Exhibit 32.2

Certification of Principal Financial Officer Pursuant to 18 U.S.C. Section 1350,

As Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

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I, David Jin, Interim Chief Financial Officer of Avenue Therapeutics, Inc. (the “Company”), in compliance with 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, hereby certify that, to the best of my knowledge, the Company’s Quarterly Report on Form 10-Q for the period ended September 30, 2022 (the “Report”) filed with the Securities and Exchange Commission:

●Fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and
●The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

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/s/ David Jin

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David Jin

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Interim Chief Financial Officer

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(Principal Financial Officer)

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November 10, 2022

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