Avita Medical CEO Shareholder Letter and Quarterly Report

VALENCIA, Calif. & PERTH, Australia & LONDON--()--Today, the CEO of Avita Medical Limited (ASX: AVH) (OTCQX: AVMXY) issued the following letter to shareholders:

“a revolution in the standard of care for burns patients, which will totally change the landscape.”

Dear Shareholder,

At the conclusion of another quarter, I would like to update you on the work undertaken and completed during the last three months. Certainly, the pace has been furious at our Valencia office near Los Angeles, where the team made significant progress toward submitting our Premarket Approval (PMA) dossier to the US Food and Drug Administration (FDA). Expectations are running quite high about the outcome of the clinical data for the trial, which will be at heart of the dossier. The completed data set is now with independent statisticians, and as soon as we receive the complete results, we will be reporting back to you with topline outcomes.

As we await the completion of the clinical data analyses, the team has been assembling a host of other information required by the FDA. There is a reason why an FDA approval, more so for a Class 3 medical device such as ReCell® – a breakthrough device that has no predicate -- is regarded by many as the gold standard for regulatory approval. The level of scrutiny is very high, and we must provide evaluations on a whole host of areas, such as product stability, sterility, validation of our cell suspension, and a validated supply chain. These projects are all in progress, and will be concluded in short order as we work to meet our stated ambitious timeframes for PMA submission. In parallel, this work brings us closer to achieving other key milestones such as the first procurement from the US Biomedical Advanced Research and Development Authority (BARDA), which is valued at USD$8m.

US Market Evaluation Reveals Positive Prospects

In Boston in March, we had a strong presence at the annual meeting of the American Burns Association. This is the biggest event on the calendar of the US burns community, and more than 1,000 surgeons, researchers and sector players attended the four-day event. Team Avita was there in force with a clear mission: to find out more about how our unique approach is being received by the US burns community. It was a real chance to engage with those who had already used the ReCell® device, under a clinical trial setting either as part of our PMA approval process, or through the FDA’s Compassionate Use Program. These programs have allowed many US burns surgeons to access the device during our pre- authorization phase, and so of course, we were very anxious to hear about their experiences to date. It was great to hear some very positive reports on patient outcomes from this eminent group. In the US, the device has mostly been used on larger burns, treated with our formulation that gives 1920cm2 of wound coverage per device. Several of the US surgeons were able to relay their experiences of how the 1920cm2 device saved lives. They also saw much better healing, reduced use of donor sites for accompanying skin grafts, and vastly shorter lengths of stay in intensive care. They are eagerly awaiting the results of our clinical trial, and one surgeon said he believes the introduction of ReCell® to the US will be “a revolution in the standard of care for burns patients, which will totally change the landscape.”

Additionally, under a more formal structure we commissioned an independent marketing group, who approached physicians variously engaged in trauma, burns and plastic surgery. When presented with the proposition of utilizing ReCell® in their respective settings; 64% said they believed the product was well-differentiated compared with other burns treatment; 52% said they believed the approach would be an extremely valuable addition to their current burns treatment; and 52% said they would be extremely likely to use our product. This is all very encouraging, and we believe these findings reflect a mounting expectation about ReCell®’s prospects for the US, where many burns surgeons are very excited about getting hold of the product. Evidence of this can be seen in the increased numbers of applications under Compassionate Use, which the FDA in the last quarter expanded to enable us to treat up to 68 patients in 18 US Burn centers. Importantly, projects such as these, especially when added to ongoing work being conducted in health economics, pricing models and the implementation of robust training plans should give you a sense of the thoroughness of our approach towards the US market.

Financial and Market Update

During the third quarter, overall receipts from customers were $403K, which represents a 61% increase of $248K as compared to the previous quarter. The increase in revenue is largely due to the transition of our sales model from distributor to direct in some markets, and we have seen a healthy increase in device usage in the UK and Germany. Our approach is focused on getting traction in key high volume accounts, and the early signs are very promising.

We are recruiting clinical specialists to support our distributor in China, Sinopharm with its strategy to increase our standing in the leading burns centers of the main Chinese cities. The focus for burns and reconstructive work is within both public and military hospitals, and we are engaged with private clinics mainly for repigmentation and other elective offerings.

South Africa is another market of interest due to the high incidence of burns there, and hence, a large addressable patient population. There are about 14 registered public sector burns clinics in South Africa, and in these, some 10 surgeons have now evaluated ReCell®, and the feedback has been very positive. We are also exploring with our distributor how we can operate in the private sector, as many cases are presented to private clinics.

