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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
______________________________________
FORM 10-Q
______________________________________
(Mark One)
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x |
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
EXCHANGE ACT OF 1934 |
For the quarterly period ended September 30, 2022
OR
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o |
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
EXCHANGE ACT OF 1934 |
For the transition period from ______________ to
______________
Commission File Number:
001-38560
______________________________________
AADI BIOSCIENCE, INC.
(Exact Name of Registrant as Specified in its Charter)
______________________________________
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Delaware |
61-1547850 |
(State or other jurisdiction of
incorporation or organization)
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(I.R.S. Employer
Identification No.)
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17383 Sunset Boulevard Suite A250
Pacific Palisades, California
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90272
|
(Address of principal executive offices) |
(Zip Code) |
(424) 744-8055
(Registrant’s telephone number, including area code)
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(Former name, former address and former fiscal year, if changed
since last report)
______________________________________
Securities registered pursuant to Section 12(b) of the
Act:
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Title of each class |
Trading Symbol(s) |
Name of each exchange on which registered |
Common stock, $0.0001 par value per share |
AADI |
The Nasdaq Stock Market LLC |
Indicate by check mark whether the registrant (1) has filed all
reports required to be filed by Section 13 or 15(d) of the
Securities Exchange Act of 1934 during the preceding 12 months (or
for such shorter period that the registrant was required to file
such reports), and (2) has been subject to such filing requirements
for the past 90 days. Yes
x
No
o
Indicate by check mark whether the registrant has submitted
electronically every Interactive Data File required to be submitted
pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter)
during the preceding 12 months (or for such shorter period that the
registrant was required to submit such files). Yes
x
No
o
Indicate by check mark whether the registrant is a large
accelerated filer, an accelerated filer, a non-accelerated filer, a
smaller reporting company or an emerging growth company. See the
definitions of “large accelerated filer,” “accelerated filer,”
“smaller reporting company” and “emerging growth company” in Rule
12b-2 of the Exchange Act.
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Large accelerated filer |
o |
Accelerated filer |
o |
Non-accelerated filer |
x
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Smaller reporting company |
x |
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Emerging growth company
|
x |
If an emerging growth company, indicate by check mark if the
registrant has elected not to use the extended transition period
for
complying with any new or revised financial accounting standards
provided pursuant to Section 13(a) of the Exchange Act.
x
Indicate by check mark whether the registrant is a shell company
(as defined in Rule 12b-2 of the Exchange Act). Yes
o
No
x
As of November 4, 2022, the registrant had 24,395,117 shares of
common stock, $0.0001 par value per share,
outstanding.
Table of Contents
PART I—FINANCIAL INFORMATION
Item 1. Condensed Consolidated Financial Statements.
AADI BIOSCIENCE, INC.
Condensed Consolidated Balance Sheets
(Amounts in thousands, except share data and par
value)
(Unaudited)
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September 30,
2022 |
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December 31,
2021 |
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Assets |
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Current assets: |
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Cash and cash equivalents |
$ |
134,815 |
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$ |
148,989 |
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Short-term investments |
48,192 |
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— |
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Accounts receivable, net |
2,261 |
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— |
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Inventory |
734 |
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— |
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Prepaid expenses and other current assets |
3,861 |
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|
2,283 |
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Total current assets |
189,863 |
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|
151,272 |
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Property and equipment, net |
457 |
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|
57 |
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Operating lease right-of-use assets |
1,573 |
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557 |
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Intangible asset, net |
— |
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3,811 |
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Other assets |
2,210 |
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|
2,213 |
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Total assets |
$ |
194,103 |
|
|
$ |
157,910 |
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Liabilities and stockholders’ equity |
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Current liabilities: |
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Accounts payable |
$ |
3,920 |
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$ |
6,439 |
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Accrued liabilities |
13,597 |
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|
8,703 |
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Operating lease liabilities, current portion |
374 |
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|
131 |
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Total current liabilities |
17,891 |
|
|
15,273 |
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Operating lease liabilities, net of current portion |
1,347 |
|
|
474 |
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Due to licensor (Note 8) |
5,757 |
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|
5,757 |
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Total liabilities |
24,995 |
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21,504 |
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Commitments and contingencies (Note 15) |
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Stockholders’ equity: |
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Preferred stock, $0.0001 par value, 10,000,000 shares authorized;
no shares
issued and outstanding as of September 30, 2022 and
December 31, 2021
|
— |
|
|
— |
|
Common stock, $0.0001 par value; 300,000,000 shares authorized;
24,395,117
and 20,894,695 shares issued and outstanding as of
September 30, 2022 and December 31, 2021,
respectively
|
2 |
|
|
2 |
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Additional paid-in capital |
358,490 |
|
|
279,089 |
|
Accumulated other comprehensive loss |
(99) |
|
|
— |
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Accumulated deficit |
(189,285) |
|
|
(142,685) |
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Total stockholders’ equity |
169,108 |
|
|
136,406 |
|
Total liabilities and stockholders’ equity |
$ |
194,103 |
|
|
$ |
157,910 |
|
The accompanying notes are an integral part of these condensed
consolidated financial statements.
AADI BIOSCIENCE, INC.
Condensed Consolidated Statements of Operations and Comprehensive
Loss
(Amounts in thousands, except share data and earnings per share
amounts)
(Unaudited)
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Three Months Ended September 30, |
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Nine Months Ended September 30, |
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2022 |
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2021 |
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2022 |
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2021 |
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Revenue |
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Product sales, net |
$ |
4,245 |
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|
$ |
— |
|
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$ |
9,989 |
|
|
$ |
— |
|
Grant revenue |
— |
|
|
— |
|
|
— |
|
|
120 |
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Total revenue |
4,245 |
|
|
— |
|
|
9,989 |
|
|
120 |
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Operating expenses |
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Selling, general and administrative |
9,915 |
|
|
7,401 |
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|
29,069 |
|
|
8,793 |
|
Research and development |
8,773 |
|
|
5,754 |
|
|
23,292 |
|
|
12,443 |
|
Cost of goods sold |
593 |
|
|
— |
|
|
1,113 |
|
|
— |
|
Impairment of acquired contract intangible asset |
— |
|
|
74,156 |
|
|
3,724 |
|
|
74,156 |
|
Total operating expenses |
19,281 |
|
|
87,311 |
|
|
57,198 |
|
|
95,392 |
|
Loss from operations |
(15,036) |
|
|
(87,311) |
|
|
(47,209) |
|
|
(95,272) |
|
Other income (expense) |
|
|
|
|
|
|
|
Change in fair value of convertible promissory notes |
— |
|
|
380 |
|
|
— |
|
|
1,585 |
|
Gain upon extinguishment of debt |
— |
|
|
— |
|
|
— |
|
|
196 |
|
Interest income |
620 |
|
|
— |
|
|
791 |
|
|
1 |
|
Interest expense |
(58) |
|
|
(157) |
|
|
(173) |
|
|
(608) |
|
Total other income, net |
562 |
|
|
223 |
|
|
618 |
|
|
1,174 |
|
Loss before income tax expense |
(14,474) |
|
|
(87,088) |
|
|
(46,591) |
|
|
(94,098) |
|
Income tax expense |
— |
|
|
— |
|
|
(9) |
|
|
(2) |
|
Net loss |
(14,474) |
|
|
(87,088) |
|
|
(46,600) |
|
|
(94,100) |
|
Other comprehensive loss: |
|
|
|
|
|
|
|
Change in unrealized loss on short-term investments |
(99) |
|
|
— |
|
|
(99) |
|
|
— |
|
Comprehensive loss |
$ |
(14,573) |
|
|
$ |
(87,088) |
|
|
$ |
(46,699) |
|
|
$ |
(94,100) |
|
Net loss per share attributable to common stockholders, basic and
diluted |
$ |
(0.68) |
|
|
$ |
(9.17) |
|
|
$ |
(2.21) |
|
|
$ |
(19.37) |
|
Weighted average number of common shares outstanding used in
computing net loss per share attributable to common stockholders,
basic and diluted |
21,269,163 |
|
|
9,510,379 |
|
|
21,052,786 |
|
|
4,890,556 |
|
The accompanying notes are an integral part of these condensed
consolidated financial statements.
AADI BIOSCIENCE, INC.
Condensed Consolidated Statements of
Stockholders’ Equity (Deficit)
(Amounts in thousands, including share amounts)
(Unaudited)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Three and Nine Months Ended September 30, 2022 |
|
Stockholders' Equity |
|
Common Stock |
|
Additional Paid-In
Capital |
|
Accumulated Other Comprehensive Loss |
|
Accumulated
Deficit |
|
Total |
|
Shares |
|
Par Value |
|
|
|
|
Balance at January 1, 2022 |
20,895 |
|
|
$ |
2 |
|
|
$ |
279,089 |
|
|
$ |
— |
|
|
$ |
(142,685) |
|
|
$ |
136,406 |
|
Share-based compensation expense |
— |
|
|
— |
|
|
1,781 |
|
|
— |
|
|
— |
|
|
1,781 |
|
Issuance of common stock upon exercise of warrants |
7 |
|
|
— |
|
|
54 |
|
|
— |
|
|
— |
|
|
54 |
|
Issuance of common stock upon exercise of stock options |
40 |
|
|
— |
|
|
244 |
|
|
— |
|
|
— |
|
|
244 |
|
Net loss |
— |
|
|
— |
|
|
— |
|
|
— |
|
|
(13,857) |
|
|
(13,857) |
|
Balance at March 31, 2022 |
20,942 |
|
|
2 |
|
|
281,168 |
|
|
— |
|
|
(156,542) |
|
|
124,628 |
|
Share-based compensation expense |
— |
|
|
— |
|
|
2,235 |
|
|
— |
|
|
— |
|
|
2,235 |
|
Issuance of common stock upon exercise of stock options |
75 |
|
|
— |
|
|
136 |
|
|
— |
|
|
— |
|
|
136 |
|
Net loss |
— |
|
|
— |
|
|
— |
|
|
— |
|
|
(18,269) |
|
|
(18,269) |
|
Balance at June 30, 2022 |
21,017 |
|
|
2 |
|
|
283,539 |
|
|
— |
|
|
(174,811) |
|
|
108,730 |
|
Share-based compensation expense |
— |
|
|
— |
|
|
2,757 |
|
|
— |
|
|
— |
|
|
2,757 |
|
Issuance of common stock upon exercise of stock options |
5 |
|
|
— |
|
|
16 |
|
|
— |
|
|
— |
|
|
16 |
|
Private placement, net of transaction costs |
3,373 |
|
|
— |
|
|
72,178 |
|
|
— |
|
|
— |
|
|
72,178 |
|
Other comprehensive loss |
— |
|
|
— |
|
|
— |
|
|
(99) |
|
|
— |
|
|
(99) |
|
Net loss |
— |
|
|
— |
|
|
— |
|
|
— |
|
|
(14,474) |
|
|
(14,474) |
|
Balance at September 30, 2022 |
24,395 |
|
|
$ |
2 |
|
|
$ |
358,490 |
|
|
$ |
(99) |
|
|
$ |
(189,285) |
|
|
$ |
169,108 |
|
AADI BIOSCIENCE, INC.
Condensed Consolidated Statements of
Stockholders’ Equity (Deficit)
(continued)
(Amounts in thousands, including share amounts)
(Unaudited)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Three and Nine Months Ended September 30, 2021 |
|
|
|
|
|
|
|
|
|
Stockholders' Equity (Deficit) |
|
Series Seed Preferred Stock |
|
Series A Preferred Stock |
|
Common Stock |
|
Additional Paid-In
Capital |
|
Accumulated
Deficit |
|
Total |
|
Shares |
|
Amount |
|
Shares |
|
Amount |
|
Shares |
|
Par Value |
|
|
|
Balance at January 1, 2021 |
734 |
|
|
$ |
— |
|
|
7,212 |
|
|
$ |
1 |
|
|
2,542 |
|
|
$ |
1 |
|
|
$ |
20,161 |
|
|
$ |
(32,595) |
|
|
$ |
(12,432) |
|
Share-based compensation expense |
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
36 |
|
|
— |
|
|
36 |
|
Net loss |
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
(5,476) |
|
|
(5,476) |
|
Balance at March 31, 2021 |
734 |
|
|
— |
|
|
7,212 |
|
|
1 |
|
|
2,542 |
|
|
1 |
|
|
20,197 |
|
|
(38,071) |
|
|
(17,872) |
|
Share-based compensation expense |
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
39 |
|
|
— |
|
|
39 |
|
Net loss |
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
(1,536) |
|
|
(1,536) |
|
Balance at June 30, 2021 |
734 |
|
|
$ |
— |
|
|
7,212 |
|
|
1 |
|
|
2,542 |
|
|
1 |
|
|
20,236 |
|
|
(39,607) |
|
|
(19,369) |
|
Issuance of common stock upon exercise of stock options |
— |
|
|
— |
|
|
— |
|
|
— |
|
|
61 |
|
|
— |
|
|
745 |
|
|
— |
|
|
745 |
|
Issuance of common stock to PIPE Investors, net of issuance
costs |
— |
|
|
— |
|
|
— |
|
|
— |
|
|
11,853 |
|
|
1 |
|
|
145,383 |
|
|
— |
|
|
145,384 |
|
Issuance of common stock to former stockholders of Aerpio upon
Merger |
— |
|
|
— |
|
|
— |
|
|
— |
|
|
3,209 |
|
|
— |
|
|
105,888 |
|
|
— |
|
|
105,888 |
|
Conversion of convertible promissory note into common stock upon
Merger |
— |
|
|
— |
|
|
— |
|
|
— |
|
|
698 |
|
|
— |
|
|
9,130 |
|
|
— |
|
|
9,130 |
|
Conversion of convertible preferred stock into common stock upon
Merger |
(734) |
|
|
— |
|
|
(7,212) |
|
|
(1) |
|
|
2,520 |
|
|
— |
|
|
— |
|
|
— |
|
|
(1) |
|
Share-based compensation expense |
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
648 |
|
|
— |
|
|
648 |
|
Cumulative dividends paid on Series A preferred stock |
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
(4,412) |
|
|
— |
|
|
(4,412) |
|
Net loss |
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|
(87,088) |
|
|
(87,088) |
|
Balance at September 30, 2021 |
— |
|
|
$ |
— |
|
|
— |
|
|
$ |
— |
|
|
20,883 |
|
|
$ |
2 |
|
|
$ |
277,618 |
|
|
$ |
(126,695) |
|
|
$ |
150,925 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The accompanying notes are an integral part of these condensed
consolidated financial statements.
AADI BIOSCIENCE, INC.
Condensed Consolidated Statements of Cash Flows
(Amounts in thousands)
(Unaudited)
|
|
|
|
|
|
|
|
|
|
|
|
|
Nine Months Ended September 30, |
|
2022 |
|
2021 |
Cash flows from operating activities: |
|
Net loss |
$ |
(46,600) |
|
|
$ |
(94,100) |
|
Adjustments to reconcile net loss to net cash used in operating
activities:
|
|
|
|
Impairment of acquired contract intangible asset |
3,724 |
|
|
74,156 |
|
Share-based compensation expense |
6,773 |
|
|
723 |
|
Amortization of premiums and discounts on short-term investments,
net |
(149) |
|
|
— |
|
Change in fair value of convertible promissory notes |
— |
|
|
(1,585) |
|
Non-cash interest expense |
— |
|
|
584 |
|
Gain upon extinguishment of debt |
— |
|
|
(196) |
|
Non-cash lease expense |
270 |
|
|
133 |
|
Depreciation and amortization expense |
113 |
|
|
33 |
|
Changes in operating assets and liabilities: |
|
|
|
Accounts receivable |
(2,261) |
|
|
14,149 |
|
Inventory |
(734) |
|
|
— |
|
Prepaid expenses and other current assets |
(1,578) |
|
|
(526) |
|
Other non-current assets |
365 |
|
|
430 |
|
Operating lease liability |
(170) |
|
|
(121) |
|
Accounts payable and accrued liabilities |
1,917 |
|
|
4,860 |
|
Other liabilities |
— |
|
|
(8,535) |
|
Net cash used in operating activities |
(38,330) |
|
|
(9,995) |
|
Cash flows from investing activities: |
|
|
|
Purchases of property and equipment |
(366) |
|
|
— |
|
Purchase of short-term investments |
(48,141) |
|
|
— |
|
Cash acquired in connection with the Merger |
— |
|
|
29,700 |
|
Transaction expenses related to the Merger |
— |
|
|
(4,501) |
|
Net cash (used in) provided by investing activities |
(48,507) |
|
|
25,199 |
|
Cash flows from financing activities: |
|
|
|
Proceeds from sale of common stock and prefunded
warrants |
72,500 |
|
|
— |
|
Issuance of common stock upon exercise of stock options |
396 |
|
|
745 |
|
Issuance of common stock to PIPE Investors |
— |
|
|
155,000 |
|
Costs incurred in connection with issuance of common
stock |
— |
|
|
(9,617) |
|
Dividends paid |
— |
|
|
(4,412) |
|
Issuance of common stock upon exercise of warrants |
54 |
|
|
— |
|
Deferred offering costs paid for financing |
(223) |
|
|
— |
|
Net cash provided by financing activities |
72,727 |
|
|
141,716 |
|
Net (decrease) increase in cash, cash equivalents and restricted
cash |
(14,110) |
|
|
156,920 |
|
Cash, cash equivalents and restricted cash at beginning of
year |
148,989 |
|
|
4,455 |
|
Cash, cash equivalents and restricted cash, end of
period |
$ |
134,879 |
|
|
$ |
161,375 |
|
The accompanying notes are an integral part of these condensed
consolidated financial statements.
AADI BIOSCIENCE, INC.
Condensed Consolidated Statements of Cash Flows
(continued)
(Amounts in thousands)
(Unaudited)
|
|
|
|
|
|
|
|
|
|
|
|
|
Nine Months Ended September 30, |
|
2022 |
|
2021 |
Supplemental disclosure of cash flow information: |
|
|
|
Interest paid during the period |
$ |
173 |
|
|
$ |
— |
|
Taxes paid during the period |
$ |
9 |
|
|
$ |
— |
|
Issuance of common stock upon Merger |
$ |
— |
|
|
$ |
105,888 |
|
Conversion of promissory note into common stock upon
Merger |
$ |
— |
|
|
$ |
9,130 |
|
Supplemental disclosure of non-cash activities: |
|
|
|
Costs incurred in connection with Private Placement included in
accounts payable |
$ |
322 |
|
|
$ |
— |
|
Deferred transaction costs included in accounts payable and accrued
liabilities |
$ |
75 |
|
|
$ |
— |
|
Accrued property and equipment |
$ |
60 |
|
|
$ |
— |
|
Operating lease liability arising from obtaining right-of-use
asset |
$ |
1,210 |
|
|
$ |
610 |
|
The accompanying notes are an integral part of these condensed
consolidated financial statements.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
1. Nature of Organization and Operations
Aadi Bioscience, Inc. (together with its subsidiaries, the
“Company” or “Aadi”) is
a biopharmaceutical company focused on developing and
commercializing precision therapies for genetically defined cancers
with alterations in mTOR pathway genes. Aadi’s lead drug product,
FYARRO®,
is a form of sirolimus bound to albumin. Sirolimus is a potent
inhibitor of the mTOR biological pathway, the activation of which
pathway can promote tumor growth, and inhibits downstream signaling
from mTOR. In November 2021, the U.S. Food and Drug Administration
(the “FDA”) approved FYARRO sirolimus protein-bound particles for
injectable suspension (albumin-bound) for the treatment of adult
patients with locally advanced unresectable or metastatic malignant
perivascular epithelioid cell tumor (“PEComa”).
On February 22, 2022, Aadi launched FYARRO in the United States for
treatment of advanced malignant PEComa. FYARRO is licensed to Aadi
by Abraxis BioScience, LLC, a wholly owned subsidiary of Celgene
Corporation, now Bristol Myers Squibb Company (“Celgene”), for all
therapeutic areas including oncology, cardiovascular, and metabolic
related diseases.
The Company’s historical operations have consisted principally of
performing research and development activities and raising capital.
The Company’s activities are subject to significant risks and
uncertainties, including failing to secure additional funding
before sustainable revenues and profit from operations are
achieved.
Merger with Aerpio Pharmaceuticals, Inc. and Name
Change
On May 16, 2021, the Company, then operating as Aerpio
Pharmaceuticals, Inc. (“Aerpio”), entered into the Agreement and
Plan of Merger (“Merger Agreement”) with Aspen Merger Subsidiary,
Inc., a Delaware corporation and a direct, wholly owned subsidiary
of Aerpio (“Merger Sub”) and Aadi Subsidiary, Inc. (formerly known
as Aadi Bioscience, Inc. (“Private Aadi”)).
Pursuant to the terms set forth in the Merger Agreement and
effective August 26, 2021 (the “Effective Time”): (i) Merger
Sub merged with and into Private Aadi, with Private Aadi surviving
as a wholly owned subsidiary of Aerpio (the “Merger”), (ii) Aerpio
changed its name to Aadi Bioscience, Inc. in connection with and
immediately prior to the Effective Time, and (iii) Aerpio effected
a 15:1 reverse stock split of the Aerpio common stock (“Reverse
Stock Split”) immediately prior to the Effective Time. At the
Effective Time, each share of Private Aadi common stock outstanding
immediately prior to the Effective Time, including the shares of
Private Aadi common stock issuable upon the conversion of all
shares of preferred stock and convertible promissory notes
immediately prior to the closing of the Merger, were converted into
the right to receive shares of the Company’s common stock based on
an exchange ratio of 0.3172 (the “Exchange Ratio”), after taking
into account the Reverse Stock Split.
Pursuant to the Merger Agreement, Aerpio assumed all of the
outstanding and unexercised options to purchase shares of Private
Aadi capital stock under the Private Aadi Amended and Restated 2014
Equity Incentive Plan (the “Private Aadi Plan”), and, in connection
with the Merger, such options were converted into options to
purchase shares of the Company’s common stock based on the Exchange
Ratio. At the closing of the Merger at the Effective Time, the
Company issued an aggregate of 5,776,660 shares of common stock to
holders of Private Aadi common stock, including in respect of
shares of Private Aadi common stock issued upon the conversion of
all shares of preferred stock and convertible promissory notes
outstanding immediately prior to the Effective Time.
The Merger has been accounted for using the reverse asset
acquisition method under U.S. generally accepted accounting
principles (“GAAP”). For accounting purposes, Private Aadi is
considered to have acquired the Company and the Merger has been
accounted for as a reverse asset acquisition. The estimated fair
value of total consideration given was $110.4 million based on
3,208,718 shares of common stock at $33.00 per share, after taking
into account the Reverse Stock Split, outstanding immediately prior
to the Effective Time, plus Private Aadi’s transaction costs.
Private Aadi is considered the accounting acquirer even though the
Company issued the common stock in the Merger based on the terms of
the Merger Agreement and other factors including: (i) following the
Merger, the stockholders of Private Aadi collectively owned a
substantial portion of the voting rights of the Company; (ii) three
(3) of seven (7) members of the board of directors of the Company
post-Merger were composed of directors designated by Private Aadi
under the terms of the Merger Agreement, and one (1) member of the
board of directors of the Company post-Merger was a director
mutually designated by Private Aadi and Aerpio; (iii) existing
members of Private Aadi’s management became the management of the
Company post-Merger; (iv) the PIPE Investors (as defined below)
consist of individuals and funds, and for purpose of this analysis,
while they owned approximately 55.6% on a fully-diluted basis, as
of immediately following the Merger (and after giving effect to the
PIPE Financing), no one individual or fund held more shares than
the holders of Private Aadi collectively owned immediately
following the Merger and they are not considered to be a single
voting group; and (v) following the Merger, the Company is named
“Aadi Bioscience, Inc.” and headquartered in Pacific Palisades,
California, and all ongoing operations of the Company are those of
Private Aadi. To determine the accounting for this
transaction
under GAAP, a company must assess whether an integrated set of
assets and activities should be accounted for as an acquisition of
a business or an asset acquisition. Upon closing of the Merger,
substantially all of the fair value is concentrated in cash,
working capital and a long-lived contract intangible asset. As
such, the acquisition was treated as an asset acquisition. The net
assets of Aerpio have been recorded at their relative fair value in
the consolidated financial statements of the Company and the
reported operating results prior to the Merger will be those of
Private Aadi.
