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Clint Tomlinson - SVP, Nonclinical Development
Good morning, and welcome to the Anavex Life Sciences fiscal 2023 fourth-quarter conference call. My name is Clint Tomlinson, and I will be your host for today's call. (Event Instructions) Please note that this conference is being recorded, and the call will be available for replay on Anavex's website at www.anavex.com. With us today is Dr. Christopher Missling, President and Chief Executive Officer; and Sandra Boenisch, Principal Financial Officer.
Before we begin, please note that during this conference call, the company will make some projections and forward-looking statements. These statements are only predictions based on the current information and expectations and involve a number of risks and uncertainties. We encourage you to review the company's filings with the SEC. This includes, without limitation, the company's Forms 10-K and 10-Q which identify the specific factors that may cause actual results or events to differ materially from those described in these forward-looking statements. These factors may include, without limitation, risks inherent in the development and/or commercialization of potential products, uncertainty in the results of clinical trials or regulatory approvals, need and ability to obtain future capital, and maintenance of intellectual property rights.
And with that, I'd like to turn the call over to Dr. Missling.
Christopher Missling - Chairman of the Board, President, CEO
Thank you, Clint, and good morning, everyone. Thank you for being with us today to review our most recently reported financial results and to give our quarterly business update.
We are very excited to be entering a new phase of the company's history. For the first time, we initiated the process of submitting a marketing authorization application to the European Medicines Agency, EMA, public comments, Gene related to the treatment of Alzheimer's disease. Relatedly, we are starting to explore possible commercial activities and examining innovative strategies to effectively engage patients, providers and payers. There's a high demand for ultimate disease patients and families for easy access and scalable treatment options. We are striving to work towards presenting a drug that will potentially improve patients' lives with our precision medicine oral black common scene, which is intended to reduce the need for complex procedures for the treatment of people with Alzheimer's disease.
According to the European Brain Council, there are an estimated 7 million people in Europe with Alzheimer's disease, a number expected to double by 2030. Full data from the black arm is in Phase 2b/3 randomized clinical trial in Alzheimer's disease will be published in an upcoming peer review journal. Also, the respective open-label extension 96-week trial ATTENTION-AD is ongoing. Regarding Rett syndrome, we are on track for top-line data of potentially pivotal analytics two seven three are as usual, three Phase 2/3 excellence patriotic clinical trial.
Regarding the Parkinson's disease program, we are in preparation to initiate the artifacts to 73 imaging focus trial and the analytics to 73 Phase 2b/3 six months trial. Related to schizophrenia, we end preparation to initiate the Phase 2 clinical trial with other fixed three 71, our second clinical stage small molecule. Respect to Fragile X, we are in preparation to initiate a potentially pivotal unveil to 73 Phase 2/3 clinical trial. And related to a new rare disease, we are in preparation to initiate potentially pivotal and MX two seven three Phase 2/3 clinical trial.
We are also expecting further peer-reviewed clinical publications involving analytics to 73 and analytics three 71. In October, we announced a new peer-reviewed publication in the journal Neurobiology of Aging titled Early Treatment with an M1 and Sigma 1 receptor agonist prevents cognitive decline net transgenic rat model displaying Ultima like amyloid pathology, featuring the orally available small molecule on the next three 71. This preclinical study describes the potential disease-modifying properties of Innovex to 71 on ultimate disease pathology as a possible drug candidate for a once-daily oral preventative strategy for Alzheimer's disease.
And lastly, this month, we announced the expansion and strengthening of our patent portfolio with the United States Patent and Trademark Office, USPTO, granting US patent number 11 eight 13 two for two entitled A. twos slash Dash seven three as a therapeutic for insomnia and anxiety and agitation. This patent expense on the existing patent coverage of accommodating, including US patent number 11 to be three seven nine five three to cover Anavex leading drug candidate like Amazon, hydrovacs one 41. And on the X. 91 44 for treating insomnia, anxiety or agitation. This granted US patent is another important milestone in protecting the commercial potential of black Amazys. And I think other lead compounds with a practical value of delivering holistic care for patients with Ultimate disease dementia or Parkinson's disease.
And now, I would like to direct the call to Sandra Boenisch, Principal Financial Officer of analytics, for a financial summary of the recently reported quarter.
Sandra Boenisch - Principal Financial Officer, Treasurer
Thank you, Christopher, and good morning, everyone. I am pleased to share with you today our fourth-quarter financial results. Our cash position on September 30 was $151 million. During the quarter, we utilized cash and cash equivalents of $5.8 million to fund our operations. At our current cash utilization rate, we believe we continue to have sufficient cash runway to fund operations and clinical programs beyond the next four years.
During our most recent quarter, general and administrative expenses were $2.6 million, compared to $3.2 million last quarter. Our research and development expenses for the quarter were $10 million, as compared to $10.3 million for the last quarter. And lastly, we reported a net loss of $10.1 million for the quarter or $0.12 per share.
Overall, and in summary, we plan to continue to be fiscally responsible, and we believe we continue to have sufficient cash runway to fund operations and clinical programs beyond the next four years.
Thank you. And now back to you, Christopher.
Christopher Missling - Chairman of the Board, President, CEO
Thank you, Sandra. Again, this is an exciting time for the company, and we're very excited to be entering a new phase of the company's history with our biomarker-driven precision medicine programs.
I would now like to turn the call back to Clint for Q&A.
Clint Tomlinson - SVP, Nonclinical Development
Thank you, Christopher. We'll now begin the Q&A session. (Event Instructions) Soumit Roy, Jones Research.