Receipts from BARDA totaled $1.87M in the third quarter as reimbursements continue under our USD$61.9M contract with BARDA, a $220K (13.4%) increase compared to the previous quarter. We also received a $972K tax credit from the Australian Tax Office, as a rebate to support our Research and Development Strategy.

Research and clinical costs paid in the third quarter increased by $800K as compared to the previous quarter as we approach FDA PMA submission. This was partially offset by a decline of $255K in operating costs paid in the third quarter as compared to the previous quarter. Total net cash outflows in the third quarter were $1.86M, an improvement over the last quarter by 17.6% ($2.26M) and over the same period in the previous year by 36.5% ($2.94M), and are in-line with Company expectations for both the quarter and YTD. Total cash and cash equivalents held by Avita at the end of March 2017 were $6.34M.

So Avita keeps on building, as we progress towards FDA approval and achieving BARDA’s first stockpile order. Team Avita will keep executing on these strategic goals, which we are confident will be great value drivers for the Company, and its supporters.

Yours faithfully

Chief Executive Officer


Avita’s patented and proprietary collection and application technology provides innovative treatment solutions derived from the regenerative properties of a patient’s own skin. Our medical devices work by preparing a Regenerative Epithelial Suspension (RES™), an autologous suspension comprised of the patients’ own skin cells and wound healing factors that are necessary to regenerate natural healthy skin. This is then applied to the area to be treated.

In all countries outside of Europe, our portfolio is marketed under the ReCell® brand to promote skin healing in a wide range of applications including burns, chronic wounds and aesthetics.

ReCell® is TGA-registered in Australia, and CFDA-cleared in China. In the United States, ReCell® is an investigational device limited by federal law to investigational and compassionate use.

In Europe, our portfolio of medical device products received CE-mark approval as three tailored product presentations, with three individual brand names. ReCell® is designed for the treatment of burns and plastic reconstructive procedures; ReGenerCell™ has been formulated for chronic wounds including leg and foot ulcers; and ReNovaCell™ is tailored for aesthetic applications including the restoration of pigmentation.

To learn more, visit www.avitamedical.com.


This letter includes forward-looking statements. These forward-looking statements generally can be identified by the use of words such as “anticipate,” “expect,” “intend,” “could,” “may,” “will,” “believe,” “estimate,” “look forward,” “forecast,” “goal,” “target,” “project,” “continue,” “outlook,” “guidance,” “future,” other words of similar meaning and the use of future dates. Forward-looking statements in this letter include, but are not limited to, statements concerning, among other things, our ongoing clinical trials and product development activities, regulatory approval of our products, the potential for future growth in our business, and our ability to achieve our key strategic, operational and financial goal. Forward-looking statements by their nature address matters that are, to different degrees, uncertain. Each forward-looking statement contained in this letter is subject to risks and uncertainties that could cause actual results to differ materially from those expressed or implied by such statement. Applicable risks and uncertainties include, among others, the timing of regulatory approvals of our products; physician acceptance, endorsement, and use of our products; failure to achieve the anticipated benefits from approval of our products; the effect of regulatory actions; product liability claims; risks associated with international operations and expansion; and other business effects, including the effects of industry, economic or political conditions outside of the company’s control. Investors should not place considerable reliance on the forward-looking statements contained in this letter. Investors are encouraged to read our publicly available filings for a discussion of these and other risks and uncertainties. The forward-looking statements in this letter speak only as of the date of this release, and we undertake no obligation to update or revise any of these statements.


+Rule 4.7B

Appendix 4C


Quarterly report for entities subject to Listing Rule 4.7B
Introduced 31/03/00 Amended 30/09/01, 24/10/05, 17/12/10, 01/09/16
Name of entity
Avita Medical Limited


Quarter ended ("current quarter")

28 058 466 523

31 March 2017

Consolidated statement of cash flows

Current quarter

Year to date
(9 months)


Cash flows from operating activities


Receipts from customers




Receipts from BARDA




Payments for

(a) research and development



(b) product manufacturing and operating costs



(c) advertising and marketing



(d) leased assets



(e) staff costs



(f) administration and corporate costs




Dividends received (see note 3)


Interest received




Interest and other costs of finance paid


Income taxes paid


Government grants and tax incentives




Other (provide details if material)





Net cash from / (used in) operating activities










Cash flows from investing activities


Payments to acquire:

(a) property, plant and equipment



(b) businesses (see item 10)


(c) investments





Consolidated statement of cash flows

Current quarter

Year to date
(9 months)