In connection with the closing of the Merger, Private Aadi’s board
of directors declared a 4% cumulative dividend on its preferred
stock of $4.4 million which was paid at the Effective
Time.
Contingent Value Rights and Contingent Value Rights
Agreement
In connection with the Merger, the Company entered into a
Contingent Value Rights Agreement, dated as of August 26, 2021 (the
“CVR Agreement”), with a legacy director of the Company, as Holder
Representative (as defined in the CVR Agreement), and American
Stock Transfer & Trust Company, LLC, as Rights Agent (as
defined in the CVR Agreement), in accordance with the terms of the
Merger Agreement. The CVR Agreement entitled each holder of Aerpio
common stock as of immediately prior to the closing of the Merger
(each, a “CVR Holder”) to receive one contingent value right
(“CVR”) for each outstanding share of the Company common stock held
by such CVR Holder as of immediately prior to the closing of the
Merger, each representing the right to receive certain net
proceeds, if any, derived from the CVR completed during a CVR
Payment Period, which means successive six-month periods, prior to
the expiration of the CVR Term (as defined in the CVR Agreement),
with any potential payment obligations continuing until the earlier
of (a) the 20-year anniversary of the Effective Time and (b) the
time at which the license agreement dated June 24, 2018, as amended
(the “Gossamer License Agreement”) with Gossamer Bio, Inc.
(“Gossamer”), the underlying basis for the CVR, has expired or been
terminated.
On April 25, 2022, the Company received a formal notice of
termination from Gossamer for the Gossamer License Agreement (the
“Notice of Termination”), that related to Gossamer’s GB004 product
candidate, a legacy product candidate of the Company's predecessor,
Aerpio, after Gossamer announced that its Phase 2 SHIFT-UC clinical
trial studying GB004 in patients with mild-to-moderate active
ulcerative colitis did not meet the primary or secondary endpoints
at week 12 and the study was being terminated for lack of treatment
benefit. The Gossamer License Agreement terminated effective July
24, 2022.
Based on the Notice of Termination, the Company fully impaired the
Gossamer License Agreement intangible asset during the nine months
ended September 30, 2022. In connection with the termination
of the Gossamer License Agreement, the CVR Agreement, pursuant to
which the CVRs were issued to legacy holders of common stock of
Aerpio immediately prior to the Merger, automatically terminated in
accordance with its terms and the CVRs were automatically cancelled
and forfeited without any consideration or payment, in each case
effective July 24, 2022.
PIPE Financing and Subscription Agreement
On May 16, 2021, the Company entered into a subscription
agreement (“Subscription Agreement”) with certain investors (the
“PIPE Investors”), pursuant to which it would sell shares of its
Common Stock concurrently with the closing of the Merger (the “PIPE
Financing”). At the closing of the PIPE Financing, the Company
entered into a Registration Rights Agreement, dated August 26,
2021 (“Registration Rights Agreement”), with the PIPE Investors.
The PIPE Investors purchased an aggregate of 11,852,862 shares of
common stock of the Company (the “PIPE Shares”) for an aggregate
purchase price of $155.0 million pursuant to the Subscription
Agreement (“PIPE Financing”). The aggregate net proceeds for the
issuance and sale of the PIPE Shares were $145.4 million, after
deducting certain expenses incurred that were direct and
incremental to the issuance of the PIPE Shares.
Immediately following the Effective Time, and after giving effect
to the Reverse Stock Split and the PIPE Financing, there were
approximately 20.8 million shares of common stock of the Company
outstanding. Immediately following the Effective Time and after
giving effect to the Reverse Stock Split and the PIPE Financing:
(i) the Private Aadi stockholders owned approximately 29.2% of the
outstanding shares of common stock; (ii) Aerpio’s stockholders
immediately prior to the Merger, whose shares of common stock, as
adjusted for the Reverse Stock Split, remain outstanding after the
Merger, owned approximately 15.2% of the outstanding shares of
common stock; and (iii) the PIPE Investors owned approximately
55.6% of the outstanding shares of common stock, in each case as
calculated on a fully-diluted basis.
Private Placement Financing
On September 22, 2022, the Company entered into a securities
purchase agreement (“Purchase Agreement”) with certain investors
(“Private Placement Investors”) for a private placement of shares
of common stock and pre-funded warrants to purchase shares of
common stock (the “Private Placement Financing”). Upon the closing
of the Private Placement Financing on September 26, 2022, the
Company sold (i) 3,373,526 shares of its common stock at a purchase
price of $12.50 per share, and (ii) 2,426,493 pre-funded warrants
(the “Pre-Funded Warrants”) to purchase shares of common
stock
at a purchase price of $12.4999 per pre-funded warrant. The
Pre-Funded Warrants have an exercise price of $0.0001 per share of
common stock, are immediately exercisable and remain exercisable
until exercised in full. The holders of Pre-Funded Warrants may not
exercise a Pre-Funded Warrant if the holder, together with its
affiliates, would beneficially own more than 4.99% of the number of
shares of the Company's common stock outstanding immediately after
giving effect to such exercise; provided, that the holders of
Pre-Funded Warrants may increase or decrease such percentages not
in excess of 19.99% by providing at least 61 days’ prior notice to
the Company. The aggregate net proceeds for the Private Placement
Financing were $72.2 million after deducting certain expenses
incurred that were direct and incremental to the issuance of the
shares of $0.3 million.
On September 26, 2022, the Company and the Private Placement
Investors entered into a Registration Rights Agreement, (the
“Private Placement Registration Rights Agreement”), providing for
the registration for resale of the securities sold under the
Purchase Agreement, including the shares issuable upon the exercise
of the Pre-Funded Warrants, that are not then registered on an
effective registration statement, pursuant to a registration
statement filed with the Securities and Exchange Commission (the
“SEC”). The Company filed a resale registration statement with the
SEC on October 26, 2022.
The Company has granted the Private Placement Investors customary
indemnification rights in connection with the Private Placement
Registration Rights Agreement. The Purchasers have also granted the
Company customary indemnification rights in connection with the
Private Placement Registration Rights Agreement.
Liquidity
Since inception, the Company has devoted substantially all of its
resources to research and development activities, business
planning, establishing and maintaining its intellectual property
portfolio, hiring personnel, raising capital and providing general
and administrative support for these operations and has only
recently begun to realize revenues from its planned principal
operations commencing with the commercial sale of
FYARRO.
The Company has experienced net losses since its inception and
expects to continue to incur net losses into the foreseeable
future. The Company had an accumulated deficit of $189.3 million as
of September 30, 2022 and net loss of $14.5 million and $46.6
million for the three and nine months ended September 30,
2022, respectively. To date, these operating losses have been
funded primarily from outside sources of invested capital through
the issuance of convertible promissory notes, grant funding, the
sale of securities, and proceeds from license
agreements.
The Company
had cash, cash equivalents and short-term investments of $183.0
million
at September 30, 2022. Management believes the Company’s
current cash, cash equivalents and short-term investments will
provide sufficient funds to enable the Company to meet its
obligations for at least twelve months from the filing date of this
report.
On March 17, 2022, the Company entered into a Sales Agreement (the
“Sales Agreement”) with Cowen and Company, LLC (“Cowen”), pursuant
to which the Company may offer and sell, from time to time at the
Company’s sole discretion, shares of its common stock having an
aggregate offering prices of up to $75.0 million through Cowen
as its sales agent. As of
September 30, 2022,
no shares of common stock had been sold under this Sales
Agreement.
COVID-19
In late 2019, a strain of coronavirus was reported in Wuhan, China
and began to spread globally, including to the United States and
Europe, in the following months. The World Health Organization has
declared COVID-19 to be a global pandemic. The full impact of the
COVID-19 pandemic is inherently uncertain at the time of this
report. The COVID-19 pandemic has resulted in travel restrictions
and, in some cases, prohibitions of non-essential activities,
disruption and shutdown of businesses, and greater uncertainty in
global financial markets. As COVID-19 has spread, it has
significantly impacted the health and economic environment around
the world. Aadi’s clinical trials have been, and may continue to
be, affected by the closure of offices, or country borders, among
other measures being put in place around the world. Restrictions on
the ability to travel and conduct face-to-face meetings, as well as
constraints surrounding hospital resources, infrastructure, staff
and other resources, can also make it more difficult to enroll new
patients in ongoing or planned clinical trials. Any of these
circumstances will potentially have a negative impact on the
Company's financial results and the timing of its clinical
trials.
The COVID-19 pandemic has caused the Company to modify business
practices (including but not limited to curtailing or modifying
employee travel and participation in meetings, events, and
conferences, and curtailing or modifying its clinical trials), and
may take further actions as may be required by government
authorities or that are determined to be in the best interests of
the Company’s employees, patients, and business
partners.
The extent of the impact of the COVID-19 pandemic on Aadi’s future
liquidity and operational performance will depend on certain
developments, including the duration and spread of further
outbreaks, the availability, acceptance and effectiveness of
vaccines, the impact on the Company's clinical trials, patients,
and collaboration partners, and the effect on its
suppliers.
2. Summary of Significant Accounting Policies
Basis of Presentation
The unaudited condensed consolidated financial statements, and the
related disclosures, have been prepared in accordance with GAAP and
SEC regulations and, in the opinion of management include all
adjustments necessary for a fair presentation of the results of
operations, financial position, changes in stockholders’ equity and
cash flows for each period presented. Any reference in these notes
to applicable guidance is meant to refer to the authoritative GAAP
as found in the Accounting Standards Codification (“ASC”) and
Accounting Standards Updates (“ASU”) of the Financial Accounting
Standards Board (“FASB”). All adjustments are of a normal recurring
nature. The Company’s condensed consolidated financial statements
are stated in U.S. dollars.
Certain information and note disclosures normally included in
annual financial statements prepared in accordance with GAAP have
been condensed or omitted. Accordingly, the accompanying unaudited
interim financial statements should be read in conjunction with the
audited financial statements and the related notes thereto for the
year ended December 31, 2021, which are included in the Company’s
Annual Report on Form 10-K filed with the SEC on March 17,
2022.
On August 26, 2021, when the Company closed the Merger, all
outstanding shares of common stock along with preferred stock of
Private Aadi were exchanged for new shares of common stock of the
Company and the approximately 8.1 million shares of Private Aadi
capital stock held by stockholders of Private Aadi immediately
prior to the Merger were exchanged for approximately
2.5 million shares of common stock of the Company based on the
Exchange Ratio. The authorized number of shares of common stock was
not reduced and remains at 300.0 million. The par value of the
Company’s common stock remains unchanged at $0.0001 per
share.
Also on August 26, 2021, and immediately prior to the closing
of the Merger, the Company effected the Reverse Stock Split.
Accordingly, all share and per share amounts for the period
presented in the accompanying condensed consolidated financial
statements and notes thereto have been adjusted retroactively,
where applicable, to reflect the Reverse Stock Split. No fractional
shares were issued in connection with the Reverse Stock Split.
Unless otherwise noted, all references to shares of the Company’s
common stock and per share amounts have also been adjusted to
reflect the Exchange Ratio.
Comprehensive Loss
Comprehensive loss is defined as the change in equity during a
period from transactions and other events and circumstances from
non-owner sources, including unrealized gains and losses on
short-term investments. Comprehensive loss has been reflected in
the statements of operations and comprehensive loss for all periods
presented.
Segment Information
Operating segments are defined as components of an enterprise about
which separate discrete information is available for evaluation by
the chief operating decision maker, or decision-making group, in
deciding how to allocate resources and in assessing performance.
The Company has identified its Chief Executive Officer as the chief
operating decision maker and the Company views its operations and
manages its business in one operating segment, which is the
business of developing and commercializing proprietary
therapeutics. All the assets and operations of the Company’s sole
operating and reportable segment are located in the United
States.
Use of Estimates
The preparation of financial statements in conformity with GAAP
requires management to make estimates and assumptions that impact
the reported amounts of assets, liabilities, revenues and expenses,
and the disclosure of contingent assets and liabilities in the
Company’s condensed consolidated financial statements and
accompanying notes. In the opinion of management, all adjustments
that are considered necessary for fair presentation have been
included. The most significant estimates in the Company’s condensed
consolidated financial statements relate to fair value of the
intangible asset, fair value of the convertible promissory notes,
gross-to-net accruals, stock-based compensation expense and accrued
research and development costs. Although these estimates are based
on the Company’s knowledge of current events and actions it may
undertake in the future, actual results may materially differ from
these estimates and assumptions.
Concentration of Credit Risk
Financial instruments, which potentially subject the Company to
concentration of credit risk, consist primarily of cash and cash
equivalents and certain investments in money market funds. The
Company maintains deposits in federally insured financial
institutions in excess of federally insured limits. Management
believes that the Company is not exposed to significant credit risk
due to the financial position of the depository institutions in
which those deposits are held. The Company has not experienced any
losses on deposits since inception.
Cash, Cash Equivalents and Restricted Cash
The Company considers all highly liquid marketable securities
purchased with original maturities of three months or less at the
time of purchase date to be cash equivalents. As of
September 30, 2022 and December 31, 2021, cash and cash
equivalents included money market investments totaling $126.1
million and $140.0 million, respectively. Restricted cash consists
of a letter of credit secured by restricted cash in connection with
one of the Company's office leases described in Note 7, and is
included in other assets on the condensed consolidated balance
sheet. The following table provides a reconciliation of cash, cash
equivalents and restricted cash reported within the condensed
consolidated statements of cash flows (amounts in
thousands):
|
|
|
|
|
|
|
|
|
|
|
|
|
September 30, 2022 |
|
December 31, 2021 |
Cash and cash equivalents |
$ |
134,815 |
|
|
$ |
148,989 |
|
Restricted cash, non-current |
64 |
|
|
— |
|
Total cash, cash equivalents and restricted cash |
$ |
134,879 |
|
|
$ |
148,989 |
|
Short-Term Investments
The Company’s short-term investments consist of various types of
securities, including United States government, commercial paper
and corporate debt securities. The Company classifies its
short-term investments as available-for-sale and records such
assets at estimated fair value in the condensed consolidated
balance sheets, with unrealized gains and losses, if any, reported
as a component of other comprehensive income (loss) within the
condensed consolidated statements of operations and comprehensive
loss and as a separate component of stockholders’ equity. Dividend
and interest income are recognized when earned. The Company
classifies short-term investments with remaining maturities greater
than one year as current assets because such short-term investments
are available to fund the Company’s current operations. Realized
gains and losses are included in earnings and are derived using the
specific identification method for determining the cost of the
investment sold. There were no realized gains and losses during any
of the periods presented. The Company may sell these securities at
any time for use in current operations.
At each balance sheet date, the Company assesses available-for-sale
securities in an unrealized loss position to determine whether the
unrealized loss is other-than-temporary. When the Company
determines that a decline in the fair value below its cost basis is
other-than-temporary, the Company recognizes an impairment loss in
the period in which the other-than-temporary decline occurred.
There have been no other-than-temporary impairments recognized
during any of the periods presented. See Note 4 (Short-Term
investments) for further information
Fair Value Option
The Company has elected the fair value option to account for its
convertible promissory notes issued. The Company records these
convertible promissory notes at fair value with changes in fair
value recorded in the statements of operations and comprehensive
loss. As of September 30, 2022, there were no convertible
notes outstanding as they were converted to shares of Private Aadi
common stock immediately prior to the closing of the
Merger.
Fair Value of Financial Instruments
The accounting guidance defines fair value, establishes a
consistent framework for measuring fair value, and expands
disclosure for each major asset and liability category measured at
fair value on either a recurring or nonrecurring basis. Fair value
is defined as an exit price representing the amount that would be
received to sell an asset or paid to transfer a liability in an
orderly transaction between market participants. As such, fair
value is a market-based measurement that should be determined based
on assumptions that market participants would use in pricing an
asset or liability. As a basis for considering such assumptions,
the accounting guidance establishes a three-tier fair value
hierarchy, which prioritizes the inputs used in measuring fair
value as follows:
Level 1: Observable inputs, such as quoted prices in active
markets
Level 2: Inputs, other than the quoted prices in active markets
that are observable either directly or indirectly
Level 3: Unobservable inputs in which there is little or no market
data, which require the reporting entity to develop its own
assumptions which reflect those that a market participant would
use
Financial assets and liabilities are classified in their entirety
based on the lowest level of input that is significant to the fair
value measurement. The Company’s assessment of the significance of
a particular input to the fair value measurement requires judgment
and may affect the valuation of fair value assets and liabilities
and their placement within the fair value hierarchy
levels.
In determining the fair value of its financial instruments, the
Company considers the source of observable market data inputs,
liquidity of the instrument, the credit risk of the counterparty to
the contract, and its risk of nonperformance. In the case fair
value is not observable, for the items subject to fair value
measurements, the Company applies valuation techniques deemed the
most appropriate under the GAAP guidance based on the nature of the
assets and liabilities being measured.
The carrying amounts of cash and cash equivalents, accounts
receivable, prepaid expenses and other current assets, and accounts
payable are reasonable estimates of their fair value because of the
short maturity of these items.
Accounts Receivable, Net
Accounts receivable are recorded net of customer allowances for
chargebacks and allowance for doubtful accounts. Allowance for
chargebacks is based on contractual terms. The Company estimates
the allowance for doubtful accounts based on existing contractual
payment terms, actual payment patterns of its customers and
individual customer circumstances. As of September 30, 2022,
$0.1 million of customer allowances for chargebacks was
recorded. No allowances were recorded as of December 31,
2021.
Inventory
Inventory is stated at the lower of cost or estimated net
realizable value. The Company uses actual costing methodology
determined on a first-in, first-out method. The Company capitalizes
inventory costs associated with its products based upon regulatory
approval when, based on management’s judgment, future
commercialization is considered probable and the future economic
benefit is expected to be realized; otherwise, such costs are
expensed. Prior to FDA approval of FYARRO, all costs related to the
manufacturing of FYARRO were charged to research and development
expense in the period incurred, therefore the inventory balance was
zero at December 31, 2021. Details of inventory are presented as
follows (amounts in thousands).
|
|
|
|
|
|
|
September 30, 2022 |
Raw materials |
$ |
19 |
|
Work in process |
513 |
|
Finished goods |
202 |
|
Total |
$ |
734 |
|
Property and Equipment, Net
Property and equipment, consisting of computers, furniture and
fixtures, office equipment, construction in process and leasehold
improvements are stated at cost, less accumulated depreciation.
Property and equipment is depreciated using the straight-line
method over the estimated useful lives of the assets, generally
three to five years. Such costs are periodically reviewed
for recoverability when impairment indicators are
present.
Intangible Asset, Net
The Company’s intangible asset consisted of a single asset, the
Gossamer License Agreement, assumed in the Merger. The intangible
asset was stated at fair value and amortized using the
straight-line method over its estimated useful life of 14.3 years.
During the three and nine months ended September 30, 2021, the
acquired intangible asset was reduced to the contract intangible
asset to its estimated fair value of $3.9 million at the
Effective Time. During the nine months ended September 30,
2022, the intangible asset's fair value was reduced to zero based
on the termination of the Gossamer License Agreement effective July
24, 2022 (see Note 5).
Impairment of Long-Lived Assets
The Company reviews long-lived assets, including property,
equipment, and the intangible asset for impairment whenever events
or changes in circumstances indicate that the carrying amount of
the assets may not be recoverable. An impairment loss would be
recognized when estimated undiscounted future cash flows expected
to result from the use of the asset and its eventual disposition
are less than the carrying amount. The impairment loss, if
recognized, would be based on the excess of the carrying value of
the impaired asset over its respective fair value. An impairment
was recorded for the long-lived intangible asset during the nine
months ended September 30, 2022 based on the termination of
the Gossamer License Agreement effective July 24, 2022 (see Note
5).
Leases
At the inception of a contractual arrangement, the Company
determines whether the contract contains a lease by assessing
whether there is an identified asset and whether the contract
conveys the right to control the use of the identified asset
in
exchange for consideration over a period of time. If both criteria
are met, the Company records the associated lease liability and
corresponding right-of-use asset upon commencement of the lease
using the implicit rate or a discount rate based on a
credit-adjusted secured borrowing rate commensurate with the term
of the lease. The Company does not recognize assets or liabilities
for leases with lease terms of less than 12 months.
The Company additionally evaluates leases at their inception to
determine if they are to be accounted for as an operating lease or
a finance lease. A lease is accounted for as a finance lease if it
meets one of the following five criteria: (i) the lease has a
purchase option that is reasonably certain of being exercised, (ii)
the present value of the future cash flows is substantially all of
the fair market value of the underlying asset, (iii) the lease term
is for a significant portion of the remaining economic life of the
underlying asset, (iv) the title to the underlying asset transfers
at the end of the lease term, or (v) if the underlying asset is of
such a specialized nature that it is expected to have no
alternative uses to the lessor at the end of the term. Leases that
do not meet the finance lease criteria are accounted for as an
operating lease. Operating lease assets represent a right to use an
underlying asset for the lease term and operating lease liabilities
represent an obligation to make lease payments arising from the
lease. Operating lease liabilities with a term greater than one
year and their corresponding right-of-use assets are recognized on
the balance sheet at the commencement date of the lease based on
the present value of lease payments over the expected lease
term.
Certain adjustments to the right-of-use asset may be required for
items such as initial direct costs paid or incentives received. As
the Company’s leases do not typically provide an implicit rate, the
Company utilizes the appropriate incremental borrowing rate,
determined as the rate of interest that the Company would have to
pay to borrow on a collateralized basis over a similar term and in
a similar economic environment. For finance leases, depreciation
expense is recognized for the leased asset acquired and interest
expense is recognized related to the portion of the financing in
the statements of operations and comprehensive loss. For operating
leases, lease cost is recognized on a straight-line basis over the
lease term and variable lease payments are recognized as operating
expense in the period in which the obligation for those payments is
incurred. Variable lease payments primarily include common area
maintenance, utilities, real estate taxes, insurance, and other
operating costs that are passed on from the lessor in proportion to
the space leased by the Company. The Company has elected the
practical expedient to not separate between lease and non-lease
components.
Commitments and Contingencies
The Company recognizes a liability with regard to loss
contingencies when it believes it is probable a liability has been
incurred, and the amount can be reasonably estimated. If some
amount within a range of loss appears at the time to be a better
estimate than any other amount within the range, the Company
accrues that amount. When no amount within the range is a better
estimate than any other amount the Company accrues the minimum
amount in the range. The Company has not recorded any such
liabilities as of September 30, 2022 and December 31,
2021.
