Axonics® Announces Third Quarter 2018 Financial Results and Operational Update

December 11, 2018 at 4:00 PM EST

IRVINE, Calif.--(BUSINESS WIRE)--Dec. 11, 2018-- Axonics Modulation Technologies, Inc. (NASDAQ: AXNX) a medical technology company focused on the development and commercialization of novel implantable Sacral Neuromodulation (“SNM”) devices for the treatment of urinary and bowel dysfunction, reported today financial results for the quarter ended September 30, 2018 and provided an update on operational initiatives.

Recent Business Highlights

  • On November 2, completed the initial public offering of Axonics common stock, receiving net proceeds of approximately $126.3 million after deducting underwriting discounts, commissions and offering expenses.
  • On November 29, announced its r-SNM® System was listed on the U.K.’s National Health Service (“NHS”) Supply Chain online catalogue.
  • On December 3, submitted a literature-based premarket approval application (“PMA”) to the U.S. Food and Drug Administration (“FDA”) for the Axonics r-SNM System.
  • On December 7, the FDA approved an Investigational Device Exemption (“IDE”) supplement regarding the ARTISAN-SNM pivotal clinical study of the Axonics r-SNM System. The ARTISAN-SNM clinical study is intended to serve as primary clinical support for the Company’s traditional PMA filing. The supplement proposed, among other things, changing the primary endpoint to an Intent to Treat (“ITT”) analysis on all implanted subjects. In addition, the FDA provided certain feedback with respect to an early analysis of a partial cohort of subjects that have reached their six-month post-implant time point.
  • On December 10, announced the U.K.’s National Institute for Health and Care Excellence (“NICE”) published a Medtech Innovation Briefing on the r-SNM System.

Raymond W. Cohen, CEO of Axonics commented, “First and foremost, we are focused on concluding our ARTISAN-SNM pivotal clinical study where we expect all subjects will reach their six-month post-implant endpoint in early January 2019. Gaining FDA approval is the single most important objective for Axonics and, as such, we are aggressively pursuing the literature-based PMA and also continuing to gather clinical data using our IDE study in order to obtain U.S. marketing approval in the shortest possible timeframe.”

Cohen continued, “We are also actively and carefully recruiting and securing talented and experienced sales managers and sales field professionals with approximately 30 of these individuals planning to attend our first formal training program scheduled for mid-January 2019. We have also been opening new accounts and securing both initial and repeat orders for commercial implants of our r-SNM System in Europe and Canada. The NICE briefing indicates key features and benefits of the system and should further aid us in gaining traction in the U.K. following our listing on the NHS online catalogue. Overall, we are making excellent progress on our key operational and clinical initiatives.”

Third Quarter 2018 Financial Results

Net revenue was $0.2 million in the third quarter ended September 30, 2018, derived from the sale of the Company's r-SNM Systems to customers in Europe and Canada as compared to net revenue of $0.1 million for the same period of last year.

Gross margin was 47.5% in the third quarter of 2018 compared to 7.9% gross margin in the prior year period.

Operating expense was $7.6 million for the third quarter of 2018, as compared to $4.6 million in the prior-year quarter. This increase was primarily due to increases in legal, personnel, regulatory submissions and clinical development costs.

Net loss for the period was $7.6 million as compared to $4.5 million in the prior-year quarter. The net loss per share for the third quarter of 2018 was $2.67 per share.

As of September 30, 2018, cash and cash equivalents and short-term investments were $31.2 million.

Webcast and Conference Call

On Tuesday, December 11, 2018, at 4:30 p.m. Eastern Time, the Company will host a conference call with the investment community to discuss the financial results and recent business developments.

Interested parties may access the live call via telephone by dialing (866) 687-5771 (U.S.) or (409) 217-8725 (International) and using conference ID 5087907.

A live webcast of the call may be accessed by visiting the Events & Presentations page of the investors section of the Company's website at A replay of the webcast will be available shortly after the conclusion of the call and will be archived on the Company's website for 90 days.

About Axonics Modulation Technologies, Inc.

Axonics, based in Irvine, CA, is focused on development and commercialization of novel implantable Sacral Neuromodulation devices for patients with urinary and bowel dysfunction. Overactive bladder affects an estimated 87 million adults in the U.S. and Europe. Another approximately 40 million adults are reported to suffer from fecal incontinence. SNM therapy is a well-established treatment that has been widely used and reimbursed in Europe and the U.S. for the past two decades. The Axonics r-SNM System is the first rechargeable Sacral Neuromodulation system approved for sale in Europe, Canada and Australia. For more information, visit the Company’s website at

Forward Looking Statements

Statements made in this press release that relate to future plans, events, prospects or performance are forward-looking statements as defined under the Private Securities Litigation Reform Act of 1995. Words such as “planned,” “expects,” “believes,” “anticipates,” “designed,” and similar words are intended to identify forward-looking statements. While these forward-looking statements are based on the current expectations and beliefs of management, such forward-looking statements are subject to a number of risks, uncertainties, assumptions and other factors that could cause actual results to differ materially from the expectations expressed in this press release, including the risks and uncertainties disclosed in Axonics filings with the Securities and Exchange Commission, all of which are available online at Readers are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date hereof. Except as required by law, Axonics undertakes no obligation to update or revise any forward-looking statements to reflect new information, changed circumstances or unanticipated events.