(d) intellectual property

(e) other non-current assets


Proceeds from disposal of:

(a) property, plant and equipment
(b) businesses (see item 10)
(c) investments 628
(d) intellectual property
(e) other non-current assets


Cash flows from loans to other entities



Dividends received (see note 3)


Other (provide details if material)




Net cash from I (used in) investing activities

    (60)     492




Cash flows from financing activities


Proceeds from issues of shares



Proceeds from issue of convertible notes


Proceeds from exercise of share options


Transaction costs related to issues of shares, convertible notes or options



Proceeds from borrowings


Repayment of borrowings


Transaction costs related to loans and borrowings


Dividends paid


Other (provide details if material)




Net cash from / (used in) financing activities





Net increase/ {decrease) in cash and cash equivalents for the period


Cash and cash equivalents at beginning of quarter/year to date

8,389 4,172


Net cash from/ (used in) operating activities (item 1.9 above)

(1,963) (6,651)


Net cash from/ (used in) investing activities (item 2.6 above)

(60) 492


Net cash from/ (used in) financing activities (item 3.10 above)



Consolidated statement of cash flows

Current quarter

Year to date
(9 months)


Effect of movement in exchange rates on cash held





Cash and cash equivalents at end of quarter









Reconciliation of cash and cash equivalents
at the end of the quarter (as shown in the consolidated statement of cash flows) to the related items in the accounts

Current quarter

Previous quarter


Bank balances

208 743


Call deposits

6,136 7,646


Bank overdrafts

- -


Other (provide details)

- -



Cash and cash equivalents at end of quarter (should equal item 4.6 above)

    6,344     8,389




Payments to directors of the entity and their associates

Current quarter


Aggregate amount of payments to these parties included in item 1.2



Aggregate amount of cash flow from loans to these parties included in item 2.3




Include below any explanation necessary to understand the transactions included in items 6.1 and 6.2


Directors fees (95k), Clinical Advisory Board fees (1Ok) and Bioscience Consultancy (7k)





Payments to related entities of the entity and their associates

Current quarter


Aggregate amount of payments to these parties included in item 1.2



Aggregate amount of cash flow from loans to these parties included in item 2.3



Include below any explanation necessary to understand the transactions included in items 7.1 and 7.2




Financing facilities available
Add notes as necessary for an understanding of the position

Total facility amount
at quarter end

Amount drawn at
quarter end


Loan facilities


Credit standby arrangements


Other (please specify)



Include below a description of each facility above, including the lender, interest rate and whether it is secured or unsecured. If any additional facilities have been entered into or are proposed to be entered into after quarter end, include details of those facilities as well.




Estimated cash outflows for next quarter



Research and development



Product manufacturing and operating costs



Advertising and marketing



Leased assets



Staff costs



Administration and corporate costs



Other (provide details if material)




Total estimated cash outflows







Acquisitions and disposals of business entities
(items 2.1(b) and 2.2(b) above)





Name of entity




Place of incorporation or registration




Consideration for acquisition or disposal




Total net assets




Nature of business


Compliance statement

  1. This statement has been prepared in accordance with accounting standards and policies which comply with Listing Rule 19.11A.
  2. This statement gives a true and fair view of the matters disclosed.

Gabriel Chiappini
Company Secretary
28 April 2017


  1. The quarterly report provides a basis for informing the market how the entity’s activities have been financed for the past quarter and the effect on its cash position. An entity that wishes to disclose additional information is encouraged to do so, in a note or notes included in or attached to this report.
  2. If this quarterly report has been prepared in accordance with Australian Accounting Standards, the definitions in, and provisions of, AASB 107: Statement of Cash Flows apply to this report. If this quarterly report has been prepared in accordance with other accounting standards agreed by ASX pursuant to Listing Rule 19.11A, the corresponding equivalent standard applies to this report.
  3. Dividends received may be classified either as cash flows from operating activities or cash flows from investing activities, depending on the accounting policy of the entity.


Avita Medical Ltd
Adam Kelliher
Chief Executive Officer
Phone: +44 020 8947 9804
Tim Rooney
Chief Financial Officer
Phone: + 1 (661) 367-9170
Monsoon Communications
Sarah Kemter
Phone: +61 (0)3 9620 3333
Mobile: +61 (0)407 162 530
Westwicke Partners
Jamar Ismail
Phone: +1 (415) 513-1282

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Release Summary

Shareholder letter from CEO, Adam Kelliher along with quarterly report ending 31 March 2017

Avita Medical Limited