Revenue Recognition
The Company recognizes revenue when its customer obtains control of
promised goods or services, in an amount that reflects the
consideration which the entity expects to receive in exchange for
those goods or services. To determine revenue recognition for
arrangements that the Company determines are within the scope of
ASC Topic 606, Revenue from Contracts with Customer (“Topic 606”),
the Company performs the following five steps: (i) identify the
contract(s) with a customer; (ii) identify the performance
obligations in the contract; (iii) determine the transaction price;
(iv) allocate the transaction price to the performance obligations
in the contract; and (v) recognize revenue when (or as) the Company
satisfies a performance obligation. The Company only applies the
five-step model to contracts when it is probable that it will
collect the consideration it is entitled to in exchange for the
goods or services it transfers to the customer. At contract
inception, once the contract is determined to be within the scope
of Topic 606, the Company assesses the goods or services promised
within each contract and determines those that are performance
obligations and assesses whether each promised good or service is
distinct. The Company then recognizes as revenue the amount of the
transaction price that is allocated to the respective performance
obligation when (or as) the performance obligation is
satisfied.
Product Net Sales
FYARRO was approved by the FDA in November 2021. On February 22,
2022, the Company launched sales of FYARRO to specialty
distributors (“SD”s) and a specialty pharmacy (“SP”). The Company
recognizes product sales when the SDs and SP obtain control of the
product. Product sales are recorded at the net sales price, which
includes provisions for the following allowances which are
reflected either as a reduction to the related account receivable
or as an accrued liability, depending on how the allowance is
settled:
Distribution Fees:
Distribution fees include distribution service fees paid to the SDs
and SP based on a contractually fixed percentage of the wholesale
acquisition cost (“WAC”). Distribution fees are recorded as an
offset to product sales based on contractual terms at the time
revenue from the sale is recognized.
Rebates:
Allowance for rebates includes mandated discounts under the
Medicaid Drug Rebate Program and TRICARE program. Rebates are
amounts owed after the final dispensing of the product to a benefit
plan participant and are based upon contractual agreements or
statutory requirements. The allowance for rebates is based on
contracted or statutory discount rates and expected utilization by
benefit plan participants. The Company’s estimates for expected
utilization of rebates are based on utilization data received from
the SDs and SP since product launch. Rebates are generally invoiced
and paid in arrears so that the accrual balance consists of an
estimate of the amount expected to be incurred for the current
quarter’s activity. If actual future rebates vary from estimates,
the Company may need to adjust prior period accruals, which would
affect product sales in the period of adjustment.
Chargebacks:
Chargebacks are discounts and fees that relate to contracts with
government and other entities purchasing from the SDs and SP at a
discounted price. The SDs and SP charge back to the Company the
difference between the price initially paid by the SDs and SP and
the discounted price paid to the SDs and SP by these entities. If
actual future chargebacks vary from these estimates, the Company
may need to adjust prior period accruals, which would affect
product sales in the period of adjustment.
Co-Payment Assistance:
The Company offers co-payment assistance to commercially insured
patients meeting certain eligibility requirement. Co-payment
assistance is accrued at the time of product sale to SDs and SP
based on estimated patient participation and average co-pay benefit
to be paid per a claim. The Company estimated amounts are compared
to actual program participation and co-pay amounts paid using data
provided by third-party administrators. If actual amounts differ
from the original estimates the assumptions being applied are
updated and adjustment for prior period accruals will be adjusted
in the current period.
Product Returns:
Consistent with industry practice, the Company offers the SDs and
SP limited product return rights for damages, shipment errors, and
expiring product, provided that the return is within a specified
period around the product expiration date as set forth in the
applicable individual distribution agreement. The Company does not
allow product returns for product that has been dispensed to a
patient. As the Company receives inventory reports from the SDs and
SP and has the ability to control the amount of product that is
sold to the SDs and SP the Company’s estimate of future potential
product returns is based on the on-hand channel inventory data and
sell-through data obtained from the SDs and SP. In arriving at its
estimate, the Company also considers historical product returns,
the underlying product demand, and industry data specific to the
specialty pharmaceutical distribution industry.
The total amount deducted from gross product sales for the
allowances described above for the three and nine months ended
September 30, 2022 was $0.8 million and
$1.8 million, respectively.
Grant Revenue
The Company’s grant revenues are derived from federal grants with
the FDA. The Company has determined that the government agencies
providing grants to the Company are not customers. Grant revenue is
recognized when there is reasonable assurance of compliance with
the conditions of the grant and reasonable assurance that the grant
revenue will be received. The Company recognizes grant revenues as
reimbursable grant costs are incurred. The costs associated with
these reimbursements are reflected as a component of research and
development expense in the accompanying statements of operations
and comprehensive loss.
With respect to grant revenue derived from reimbursement of direct
out-of-pocket expenses for research costs associated with federal
contracts, where the Company acts as principal with discretion to
choose suppliers, bears credit risk, and performs part of the
services required in the transaction, the Company records revenue
for the gross amount of the reimbursement. The costs associated
with these reimbursements are reflected as a component of research
and development expense in the accompanying statements of
operations and comprehensive loss.
Revenue Under License Agreement
The Company generates revenues from payments received under a
license agreement. Under such license agreement, the Company
recognizes revenue when it transfers promised goods or services to
partners in an amount that reflects the consideration to which the
Company expects to be entitled in exchange for those goods or
services. To determine revenue recognition for contracts with
partners, the Company performs the following five steps: (i)
identifies the promised goods or services in the contract; (ii)
identifies the performance obligations in the contract, including
whether they are distinct in the context of the contract; (iii)
determines the transaction price, including the constraint on
variable consideration; (iv) allocates the transaction price to the
performance obligations in the contract; and (v) recognizes revenue
when (or as) the Company satisfies the performance
obligations.
For revenue from such license agreement, the Company generally
collects an upfront license payment from the license partner and is
also entitled to receive event-based payments subject to the
license partner’s achievement of specified
development, regulatory and sales-based milestones. In addition,
the Company is generally entitled to royalties if products under
the license agreement are commercialized.
Transaction price for a contract represents the amount to which the
Company is entitled in exchange for providing goods and services to
the partner. Transaction price does not include amounts subject to
uncertainties unless it is probable that there will be no
significant reversal of revenue when the uncertainty is resolved.
Apart from the upfront license payment, all other fees the Company
may earn under such license agreements are subject to significant
uncertainties of product development. Achievement of many of the
event-based development and regulatory milestones may not be
probable until such milestones are actually achieved. This
generally relates to milestones such as obtaining regulatory
approvals and successful completion of clinical trials. With
respect to other development milestones, e.g. dosing of a first
patient in a clinical trial, achievement could be considered
probable prior to its actual occurrence, based on the progress
towards commencement of the trial. The Company does not include any
amounts subject to uncertainties in the transaction price until it
is probable that the amount will not result in a significant
reversal of revenue in the future. At the end of each reporting
period, the Company re-evaluates the probability of achievement of
such milestones and any related constraint, and if necessary,
adjusts the estimate of the overall transaction price.
Because such agreements generally only have one type of performance
obligation, a license, which is generally all transferred at the
same time as agreement inception, allocation of the transaction
price among multiple performance obligations is not required.
Upfront amounts allocated to licenses are recognized as revenue
when the licenses are transferred to the partners. Development
milestones and other fees are recognized in revenue when their
occurrence becomes probable.
Research and Development
Research and development expenses consist of costs incurred in
performing research and development activities, including salaries
and benefits, materials and supplies, preclinical expenses,
stock-based compensation expense, contract services, and other
external development expenses. The Company records research and
development activities conducted by third-party service providers,
which include work related to preclinical studies, clinical trials,
and contract manufacturing activities, to research and development
expense as incurred. The Company is required to estimate the amount
of services provided but not yet invoiced and include these
expenses in accrued expenses on the balance sheet and within
research and development expenses in the statements of operations
and comprehensive loss. These expenses are a significant component
of the Company’s
research and development expenses and require significant estimates
and judgments. The Company accrues for these expenses based on
factors such as estimates of the work completed and in accordance
with agreements established with its third-party service providers.
As actual expenses become known, the Company adjusts its accrued
expenses.
Share-Based Compensation
The Company recognizes all stock-based payments to employees,
including grants of employee stock options in the condensed
consolidated statements of operations and comprehensive loss based
on their fair values. All of the Company’s share-based awards, to
employees, non-employees, officers, and directors, are subject only
to service-based vesting conditions. The Company estimates the fair
value of its stock-based awards using the Black-Scholes option
pricing model, which requires the input of assumptions, including
(i) the expected stock price volatility, (ii) the calculation of
expected term of the award, (iii) the risk-free interest rate and
(iv) expected dividends.
Options granted during the year have a maximum contractual term of
ten years. Forfeitures are recognized and accounted for as they
occur.
Due to the historical lack of a public market for the trading of
the Company’s securities and a lack of company-specific historical
and implied volatility data, the Company has based its estimate of
expected volatility on the historical volatility of a group of
similar companies that are publicly traded. The computation of
expected volatility is based on the historical volatility of a
representative group of companies with similar characteristics to
the Company, including stage of product development and life
science industry focus. The Company believes the group selected has
sufficient similar economic and industry characteristics and
includes companies that are most representative of the
Company.
The Company has limited historical stock option activity and
therefore estimates
the expected term of stock options granted to employees, officers,
and directors using the simplified method, which represents the
average of the contractual term of the stock option and its
weighted-average vesting period,
to calculate the expected term, as it does not have sufficient
historical exercise data to provide a reasonable basis upon which
to estimate the expected term for options granted to employees, and
utilizes the contractual term for options granted to non-employees.
The expected term is applied to the stock option grant group as a
whole, as the Company does not expect substantially different
exercise or post-vesting termination behavior among its employee
population. The risk-free interest rate is based on the U.S.
Treasury yield in effect at the time of the grant for zero-coupon
U.S. Treasury notes with maturities approximately equal to the
expected
term of the stock options. Compensation expense related to awards
to employees is calculated on a straight-line basis by recognizing
the grant date fair value over the associated service period of the
award, which is generally the vesting term.
Income Taxes
Income taxes have been accounted for using the asset and liability
method. Under the asset and liability method, deferred tax assets
and liabilities are recognized for the future tax consequences
attributable to differences between the financial carrying amounts
of existing assets and liabilities and their respective tax bases
and operating loss and tax credit carryforwards. Deferred tax
assets and liabilities are measured using enacted tax rates
applicable to taxable income in the years in which those temporary
differences are expected to be recovered or settled. The effect on
deferred tax assets and liabilities of a change in tax rates is
recognized in income in the period that includes the enactment
date. A valuation allowance against deferred tax assets is recorded
if, based upon the weight of all available evidence, it is more
likely than not that some or all of the deferred tax assets will
not be realized
When uncertain tax positions exist, the Company recognizes the tax
benefit of tax positions to the extent that the benefit will more
likely than not be realized. The determination as to whether the
tax benefit will more likely than not be realized is based upon the
technical merits of the tax position, as well as consideration of
the available facts and circumstances. The Company recognizes
interest and penalties related to uncertain tax positions, if any
exist, in income tax expense.
Net Loss per Share Attributable to Common Stockholders
Basic net loss per share is calculated by dividing the net loss
attributable to common stockholders by the weighted-average number
of common shares outstanding for the period. Basic shares
outstanding includes the weighted average effect of the Company's
Pre-Funded Warrants issued in September 2022, the exercise of which
requires little or no consideration for the delivery of shares of
common stock. Basic and diluted weighted average shares of common
stock outstanding for the three and nine months ended September 30,
2022, includes the weighted average effect of 2,426,493 Pre-Funded
Warrants for the purchase of shares of common stock, for which the
remaining unfunded exercise price is $0.0001 per
share.
The following table computes the computation of the basic and
diluted net loss attributable to common stockholders during the
three and nine months ended September 30, 2021 (amounts in
thousands except share and per share data). There were no
cumulative dividends or other adjustments to net loss attributable
to common stockholder during the three and nine months ended
September 30, 2022.
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended September 30, |
|
Nine Months Ended September 30, |
|
2021 |
|
2021 |
Numerator: |
|
|
|
Net loss |
$ |
(87,088) |
|
|
$ |
(94,100) |
|
Cumulative dividends on convertible preferred stock |
(154) |
|
|
(647) |
|
Net loss attributable to common stockholders |
$ |
(87,242) |
|
|
$ |
(94,747) |
|
|
|
|
|
Denominator: |
|
|
|
Weighted-average common shares outstanding |
9,510,379 |
|
|
4,890,556 |
|
|
|
|
|
Net loss per share attributable to common stockholders, basic and
diluted |
$ |
(9.17) |
|
|
$ |
(19.37) |
|
Diluted net loss per share is computed by dividing the net loss
attributable to common stockholders by the weighted average number
of common shares and common share equivalents outstanding for the
period. Common stock equivalents are only included when their
effect is dilutive. The Company’s potentially dilutive securities,
which include convertible promissory notes, convertible preferred
stock, outstanding stock options and warrants have been excluded
from the computation of diluted net loss per share as they would be
anti-dilutive.
Net loss per share is presented as the more dilutive of the
treasury stock and as-converted method or the two-class method
required for participating securities. The Series A convertible
preferred stock is considered a participating security and does not
have a contractual obligation to share in Private Aadi’s losses. As
such, the two-class method was not required.
The following table sets forth the outstanding potentially dilutive
securities that have been excluded in the calculation of diluted
net loss per share because their inclusion would be anti-dilutive
(amounts in thousands):
|
|
|
|
|
|
|
|
|
|
|
|
|
Nine Months Ended September 30, |
|
2022 |
|
2021 |
Options to purchase common stock |
2,938 |
|
|
1,298 |
|
Warrants to purchase common stock |
29 |
|
|
37 |
|
Accounting Pronouncements Not Yet Adopted
In August 2020, the FASB issued ASU 2020-06, “Debt
– Debt with Conversion and Other Options”
(Subtopic 470-20) and “Derivatives and Hedging – Contracts in
Entity’s Own Equity” (Subtopic 815-40). This new guidance is
intended to reduce the complexity of accounting for convertible
instruments. The guidance also addresses how convertible
instruments are accounted for in the diluted earnings per share
calculation and requires enhanced disclosures about the terms of
convertible instruments. Entities may adopt ASU 2020-06 using
either a partial retrospective or fully retrospective method of
transition. This ASU is effective for fiscal years beginning after
December 15, 2023, including interim periods within those fiscal
years for smaller reporting companies. The Company is currently
evaluating the impact the adoption of ASU 2020-06 will have on the
Company’s financial statements.
In 2016, the FASB issued ASU 2016-13 “Financial
Instruments - Credit Losses”
which (i) significantly changes the impairment model for most
financial assets that are measured at amortized cost and certain
other instruments from an incurred loss model to an expected loss
model which will be based on an estimate of current expected credit
loss; and (ii) provides for recording credit losses on
available-for-sale debt securities through an allowance account.
The standard also requires certain incremental disclosures.
Subsequently, the FASB issued several ASUs to clarify, improve, or
defer the adoption of ASU 2016-13. This ASU is effective for fiscal
years beginning January 2023. The Company is currently evaluating
the impact the adoption of ASU 2016-13 will have on the Company's
financial statements.
3. Fair Value Measurement
The Company determines the fair value of its short-term investments
based on one or more valuations from its investment accounting and
reporting service provider. The investment service provider values
the securities using a hierarchical security pricing model that
relies primarily on valuations provided by an industry-recognized
valuation service. Such valuations may be based on trade prices in
active markets for identical assets (Level 1 inputs) or valuation
models using inputs that are observable either directly or
indirectly (Level 2 inputs), such as quoted prices for similar
assets, yield curves, volatility factors, credit spreads, default
rates, loss severity, current market and contractual prices for the
underlying instruments or debt, and broker and dealer quotes, as
well as other relevant economic measures.
The following table sets forth the recurring fair value of the
Company’s financial assets and liabilities, allocated into the
Level 1, Level 2 and Level 3 hierarchy that were measured at fair
value on a recurring basis (amounts in thousands):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fair Value Measurements as of September 30, 2022 |
|
Level 1 |
|
Level 2 |
|
Level 3 |
|
Total |
Money market funds (1) |
$ |
126,058 |
|
|
$ |
— |
|
|
$ |
— |
|
|
$ |
126,058 |
|
U.S. government treasury bills |
24,929 |
|
|
— |
|
|
— |
|
|
24,929 |
|
Commercial paper (2) |
— |
|
|
21,996 |
|
|
— |
|
|
21,996 |
|
Corporate bonds |
— |
|
|
3,013 |
|
|
— |
|
|
3,013 |
|
Total financial assets |
$ |
150,987 |
|
|
$ |
25,009 |
|
|
$ |
— |
|
|
$ |
175,996 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fair Value Measurements as of December 31, 2021 |
|
Level 1 |
|
Level 2 |
|
Level 3 |
|
Total |
Assets: |
|
|
|
|
|
|
|
Money market funds (1) |
$ |
140,032 |
|
|
$ |
— |
|
|
$ |
— |
|
|
$ |
140,032 |
|
(1)Included
in cash and cash equivalents in the accompanying balance
sheets.
(2)$1.7 million
of commercial paper included in cash and cash equivalents in the
accompanying balance sheets.
Intangible Asset Impairment
During the three and nine months ended September 30, 2021, the
Company recognized an impairment of $74.2 million of the
contract intangible asset acquired in connection with the Merger
and reduced the contract intangible asset to its estimated fair
value of $3.9 million at the Effective Time. This represented
a Level 3 fair value measurement as factors used to develop the
estimated fair value are unobservable inputs that are not supported
by market activity.
During the nine months ended September 30, 2022, upon receipt
of the Notice of Termination, the Company impaired the contract
intangible asset by $3.7 million to its estimated fair value
of zero (which represented a Level 3 fair value measurement) based
on receipt of the formal notice of termination from Gossamer for
the Gossamer License Agreement.
4. Short-Term Investments
The Company's short-term investments, which consist of highly
liquid securities, are classified as available-for-sale and are
stated at fair value. The following table summarizes the Company's
short-term investments (in thousands):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Maturity (In Years) |
|
Amortized Cost |
|
Unrealized Losses |
|
Fair Value |
Money market funds |
|
|
$ |
126,058 |
|
|
$ |
— |
|
|
$ |
126,058 |
|
U.S. government treasury bills |
Less than 1 |
|
25,000 |
|
|
(71) |
|
|
24,929 |
|
Commercial paper |
Less than 1 |
|
21,996 |
|
|
— |
|
|
21,996 |
|
Corporate bonds |
Less than 1 |
|
3,041 |
|
|
(28) |
|
|
3,013 |
|
Total |
|
|
$ |
176,095 |
|
|
$ |
(99) |
|
|
$ |
175,996 |
|
There were no gross unrealized gains and unrealized losses for cash
equivalents and investments as of
December 31, 2021.
5. Intangible Asset
The Company recorded a long-lived contract intangible asset as a
result of the Merger, related to the Gossamer License Agreement,
which was assumed in the Merger. In accordance with GAAP, for asset
acquisitions, the excess purchase price over the fair value of the
acquired assets and liabilities was ascribed to the acquired
contract intangible asset. Due to the significant excess purchase
price being allocated over the fair value of the acquired contract
intangible asset, the Company determined that an indicator of
impairment was present. The contract intangible asset was assessed
for recoverability using an undiscounted cash flow model, which
resulted in undiscounted cash flows below the carrying amount. At
the Effective Time, the Company recognized an impairment of $74.2
million to bring the carrying amount of the contract intangible
asset down to its estimated fair value of $3.9 million. The fair
value estimate of the intangible asset relating to contingent cash
flows expected from the out-licensing arrangement, of which 90% of
any future net cash proceeds would be remitted to CVR Holders and
paid through the CVRs. The useful life of the intangible asset was
estimated to be approximately 14.3 years.
On April 25, 2022, the Company received a formal notice of
termination from Gossamer for the Gossamer License Agreement,
relating to Gossamer’s GB004 product candidate, a legacy product
candidate of the Company's predecessor, Aerpio, after Gossamer
announced that its Phase 2 SHIFT-UC clinical trial studying GB004
in patients with mild-to-moderate active ulcerative colitis did not
meet the primary or secondary endpoints at week 12 and the study
was being terminated for lack of treatment benefit. The Gossamer
License Agreement terminated effective July 24, 2022. Based on the
termination of the Gossamer License Agreement, the Company fully
impaired the intangible asset, $3.7 million, of which the
Gossamer License Agreement is the underlying asset, during the nine
months ended September 30, 2022.
Amortization expense was $0 and $87,000 for the three and nine
months ended September 30, 2022, respectively, and $26,000 for
the three and nine months ended September 30, 2021.
The following table shows the amortization expense and impairment
of the finite lived intangible asset for the
nine months
ended September 30, 2022 (amounts in thousands):
|
|
|
|
|
|
|
Nine Months Ended September 30, 2022 |
Intangible asset, December 31, 2021 |
$ |
3,811 |
|
Less amortization |
(87) |
|
Impairment of contract intangible |
(3,724) |
|
Intangible asset, net, September 30, 2022 |
$ |
— |
|
6. Accrued Liabilities
Details of accrued liabilities are presented as follows (amounts in
thousands):
|
|
|
|
|
|
|
|
|
|
|
|
|
September 30,
2022 |
|
December 31,
2021 |
Accrued bonus |
$ |
3,752 |
|
|
$ |
1,465 |
|
Advanced customer payments |
2,307 |
|
|
— |
|
Accrued clinical |
2,225 |
|
|
2,507 |
|
Accrued contract manufacturing |
1,543 |
|
|
2,287 |
|
Accrued salaries and payroll |
1,286 |
|
|
152 |
|
Accrued professional fees |
1,013 |
|
|
1,948 |
|
Accrued other - sales related |
1,009 |
|
|
— |
|
Accrued other |
462 |
|
|
344 |
|
Total accrued liabilities |
$ |
13,597 |
|
|
$ |
8,703 |
|
7. Operating Lease
In April 2019, the Company entered into a twenty-eight month
facility lease agreement for 2,760 square feet of office space in
Pacific Palisades, California (the “Pacific Palisades Lease”). The
Pacific Palisades Lease commenced on May 1, 2019, included
four months of rent abatement and a rent escalation clause and was
set to expire on August 31, 2021. In August 2021, the Company
exercised its option to extend the term of the Pacific Palisades
Lease for an additional three-year period and entered into an
amendment to the lease agreement (the “Pacific Palisades Lease
Amendment”). Pursuant to the Pacific Palisades Lease Amendment, the
Company and the landlord agreed to extend the term for an
additional period of three (3) years and six (6) months, until
February 28, 2025, with an option to renew for an additional
three (3) years in accordance with the terms of the Pacific
Palisades Lease agreement. Included in the Pacific Palisades Lease
Amendment were nine months of rent abatement and a rent escalation
clause.
In April 2022, the Company entered into a lease agreement for
10,615 square feet of office space in Morristown, New Jersey (the
“Morristown Lease”). The Morristown Lease has a term of
seventy-three months, unless terminated sooner, and includes rent
abatement for the first three months and the forty-seventh and
forty-eighth calendar months after lease commencement. Included in
the Morristown Lease agreement are fixed rent escalations of
approximately 2% on each anniversary year of the lease
term.