Axonics Modulation Technologies, Inc.
Condensed Consolidated Balance Sheets
(in thousands, except share and per share data)

September 30, December 31,
2018 2017
Current assets
Cash and cash equivalents $ 20,148 $ 24,398
Short-term investments 11,069
Accounts receivable 219
Inventory 2,148 1,541
Prepaid expenses and other current assets 1,751   980  
Total current assets 35,335 26,919
Property and equipment, net 2,817 1,530
Intangible asset, net 455 541
Other assets 3,712   422  
Total assets $ 42,319   $ 29,412  
Current liabilities
Accounts payable $ 1,983 $ 1,616
Accrued liabilities 2,713 789
Lease liability, current portion 800    
Total current liabilities 5,496 2,405
Lease liability, net of current portion 3,453 135
Debt, net of unamortized debt issuance costs 9,056    
Total liabilities 18,005   2,540  
Mezzanine Equity
Convertible Preferred Stock
Series A Convertible Preferred Stock, par value $0.0001, 1,030,000 shares authorized, 719,500 shares issued and outstanding at September 30, 2018 and December 31, 2017; aggregate liquidation preference of $15,829 at September 30, 2018 and December 31, 2017 14,021 14,021
Series B-1 Convertible Preferred Stock, par value $0.0001, 2,529,862 shares authorized, 1,925,302 shares issued and outstanding at September 30, 2018 and December 31, 2017; aggregate liquidation preference of $15,248 at September 30, 2018 and December 31, 2017 13,757 13,757
Series B-2 Convertible Preferred Stock, par value $0.0001, 2,537,231 shares authorized, 2,213,794 shares issued and outstanding at September 30, 2018 and December 31, 2017; aggregate liquidation preference of $19,481 at September 30, 2018 and December 31, 2017 17,572 17,572
Series C Convertible Preferred Stock, par value $0.0001, 6,188,888 and 3,888,889 shares authorized at September 30, 2018 and December 31, 2017, respectively; 4,131,546 and 1,898,213 shares issued and outstanding at September 30, 2018 and December 31, 2017, respectively; aggregate liquidation preference of $37,184 and $17,084 at September 30, 2018 and December 31, 2017, respectively 36,776 16,877
Noncontrolling interest in Axonics Europe, S.A.S. 31,066 31,066
Stockholders’ Deficit
Common Stock, par value $0.0001, 17,500,000 and 15,000,000 shares authorized at September 30, 2018 and December 31, 2017, respectively; 2,830,591 and 2,776,583 shares issued and outstanding at September 30, 2018 and December 31, 2017, respectively
Additional paid-in capital 3,336 2,900
Stock subscriptions receivable (1,824 ) (1,753 )
Accumulated deficit (89,984 ) (67,166 )
Accumulated other comprehensive loss (406 ) (402 )
Total stockholders' deficit (88,878 ) (66,421 )
Total liabilities, mezzanine equity and stockholders' deficit $ 42,319   $ 29,412  

Axonics Modulation Technologies, Inc.
Condensed Consolidated Statements of Comprehensive Loss
(in thousands, except share and per share data)

Three Months Ended Nine Months Ended
September 30, September 30,
2018   2017 2018   2017
Net revenue $ 201 $ 128 $ 213 $ 128
Cost of goods sold 106   118   111   118  
Gross profit 95 10 102 10
Operating Expenses
Research and development 3,898 3,132 14,619 8,959
General and administrative 2,790 1,103 5,861 3,520
Sales and marketing 949   368   2,308   767  
Total operating expenses 7,637   4,603   22,788   13,246  
Loss from operations (7,542 ) (4,593 ) (22,686 ) (13,236 )
Other Income (Expense)
Interest income 172 79 448 121
Other expense (196 ) (8 ) (579 ) (13 )
Other income (expense), net (24 ) 71 (131 ) 108
Loss before income tax expense (7,566 ) (4,522 ) (22,817 ) (13,128 )
Income tax expense     1   1  
Net loss (7,566 ) (4,522 ) (22,818 ) (13,129 )
Foreign currency translation adjustment (1 ) 519   (4 ) 588  
Comprehensive loss $ (7,567 ) $ (4,003 ) $ (22,822 ) $ (12,541 )
Net loss per share, basic and diluted $ (2.67 ) $ (1.67 ) $ (8.10 ) $ (5.26 )
Weighted-average shares used to compute basic and diluted net loss per share 2,830,591 2,705,138 2,817,652 2,494,424

Source: Axonics Modulation Technologies, Inc.

Axonics’ Contact
Axonics Modulation Technologies, Inc.
Dan Dearen, +1-949-396-6320
President & Chief Financial Officer

Investor & Media Contact
Matt Clawson, +1-949-370-8500