Annovis Bio, Inc. reported a significant reduction in net losses for the fiscal year ending December 31, 2024, with a net loss of $24.6 million compared to $56.2 million in 2023, marking a decrease of approximately 44%. The company's total operating expenses also fell to $26.7 million from $45.0 million in the previous year, primarily due to the completion of its Phase 3 clinical trials for Parkinson's disease (PD) and Alzheimer's disease (AD) in 2023. Research and development expenses decreased by $18.8 million, reflecting the winding down of these trials, while general and administrative expenses saw a slight increase of $0.5 million.

In terms of strategic developments, Annovis Bio has made significant progress with its lead product candidate, buntanetap, which is designed to treat neurodegenerative diseases such as AD and PD. The company completed its Phase 3 PD study in December 2023 and announced topline efficacy data in July 2024, indicating that buntanetap improved cognitive function in patients with PD. Additionally, the Phase 2/3 AD study was completed in February 2024, with topline data released in April 2024 showing statistically significant improvements in cognitive assessments. The company is now preparing for a pivotal Phase 3 trial for AD, with plans to file New Drug Applications (NDAs) for both short-term and long-term efficacy.

Annovis Bio's operational metrics indicate a focus on clinical development, with over 1,000 patients treated in clinical studies to date. The company has also engaged in various financing activities, including a registered direct offering that raised approximately $3.9 million and an equity line of credit that generated $14.6 million. As of December 31, 2024, the company reported cash and cash equivalents of $10.6 million, which it believes will support operations into the fourth quarter of 2025. However, the company acknowledges the need for substantial additional capital to fund ongoing clinical trials and operations, raising concerns about its ability to continue as a going concern.

Looking ahead, Annovis Bio anticipates continued operating losses as it ramps up clinical development activities. The company plans to discuss the Phase 3 PD data with the FDA in a Type C meeting in 2025, proposing further development of buntanetap. The company is also exploring various financing options, including equity and debt offerings, to secure the necessary capital for its operations. The future success of Annovis Bio will depend on its ability to navigate the complexities of clinical trials, regulatory approvals, and market acceptance of its product candidates.

About Annovis Bio, Inc.

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