The following table summarizes information related to the Company’s
lease (amounts in thousands):
|
|
|
|
|
|
|
|
|
|
|
|
|
September 30, 2022 |
|
December 31, 2021 |
Assets: |
|
|
|
Operating lease right-of-use assets |
$ |
1,573 |
|
|
$ |
557 |
|
|
|
|
|
Liabilities: |
|
|
|
Operating lease liabilities, current |
$ |
374 |
|
|
$ |
131 |
|
Operating lease liabilities, non-current |
1,347 |
|
|
474 |
|
Total operating lease liabilities |
$ |
1,721 |
|
|
$ |
605 |
|
Rent expense
is being recorded on a straight-line basis. Rent expense
for the three and
nine months
ended September 30, 2022 and 2021 is presented on the
following table (amounts in thousands):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended September 30, |
|
Nine Months Ended September 30, |
|
2022 |
|
2021 |
|
2022 |
|
2021 |
Operating leases rent expense |
$ |
112 |
|
|
$ |
47 |
|
|
$ |
270 |
|
|
$ |
138 |
|
Cash paid for leases and included in operating cash flows for the
three and
nine months
ended September 30, 2022 and 2021 is presented on the
following table (amounts in thousands):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended September 30, |
|
Nine Months Ended September 30, |
|
2022 |
|
2021 |
|
2022 |
|
2021 |
Cash paid included in operating cash flows |
$ |
80 |
|
|
$ |
37 |
|
|
$ |
170 |
|
|
$ |
127 |
|
The future minimum lease payments required under the operating
lease as of September 30, 2022, are summarized below (amounts
in thousands):
|
|
|
|
|
|
Future Minimum Lease Payments: |
|
2022 |
$ |
121 |
|
2023 |
489 |
|
2024 |
502 |
|
2025 |
310 |
|
2026 |
230 |
|
Thereafter |
388 |
|
Total minimum lease payments |
$ |
2,040 |
|
Less: amount representing interest |
$ |
(319) |
|
Present value of operating lease liabilities |
$ |
1,721 |
|
Less: operating lease liabilities, current |
$ |
(374) |
|
Operating lease liabilities, non-current |
$ |
1,347 |
|
Remaining lease term (in years) |
4.77 |
Incremental borrowing rate |
7.45 |
% |
8. License
Agreements
Celgene License Agreement
On April 9, 2014, the Company entered into a license agreement (as
amended the “Celgene License Agreement”) with Celgene for exclusive
rights for certain patents and a non-exclusive license for certain
technology and know-how pertaining to FYARRO.
The Celgene License Agreement will remain in effect from the
effective date of April 9, 2014 until expiration of all milestone
and royalty payment obligations under the agreement, unless
terminated by either of the parties upon giving an advance notice
as specified in the Celgene License Agreement. Under the terms of
the Celgene License Agreement, Celgene agreed to supply the Company
with licensed products of FYARRO necessary for clinical or
non-clinical development.
Under the terms of the Celgene License Agreement, Celgene is
entitled to receive certain development milestone payments,
royalties on net sales from licensed products under the agreement
and any sublicense fees. During three and nine months ended
September 30, 2022, $0.3 million and $0.7 million in
royalties were accrued on net product sales recognized during the
three and nine months ended September 30, 2022, respectively.
However, no payments related to milestones were paid during the
three and nine months ended September 30, 2022 or
2021.
On August 30, 2021, the Company and Celgene entered into Amendment
No. 1 (the “Amendment”) to the Celgene License Agreement related to
certain intellectual property rights of Celgene pertaining to the
compound known as FYARRO. Under the terms of the Amendment, the
Company paid Celgene $5.8 million representing 50% of the
previously outstanding payment obligation under the terms of the
Celgene License Agreement, following the Effective Time of the PIPE
Financing. Pursuant to the terms of the Amendment, the remaining
previously outstanding payment obligation of $5.8
million, is due on the third anniversary of the Effective Time, or
August 26, 2024 plus any accrued and unpaid interest due thereon
(“Balloon Payment”). The Balloon Payment shall accrue interest,
beginning August 26, 2021 until paid in full, at a rate equal to
4.00% per annum based on the weighted average amount outstanding
during the applicable calendar quarter, and interest is payable
quarterly in arrears. In addition, the parties agreed to amend the
royalty rates payable to Celgene based on net sales of products
subject to the Celgene License Agreement.
On December 8, 2020, the Company entered into a license agreement
(“EOC License Agreement”) with EOC Pharma (Hong Kong) Limited
(“EOC”) under which the Company received $14.0 million in January
2021 in non-refundable upfront consideration as partial payment for
the rights and licenses granted to EOC by the Company for the
further development and commercialization of FYARRO in the People’s
Republic of China, Hong Kong Special Administration Region, Macao
Special Administrative Region and Taiwan (the “Licensed
Territory”). In accordance with the Celgene License Agreement, the
Company is required to pay 20% of all sublicense fees to Celgene.
As such, the Company recognized $2.8 million of license expense in
the year ended December 31, 2020 and had a corresponding $2.8
million sublicense payable to Celgene on the balance sheet as of
December 31, 2020, which was paid during the nine months ended
September 30, 2021.
During the year ended December 31, 2021, the Company
recognized license revenue and received $1.0 million from EOC for
achieving the FDA approval milestone on November 22, 2021. In
accordance with the Celgene License Agreement, the Company
recognized $0.2 million of license expense in the year ended
December 31, 2021 and had a corresponding $0.2 million sublicense
payable to Celgene on the balance sheet as of December 31, 2021,
which was paid in the nine months ended September 30,
2022.
EOC License Agreement
In December 2021, the Company entered into the EOC License
Agreement with EOC for the further development of ABI-009, now
called FYARRO, and commercialization of FYARRO in the Licensed
Territory. Under the terms of the agreement, the Company granted to
EOC an exclusive, royalty-bearing license to develop and
commercialize the product in the Licensed Territory. The term of
the EOC License Agreement was set to continue until the expiration
of the royalty obligations under the agreement.
On June 27, 2022, the Company received written notice from EOC that
EOC elected to terminate the EOC License Agreement, effective
immediately, due to alleged material breaches by the Company under
such agreement. The Company disagrees with, and continues to
dispute, EOC’s allegations of material breach and does not believe
that EOC had a right to terminate the EOC License Agreement for
material breach, and accordingly believes that the termination of
the EOC License Agreement is a termination for convenience. EOC had
the right to terminate the agreement for convenience upon 120 days
advance written notice. The Company waived such notice period in
connection with EOC's termination notice and, as a result, the EOC
License Agreement was terminated effective June 27, 2022. Either
party had the right to terminate the EOC License Agreement in the
event that the other party breaches the agreement and fails to cure
the breach, becomes insolvent or challenges certain of the
intellectual property rights licensed under the
agreement.
The Company assessed the EOC License Agreement and concluded that
EOC is a customer and identified the license of ABI-009 provided to
EOC as the sole performance obligation. The $14.0 million upfront
payment received from EOC is non-refundable and non-creditable and
is considered fixed consideration. The Company recognized revenue
of $14.0 million in December 2020 when the EOC License Agreement
was signed, and the $14.0 million upfront payment was received in
January 2021.
The potential milestone payments and royalty payments under the EOC
License Agreement were considered variable consideration and were
constrained with respect to revenue recognition notification from
EOC that the milestone and royalty payments had been
achieved.
The Company was eligible to receive an additional
$257.0 million in the aggregate upon achievement of certain
development, regulatory, and sales milestones, as well as tiered
royalties on net sales in the Licensed Territory. Under the terms
of the EOC License Agreement, EOC was obligated to fund all
research, development, regulatory, marketing and commercialization
activities in the defined Licensed Territory. The Company earned
$1.0 million in milestone revenue upon achievement of the FDA
approval milestone on November 22, 2021. EOC paid the
$1.0 million milestone payment in December 2021. In accordance
with the Celgene License Agreement, 20% of the $1.0 million
payment, or $0.2 million was accrued at December 31, 2021, and
paid in January 2022.
9. Convertible Notes
Private Aadi received $8.1 million in October 2019 (“October 2019
Convertible Notes”) and $1.0 million in January 2020 for the
proceeds in connection with the issuance of convertible promissory
notes (“January 2020 Convertible Notes,” and together with October
2019 Convertible Notes “Convertible Notes”). The October 2019
Convertible Notes were issued to
existing equity holders of Private Aadi. The Convertible Notes
originally had a maturity date of one year from the date of
issuance and an escalating interest rate of 6% per annum for the
first four months following the effective date of the loan
agreement, 8% per annum for the fifth and sixth months, and 10% per
annum for the remaining six months of the note term until maturity
at twelve months.
In November 2020, Private Aadi entered into an amendment to the
Convertible Notes, whereby the term was extended from one year to
two years. The amendment was accounted for as a debt
modification.
In May 2021, Private Aadi entered into an amendment to the
Convertible Notes, whereby upon the closing of the Merger (see Note
1), the outstanding principal amount of the Convertible Notes and
all accrued and unpaid interest as of immediately prior to the
closing of the Merger would automatically convert into fully paid
and nonassessable shares of Private Aadi common stock at a price
per share equal to $4.80 and would be concurrently exchanged for
shares of the Company’s common stock based on the Exchange Ratio.
In conjunction with the closing of the Merger on August 26,
2021, the outstanding Convertible Notes were converted into shares
of Private Aadi common stock which were concurrently exchanged for
698,018 shares of the Company’s common stock based on the Exchange
Ratio.
At the date of conversion, the Convertible Notes were marked to
market and valued at $9.5 million, resulting in a gain on
conversion of
$0.4 million in the year ended December 31, 2021.
10.
Payroll Protection Program Loan
On March 27, 2020, President Trump signed into law the Coronavirus
Aid, Relief and Economic Security Act (the “CARES Act”). The CARES
Act, among other things, includes provisions relating to refundable
payroll tax credits, deferment of employer side social security
payments, net operating loss carryback periods, alternative minimum
tax credit refunds, modifications to the net interest deduction
limitations and technical corrections to tax depreciation methods
for qualified improvement property. The CARES Act also appropriated
funds for the Small Business Administration (“SBA”) Paycheck
Protection Program (“PPP”) loans that are forgivable in certain
situations to promote continued employment, as well as Economic
Injury Disaster Loans to provide liquidity to small businesses
harmed by COVID-19.
In May 2020, Aadi was approved for a $0.2 million SBA PPP loan, as
provided for in the CARES Act (“PPP Loan”). Under certain
conditions, the PPP Loan and accrued interest are forgivable after
a twenty-four-week covered period as long as the loan proceeds were
used for eligible expenses, including payroll, benefits, rent and
utilities, and the company maintains certain payroll levels. The
amount of loan forgiveness is subject to reduction if the Company
terminates employees or reduces salaries during the
twenty-four-week covered period. The unforgiven portion of the loan
is payable over two years at an interest rate of 1%, with a
deferral of payments for the ten months following the end of the
twenty-four-week covered period. On April 29, 2021, the
Company received notification from the SBA that the Company’s
Forgiveness Application of the PPP Loan and accrued interest was
approved in full, and the Company had no further obligations
related to the PPP Loan. Accordingly, the Company recorded a gain
on the forgiveness of the PPP Loan totaling $0.2
million.
11. Stockholders’ Equity (Deficit)
Preferred Stock
As of September 30, 2022 and
December 31, 2021,
under the Company’s certificate of incorporation, as amended and
restated, the Company has 10,000,000 shares of preferred stock, par
value $0.0001 per share, in authorized capital with no shares
outstanding.
Series Seed Preferred Stock
On February 23, 2017, Private Aadi converted from a limited
liability company to a corporation and at that time converted
734,218 membership units into shares of Series Seed Preferred
Stock. All outstanding shares of Series Seed Preferred Stock were
converted into Private Aadi’s common stock and concurrently
exchanged for the Company’s common stock based on the Exchange
Ratio in connection with the closing of the Merger.
Series A Preferred Stock
In February and March 2017, Private Aadi sold and issued in a
private placement 5,847,940 shares of Series A Preferred Stock at
$3.42 per share (the “Series A Financing”). Upon the closing of the
Series A Financing, convertible notes issued in 2015 converted into
482,426 shares of Series A Preferred Stock at 85% of the $3.42
price per share (the “Series A Original Issue Price”) paid by the
Series A Financing investors. Convertible notes issued in 2017
converted into 881,286 shares of Series A Preferred Stock at the
Series A Original Issue Price. All outstanding shares of Series A
Preferred Stock were converted into shares of Private Aadi common
stock and concurrently exchanged for the Company’s common stock
based on the Exchange Ratio in connection with the closing of the
Merger.
Common Stock and Pre-Funded Warrants
As of September 30, 2022 and December 31, 2021, the
Company had 300,000,000 shares of authorized common stock, par
value of $0.0001 per share under the Company's certificate of
incorporation, as amended and restated. As of September 30,
2022 and December 31, 2021, the shares of common stock
outstanding were 24,395,117 and 20,894,695,
respectively.
In conjunction with the closing of the Merger, the Company issued
an aggregate of 2,558,218 shares of common stock to holders of
Private Aadi common stock in exchange for all of the Private Aadi
capital stock outstanding immediately prior to the closing of the
Merger. Concurrently with the closing of the Merger, the PIPE
Investors purchased an aggregate of 11,852,862 shares of the
Company’s common stock for an aggregate purchase price of $155.0
million pursuant to the Subscription Agreement entered into with
the Company on May 16, 2021. The aggregate net proceeds, after
deducting certain expenses incurred that were direct and
incremental to the issuance of the PIPE shares, was $145.4
million.
In March 2022, the Company entered into the
Sales Agreement with Cowen,
with respect to an “at the market offering” program
pursuant to which the Company may offer and sell, from time to time
at its sole discretion, shares of common stock having aggregate
gross proceeds of up to $75.0 million through Cowen as its
sales agent.
As of
September 30, 2022,
no shares of common stock had been sold pursuant to the Sales
Agreement.
On September 22, 2022, the Company entered into the Purchase
Agreement for the Private Placement Financing with the Private
Placement Investors for the sale by the Company of 3,373,526 shares
of the Company’s common stock for a price of $12.50 per share and
Pre-Funded Warrants to purchase an aggregate of 2,426,493 shares of
the Company's common stock at a purchase price of $12.4999 per
Pre-Funded Warrant. The Pre-Funded Warrants are exercisable at an
exercise price of $0.0001 and will be exercisable until exercised
in full.
The Private Placement Financing closed on September 26, 2022.
Aggregated net proceeds, after deducting certain expenses incurred
of $0.3 million related to the issuance of the shares were $72.2
million.
On September 22, 2022, the Company and the Purchasers entered into
the Private Placement Registration Rights Agreement providing for
the registration for resale of the securities sold under the
Purchase Agreement, including the shares issuable upon the exercise
of the Pre-Funded Warrants, that are not then registered on an
effective registration statement, pursuant to a registration
statement filed with the SEC. The Pre-Funded Warrants meet the
criteria to be classified within stockholders’ equity.
Dividends
The holders of common stock are entitled to receive dividends, if
and when declared by the board of directors of the Company (the
“board of directors”). Since the Company’s inception, no dividends
have been declared or paid to the holders of common
stock.
Liquidation
In the event of any voluntary or involuntary liquidation,
dissolution, or winding-up of the Company, the holders of common
stock are entitled to share ratably in the Company’s
assets.
Voting
The holders of common stock are entitled to one vote for each share
of common stock held at all meetings of stockholders and written
actions in lieu of meetings.
12. Stock-Based Compensation
Stock Option Plan – 2014 Plan (as amended and restated in February
2017, the “Private Aadi Plan”)
In connection with the Merger, the Company assumed the Private Aadi
Plan, which was amended and restated in February 2017, and the
issued and outstanding stock options under the Private Aadi Plan
(the Private Aadi common stock underlying the awards was adjusted
for shares of the Company’s common stock pursuant to the Merger
Agreement).
The Private Aadi Plan allowed for the grant of incentive stock
options, non-statutory stock options, stock appreciation rights,
restricted stock unit awards and other stock awards. In connection
with the closing of the Merger and the adoption of the 2021 Plan
(as defined below), no further awards will be issued under the
Private Aadi Plan.
The options that are granted from the Private Aadi Plan are
exercisable at various dates as determined upon grant and will
expire no more than ten years from their date of grant. The Private
Aadi Plan stock options generally vest over a four-year
term.
Stock Option Plan – 2011 Plan and 2017 Plan
In connection with the closing of the Merger, the Company assumed
the Aerpio 2011 Equity Incentive Plan (the “2011 Plan”) and the
Aerpio 2017 Stock Option and Incentive Plan (the “2017 Plan,” and
together with the 2011 Plan, the “Prior
Plans”). No new awards will be granted under the Prior Plans
effective as of the closing of the Merger and adoption of the 2021
Plan (as defined below).
Stock Option Plan – 2021 Plan
At the closing of the Merger, the Company adopted the Aadi
Bioscience, Inc. 2021 Equity Incentive Plan (the “2021 Plan”),
which permits the award of stock options, stock appreciation
rights, restricted stock, restricted stock units, performance units
and performance grants to employees, members of the board of
directors, and outside consultants.
Subject to the adjustment provisions contained in the 2021 Plan and
the evergreen provision described below, a total of 2,070,784
shares of common stock were initially reserved for issuance
pursuant to the 2021 Plan. In addition, the shares reserved for
issuance under the 2021 Plan include any shares of common stock (i)
subject to awards of stock options or other awards granted under
the Prior Plans that expire or otherwise terminate without having
been exercised in full and shares of common stock granted under the
Prior Plans that are forfeited or repurchased by the Company, and
(ii) any shares of common stock subject to stock options or similar
awards granted under the Private Aadi Plan that were assumed in the
Merger (provided that the maximum number of shares that may be
added to the 2021 Plan pursuant to this sentence is 764,154
shares).
The number of shares available for issuance under the 2021 Plan
also will include an annual increase, or the evergreen feature, on
the first day of each of the Company’s fiscal years, beginning with
the Company’s fiscal year 2022, equal to the least of:
•2,070,784
shares of common stock;
•a
number of shares equal to 4% of the outstanding shares of common
stock on the last day of the immediately preceding fiscal year;
or
•such
number of shares as the board of directors or its designated
committee may determine.
As a result of the evergreen increase, a total of 835,787 shares
were added to the 2021 Plan on January 1, 2022.
Shares issuable under the 2021 Plan are authorized, but unissued,
or reacquired shares of common stock. If an award expires or
becomes unexercisable without having been exercised in full, is
surrendered pursuant to an exchange program, or, with respect to
restricted stock, restricted stock units, performance units or
performance shares, is forfeited to or repurchased by the combined
company due to failure to vest, the unpurchased shares (or for
awards other than stock options or stock appreciation rights, the
forfeited or repurchased shares) will become available for future
grant or sale under the 2021 Plan (unless the 2021 Plan has
terminated).
As of September 30, 2022, zero, 314,502, 101,024 and 2,522,069
shares were outstanding under the 2011 Plan, Private Aadi Plan,
2017 Plan and 2021 Plan, respectively.
The following table summarizes the stock option activity during the
nine months ended September 30, 2022:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Stock
Option
Shares |
|
Weighted Average
Exercise
Price |
|
Weighted Average
Remaining
Contractual
Term (in Years) |
|
Aggregate
Intrinsic
Value (in thousands) |
Outstanding, January 1, 2022 |
1,749,876 |
|
|
$ |
20.71 |
|
|
8.48 |
|
$ |
10,007 |
|
Granted |
1,508,638 |
|
|
16.37 |
|
|
|
|
|
Exercised |
(119,396) |
|
|
3.31 |
|
|
|
|
|
Expired/cancelled |
(201,523) |
|
|
20.90 |
|
|
|
|
|
Outstanding, September 30, 2022 |
2,937,595 |
|
|
$ |
19.85 |
|
|
8.78 |
|
$ |
3,714 |
|
Options exercisable, September 30, 2022 |
510,324 |
|
|
$ |
14.68 |
|
|
6.11 |
|
$ |
2,715 |
|
As of September 30, 2022, the aggregate intrinsic value of
options outstanding was $3.7 million.
As of September 30, 2022, there was $28.6 million of
unrecognized compensation cost related to stock options, which is
expected to be recognized over a weighted average period of 2.86
years.
As of September 30, 2022, zero and 746,212 shares were
reserved for issuance under the Private Aadi Plan and 2021 Plan,
respectively.
Option Awards
During the three months ended September 30, 2022 and 2021,
option awards to purchase an aggregate of 299,000 and 669,731
shares of common stock were granted, respectively.
During the nine months ended September 30, 2022 and 2021,
option awards to purchase an aggregate of 1,508,638 and 727,620
shares of common stock were granted, respectively.
Compensation Expense Summary
The Company recognized the following compensation cost related to
all employee and non-employee stock-based compensation activity for
the periods presented (amounts in thousands):
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended September 30, |
|
Nine Months Ended September 30, |
|
2022 |
|
2021 |
|
2022 |
|
2021 |
Selling, general and administrative |
$ |
1,840 |
|
|
$ |
524 |
|
|
$ |
4,492 |
|
|
$ |
543 |
|
Research and development |
917 |
|
|
124 |
|
|
2,281 |
|
|
180 |
|
Total |
$ |
2,757 |
|
|
$ |
648 |
|
|
$ |
6,773 |
|
|
$ |
723 |
|
The Company uses the Black-Scholes option pricing model to
determine the estimated fair value for stock-based awards. Option
pricing and models require the input of various assumptions,
including the option’s expected life, expected dividend yield,
price volatility and risk-free interest rate of the underlying
stock. Accordingly, the weighted-average fair value of the options
granted during the nine months ended September 30, 2022 and
2021 was $9.93 and $19.24 per share, respectively.
The calculation was based on the following
assumptions.
|
|
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|
|
|
|
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|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended September 30, |
|
Nine Months Ended September 30, |
|
2022 |
|
2021 |
|
2022 |
|
2021 |
Expected term (years) |
6.08
|
|
5.27 - 6.08
|
|
5.50 - 6.08
|
|
5.08 - 6.25
|
Risk-free interest rate |
2.65% - 3.15%
|
|
0.84% - 1.15%
|
|
1.46% - 3.38%
|
|
0.84% - 1.15%
|
Expected volatility |
86.81% - 87.85%
|
|
86.02% - 87.27%
|
|
85.91% - 87.85%
|
|
85.21% - 87.88%
|
Expected dividend yield |
— |
|
— |
|
— |
|
— |
In connection with the retirement of an employee of the Company,
the Company has modified its previously granted equity awards to
continue vesting of 64,436 shares, which would have otherwise been
forfeited in May 2022 as a result of such retirement and extended
the exercise ability of the former employee’s vested and
outstanding options. The incremental stock-based compensation
expense was not material for the three and nine months ended
September 30, 2022.
Merger Warrants to Purchase Common Stock
The Company had warrants outstanding for the purchase of 29,166 and
36,666 shares of the Company’s common stock at September 30,
2022 and December 31, 2021, respectively (“Merger Warrants”). These
Merger Warrants were assumed in the Merger and were issued by
Aerpio in October 2019, for the purchase of 40,000 shares (after
taking into account the Reverse Stock Split) of the Company’s
common stock at an exercise price of $7.29 per share (after taking
into account the Reverse Stock Split). These Merger Warrants were
fully vested as of the date of the Merger and expire on
October 24, 2024. During the three and nine months ended
September 30, 2022, zero and 7,500 Merger Warrants were
exercised, respectively. At the grant date, the fair value of these
awards was determined using a Black-Scholes option pricing
model.
The number of shares and the exercise price shall be adjusted for
standard anti-dilution events such as stock splits, combinations,
reorganizations, or issue shares as part of a stock
dividend.
The Merger Warrants meet the criteria to be classified within
stockholders’ equity.
13. Employee Stock Purchase Plan
On August 17, 2021, a special meeting of the Company’s
stockholders was held to approve the Merger and related matters, at
which the Company's stockholders considered and approved the
Company’s 2021 Employee Stock Purchase Plan (the “2021 ESPP”). Upon
approval of the 2021 ESPP by the stockholders, Aerpio’s Amended and
Restated 2017 Employee Stock Purchase Plan terminated. An aggregate
of 310,617 shares of common stock (after taking into account the
Reverse Stock Split) have been reserved and are available for
issuance under the 2021 ESPP. The number of shares of common stock
available for issuance under the 2021 ESPP will be increased on the
first day of each fiscal year beginning with the 2022 fiscal year
in an amount equal to the least of (i) 310,617 shares of common
stock (after taking into account the Reverse Stock Split), (ii) one
percent (1%) of the outstanding shares of all classes of common
stock on the last day of the
immediately preceding fiscal year, or (iii) an amount to be
determined by the board of directors or its designated committee no
later than the last day of the immediately preceding fiscal year.