Soumit Roy - Analyst
Hi. Good morning, everyone, and congratulations on all the progress. First question on the LME applications. If you can give us a little background on the discussions you've had with the European authority and how much data they have seen now that prompted the application for full approval rather than a conditional approval?
Christopher Missling - Chairman of the Board, President, CEO
Yes. Thank you, Soumit. We have met the European agency several times in meetings and we have shared the data which is not yet published, which is the published data of the plan, published communication of the full data of the OPTIMA Phase IIb three study, and we were, from this meeting, recommended to proceed with this application, full approval application. And that's what we proceeded with last week accordingly.
Soumit Roy - Analyst
And what are the plans for the US approval to this kind of prompt FDA conversation. If you have any meaning schedules or you think you would go ahead with a full Phase 3 trial or two trials?
Christopher Missling - Chairman of the Board, President, CEO
We have the ongoing attention that this study ongoing, and that's part of the package of the application. With the Phase 2b/3 study, we knew that the timing of the European application takes longer. So we proceeded with that first. That does not mean that we will proceed with other international applications as well. But the European decision to start the dialogue with European Agency was also based on the fact that we had a majority portion of the patients in that region. So we would be respectful a decision to approach the European age first.
Soumit Roy - Analyst
And one last question on now the Rett program. Could you give us a little color when are you still expecting the data? Is it going to be before the year end '23? And is there any delay or is it an expected safety window that you have follow up that you have to you are doing? Which is why pushing the data back?
Christopher Missling - Chairman of the Board, President, CEO
Yes, after the last 12-week readout, there was an additional a safety follow up, and that's basically why the timing may be a little bit different from expectations. But we are in on track to release this data once we have it.
Soumit Roy - Analyst
Great. Thank you so much and congratulations again on all the progress.
Christopher Missling - Chairman of the Board, President, CEO
Thank you.
Clint Tomlinson - SVP, Nonclinical Development
Tom Bishop, Bishop Research.
Tom Bishop - Analyst
Will we get insomnia data?
Christopher Missling - Chairman of the Board, President, CEO
We'll have insomnia. So part of the trial's outcome was on sleep measures of the Phase 2b/3 OPTIMA Study. And we will also have a analysis of this data and we will also make sure that this data will be made public. We have noticed in our Parkinson's disease dementia study improvement for those patients who had insomnia to improve this indication. And we have seen similarly in the Alzheimer's study, an improvement of that end point as well. And that also was the basis for the patent and the patent application and ultimately the granting of the patents.
So the answer is yes, this data eventually will be also made public the beneficial effect of the drug on the sleep paradigm.
Tom Bishop - Analyst
But in the final data?
Christopher Missling - Chairman of the Board, President, CEO
It might be done in several different slices of papers because people have unlimited number of data points and number of words you can include. So the first paper will be the full data of the main item at the end of the second quarter. And then additional you know endpoints might be separately published.
Tom Bishop - Analyst
What about Australia?
Christopher Missling - Chairman of the Board, President, CEO
What about Australia?
Tom Bishop - Analyst
Yes, approval.
Christopher Missling - Chairman of the Board, President, CEO
So the again, as I mentioned before, the most time consuming lengthy because it's a very structured process dashed line is the European application, NetVault Magenta search and also because that patients were mostly or partially in Europe. For that reason, we started the process there. The main reason was really that the process for application takes the longest in Europe. So it's the first we started with and the international other patients will subsequently proceed.
Tom Bishop - Analyst
Okay. The Parkinson's data has been in the wings for a long time. What's the delay?
Christopher Missling - Chairman of the Board, President, CEO
What Parkinson's data, please?
Tom Bishop - Analyst
The Parkinson's next trial.
Christopher Missling - Chairman of the Board, President, CEO
The initiation of the trial? Yes. So we had several very productive interaction with KOLs, and we were able to create a cultural shift between mix lies this protocol to make it which of truly statistics earlier and easy to adhere to, but also make it meaningful for future application. And that's why we ended up doing it on. It's also in or properly, and you will get the news eventually that when we have the first patients dosed. So we proceed with that indication.
Tom Bishop - Analyst
The enrollment of the 96 trials? The status?
Christopher Missling - Chairman of the Board, President, CEO
During the time it comes from the majority of the patients and 96 attempts to do trials. We are derived from the Ultima Phase IIb three study and day by day. They all on came from the Ultima Phase IIb statutory study. That's the correct way to put it. And we had extremely high rollover from the double-blind placebo-controlled trial into the open-label potentially this study. I think it was over 90%, and we have a large number of patients on this study. We even have the first patients who finished the study going over and requesting an extension of this extension by another year. So it became now a 100, 44 week study for some patients. And thereafter, we also have patients which requested to be given the drug continuously, and we provided them the drug on compassionate use. So there's a high request for patients to stay on the study drug.
Tom Bishop - Analyst
Thank you. Sorry for the here.
Christopher Missling - Chairman of the Board, President, CEO
No problem.
Clint Tomlinson - SVP, Nonclinical Development
Associate upside plate. I believe that's the end of the calls. We have no further questions at this time documents.
Christopher Missling - Chairman of the Board, President, CEO
I want to thank you. So again, this is an exciting time for the Company, and we are very excited to be entering a new phase of the Company's history with our biomarker-driven precision medicine programs in addressing significant unmet medical needs and economic burden. We remain very focused on execution as we prepare for the year ahead of us. Thank you very much.
Clint Tomlinson - SVP, Nonclinical Development
Thank you, ladies and gentlemen. This concludes today's conference call and we appreciate you participating. You may now disconnect.