leasehold liability, long-term portion
508 1,102
Other long-term liabilities
582 1,001
Total liabilities
23,533 20,049
Stockholders’ (deficit) equity:
Convertible preferred stock, par value $0.001
Common stock, par value $0.001
9 8
Additional paid-in capital
404,597 406,514
Accumulated deficit
(411,196 ) (402,376 )
Total stockholders’ (deficit) equity
(6,590 ) 4,146
Total liabilities and stockholders’ (deficit) equity
$ 16,943 $ 24,195

SOURCE: Avinger, Inc.

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