Shares of common stock issuable under the 2021 ESPP will be
authorized, but unissued, or reacquired shares of common stock. If
the Company’s capital structure changes because of a stock
dividend, stock split or similar event, the number of shares that
can be issued under the 2021 ESPP will be appropriately adjusted.
The Company opened enrollment into the ESPP in May
2022.
As a result of the evergreen increase described above, a total of
208,946 shares were added to the 2021 ESPP on January 1, 2022. No
shares under the 2021 ESPP were issued through September 30,
2022.
14. Income Taxes
The Company recorded income tax expense of zero and $9,000 for the
three and nine months ended September 30, 2022 and zero and
$2,000 for the three and nine months ended September 30, 2021.
The Company continues to maintain a full valuation
allowance.
15. Commitments and Contingencies
Legal Proceedings
From time to time, the Company could be subject to various legal
proceedings and claims that arise in the ordinary course of its
business activities. Regardless of the outcome, legal proceedings
can have an adverse impact on the Company because of defense and
settlement costs, diversion of management resources and other
factors.
On June 27, 2022, EOC filed a Request for Arbitration with the
International Chamber of Commerce’s International Court of
Arbitration against the Company. In the Request for Arbitration,
EOC claims that the Company breached certain provisions of the EOC
License Agreement, including failing to provide certain
manufacturing and clinical development information to EOC.
As a result, EOC is seeking monetary damages. The arbitration
process is ongoing. The Company intends to defend itself vigorously
in this matter and pursue all relief to which the Company is
entitled. The Company is unable to estimate the possible loss or
range of loss, therefore no amounts have been accrued as of
September 30, 2022.
Purchase Commitments
The Company has ongoing contracts with vendors for clinical trials
and contract manufacturing. These contracts are generally
cancellable, with notice, at the Company’s option. The Company
recorded accrued expenses of $3.8 million and
$4.8 million in its condensed consolidated balance sheet for
expenditures incurred by clinical and contract manufacturing
vendors as of September 30, 2022 and December 31, 2021,
respectively.
At September 30, 2022, the Company had one significant
contract with Fresenius Kabi that contains specific activities such
as non-cancellable commitments, minimum purchase commitments, or
binding annual forecasts.
CAUTIONARY STATEMENT REGARDING FORWARD-LOOKING
STATEMENTS
This Quarterly Report on Form 10-Q (“Quarterly Report”) contains
express or implied forward-looking statements which are made
pursuant to the safe harbor provisions of Section 27A of the
Securities Act of 1933, as amended (the “Securities Act”), and
Section 21E of the Securities Exchange Act of 1934, as amended (the
“Exchange Act”) that are based on our management’s belief and
assumptions and on information currently available to our
management. Although we believe that the expectations reflected in
these forward-looking statements are reasonable, these statements
relate to future events or our future operational or financial
performance, and involve known and unknown risks, uncertainties and
other factors that may cause our actual results, performance or
achievements to be materially different from any future results,
performance or achievements expressed or implied by these
forward-looking statements. Forward-looking statements in this
Quarterly Report include, but are not limited to, statements
about:
•our
ability to maintain regulatory approval for
FYARRO®
in advanced malignant perivascular epithelioid cell tumors
(“PEComa”), or to obtain and maintain regulatory approval for
FYARRO in additional indications, or any other product candidates
we may develop in the future, and any related restrictions,
limitations or warnings in the label of an approved product
candidate;
•our
plans and potential for success relating to commercializing FYARRO,
or any other product candidate that we may develop, if
approved;
•our
plans related to the further development and manufacturing of
FYARRO;
•the
timing, scope or likelihood of regulatory filings and approvals for
FYARRO for advanced malignant PEComa in foreign jurisdictions and
any additional indications we may pursue and any other product
candidates we may develop in the future;
•our
commercialization, marketing and manufacturing capabilities and
strategy;
•the
pricing and reimbursement of FYARRO and any other product
candidates we may develop in the future, if approved;
•the
rate and degree of market acceptance of FYARRO and any other
product candidates we may develop in the future, if
approved;
•the
timing, progress and results of preclinical studies and clinical
trials for our programs and product candidates, including the
anticipated impact of the COVID-19 pandemic, the timing of
initiation and completion of studies or trials and related
preparatory work, the period during which the results of the trials
will become available and our research and development
programs;
•our
ability to recruit and enroll suitable patients in our clinical
trials;
•the
expectations regarding the beneficial characteristics, safety,
efficacy and therapeutic effects of FYARRO and any other product
candidates that we may develop in the future;
•our
ability to develop and advance product candidates into, and
successfully complete, clinical studies;
•the
implementation of our business model and our strategic plans for
our business;
•our
ability to establish or maintain collaborations or strategic
relationships or obtain additional funding;
•our
ability to contract with and rely on third parties to assist in
conducting our clinical trials and manufacturing FYARRO and any
other product candidates we may develop in the future;
•the
size and growth potential of the markets for FYARRO and any other
product candidates we may develop in the future, if approved, and
our ability to serve those markets, either alone or in partnership
with others;
•our
ability to obtain funding for our operations, including funding
necessary to commercialize FYARRO and to complete further
development, approval and, if approved, commercialization of FYARRO
in additional indications and any other product candidates we may
develop in the future;
•the
period over which we anticipate our existing cash and cash
equivalents will be sufficient to fund our operating expenses and
capital expenditure requirements;
•the
potential for our business development efforts to maximize the
potential value of our portfolio;
•our
ability to compete with other companies currently marketing or
engaged in the development of treatments for the indications that
we are pursuing for FYARRO and any other product candidates we may
develop in the future;
•our
expectations regarding our ability to obtain and maintain
intellectual property protection for our product
candidates;
•our
financial performance;
•statements
regarding the legal proceedings related to the termination of the
EOC License Agreement;
•our
ability to retain the continued service of our key professionals
and to identify, hire and retain additional qualified
professionals; and
•our
estimates regarding expenses, future revenue, capital requirements
and needs for additional financing.
Forward-looking statements are not historical facts, but rather are
based on current expectations, estimates, assumptions, and
projections about the business and future financial results of the
pharmaceutical industry, and other legal, regulatory and economic
developments. In some cases, you can identify forward-looking
statements by terms such as “may,” “will,” “intend,” “should,”
“could,” “would,” “expect,” “plan,” “anticipate,” “believe,”
“estimate,” “project,” “predict,” “potential,” “continue,”
“likely,” and similar expressions (including their use in the
negative) intended to identify forward-looking statements although
not all forward-looking statements contain these identifying words.
Actual results could differ materially from the results
contemplated by these forward-looking statements due to a number of
factors, including, but not limited to, those described in Part II,
Item 1A (Risk Factors) of this Quarterly Report.
You should not place undue reliance on forward-looking statements
because they involve known and unknown risks, uncertainties and
other factors, which are, in some cases, beyond our control and
which could materially affect results. If one or more of these
risks or uncertainties occur, or if our underlying assumptions
prove to be incorrect, actual events or results may vary
significantly from those implied or projected by the
forward-looking statements. No forward-looking statement is a
guarantee of future performance. You should read this Quarterly
Report and the documents that we reference in this Quarterly Report
and have filed with or furnished to the U.S. Securities and
Exchange Commission (the “SEC”) completely and with the
understanding that our actual future results may be materially
different from any future results expressed or implied by these
forward-looking statements.
The forward-looking statements in this Quarterly Report represent
our views as of the date of this Quarterly Report. We anticipate
that subsequent events and developments will cause our views to
change. However, while we may elect to update these forward-looking
statements at some point in the future, we have no current
intention of doing so except to the extent required by applicable
law. You should therefore not rely on these forward-looking
statements as representing our views as of any date subsequent to
the date of this Quarterly Report.
References in the following discussion to
“we,”
“our,”
“us,”
or
“Aadi”
refer to Aadi Bioscience, Inc. and its subsidiaries.
Item 2. Management’s Discussion and Analysis of Financial Condition
and Results of Operations.
The following discussion of our financial condition and results of
operations should be read in conjunction with the unaudited
condensed consolidated financial statements and the related notes
to those statements thereto appearing elsewhere in this Quarterly
Report and our audited consolidated financial statements and
related notes thereto included in our Annual Report on Form 10-K
filed with the SEC on March 17, 2022. Some of the information
contained in this discussion and analysis including information
with respect to our plans and strategy for our business, includes
forward-looking statements that involve risk, uncertainties and
assumptions. Our actual results could differ materially from those
discussed in our forward-looking statements for many reasons,
including those risks. You should not place undue reliance on these
forward-looking statements, which apply only as of the date of this
Quarterly Report. You should read this Quarterly Report completely,
including Part II, Item 1A (Risk Factors) of this Quarterly Report
and the “Cautionary Statement Regarding Forward-Looking Statements”
sections of this Quarterly Report for a discussion of important
factors that could cause actual results to differ materially from
the results described in or implied by our forward-looking
statements contained in the following discussion and analysis.
Except as required by law, we assume no obligation to update these
forward-looking statements publicly, or to update the reasons
actual results could differ materially from those anticipated in
these forward-looking statements, even if new information becomes
available in the future.
Overview
We are a biopharmaceutical company focused on developing and
commercializing precision therapies for genetically defined cancers
with alterations in mTOR pathway genes. Our lead drug product,
FYARRO®,
is a form of sirolimus bound to albumin. Sirolimus is a potent
inhibitor of the mTOR biological pathway, the activation of which
pathway can promote tumor growth, and inhibits downstream signaling
from mTOR.
In November 2021, the U.S. Food and Drug Administration (the “FDA”)
approved FYARRO sirolimus protein-bound particles for injectable
suspension (albumin-bound) for the treatment of adult patients with
locally advanced unresectable or metastatic malignant perivascular
epithelioid cell tumor (“PEComa”). On February 22, 2022, we
launched FYARRO in the United States for treatment of advanced
malignant PEComa and recognized net product sales of $4.2 million
and $10.0 million for the three and nine months ended
September 30, 2022, respectively.
In addition to advanced malignant PEComa, based on data from our
completed Phase 2 registrational study, Advanced Malignant PEComa
Trial (“AMPECT”), and our expanded access program, we have
initiated a registration-directed tumor-agnostic Phase 2 study
(“PRECISION 1”) of FYARRO in patients with Tuberous Sclerosis
Complex 1 and 2 (“TSC1
&
TSC2”)
alterations. We have completed a Type B meeting with the FDA in
which we discussed the initial trial design and the PRECISION 1
trial was opened for enrollment in the United States during the
first quarter of 2022. Our first patient was dosed in March
2022.
Recent Developments
•Leadership
Transition.
On November 8, 2022, we announced the appointment of Neil Desai,
our founder, director, President and Chief Executive Officer, to
Executive Chairman, and Brendan Delaney, our Chief Operating
Officer, to President and Chief Executive Officer, effective as of
January 1, 2023. Both Dr. Desai and Mr. Delaney will serve on our
board of directors after the transition.
•Private
Placement Financing.
On September 22, 2022, we entered into a securities purchase
agreement (“Purchase Agreement”) for a private placement (the
“Private Placement Financing”) with certain investors (“Private
Placement Investors”). Upon closing the Private Placement Financing
on September 26, 2022, we sold (i) 3,373,526 shares of our common
stock, at a purchase price of $12.50 per share, and (ii) 2,426,493
pre-funded warrants (the “Pre-Funded Warrants”) to purchase shares
of our common stock, at a purchase price of $12.4999 per Pre-Funded
Warrant. The Pre-Funded Warrants will have an exercise price of
$0.0001 per share of common stock, be immediately exercisable and
remain exercisable until exercised in full. In connection with the
Private Placement Financing, we entered into a Registration Rights
Agreement, dated September 22, 2022 (“Private Placement
Registration Rights Agreement”), with the Private Placement
Investors. Pursuant to the Private Placement Registration Rights
Agreement, on October 26, 2022, we filed a registration statement
with the Securities and Exchange Commission (the "SEC") for the
registration for resale of the securities sold under the Purchase
Agreement, including the shares issuable upon the exercise of the
Pre-Funded Warrants.
At the closing of the Private Placement Financing, the total
purchase price paid by the Private Placement Investors was
approximately $72.2 million, after deducting $0.3 million of our
offering expenses. We intend to use the net proceeds from the
Private Placement Financing to fund working capital and other
general corporate purposes.
•Mirati
Collaboration.
In October 2022, we entered into a collaboration and supply
agreement with Mirati Therapeutics, Inc. (“Mirati”) to evaluate the
combination of Mirati’s adagrasib, a KRASG12C
selective inhibitor,
and FYARRO in KRAS
G12C
mutant non-small cell lung cancer (NSCLC) and other solid tumors.
Under the terms of the agreement, Mirati will be responsible for
sponsoring and operating the Phase 1/2 study and we will supply
study drug and jointly share the cost of the study.
The primary objective of this multi-center, single-arm, open-label
Phase 1/2 trial is to determine the optimal dose and recommended
Phase 2 dose for the combination of adagrasib and FYARRO in
patients with KRASG12C-mutant
solid tumors. In addition, the study will investigate the safety,
tolerability and efficacy of adagrasib and FYARRO in combination in
patients both with and without prior exposure to a
KRASG12C
inhibitor. The trial will build on preclinical data showing
enhanced anti-tumor efficacy with the combination of adagrasib and
FYARRO relative to either agent alone.
Celgene License Agreement
In April 2014, Private Aadi entered into a license agreement (the
“Celgene License Agreement”) with Abraxis BioScience, LLC, a wholly
owned subsidiary of Celgene Corporation, now Bristol-Myers Squibb
Company (“Celgene”), for exclusive rights for certain patents and a
non-exclusive license for certain technology and know-how
pertaining to ABI-009 (which we refer to as FYARRO). Under the
Celgene License Agreement, as amended, Celgene is entitled to
receive certain development milestone payments, royalties on net
sales from licensed products under the agreement and any sublicense
fees. During the three and nine months ended September 30,
2022, we recorded royalties of $0.3 million and $0.7 million, under
the terms of this agreement. No payments related to milestones
under this agreement were paid during the three and nine months
ended September 30, 2022. See Note 8 to the condensed
consolidated financial statements for more information about the
Celgene License Agreement.
Under the terms of an August 2021 amendment to the Celgene License
Agreement, we paid Celgene $5.8 million, representing 50% of the
previously outstanding payment obligation under the terms of the
Celgene License Agreement, following the effective time of the PIPE
financing that occurred in connection with the closing of the
reverse acquisition of Aerpio Pharmaceuticals, Inc. Pursuant to the
terms of the amendment, the remaining portion of the previously
outstanding payment obligation ($5.8 million), which is recorded on
our balance sheet as due to licensor, is due on the third
anniversary of the effective time of such PIPE financing plus any
accrued and unpaid interest due thereon.
EOC License Agreement
In December 2020, we entered into the EOC License Agreement with
EOC under which we received $14.0 million in January 2021 in
non-refundable upfront consideration as partial payment for the
rights and licenses granted to EOC by us for the further
development and commercialization of FYARRO in the People’s
Republic of China, Hong Kong Special Administration Region, Macao
Special Administrative Region and Taiwan (the “Licensed
Territory”). In accordance with the Celgene License Agreement, we
are required to pay 20% of all sublicense fees to Celgene. As such,
we recognized $2.8 million of license expense in the fourth quarter
of 2020 and had a corresponding $2.8 million sublicense payable to
Celgene on the balance sheet as of December 31, 2020, which was
paid in 2021.
During the fourth quarter of 2021, we recognized license revenue
and received $1.0 million from EOC for achieving the FDA approval
milestone in November 2021. In accordance with the Celgene License
Agreement, we recognized $0.2 million of license expense in the
fourth quarter of 2021 and had a corresponding $0.2 million
sublicense payable to Celgene on the balance sheet as of December
31, 2021, which was paid in 2022.
On June 27, 2022, we received written notice from EOC that EOC has
elected to terminate the EOC License Agreement, effective
immediately. See Note 8 to the condensed consolidated financial
statements for more information about the EOC License Agreement and
its termination.
Key Trends and Factors Affecting Comparability Between
Periods
•Commercial
sale of FYARRO was launched on February 22, 2022, for the treatment
of patients with advanced malignant PEComa. We recorded net product
sales of $4.2 million and $10.0 million during the three and nine
months ended September 30, 2022, respectively.
•We
have built a cross-functional commercial team consisting of
marketing, market access and commercial operations and will
continue to strategically build our sales and our commercial
infrastructure with capabilities designed to scale when necessary
to support future commercial launches. Expenses related to our
commercial launch including personnel expenses, sales support, and
marketing are included in selling, general and administrative
expenses for the three and nine months ended September 30,
2022. We expect these expenses will continue to increase, as
compared to prior periods, with the launch of FYARRO and
preparation for potential future launches.
•We
continue to build out our research and development team and we
expect our research and development costs will increase in 2022,
relative to 2021, as a result of significant expenses related to
the PRECISION 1 trial which was open to enrollment during the nine
months ended September 30, 2022, with the first patient dosed
in March 2022.
•As
a public company our expenses have increased from prior year as a
privately held company, including (i) costs to comply with the
rules and regulations of the SEC and those of the Nasdaq Capital
Market (“Nasdaq”), (ii) legal, accounting and other professional
services, (iii) insurance, (iv) investor relations activities, and
(v) other administrative and professional services.
•The
COVID-19 pandemic has resulted, and is likely to continue to result
in, significant national and global economic disruption and may
adversely affect our operations. Our clinical trials have been, and
may continue to be, affected by the closure of offices, lack of
resources or closure of borders, among other measures being put in
place around the world. The inability to travel and conduct
face-to-face meetings, as well as constraints surrounding hospital
infrastructure and staff, can also make it more difficult to enroll
and maintain patients in ongoing or planned clinical trials. We are
actively monitoring the impact of COVID-19 and the possible effects
on our financial condition, liquidity, operations, suppliers,
industry and workforce. However, the full extent, consequences and
duration of the COVID-19 pandemic and the resulting impact on us
cannot currently be predicted. We will continue to evaluate the
impact that these events could have on our operations, financial
position, results of operations and cash flows in fiscal year
2022.
Liquidity and Capital Resources
As of September 30, 2022, we had $183.0 million of cash, cash
equivalents and short-term investments. Based on our current plans,
we believe our existing cash, cash equivalents and short-term
investments will enable us to conduct our planned operations into
2025. We have incurred net losses in each year since inception and
as of September 30, 2022 we had an accumulated deficit of
$189.3 million. These losses have resulted principally from costs
incurred in connection with research and development activities,
selling, general and administrative costs associated with our
operations, and costs associated with the Merger. We expect to
continue to incur significant expenses and operating losses for the
foreseeable future due to the cost of research and development,
including conducting preclinical and clinical trials and
identifying and designing product candidates, the regulatory
approval process for FYARRO outside the United States and in
additional indications and any other product candidates we may
develop in the future and the commercial launch of
FYARRO.
Basis of Presentation
The following discussion highlights our results of operations and
the principal factors that have affected our financial condition as
well as our liquidity and capital resources for the periods
described and provides information that management believes is
relevant for an assessment and understanding of the condensed
consolidated balance sheets and statements of operations and
comprehensive loss presented herein. The following discussion and
analysis are based on our condensed consolidated financial
statements contained in this Quarterly Report, which we have
prepared in accordance with U.S. generally accepted accounting
principles (“GAAP”). You should read the discussion and analysis
together with such condensed consolidated financial statements and
the related notes thereto.
Components of Statements of Operations and Comprehensive
Loss
Revenue
Product Sales, Net
FYARRO was approved by the FDA in November 2021. On February 22,
2022, we launched sales of FYARRO to specialty distributors (“SD”s)
and a specialty pharmacy (“SP”). We recognize product sales when
the SDs and SP obtain control of the product, which occurs upon
delivery. Product sales are recorded at the net sales price, which
includes provisions for the following allowances which are
reflected either as a reduction to the related account receivable
or as an accrued liability, depending on how the allowance is
settled:
•Distribution
Fees:
Distribution fees include distribution service fees paid to the SDs
and SP based on a contractually fixed percentage of the wholesale
acquisition cost (“WAC”). Distribution fees are recorded as an
offset to product sales based on contractual terms at the time the
sale is recognized.
•Rebates:
Allowance for rebates include mandated discounts under the Medicaid
Drug Rebate Program and TRICARE program. Rebates are amounts owed
after the final dispensing of the product to a benefit plan
participant and are based upon contractual agreements or statutory
requirements. The allowance for rebates is based on contracted or
statutory discount rates and expected utilization by benefit plan
participants. Our estimates for expected utilization of rebates are
based on utilization data received from the SDs and SP since
product
launch. Rebates are generally invoiced and paid in arrears so that
the accrual balance consists of an estimate of the amount expected
to be incurred for the current quarter’s activity. If actual future
rebates vary from estimates, we may need to adjust prior period
accruals, which would affect product sales in the period of
adjustment.
•Chargebacks:
Chargebacks are discounts and fees that relate to contracts with
government and other entities purchasing from the SDs and SP at a
discounted price. The SDs and SP charge back to us the difference
between the price initially paid by the SDs and SP and the
discounted price paid to the SDs and SP by these entities. If
actual future chargebacks vary from these estimates, we may need to
adjust prior period accruals, which would affect product sales in
the period of adjustment.
•Co-Payment
Assistance:
We offer co-payment assistance to commercially insured patients
meeting certain eligibility requirement. Co-payment assistance is
accrued at the time of product sale to the SDs and SP based on
estimated patient participation and average co-pay benefit to be
paid per a claim. Our estimated amounts are compared to actual
program participation and co-pay amounts paid using data provided
by third-party administrators. If actual amounts differ from the
original estimates the assumptions being applied are updated and
adjustment for prior period accruals will be adjusted in the
current period.
•Product
Returns:
Consistent with industry practice, we offer the SDs and SP limited
product return rights for damages, shipment errors, and expiring
product, provided that the return is within a specified period
around the product expiration date as set forth in the applicable
individual distribution agreement. We do not allow product returns
for product that has been dispensed to a patient. As we receive
inventory reports from the SDs and SP and have the ability to
control the amount of product that is sold to the SDs and SP, we
estimate future potential product returns based on the this on-hand
channel inventory data and sell-through data obtained from the SDs
and SP. In arriving at its estimate, we also consider historical
product returns, the underlying product demand, and industry data
specific to the specialty pharmaceutical distribution
industry.
Grant Revenue
Grant revenue is derived from federal grants, primarily with the
FDA. We have determined that the government agencies providing
grants to us are not customers. Grant revenue is recognized when
there is reasonable assurance of compliance with the conditions of
the grant and reasonable assurance that the grant revenue will be
received. We recognize grant revenue as reimbursable grant costs
are incurred. The costs associated with these reimbursements are
reflected as a component of research and development expense in the
accompanying statements of operations and comprehensive
loss.
With respect to grant revenue derived from reimbursement of direct
out-of-pocket expenses for research costs associated with federal
contracts, where we act as principal with discretion to choose
suppliers, bear credit risk and perform part of the services
required in the transaction, we record revenue for the gross amount
of the reimbursement. The costs associated with these
reimbursements are reflected as a component of research and
development expense in the accompanying statements of operations
and comprehensive loss.
Operating Expenses
Selling, General and Administrative Expenses
Selling, general and administrative expenses consist primarily of
salaries and related benefits, including stock-based compensation,
related to our executive, finance, business development, sales and
marketing, and other corporate functions. Other general and
administrative expenses include professional fees for legal,
auditing, tax and business consulting services, insurance costs,
intellectual property and patent costs, facility costs and travel
costs. We expect that selling, general and administrative expenses
will increase in the future as we expand our operating
activities.
Additionally, we have incurred, and expect to continue to incur,
significant additional expenses associated with being a public
company that we did not incur as a privately held company,
including (i) costs to comply with the rules and regulations of the
SEC and those of Nasdaq, (ii) legal, accounting and other
professional services, (iii) insurance, (iv) investor relations
activities and (v) other administrative and professional
services.
Research and Development Expenses
Research and development expenses, which consist primarily of costs
associated with our product research and development efforts, are
expensed as incurred. Research and development expenses consist
primarily of: (i) employee related costs, including salaries,
benefits and stock-based compensation expense for employees engaged
in scientific research and development functions; (ii) third-party
contract costs relating to research, formulation, manufacturing,
nonclinical studies and clinical trial activities; (iii) external
costs of outside consultants who assist with technology
development, regulatory affairs, clinical development and quality
assurance; (iv) payments made under our third-party licensing
agreements; and (v) allocated facility-related costs.
Costs for certain activities, such as manufacturing, nonclinical
studies and clinical trials are generally recognized based on the
evaluation of the progress of completion of specific tasks using
information and data provided by our vendors and collaborators.
Research and development activities are central to our business. We
expect to increase our investment in research and development in
order to advance FYARRO in additional indications through clinical
trials. As a result, we expect that our research and development
expenses will increase substantially in the foreseeable future as
we continue to invest in research and development activities,
pursue clinical development of FYARRO in additional indications and
any other product candidates we may develop in the future and
expand our product candidate pipeline.
The process of commercialization and conducting the necessary
preclinical and clinical research to obtain regulatory approval is
costly and time-consuming. Product candidates in later stages of
clinical development generally have higher development costs than
those in earlier stages of clinical development, primarily due to
the increased size and duration of later-stage clinical trials.
Accordingly, to the extent that our product candidates continue to
advance into clinical trials, including larger and later-stage
clinical trials, our expenses will increase substantially and may
become more variable.
Impairment of Acquired Contract Intangible Asset
Impairment of acquired contract intangible asset relates to a write
down of the acquired contract intangible asset to fair
value.
During the nine months ended September 30, 2022, we recognized
an impairment of $3.7 million to fully impair the contract
intangible asset based on Gossamer's termination of the Gossamer
License Agreement as a result of Gossamer not meeting its primary
or secondary endpoint in the UC-SHIFT clinical trial.
Cost of Goods Sold
Cost of goods sold consist primarily of royalties paid to Celgene,
costs incurred on sales of FYARRO and costs to manufacture and
prepare the product for sales subsequent to the FDA approval in
November 2021. Costs incurred prior to the FDA approval were
expensed when incurred.
Other Income, Net
Other income, net consists of the change in fair value of
convertible promissory notes and interest expense related to such
notes. These expenses are partially offset by interest income
earned on cash and cash equivalents and gain on extinguishment of
debt.
Income Tax Expense
During the three and nine months ended September 30, 2022, we
recognized zero and $9,000 of income tax expense on the statement
of operations, respectively. During the three and nine months ended
September 30, 2021, we recognized zero and $2,000 of income
tax expense on the statement of operations, respectively. Since our
formation in 2011, we have not recorded any U.S. federal or state
income tax benefits for the net losses we have incurred in each
year or our earned tax credits, due to our uncertainty of realizing
a benefit from those items.
Results of Operations:
The following table presents the results of operations for the
periods indicated (amounts in thousands):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended September 30, |
|
Nine Months Ended September 30, |
|
2022 |
|
2021 |
|
2022 |
|
2021 |
Revenue |
|
|
|
|
|
|
|
Product sales, net |
$ |
4,245 |
|
|
$ |
— |
|
|
$ |
9,989 |
|
|
$ |
— |
|
Grant revenue |
— |
|
|
— |
|
|
— |
|
|
120 |
|
Total revenue |
4,245 |
|
|
— |
|
|
9,989 |
|
|
120 |
|
Operating expenses |
|
|
|
|
|
|
|
Selling, general and administrative |
9,915 |
|
|
7,401 |
|
|
29,069 |
|
|
8,793 |
|
Research and development |
8,773 |
|
|
5,754 |
|
|
23,292 |
|
|
12,443 |
|
Cost of goods sold |
593 |
|
|
— |
|
|
1,113 |
|
|
— |
|
Impairment of acquired contract intangible asset |
— |
|
|
74,156 |
|
|
3,724 |
|
|
74,156 |
|
Total operating expenses |
19,281 |
|
|
87,311 |
|
|
57,198 |
|
|
95,392 |
|
Loss from operations |
(15,036) |
|
|
(87,311) |
|
|
(47,209) |
|
|
(95,272) |
|
Other income, net |
562 |
|
|
223 |
|
|
618 |
|
|
1,174 |
|
Loss before income tax expense |
(14,474) |
|
|
(87,088) |
|
|
(46,591) |
|
|
(94,098) |
|
Income tax expense |
— |
|
|
— |
|
|
(9) |
|
|
(2) |
|
Net loss |
$ |
(14,474) |
|
|
$ |
(87,088) |
|
|
$ |
(46,600) |
|
|
$ |
(94,100) |
|
Comparison of the Three and Nine Months Ended September 30,
2022 and 2021
Product Sales, Net
Our product sales, net consist of sales of FYARRO since its launch
in the United States on February 22, 2022. Product sales, net for
the three and nine months ended September 30, 2022 were $4.2
million and $10.0 million, respectively. There were no product
sales for the three and nine months ended September 30,
2021.
Grant Revenue
Grant revenue amounts can vary from period to period depending on
the funding and work performed.
Grant revenue decreased by $0.1 million for the nine months ended
September 30, 2022, compared to the same period in
2021,
primarily due to a decrease in the eligible expenses for grant
reimbursement incurred during the 2022 period compared to 2021. The
period for eligible grant reimbursement with the FDA ended during
the
nine
months ended
September 30, 2021.
There were no new grants during the nine months ended
September 30, 2022.
Operating Expenses
Selling, General and Administrative Expenses
Selling, general and administrative expenses for the three months
ended September 30, 2022, were $9.9 million, an increase of
$2.5 million, compared to $7.4 million for the three months ended
September 30, 2021. The increase was driven by $2.4 million of
personnel expenses related to increased headcount, incentive
bonuses and share-based compensation and $0.7 million of legal,
insurance and other related expenses, offset by a decrease of $0.6
million of consulting expenses.
Selling, general and administrative expenses for the nine months
ended September 30, 2022, were $29.1 million, an increase of
$20.3 million, compared to $8.8 million for the nine months ended
September 30, 2021. The increase was driven by $9.3 million of
personnel expenses related to increased headcount, incentive
bonuses and share-based compensation, $5.2 million of legal,
insurance and other related expenses, $3.2 million of commercial
and marketing expenses, and $2.6 million of consulting
expenses.
Research and Development Expenses
The following table presents our research and development expenses
for the periods indicated (amounts in thousands):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended September 30, |
|
Nine Months Ended September 30, |
|
2022 |
|
2021 |
|
2022 |
|
2021 |
Personnel expenses |
$ |
4,800 |
|
|
$ |
885 |
|
|
$ |
12,925 |
|
|
$ |
2,084 |
|
Consultants |
829 |
|
|
827 |
|
|
3,362 |
|
|
1,341 |
|
External clinical development |
2,529 |
|
|
1,545 |
|
|
5,425 |
|
|
3,927 |
|
Clinical drug product manufacturing |
285 |
|
|
2,455 |
|
|
796 |
|
|
4,967 |
|
Other expenses |
330 |
|
|
42 |
|
|
784 |
|
|
124 |
|
Total research and development expenses |
$ |
8,773 |
|
|
$ |
5,754 |
|
|
$ |
23,292 |
|
|
$ |
12,443 |
|
Research and development expenses for the three months ended
September 30, 2022, were $8.8 million, an increase of
$3.0 million, compared to $5.8 million for the three
months ended September 30, 2021. The increase was primarily
driven by a $4.1 million increase in headcount, consultants, and
other expenses, and $1.0 million of clinical development expenses
related to the PRECISION 1 trial, offset by a decrease of clinical
drug product manufacturing of $2.1 million.
Research and development expenses for the nine months ended
September 30, 2022, were $23.3 million, an increase of
$10.9 million, compared to $12.4 million for the nine
months ended September 30, 2021. The increase was primarily
driven by $13.5 million in personnel, consulting and other expenses
and $1.5 million of clinical development expenses related to the
PRECISION 1 trial, offset by a decrease of clinical drug product
manufacturing of $4.1 million.
Cost of Goods Sold
Cost of goods sold was $0.6 million and $1.1 million reflecting
primarily royalties incurred on product sold during the
three and nine months ended September 30, 2022, respectively.
There were no cost of goods sold during the
three and nine months ended September 30,
2021.
Impairment of Acquired Contract Intangible Asset
During the three and nine months ended September 30, 2022, we
recorded zero and a $3.7 million impairment charge to reduce the
carrying value of the intangible asset to its fair value of zero,
based on a formal notice of termination we received on April 25,
2022 from Gossamer for the Gossamer License Agreement. The Gossamer
License Agreement terminated effective July 24, 2022.
During the three and nine months ended September 30, 2021, we
recorded a $74.2 million impairment charge to reduce the carrying
value of the intangible asset to its fair value to $3.9 million at
the Effective Time, as a result of the excess fair value ascribed
to the acquired contract intangible asset related to the
Merger.
Other Income, Net
Other income, net for the
three months ended September 30, 2022
was $0.6 million, compared to $0.2 million for the
three months ended September 30, 2021.
The change was primarily driven by an increase in interest income
during the three months ended
September 30, 2022 compared to
non-cash expense related to the change in fair value of the
convertible promissory notes during the three months ended
September 30, 2021.
Other income, net for the
nine months ended September 30, 2022
was $0.6 million, compared to $1.2 million, for the
nine months ended September 30, 2021.
The change was primarily driven by the non-cash expense related to
the change in fair value of the convertible promissory notes during
the three months ended
September 30, 2021 compared to interest expense
during the three months ended
September 30, 2022.
Liquidity and Capital Resources
Overview
As of September 30, 2022 we had $183.0 million of cash, cash
equivalents and short-term investments. Based on our current plans,
we believe our existing cash, cash equivalents and short-term
investments will enable us to conduct our planned operations into
2025.
We have incurred net losses in each year since inception and as of
September 30, 2022, we had an accumulated deficit of $189.3
million. Our net losses were $14.5 million and $87.1 million for
the three months ended September 30, 2022 and 2021,
respectively, and $46.6 million and $94.1 million for the nine
months ended September 30, 2022 and 2021,
respectively. These losses have resulted principally from costs
incurred in connection with research and development activities,
selling, general and administrative costs associated with our
operations, and costs associated with the Merger. We expect to
continue to incur significant expenses and operating losses for the
foreseeable future due to the cost of research and development,
including conducting preclinical studies and clinical trials,
identifying and designing product candidates, the regulatory
approval process for FYARRO outside the United States and in
additional indications and any other product candidates we may
develop in the future, and the commercial launch of FYARRO. We
expect our expenses, and the potential for losses, to increase
substantially as we conduct clinical trials of FYARRO in additional
indications and seek to expand our pipeline.
From inception through September 30, 2022, we received funding
of $25.4 million from our initial seed financing and the sale of
Series A convertible preferred stock, $9.1 million from the
issuance of convertible promissory notes, $145.4 million, net from
the PIPE Financing in connection with the Merger, $29.7 million of
cash assumed in the Merger, and $72.2 million, net cash proceeds
from the Private Placement Financing.
On March 17, 2022, we entered into a Sales Agreement (the “Sales
Agreement”) with Cowen and Company, LLC (“Cowen”), with respect to
an “at the market offering” pursuant to which we may offer and
sell, from time to time at our sole discretion, shares of our
common stock having aggregate gross proceeds of up to $75.0 million
through Cowen as our sales agent. Under the Sales Agreement, we
will set the parameters for the sale of shares, including the
number of shares to be issued, the time period during which sales
are requested to be made, limitations on the number or dollar value
of shares that may be sold in any one trading day and any minimum
price below which sales may not be made. We will pay Cowen 3.0% of
the aggregate gross proceeds from each sale of shares of common
stock under the Sales Agreement. As of September 30, 2022, no
shares of common stock had been sold under the Sales
Agreement.
The shares of our common stock to be offered and sold under the
Sales Agreement will be issued and sold pursuant to our shelf
registration statement on the Form S-3 (File No. 333-255129), which
was filed with the SEC on April 8, 2021, and which became effective
on April 15, 2021. We filed a prospectus supplement with the SEC on
March 21, 2022 in connection with the offer and sale of the shares
pursuant to the Sales Agreement.
The shelf registration statement allows us to sell from time to
time up to $150.0 million of common stock, preferred stock, debt
securities, warrants, or units comprised of any combination of
these securities, for our own account in one or more offerings. The
shelf registration statement is intended to provide us flexibility
to conduct registered sales of our securities, subject to market
conditions and our future capital needs. The terms of any offering
under the shelf registration statement will be established at the
time of such offering and will be described in a prospectus
supplement filed with the SEC prior to the completion of any such
offering.
On September 22, 2022, the Company entered into the Purchase
Agreement for the Private Placement Financing with the Private
Placement Investors for the sale by the Company of 3,373,526 shares
of the Company’s common stock for a price of $12.50 per share and
Pre-Funded Warrants to purchase an aggregate of 2,426,493 shares of
the Company's common stock, at a purchase price of $12.4999 per
Pre-Funded Warrant. The Pre-Funded Warrants are exercisable at an
exercise price of $0.0001 and will be exercisable until exercised
in full.
The Private Placement Financing closed on September 26, 2022.
Aggregated net proceeds, after deducting certain expenses incurred
of $0.3 million related to the issuance of the shares were $72.2
million.
The following table presents our cash flows for the periods
indicated (amounts in thousands):
|
|
|
|
|
|
|
|
|
|
|
|
|
Nine Months Ended September 30, |
|
2022 |
|
2021 |
Net cash used in operating activities |
$ |
(38,330) |
|
|
$ |
(9,995) |
|
Net cash (used in) provided by investing activities |
(48,507) |
|
|
25,199 |
|
Net cash provided by financing activities |
72,727 |
|
|
141,716 |
|
Net (decrease) increase in cash, cash equivalents and restricted
cash |
$ |
(14,110) |
|
|
$ |
156,920 |
|
Operating Activities
Our cash used in operating activities primarily results from our
net loss adjusted for non-cash expenses, changes in working capital
components, amounts due to contract research organizations to
conduct our clinical programs and employee-related expenditures for
research and development and general and administrative activities.
Our cash flows from operating activities will continue to be
affected by spending to advance and support FYARRO in additional
indications in the clinic and other operating and general
administrative activities, including operating as a public
company.
For the
nine
months ended September 30, 2022,
cash used in operating activities was $38.3 million and resulted
from (i) our net loss of $46.6 million, and (ii) $2.5 million
net
decrease
in our working capital accounts, primarily driven by an increase in
prepaid expenses, and accounts receivable and inventory related to
the commercial launch of FYARRO in February 2022, and a decrease in
accounts payable and accrued expenses; offset by non-cash
adjustments totaling $10.7 million, which was primarily related to
the impairment of the contract intangible asset, share based
compensation, depreciation and amortization.
For the nine months ended September 30, 2021, cash provided by
operating activities was $10.0 million and resulted from (i) our
net loss of $94.1 million, offset by $73.8 million in non-cash
expenses related primarily to the impairment of the acquired
contract intangible asset of $74.2 million, and (ii) a $10.3
million net increase in our working capital accounts, primarily
driven by the receipt of the $14.0 million upfront payment on
accounts receivable pursuant to the EOC License
Agreement.
Investing Activities
Cash used in investing activities for the nine
months ended September 30, 2022 related to purchases of fixed
assets of $0.4 million and short-term investments of $48.1
million.
Cash provided by investing activities for the nine
months ended September 30, 2021 related to cash acquired in
connection with the Merger of $29.7 million offset by $4.5 million
of transaction related expenses.
Financing Activities
Cash provided by financing activities for the nine
months ended September 30, 2022 related to $72.5 million gross
cash proceeds from our Private Placement Financing, $0.4 million
from exercise of stock options and $0.1 million from exercise of
warrants offset by $0.2 million of deferred financing costs related
to the Sales Agreement.
Cash provided by financing activities for the nine
months ended September 30, 2021 related to $155.0 million
gross cash proceeds from our PIPE Financing and $0.7 million from
exercise of stock options, partially offset by $9.6 million of
issuance costs related to the PIPE Financing, and $4.4 million of
dividends paid to preferred stockholders.
Contractual Obligations and Commitments
In April 2022, we entered into a lease for 10,615 square feet of
office space in Morristown, New Jersey. The term of the lease is
seventy-three months unless terminated sooner.
Rent expense is being recorded on a straight-line basis. Rent
expense related to the Pacific Palisades and Morristown leases was
$0.3 million and $0.1 million for the
nine months ended September 30, 2022 and
2021,
respectively.
In January 2022, we entered into a Negotiated Purchase Order Terms
and Conditions for Clinical and Commercial Product (the “Fresenius
Agreement”) with Fresenius Kabi, LLC (“Fresenius Kabi”), pursuant
to which Fresenius Kabi will manufacture FYARRO for intravenous use
for us. The Fresenius Agreement contains specific activities such
as non-cancellable commitments, minimum purchase commitments, or
binding annual forecasts, and shall be effective through December
31, 2022 or such later date as may be agreed between the parties in
writing.
In August 2021, we entered into an amendment to extend the lease of
our 2,760 square feet of office space in Pacific Palisades,
California. We
exercised an option, under our prior lease agreement, to extend the
term of the lease for an additional three-year period. Included in
the renewal were nine months of rent abatement and a rent
escalation clause.
We also have contracts with various organizations to conduct
research and development activities, including clinical trial
organizations to manage clinical trial activities and manufacturing
companies to manufacture the drug product used in the clinical
trials. The scope of the services under these research and
development contracts can be modified and the contracts cancelled
by us upon written notice. In the event of a cancellation, we would
be liable for the cost and expenses incurred to date as well as any
close out costs of the service arrangement.
Critical Accounting Policies and Estimates
Our condensed consolidated financial statements are prepared in
accordance with U.S. generally accepted accounting principles
(“GAAP”). These accounting principles require us to make certain
estimates, judgments and assumptions that affect the reported
amounts of assets and liabilities as of the date of the financial
statements, as well as the reported amounts of revenues and
expenses during the periods presented. We believe that the
estimates, judgments and assumptions are reasonable based upon
information available to us at the time that these estimates,
judgments and assumptions are made. To the extent there are
material differences between these estimates, judgments or
assumptions and actual results, our financial statements will be
affected. Historically, revisions to our estimates have not
resulted in a material change to our financial
statements.
For a discussion of our critical accounting estimates, please read
Part II, Item 7.
Management’s Discussion and Analysis of Financial Condition and
Results of Operations
in our Annual Report on Form 10-K for the year ended
December 31, 2021 filed with the SEC on March 17, 2022. There
have been no material changes to the critical accounting estimates
previously disclosed in such report other than those discussed
below.
Revenue Recognition – Product Sales
We account for revenue when our customer obtains control of
promised goods or services, in an amount that reflects the
consideration which the entity expects to receive in exchange for
those goods or services. To determine revenue recognition for
arrangements that we determine are within the scope of Accounting
Standards Codification (“ASC”) Topic 606, Revenue from Contracts
with Customer (“Topic 606”), we perform the following five steps:
(i) identify the contract(s) with a customer; (ii) identify the
performance obligations in the contract; (iii) determine the
transaction price; (iv) allocate the transaction price to the
performance obligations in the contract; and (v) recognize revenue
when (or as) we satisfy a performance obligation. We only apply the
five-step model to contracts when it is probable that we will
collect the consideration we are entitled to in exchange for the
goods or services we transfer to the customer. At contract
inception, once the contract is determined to be within the scope
of Topic 606, we assess the goods or services promised within each
contract and determine those that are performance obligations and
assess whether each promised good or service is distinct. We then
recognize as revenue the amount of the transaction price that is
allocated to the respective performance obligation when (or as) the
performance obligation is satisfied.
Product sales are recorded at the net sales price, which includes
provisions for the following allowances which are reflected either
as a reduction to the related account receivable or as an accrued
liability, depending on how the allowance is settled:
Distribution Fees:
Distribution fees include distribution service fees paid to the
specialty distributors (“SDs”) and a specialty pharmacy (“SP”) and
based on a contractually fixed percentage of the wholesale
acquisition cost (“WAC”). Distribution fees are recorded as an
offset to product sales based on contractual terms at the time
revenue from the sale is recognized.
Rebates:
Allowance for rebates includes mandated discounts under the
Medicaid Drug Rebate Program and TRICARE program. Rebates are
amounts owed after the final dispensing of the product to a benefit
plan participant and are based upon contractual agreements or
statutory requirements. The allowance for rebates is based on
contracted or statutory discount rates and expected utilization by
benefit plan participants. We estimate for expected utilization of
rebates are based on utilization data received from the SDs and SP
since product launch. Rebates are generally invoiced and paid in
arrears so that the accrual balance consists of an estimate of the
amount expected to be incurred for the current quarter’s activity.
If actual future rebates vary from estimates, we may need to adjust
prior period accruals, which would affect product sales in the
period of adjustment.
Chargebacks:
Chargebacks are discounts and fees that relate to contracts with
government and other entities purchasing from the SDs and SP at a
discounted price. The SDs and SP charge back to us the difference
between the price initially paid by the SDs and SP and the
discounted price paid to the SDs and SP by these entities. If
actual future chargebacks vary from these estimates, we may need to
adjust prior period accruals, which would affect product sales in
the period of adjustment.
Co-Payment Assistance:
We offer co-payment assistance to commercially insured patients
meeting certain eligibility requirement. Co-payment assistance is
accrued at the time of product sale to the SDs and SP based on
estimated patient participation and average co-pay benefit to be
paid per a claim. Our estimated amounts are compared to actual
program participation and co-pay amounts paid using data provided
by third-party administrators. If actual amounts differ from the
original estimates the assumptions being applied are updated and
adjustment for prior period accruals will be adjusted in the
current period.
Product Returns:
Consistent with industry practice, we offer the SDs and SP limited
product return rights for damages, shipment errors, and expiring
product, provided that the return is within a specified period
around the product expiration date as set forth in the applicable
individual distribution agreement. We do not allow product returns
for product that has been dispensed to a patient. As we receive
inventory reports from the SDs and SP and have the ability to
control the amount of product that is sold to the SDs and SP our
estimate of future potential product returns is based on the
on-hand channel inventory data and sell-through data obtained from
the SDs and SP. In arriving at its estimate, we also consider
historical product returns, the underlying product demand, and
industry data specific to the specialty pharmaceutical distribution
industry.
With the recent launch of FYARRO, it will take some time to
accumulate historical actual amounts for the allowances described
above. Until then, we are currently accruing for estimated
allowances based on historical information for similar marketed IV
oncology products.
The total amount deducted from gross product sales for the
allowances described above for the three and nine months ended
September 30, 2022 was $0.8 million and $1.8 million,
respectively.
Item 3. Quantitative and Qualitative Disclosures About Market
Risk.
We are a smaller reporting company, as defined by Rule 12b-2 of the
Exchange Act and are not required to provide information under this
Item.
Item 4. Controls and Procedures.
Management’s Evaluation of our Disclosure Controls and
Procedures
Under the supervision of and with the participation of our
management, including our principal executive officer and our
principal financial officer, we conducted an evaluation of the
effectiveness of our disclosure controls and procedures as of
September 30, 2022, the end of the period covered by this
Quarterly Report. The term “disclosure controls and procedures,” as
set forth in Rules 13a-15(e) and 15d-15(e) under the Exchange Act
means controls and other procedures of a company that are designed
to provide reasonable assurance that information required to be
disclosed by a company in the reports that it files or submits
under the Exchange Act is recorded, processed, summarized and
reported, within the time periods specified in the rules and forms
promulgated by the SEC. Disclosure controls and procedures include,
without limitation, controls and procedures designed to ensure that
information required to be disclosed by a company in the reports
that it files or submits under the Exchange Act is accumulated and
communicated to the company’s management, including its principal
executive and principal financial officers, as appropriate to allow
timely decisions regarding required disclosure.
In designing and evaluating our disclosure controls and procedures,
management recognizes that disclosure controls and procedures, no
matter how well conceived and operated, can provide only
reasonable, not absolute, assurance that the objectives of the
disclosure controls and procedures are met. Additionally, in
designing disclosure controls and procedures, our management
necessarily was required to apply its judgment in evaluating the
cost-benefit relationship of possible disclosure controls and
procedures. The design of any system of controls also is based in
part upon certain assumptions about the likelihood of future
events, and there can be no assurance that any design will succeed
in achieving its stated goals under all potential future
conditions; over time, controls may become inadequate because of
changes in conditions, or the degree of compliance with policies or
procedures may deteriorate.
Based on this evaluation, our principal executive officer and
principal financial officer concluded that our disclosure controls
and procedures were effective at the reasonable assurance level as
of September 30, 2022.
Changes in Internal Control over Financial Reporting
During the quarter ended September 30, 2022, we implemented a
new Enterprise Resource Planning (“ERP”) system for financial
reporting. This was the only change in our internal controls
identified in management’s evaluation pursuant to Rules 13a-15(d)
or 15d-15(d) of the Exchange Act that materially affected, or are
reasonably likely to materially affect, our internal control over
financial reporting.
Limitations on the Effectiveness of Controls
Control systems, no matter how well conceived and operated, are
designed to provide a reasonable, but not an absolute, level of
assurance that the objectives of the control system are met.
Further, the design of a control system must reflect the fact that
there are resource constraints, and the benefits of controls must
be considered relative to their costs. Because of the inherent
limitations in all control systems, no evaluation of controls can
provide absolute assurance that all control issues and instances of
fraud, if any, have been detected. Because of the inherent
limitations in any control system, misstatements due to error or
fraud may occur and not be detected.
PART II—OTHER INFORMATION
Item 1. Legal Proceedings
For discussion of legal proceedings, see Item 1 of Part 1,
“Condensed Consolidated Financial Statements - Note 15” in this
Quarterly Report.
Item 1A. Risk Factors
Investing in our common stock involves significant risks, some of
which are described below. In evaluating our business, investors
should carefully consider the following risk factors. These risks
and uncertainties summarized above and described below are not
intended to be exhaustive and are not the only ones we face.
Additional risks and uncertainties not presently known to us or
that we presently deem immaterial may also impair our business
operations. If any of the following risks actually occur, our
business, financial condition, results of operations and future
growth prospects could be materially and adversely
affected.
Risk Factors Summary
Our business is subject to numerous risks and uncertainties that
you should be aware of in evaluating our business, including those
described in Part II, Item 1A. “Risk Factors” in this Quarterly
Report on Form 10-Q. These risks include, but are not limited to,
the following:
•We
are an early commercial stage biopharmaceutical company, have a
limited operating history, have not initiated or completed any
large-scale clinical trials, and have a single product approved for
commercial sale, which may make it difficult for you to evaluate
our current business and likelihood of success and
viability.
•We
have incurred significant net losses since our inception, and we
expect to continue to incur significant net losses for the
foreseeable future.
•Our
ability to generate revenue and achieve profitability depends
significantly on our ability to achieve several objectives relating
to the discovery, development and commercialization of FYARRO and
any future product candidates.
•Even
following approval and commercialization of FYARRO for the advanced
malignant PEComa indication and the Private Placement Financing, we
will require additional capital to finance our operations. If we
are unable to raise such capital when needed, or on acceptable
terms, we may be forced to delay, reduce and/or eliminate one or
more of our research and drug development programs or future
commercialization efforts.
•We
are substantially dependent on the success of our lead product
candidate, FYARRO. If we are unable to successfully commercialize
FYARRO for the advanced malignant PEComa indication or complete
development of, obtain approval for and commercialize FYARRO for
one or more other indications in a timely manner, our business will
be harmed.
•We
are dependent on a single-source supplier for the drug product
FYARRO, and the loss of such supplier could harm our
business.
•If
we cannot replicate the results from our earlier preclinical
studies and clinical trials of our product candidates in our later
preclinical studies and clinical trials, we may be unable to
successfully develop, obtain regulatory approval for and
commercialize our product candidates.
•If
we experience delays or difficulties in the enrollment and/or
maintenance of patients in clinical trials, our regulatory
submissions or receipt of necessary regulatory approvals could be
delayed or prevented.
•We
have limited resources and are currently focusing our efforts on
developing and commercializing FYARRO for particular indications.
As a result, we may fail to capitalize on other indications or
product candidates that may ultimately prove to be more profitable
or to have a greater likelihood of success.
•We
face significant competition, and if our competitors develop and
market technologies or products more rapidly than we do or achieve
regulatory approval before we do or that are more effective, safer
or less expensive than the products we develop, our commercial
opportunities will be negatively impacted.
•The
market opportunities for FYARRO and any other product candidates we
may develop in the future, if approved, may be limited to certain
smaller patient subsets.
•We
may be unable to obtain United States approval for FYARRO for
additional indications or other product candidates that we may
develop in the future or foreign regulatory approval for FYARRO or
other product
candidates that we may develop in the future and, as a result, may
be unable to commercialize FYARRO or any future product candidates
and our business will be substantially harmed.
•FYARRO
is, and any other product candidate we may develop in the future
for which we obtain marketing approval for could be, subject to
post-marketing restrictions or recall or withdrawal from the
market, and we may be subject to penalties if we or our
collaborators fail to comply with regulatory requirements or if we
or our collaborators experience unanticipated problems with FYARRO,
or any other product candidate we may develop in the future when
and if any of them are approved.
•Our
success is highly dependent on our ability to attract and retain
highly skilled executive officers, key scientific personnel and
employees. If we fail to attract and retain such personnel, we may
be unable to continue to successfully develop or commercialize our
product or any future product candidates or otherwise implement our
business plan.
•If
we are unable to establish or appropriately scale up our sales or
marketing capabilities or enter into agreements with third parties
to sell or market our product candidates, we may not be able to
successfully sell or market our product or any future product
candidates that obtain regulatory approval.
•Our
success depends on our ability to protect our intellectual property
and our proprietary technologies.
•If
we do not obtain patent term extension for our product or any
future product candidates, our business may be materially
harmed.
•If
any of our third-party manufacturers encounter difficulties in
production, our ability to provide adequate supply of FYARRO for
patients or for clinical trials or any other product candidate that
we may develop in the future, if approved, could be delayed or
prevented.
•We
depend on intellectual property licensed from third parties and
termination of any of these licenses could result in the loss of
significant rights, which would harm our business.
•We
contract with qualified third parties for the production of FYARRO
for commercialization and expect to continue to do so for
additional clinical trials. This reliance on third parties, some of
which are sole source suppliers, increases the risk that we will
not have sufficient quality and quantities of FYARRO or such
quantities at an acceptable cost, which could delay, prevent or
impair our development or commercialization efforts.
•We
rely, and expect to continue to rely, on third parties to conduct
our preclinical studies and clinical trials and those third parties
may not perform satisfactorily.
•Litigation
and legal proceedings, including the EOC dispute, may substantially
increase our costs and harm our business.
Risks Related to Our Business, Financial Condition and Capital
Requirements
We are an early commercial-stage biopharmaceutical company, have a
limited operating history and have a single product approved for
commercial sale, which may make it difficult for you to evaluate
our current business and likelihood of success and
viability.
We are an early commercial-stage biopharmaceutical company with a
limited operating history upon which you can evaluate our business
and prospects. We have a single product, FYARRO, approved for
commercial sale by the FDA in November 2021 and we have generated
net product sales of $4.2 million and $10.0 million for the three
and nine months ended September 30, 2022, respectively. We
continue to incur significant research and development and other
expenses related to our ongoing operations. We have not yet
demonstrated an ability to overcome many of the risks and
uncertainties frequently encountered by companies in new and
rapidly evolving fields, particularly in the biopharmaceutical
area. Consequently, any predictions about our future performance
may not be as accurate as they would be if we had a history of
successfully developing and commercializing biopharmaceutical
products.
To date, we have devoted substantially all of our resources to
research and development activities, business planning,
establishing and maintaining our intellectual property portfolio,
preparing for commercialization of FYARRO, hiring personnel,
raising capital and providing general and administrative support
for these operations. Our Phase 2 registrational study of our
drug
FYARRO
(nab-sirolimus)
(the “AMPECT trial”) for advanced (metastatic or locally advanced)
malignant perivascular epithelioid cell tumors (“PEComa”) has been
completed. A rolling New Drug Application (an “NDA”) submission
for
FYARRO
was completed in May 2021, and the U.S. Food and Drug
Administration (the “FDA”) accepted our NDA in July 2021 and
approved FYARRO for the treatment of advanced malignant PEComa in
November 2021. Based on the AMPECT trial and emerging data
for
FYARRO
in other solid tumors with tumor-agnostic Tuberous
Sclerosis Complex 1 and 2 (“TSC1
& TSC2”)
alterations, and following discussions with the FDA, we opened
enrollment for our tumor-agnostic registration-directed Phase 2
trial (“PRECISION 1”) in malignant solid tumors harboring
TSC1
&
TSC2
inactivating alterations in the first quarter of 2022. Our other
programs are in early preclinical research stages.
We have limited experience managing the manufacture of
commercial-scale product through a third party and conducting the
sales and marketing activities necessary for successful product
commercialization. As a result, it may be more difficult for you to
accurately predict our likelihood of success and viability than it
could be if we had a longer operating history.
In addition, we may encounter unforeseen expenses, difficulties,
complications, delays and other known and unknown factors and risks
frequently experienced by early commercial-stage biopharmaceutical
companies in rapidly evolving fields. We also are transitioning to
a company capable of supporting commercial activities. We have not
yet demonstrated an ability to successfully overcome such risks and
difficulties, or to make such a transition. If we do not adequately
address these risks and difficulties or successfully make such a
transition, our business will suffer.
We have incurred significant net losses since our inception, and we
expect to continue to incur significant net losses for the
foreseeable future.
We have incurred significant net losses since our inception, have
only recently begun to generate revenue from product sales and have
financed our operations principally through private placements of
our convertible preferred stock, federal grants and proceeds from
licenses. Our net losses were $14.5 million and $87.1 million for
the three months ended September 30, 2022 and 2021,
respectively. We had an accumulated deficit of $189.3 million as of
September 30, 2022, and $142.7 million as of December 31,
2021. These losses have resulted primarily from costs incurred in
connection with research and development activities, costs incurred
in connection with commercializing FYARRO and general and
administrative costs associated with our operations. We have only
one product approved for commercial sale which generated net
product sales of $4.2 million for the three months ended
September 30, 2022, and we continue to incur significant
selling, general and administrative expenses as well as research
and development expenses related to our ongoing operations. As a
result, we expect to continue to incur significant operating
expenses for the foreseeable future due to the cost of
commercializing FYARRO, research and development, including
identifying and designing additional product candidates and
conducting preclinical studies and clinical trials, and the
regulatory approval process for FYARRO and any future product
candidates. We expect our expenses, and the potential for losses,
to increase substantially as we commercialize FYARRO, continue to
conduct clinical trials of FYARRO and seek to expand our pipeline.
The amount of our future expenses and potential losses is
uncertain.
Even if we succeed in commercializing FYARRO for its
approved
advanced malignant
PEComa indication, and if we succeed in receiving regulatory
approval for and commercializing FYARRO in additional indications
and any future product candidates, we expect to continue to incur
significant expenses and increasing operating losses over the next
several years and for the foreseeable future. The net losses we
incur may fluctuate significantly from quarter to quarter such that
a period-to-period comparison of our results of operations may not
be a good indication of our future performance. The size of our
future net losses will depend, in part, on the rate of future
growth of our expenses and our ability to generate revenue. Our
prior losses and expected future losses have had, and will continue
to have, an adverse effect on our working capital, our ability to
fund the commercialization of FYARRO, the development of FYARRO for
additional indications and any future product candidates, our
ability to achieve and maintain profitability and the performance
of our stock.
Our ability to generate revenue and achieve profitability depends
significantly on our ability to achieve several objectives relating
to the discovery, development and commercialization of our product
candidates.
We have one product approved for commercialization in the United
States, FYARRO, for the treatment of advanced malignant PEComa,
which was approved by the FDA in November 2021 and launched
commercially in the United States in February 2022. Our ability to
generate substantial product sales sufficient to achieve
profitability depends on our ability, alone or with strategic
collaboration partners, to obtain the regulatory and marketing
approvals necessary to commercialize FYARRO in foreign
jurisdictions and to successfully complete discovery, development
and eventual commercialization of additional indications or any
future product candidates. We do not anticipate generating revenue
from product sales significant enough to achieve profitability for
the foreseeable future. Our ability to generate future revenue and
achieve profitability depends significantly on our ability, or any
current or future collaborator’s ability, to achieve several
objectives, including, but not limited to:
•demonstrating
the safety and efficacy of
FYARRO
to the satisfaction of the FDA and obtaining regulatory approval
for
FYARRO for other indications
and for any future product candidates, if any, for which there is a
commercial market;
•launching
and successfully commercializing FYARRO or any product candidates
following any regulatory approval, including the development of a
commercial infrastructure, whether in-house or with one or more
collaborators;
•maintaining
commercially viable supply and manufacturing relationships with
third parties that can provide adequate, in both amount and
quality, products and services to support clinical development and
meet the market demand for FYARRO or any other product candidates
we may develop, if approved;
•completing
development activities, including clinical trials for
FYARRO for
TSC1 & TSC2,
successfully and on a timely basis;
•obtaining
additional regulatory and marketing approvals for FYARRO for
additional indications;
•our
ability to complete investigational new drug application (an “IND”)
enabling studies and successfully submit INDs or IND supplements or
comparable applications, which become effective without any
objections by the FDA or comparable regulatory authorities before
commencing a clinical trial for any future product
candidates;
•establishing
and maintaining relationships with contract research organizations
(“CROs”) and clinical sites for the clinical development of
FYARRO in other indications
and any other future product candidates that we may
develop;
•timely
receipt of regulatory approvals from applicable regulatory
authorities for any product candidates for which we successfully
complete clinical development;
•developing
or contracting for an efficient and scalable manufacturing process
for future product candidates, including obtaining finished
products that are appropriately packaged for sale;
•negotiating
and maintaining an adequate price for our product or any future
product candidates, both in the United States and in foreign
countries where our products are commercialized;
•a
continued acceptable safety profile following any regulatory
approval of product candidates;
•commercial
acceptance of product candidates by patients, the medical community
and third-party payors;
•obtaining
coverage and adequate reimbursement by third-party payors for
product candidates;
•satisfying
any required post-regulatory approval commitments to applicable
regulatory authorities;
•identifying,
assessing and developing new product candidates;
•obtaining,
maintaining and expanding patent protection, trade secret
protection and regulatory exclusivity, both in the United States
and internationally;
•protecting
our rights in our intellectual property portfolio;
•defending
against third-party interference or infringement claims, if
any;
•entering
into and maintaining, on favorable terms, any collaboration,
licensing or other arrangements that may be necessary or desirable
to develop, manufacture or commercialize our product and any future
product candidates;
•addressing
any competing therapies and technological and market developments;
and
•attracting,
hiring and retaining qualified personnel.
We may never be successful in achieving our objectives and, even if
we do, may never generate revenue that is significant or large
enough to achieve profitability. If we do achieve profitability, we
may not be able to sustain or increase profitability on a quarterly
or annual basis. Our failure to become and remain profitable would
decrease our value and could impair our ability to maintain or
further our research and development efforts, raise additional
necessary capital, grow our business or continue our operations and
could cause a decline in the value of our common
stock.
Even after the Private Placement Financing, we will require
additional capital to finance our operations. If we are unable to
raise such capital when needed, or on acceptable terms, we may be
forced to delay, reduce and/or eliminate one or more of our
research and drug development programs or future commercialization
efforts.
Developing pharmaceutical products, including conducting
preclinical studies and clinical trials, is a very time-consuming,
expensive and uncertain process that takes years to complete. Our
operations have consumed substantial amounts of cash since
inception, and we expect our expenses to increase in connection
with our ongoing and planned activities, particularly as we seek
additional regulatory approval of FYARRO for additional
indications, and the commercialization of
FYARRO for its approved indication (PEComa).
Our expenses could increase beyond our current expectations if we
are required by the FDA, the European Medicines Agency (the “EMA”)
or other regulatory agencies to perform clinical trials or
preclinical studies in addition to those that we currently
anticipate, or if there are any delays in any of our clinical
trials or the development of any future product candidates. Other
unanticipated costs may also arise. In addition, even if we obtain
regulatory approval for any of other product candidates, including
additional indications for
FYARRO,
we expect to incur
significant commercialization expenses related to sales, marketing,
manufacturing and distribution activities and ongoing compliance
activities. We cannot reasonably estimate the actual amount of
resources and funding that will be necessary to successfully
commercialize
FYARRO
for the
advanced malignant
PEComa indication or complete the development and, if approved,
commercialize FYARRO for any other additional indications, or any
other product candidates or other indications we may develop. Upon
receiving regulatory approval for FYARRO from the FDA in November
2021, we are only permitted to market or promote
FYARRO for the advanced malignant PEComa
indication,
and not for any other indication, or any other product candidate,
in the United States. In addition, we will incur additional costs
associated with operating as a public company. Accordingly, we will
need to obtain substantial additional funding in order to continue
our operations.
As of September 30, 2022, we had $183.0 million in cash, cash
equivalents and short-term investments. Based on our current
operating plan, we believe that our cash, cash equivalents and
short-term investments will enable us to fund our planned operating
expenses and capital expenditures into 2025. Our estimate as to how
long we expect our cash, cash equivalents and short-term
investments to be able to continue to fund our operations is based
on assumptions that may prove to be wrong, and we could exhaust our
available capital resources sooner than we currently expect.
Changing circumstances, some of which may be beyond our control,
could cause us to consume capital significantly faster than we
currently anticipate, and we may need to seek additional funds
sooner than planned.
We plan to use our cash, cash equivalents and short-term
investments to fund the commercialization of
FYARRO
for the
advanced malignant
PEComa indication, ongoing and planned clinical trials of
FYARRO
for other indications such as the
TSC1 & TSC2
indications, for manufacturing operations and to fund our other
research for other product candidates and development activities,
as well as for working capital and other general corporate
purposes. Advancing the development of
FYARRO
and any future product candidate will require a significant amount
of capital. Our existing cash, cash equivalents and short-term
investments may not be sufficient to fund all of the activities
that are necessary to complete the development of
FYARRO and any future product candidates.
We will be required to obtain further funding to support our
continuing operations through public or private equity offerings,
debt financings, third-party funding, marketing and distribution
arrangements, collaborations with third parties and licensing
arrangements or other sources or a combination of these approaches,
which may dilute our stockholders or restrict our operating
activities. Any additional fundraising efforts may divert our
management from their day-to-day activities, which may adversely
affect our ability to develop and commercialize FYARRO or any other
product candidates we may develop in the future, if approved.
Adequate additional financing may not be available to us in
sufficient amounts or on acceptable terms, or at all. To the extent
that we raise additional capital through the sale of equity or
convertible debt securities, your ownership interest will be
diluted, and the terms may include liquidation or other preferences
that adversely affect your rights as a stockholder and the
possibility of such issuance may cause the market price of our
shares to decline. Debt financing may result in imposition of debt
covenants, increased fixed payment obligations or other
restrictions that may affect the conduct of our business. If we
raise additional funds through up-front payments or milestone
payments pursuant to strategic collaborations with third parties,
we may have to relinquish valuable rights to certain of our
technologies or our product candidates, or grant licenses on terms
that are not favorable to us, which may have a material adverse
effect on our business, operating results and prospects. Our
ability to raise additional funds will depend on financial,
economic and other factors, many of which are beyond our control.
In addition, we may seek additional capital due to favorable market
conditions or strategic considerations even if we believe we have
sufficient funds for our current or future operating
plans.
Our failure to raise capital as and when needed or on acceptable
terms would have a negative impact on our financial condition and
our ability to pursue our business strategy, and we may have to
significantly delay, reduce the scope of, suspend or eliminate one
or more of our research or development programs, clinical trials or
future commercialization efforts.
Risks Related to the Discovery, Development and Commercialization
of Our Product Candidates
We have only one product which has completed development and
obtained regulatory approval by the FDA for a single indication,
FYARRO. We are substantially dependent on the success of
FYARRO.
If we are unable to successfully commercialize
FYARRO for the advanced malignant PEComa indication or complete
development of, obtain approval for and commercialize FYARRO
for one or more other indications in a timely manner, our business
will be harmed.
We have only one commercial product that has launched, completed
development and been approved by the FDA, FYARRO, our lead product.
Our future success is dependent on our ability to successfully
commercialize FYARRO, and to timely and successfully obtain
regulatory approval for additional indications for FYARRO. We are
investing the majority of our efforts and financial resources to
commercialize FYARRO for the
advanced malignant
PEComa indication and in the research and development of
FYARRO
for multiple additional indications.
In May 2021, we completed the filing of a rolling NDA for
FYARRO
to the FDA for approval to treat patients with advanced malignant
PEComa, and the FDA accepted our NDA in July 2021 and approved
FYARRO for advanced malignant PEComa in November 2021. Our NDA was
based on results from our AMPECT trial, involving patients for whom
there were no approved therapies in the United States. In November
2019, we announced top-line results from the AMPECT trial,
including that the study achieved its primary endpoint of objective
response rate (the “ORR”) as determined by blinded independent
central radiologic review using modified Response Evaluation
Criteria in Solid Tumors (“RECIST”).
FYARRO
will require additional clinical development, expansion of
manufacturing capabilities, regulatory approval from foreign
regulatory authorities in jurisdictions outside of the United
States where we plan to market
FYARRO for advanced malignant PEComa and potentially in additional
indications,
if approved, substantial investment and significant marketing
efforts before we can generate any revenues from product sales. We
are not permitted to market or promote
FYARRO for non-PEComa indications,
before we receive regulatory approval from the FDA and comparable
foreign regulatory authorities, and we may never receive such
regulatory approvals.
The success of
FYARRO
will depend on several factors, including the
following:
•the
efficacy and safety of FYARRO in a larger number of patients in a
non-clinical trial setting that those demonstrated in our clinical
trials;
•the
effectiveness of our sales, marketing and distribution efforts,
particularly during the remote, COVID-19 environment;
•the
maintenance of existing or the establishment of new supply
arrangements with third-party drug product suppliers and
manufacturers for sufficient commercial supplies and additional
clinical development of FYARRO;
•the
successful launch of commercial sales, including the development of
a commercial infrastructure, whether in-house or with one or more
collaborators;
•the
timely receipt of regulatory approval for
FYARRO
from applicable foreign regulatory authorities for advanced
malignant PEComa;
•the
successful
completion of any clinical trials, regulatory approval and
commercialization of FYARRO for one or more label expansion
indications;
•the
extent of any required post-regulatory approval commitments to
applicable regulatory authorities;
•the
willingness of medical professionals to prescribe and patients to
use FYARRO and continue to use FYARRO;
•the
availability of coverage and adequate reimbursement and pricing by
private and government payors;
•the
prevalence and severity of adverse side effects;
•the
convenience of prescribing, administrating and initiating patients
on FYARRO;
•the
potential and perceived value and relative cost of
FYARRO;
•the
successful and timely completion of the required preclinical
studies and clinical trials of
FYARRO
for current and future indications;
•INDs
going into effect with the FDA for our planned and future clinical
trials;
•the
initiation and successful patient enrollment and completion of
additional clinical trials of
FYARRO
on a timely basis, including our PRECISION 1 trial, a
registration-directed Phase 2 study of
FYARRO
in patients with tumor-agnostic
TSC1 & TSC2
alterations;
•maintaining
and establishing relationships with CROs and clinical sites for the
development of FYARRO both in the United States and
internationally;
•the
type, frequency and severity of adverse events in clinical
trials;
•demonstrating
efficacy and safety profiles that are satisfactory to the FDA and
any comparable foreign regulatory authority for regulatory approval
obtaining and maintaining patent protection, trade secret
protection and regulatory exclusivity, both in the United States
and internationally;
•a
continued acceptable safety profile following our current and
future regulatory approval; and
•our
ability to compete with other therapies.
In addition to advanced malignant PEComa, based on data from the
completed AMPECT trial and our ongoing expanded access program, we
have initiated a registration-directed tumor-agnostic Phase 2
study, PRECISION 1, of
FYARRO
in
patients with malignant solid tumors harboring
TSC1 & TSC2
alterations. We completed a Type B meeting with the FDA in which we
discussed the initial trial design. The PRECISION 1 trial is now
open for enrollment in the United States and the first patient in
the trial was dosed in March 2022. Our product development costs
could increase if we experience delays. Significant trial delays
also could shorten any periods during which we may have the
exclusive right to commercialize
FYARRO
or allow our competitors to bring products to market before we do,
which would impair our ability to successfully capitalize on
FYARRO
and may harm our business, results of operations and prospects.
Events that may result in a delay or unsuccessful completion of
additional clinical development of FYARRO include, among other
things:
•unexpectedly
high rate of patients withdrawing consent or being lost to
follow-up;
•feedback
from the FDA and foreign regulatory authorities, institutional
review boards (“IRBs”), or a data safety monitoring board, or
results from clinical trials that might require modification to a
clinical trial protocol;
•imposition
of a clinical hold by the FDA or other regulatory authorities, a
decision by the FDA, other regulatory authorities, IRBs or us, or a
recommendation by a data safety monitoring board to suspend or
terminate trials at any time for safety issues or for any other
reason;
•deviations
from the trial protocol by clinical trial sites and investigators
or failure to conduct the trial in accordance with regulatory
requirements;
•failure
of third parties, such as CROs, to satisfy their contractual duties
or meet expected deadlines;
•delays
in the testing, validation, manufacturing and delivery of FYARRO to
customers or the clinical trial sites;
•delays
caused by patients dropping out of a trial due to side effects,
disease progression or other reasons;
•unacceptable
risk-benefit profile or unforeseen safety issues or adverse drug
reactions;
•failure
to demonstrate the efficacy of FYARRO in this clinical
trial;
•changes
in government regulations or administrative actions or lack of
adequate funding to continue the trials; or
•business
interruptions resulting from geo-political actions, including war
and terrorism, such as the Russia-Ukraine conflict, or natural
disasters and public health epidemics, such as the COVID-19
pandemic.
An inability by us to timely complete clinical development could
result in additional costs to us or impair our ability to generate
substantial product sales or development, regulatory,
commercialization and sales milestone payments and royalties on
product sales.
We do not have complete control over many of these factors,
including certain aspects of clinical development and the
regulatory submission process, potential threats to our
intellectual property rights and the manufacturing, marketing,
distribution and sales efforts of our current or any future
collaborators. If we are not successful with respect to one or more
of these factors in a timely manner or at all, we could experience
significant delays or an inability to successfully commercialize
FYARRO for multiple indications, which would materially harm our
business. If we do not receive regulatory approvals for FYARRO in
additional indications or for other product candidates, we may not
be able to continue our operations.
In addition to FYARRO, our prospects depend in part upon
discovering, developing and commercializing additional product
candidates, which may fail in development or suffer delays that
adversely affect their commercial viability.
Our future operating results are dependent on our ability to
successfully discover, develop, obtain regulatory approval for and
commercialize product candidates other than FYARRO. Prior to
initiating clinical trials with product candidates, we will need to
file an IND or similar application to the FDA or regulatory
authorities in other jurisdictions. We may not be able to file
future INDs for product candidates on the timelines we expect. For
example, we may experience manufacturing delays or other delays
with IND-enabling studies. Moreover, we cannot be sure that
submission of an IND will result in the FDA allowing further
clinical trials to begin, or that, once begun, issues will not
arise that result in the suspension or termination of clinical
trials. Additionally, even if such regulatory authorities agree
with the design and implementation of the clinical trials set forth
in an IND, we cannot guarantee that such regulatory authorities
will not change their requirements in the future. These
considerations also apply to new clinical trials we may submit as
amendments to existing INDs or to a new IND. Any failure to file
INDs on the timelines we expect or to obtain regulatory clearance
for our trials may prevent us from developing product candidates on
a timely basis, if at all. A product candidate can unexpectedly
fail at
any stage of preclinical and clinical development. The historical
failure rate for product candidates is high due to risks relating
to safety, efficacy, clinical execution, changing standards of
medical care and other unpredictable variables. The results from
preclinical studies or early clinical trials of a product candidate
may not be predictive of the results that will be obtained in later
stage clinical trials of the product candidate.
The success of other product candidates we may develop will depend
on many factors, including the following:
•generating
sufficient preclinical data to support the initiation of clinical
trials;
•obtaining
regulatory permission to initiate clinical trials;
•contracting
with the necessary parties to conduct preclinical studies and
clinical trials;
•successful
enrollment of patients in, and the completion of, clinical trials
on a timely basis;
•the
timely manufacture of sufficient quantities of a product candidate
for use in clinical trials; and
•generating
sufficient safety and efficacy data to warrant continued
development and which are satisfactory to the FDA or any other
regulatory authority for marketing approval.
Even if we successfully advance any other product candidates into
clinical development, their success will be subject to all of the
clinical, regulatory and commercial risks described elsewhere in
this “Risk Factors” section. Accordingly, we cannot assure you that
we will ever be able to discover, develop, obtain regulatory
approval of, commercialize or generate significant revenue from any
additional product candidates beyond FYARRO for advanced malignant
PEComa.
FYARRO or any other product candidates we may develop in the future
may not achieve adequate market acceptance among physicians,
patients, healthcare payors and others in the medical community
necessary for commercial success, which would limit the revenue
that we generate from our sales.
Even though FYARRO has been approved for advanced malignant PEComa,
and even if any other product candidates that we may develop in the
future receive regulatory approval, such approved product
candidates may not gain adequate market acceptance among
physicians, patients, third-party payors and others in the medical
community. The degree of market acceptance of any of our approved
product candidates will depend on a number of factors, including,
among others:
•the
efficacy and safety profile as demonstrated in clinical trials
compared to alternative treatments;
•the
timing of market introduction of the product candidate as well as
competitive products;
•the
clinical indications for which a product candidate is
approved;
•restrictions
on the use of product candidates in the labeling approved by
regulatory authorities, such as boxed warnings or contraindications
in labeling, or a risk evaluation and mitigation strategy, if any,
which may not be required of alternative treatments and competitor
products;
•the
potential and perceived advantages of our product candidates over
alternative treatments;
•the
cost of treatment in relation to alternative
treatments;
•the
availability of coverage and adequate reimbursement by third-party
payors, including government authorities or the willingness of
patients to pay out-of-pocket in the absence of third-party payor
coverage;
•the
availability of an approved product candidate for use as a
combination therapy;
•the
prevalence and severity of any adverse effects associated with any
approved product candidate;
•any
restrictions on the use of our product candidates together with
other medications;
•relative
convenience and ease of administration;
•the
willingness of the target patient population to try new therapies
and undergo required diagnostic screening to determine treatment
eligibility and of physicians to prescribe these therapies and
diagnostic tests;
•the
effectiveness of sales and marketing efforts;
•unfavorable
publicity relating to our product candidates; and
•the
approval of other new therapies for the same
indications.
Even though FYARRO is approved for advanced malignant PEComa, it
may never achieve an adequate level of acceptance by physicians,
hospitals, healthcare payors and patients, and we may not generate
or derive sufficient revenue from that product and our financial
results could be negatively impacted. Before granting reimbursement
approval, healthcare payors
may require us to demonstrate that our product candidates, in
addition to treating target indications, also provide incremental
health benefits to patients. Our efforts to educate the medical
community and third-party payors about the benefits of our product
candidates may require significant resources and may never be
successful.
The market opportunities for FYARRO and any other product
candidates we may develop in the future, if approved, may be
limited to certain smaller patient subsets.
Cancer therapies are sometimes characterized by line of therapy
(first-line, second-line, third-line, etc.) and the FDA often
approves new therapies initially only for a particular line or
lines of use. When cancer is detected early enough, first-line
therapy, such as chemotherapy, hormone therapy, surgery, radiation
therapy or a combination of these, is sometimes adequate to cure
the cancer or prolong life without a cure. FYARRO for advanced
malignant PEComa has been approved as a first-line therapy. Second
line therapies often consist of more chemotherapy, radiation,
antibody drugs, tumor-targeted small molecules, or a combination of
these. Third line therapies can include chemotherapy, antibody
drugs and small molecule tumor- targeted therapies, more invasive
forms of surgery and new technologies. Our completed and planned
clinical trials for FYARRO are with patients who may have received
one or more prior treatments. There is no guarantee that product
candidates that we develop, even if approved, would be approved for
first-line or second-line therapy and, prior to any such approvals,
we may have to conduct additional clinical trials that may be
costly, time-consuming and subject to risk.
The number of patients who have the cancers we are targeting may
turn out to be lower than expected. Our projections of addressable
patient populations that may benefit from treatment with our
product or any future product candidates are based on our
estimates, which may prove to be incorrect. Additionally, the
potentially addressable patient population for FYARRO and any
future product candidates may be limited or may not be amenable to
treatment with such product. Regulatory approval may limit the
market of a product candidate to target patient populations when
such biomarker-driven identification and/or highly specific
criteria related to the stage of disease progression are utilized.
If any of our estimates prove to be inaccurate, the market
opportunity for any product candidate that we develop could be
significantly diminished and have an adverse material impact on our
business.
Even if we obtain significant market share for any approved
product, if the potential target populations are small, we may
never achieve profitability without obtaining regulatory approval
for additional indications.
Any product candidates we develop may become subject to unfavorable
third-party coverage and reimbursement practices, as well as
pricing regulations.
The availability and extent of coverage and adequate reimbursement
by third-party payors, including government health administration
authorities, private health coverage insurers, managed care
organizations and other third-party payors is essential for most
patients to be able to afford expensive treatments. Sales of FYARRO
or any other product candidate we may develop in the future that
receives regulatory approval will depend substantially, both in the
United States and internationally, on the extent to which the costs
of such product candidate will be covered and reimbursed by
third-party payors. If reimbursement is not available, or is
available only to limited levels, we may not be able to
successfully commercialize FYARRO or any other product candidates
that we may develop in the future. Even if coverage is provided,
the approved reimbursement amount may not be high enough to allow
us to establish or maintain pricing sufficient to realize an
adequate return on our investment. Coverage and reimbursement may
impact the demand for, or the price of, FYARRO or any other product
candidate that we may develop in the future for which we obtain
regulatory approval. If coverage and reimbursement are not
available or reimbursement is available only to limited levels, we
may not successfully commercialize FYARRO or any other product
candidate that we may develop in the future for which we obtain
regulatory approval.
There is significant uncertainty related to third-party payor
coverage and reimbursement of newly approved products, which would
include FYARRO and any other product candidate we may develop in
the future for which we may obtain regulatory approval. Market
acceptance and sales of FYARRO or any other product candidates we
may develop in the future for which we obtain regulatory approval
will depend on reimbursement policies and may be affected by
healthcare reform measures. Coverage and adequate reimbursement
from governmental healthcare programs, such as Medicare and
Medicaid in the United States, and commercial payors are critical
to new product acceptance. Third-party payors decide which drugs
they will pay for and establish reimbursement levels. In the United
States, for example, principal decisions about reimbursement for
new products are typically made by the Centers for Medicare &
Medicaid Services (“CMS”), an agency within the U.S. Department of
Health and Human Services (“HHS”). CMS decides whether and to what
extent a new product will be covered and reimbursed under Medicare,
and private third-party payors often follow CMS’s decisions
regarding coverage and reimbursement to a substantial degree.
However, one third-party payor’s determination to provide coverage
for a product candidate does not assure that other payors will also
provide coverage for the product candidate. As a result, the
coverage determination process is often time-consuming and costly.
Factors that payors consider in determining reimbursement are based
on whether the product is: (i) a covered benefit under the health
plan; (ii) safe,
effective and medically necessary; (iii) appropriate for the
specific patient; (iv) cost-effective; and (v) neither experimental
nor investigational. This process will require us to provide
scientific and clinical support for the use of our products to each
third-party payor separately, with no assurance that coverage and
adequate reimbursement will be applied consistently or obtained in
the first instance.
Increasingly, third-party payors are requiring that drug companies
provide them with predetermined discounts from list prices and are
challenging the prices charged for medical products. Further, such
payors are increasingly challenging the price, examining the
medical necessity and reviewing the cost effectiveness of medical
product candidates. There may be especially significant delays in
obtaining coverage and reimbursement for newly approved drugs such
as FYARRO. Third-party payors may limit coverage to specific
product candidates on an approved list, known as a formulary, which
might not include all FDA-approved drugs for a particular
indication. In addition, many pharmaceutical manufacturers must
calculate and report certain price reporting metrics to the
government, such as average sales price (an “ASP”) and best price.
Penalties may apply in some cases when such metrics are not
submitted accurately and timely. Further, these prices for drugs
may be reduced by mandatory discounts or rebates required by
government healthcare programs. We may need to conduct expensive
pharmaco-economic studies to demonstrate the medical necessity and
cost effectiveness of our products. Nonetheless, FYARRO or any
other product candidate we may develop in the future may not be
considered medically necessary or cost effective. We cannot be sure
that coverage and reimbursement will be available for FYARRO or any
other product that we may commercialize and, if reimbursement is
available, what the level of reimbursement will be.
There has been heightened governmental scrutiny recently over the
manner in which drug manufacturers set prices for their marketed
products, which has resulted in several Congressional inquiries and
proposed and enacted federal and state legislation designed to,
among other things, bring more transparency to prescription drug
pricing, review the relationship between pricing and manufacturer
patient programs, and reform government program reimbursement
methodologies for drug products. For example, under the American
Rescue Plan Act of 2021, effective January 1, 2024 (the “American
Rescue Plan”), the statutory cap on Medicaid Drug Rebate Program
rebates that manufacturers pay to state Medicaid programs will be
eliminated. Elimination of this cap may require pharmaceutical
manufacturers to pay more in rebates than it receives on the sale
of products, which could have a material impact on our business. In
July 2021, the Biden administration released an executive order,
“Promoting Competition in the American Economy,” with multiple
provisions aimed at increasing competition for prescription drugs.
In August 2022, Congress passed the Inflation Reduction Act of
2022, which includes prescription drug provisions that have
significant implications for the pharmaceutical industry and
Medicare beneficiaries, including allowing the federal government
to negotiate a maximum fair price for certain high-priced single
source Medicare drugs, imposing penalties and excise tax for
manufacturers that fail to comply with the drug price negotiation
requirements, requiring inflation rebates for all Medicare Part B
and Part D drugs, with limited exceptions, if their drug prices
increase faster than inflation, and redesigning Medicare Part D to
reduce out-of-pocket prescription drug costs for beneficiaries,
among other changes. A number of states are considering or have
recently enacted state drug price transparency and reporting laws
that could substantially increase our compliance burdens and expose
us to greater liability under such laws once we begin
commercialization for FYARRO or, after obtaining regulatory
approval, any of our other product candidates that we may develop
in the future. The implementation of cost containment measures or
other healthcare reforms may prevent us from being able to generate
revenue, attain profitability, or commercialize FYARRO or any other
product candidates that we may develop in the future if approved.
Complying with any new legislation and regulatory changes could be
time-intensive and expensive, resulting in a material adverse
effect on our business.
Outside the United States, the commercialization of therapeutics is
generally subject to extensive governmental price controls and
other market regulations, and we believe the increasing emphasis on
cost containment initiatives in Europe, Canada and other countries
has and will continue to put pressure on the pricing and usage of
therapeutics such as FYARRO or any other product candidates that we
may develop in the future if approved. In many countries,
particularly the countries of the European Union, medical product
prices are subject to varying price control mechanisms as part of
national health systems. In these countries, pricing negotiations
with governmental authorities can take considerable time after a
product receives regulatory approval. To obtain favorable
reimbursement or pricing approval in some countries, we may be
required to conduct a clinical trial that compares the
cost-effectiveness of FYARRO or any other product candidate that we
may develop in the future if approved to other available therapies.
In general, product prices under such systems are substantially
lower than in the United States. Other countries allow companies to
fix their own prices for products but monitor and control company
profits. Additional foreign price controls or other changes in
pricing regulation could restrict the amount that we are able to
charge for FYARRO or any other product candidates that we may
develop in the future if approved. Accordingly, in markets outside
the United States, the reimbursement for FYARRO or any other
products that we may develop in the future and receive regulatory
approval for may be unavailable or reduced compared with the United
States and may be insufficient to generate commercially reasonable
revenue and profits. If reimbursement is conditioned upon our
completion of additional clinical trials, or if pricing is set at
unsatisfactory levels, our operating results could be materially
adversely affected.
If we are unable to establish or sustain coverage and adequate
reimbursement for FYARRO or any other product candidates that we
may develop in the future if approved from third-party payors, the
adoption of FYARRO or those other products if approved, the prices
of FYARRO or those other products if approved and sales revenue
from FYARRO or those other products if approved will be adversely
affected, which, in turn, could adversely affect the ability to
market or sell FYARRO or any other product candidates that we may
develop in the future, if approved. Coverage policies and
third-party payor reimbursement rates may change at any time.
Further, due to the COVID-19 pandemic, millions of individuals have
lost/will be losing employer-based insurance coverage, which may
adversely affect our ability to commercialize FYARRO or any other
products candidates that we may develop in the future if approved.
It is unclear what effect these legislative, executive, and
administrative actions and any future healthcare measures and
agency rules will have on the number of covered individuals. Even
if favorable coverage and reimbursement status is attained for
FYARRO or one or more product candidates that we may develop in the
future for which we receive regulatory approval, less favorable
coverage policies and reimbursement rates may be implemented in the
future.
We may not be able to obtain FDA approval of any future NDA for
FYARRO or any other product candidates we may develop in the
future.
The clinical development, manufacturing, labeling, packaging,
storage, recordkeeping, advertising, promotion, export, import,
marketing and distribution and other possible activities relating
to FYARRO and any other product candidate that we may develop in
the future are subject to extensive regulation in the United
States. Prior to the recent approval of our NDA for FYARRO for
advanced malignant PEComa, we had not submitted an application for
approval or obtained FDA approval for any product.
Approval of an NDA is not guaranteed. The approval process is
expensive and uncertain and may take several years. The FDA and
foreign regulatory entities also have substantial discretion in the
approval process. The number and types of preclinical studies and
clinical trials that will be required for approval varies depending
on the product candidate, the disease or the condition that the
product candidate is designed to target and the regulations
applicable to any particular product candidate. Data are subject to
varying interpretation and the FDA may not agree that our clinical
data support that any of our product candidates are safe and
effective for the proposed therapeutic use. Despite the time and
expense associated with preclinical studies and clinical trials,
failure can occur at any stage, and we could encounter problems
that require us to repeat or perform additional preclinical studies
or clinical trials or generate additional chemistry, manufacturing
and controls data, including drug product stability data. The FDA
and similar foreign authorities could delay, limit or deny approval
of a product candidate, and may ultimately approve the product for
narrower indications or with unfavorable labeling that would impede
our commercialization of the drug.
Approval procedures vary among countries and can involve additional
product testing and additional administrative review periods,
including obtaining reimbursement and pricing approval in select
markets. The time required to obtain approval in other countries
might differ from that required to obtain FDA approval. The
regulatory approval process in other countries may include all of
the risks associated with FDA approval as well as additional,
presently unanticipated, risks. Regulatory approval in one country
does not ensure regulatory approval in another, but a failure or
delay in obtaining regulatory approval in one country may
negatively impact the regulatory process in others, including the
risk that our product candidates may not be approved for all
indications requested and that such approval may be subject to
limitations on the indicated uses for which the product may be
marketed.
Failure to obtain marketing approval in international jurisdictions
would prevent FYARRO and any other product candidates we may
develop in the future from being marketed abroad.
In order to market and sell our products in the European Union and
any other jurisdictions, we must obtain separate marketing
approvals and comply with numerous and varying regulatory
requirements. The approval procedure varies among countries and can
involve additional testing. The time required to obtain approval
may differ substantially from that required to obtain FDA approval.
The regulatory approval process outside the United States generally
includes all of the risks associated with obtaining FDA approval.
In addition, in many countries outside the United States, it is
required that the product be approved for reimbursement before the
product can be approved for sale in that country. We may not obtain
approvals from regulatory authorities outside the United States on
a timely basis, if at all. Approval by the FDA does not ensure
approval by regulatory authorities in other countries or
jurisdictions, and approval by one regulatory authority outside the
United States does not ensure approval by regulatory authorities in
other countries or jurisdictions or by the FDA. However, failure to
obtain approval in one jurisdiction may impact our ability to
obtain approval elsewhere. We may not be able to file for marketing
approvals and may not receive necessary approvals to commercialize
our products in any market.
A variety of risks associated with marketing FYARRO and any other
product candidates we may develop in the future internationally
could affect our business.
We may seek regulatory approval for FYARRO and any future product
candidates outside of the United States and, accordingly, we expect
that we will be subject to additional risks related to operating in
foreign countries if we obtain the necessary approvals,
including:
•differing
regulatory requirements in foreign countries;
•the
potential for so-called parallel importing, which is what happens
when a local seller, faced with high or higher local prices, opts
to import goods from a foreign market with low or lower prices
rather than buying them locally;
•unexpected
changes in tariffs, trade barriers, price and exchange controls and
other regulatory requirements;
•economic
weakness, including inflation, or political instability in
particular foreign economies and markets;
•compliance
with tax, employment, immigration and labor laws for employees
living or traveling abroad;
•foreign
taxes, including withholding of payroll taxes;
•foreign
currency fluctuations, which could result in increased operating
expenses and reduced revenue, and other obligations incident to
doing business in another country;
•difficulties
staffing and managing foreign operations;
•workforce
uncertainty in countries where labor unrest is more common than in
the United States;
•potential
liability under the United States Foreign Corrupt Practices Act
(“FCPA”) or comparable foreign regulations;
•challenges
enforcing our contractual and intellectual property rights,
especially in those foreign countries that do not respect and
protect intellectual property rights to the same extent as the
United States;
•production
shortages resulting from any events affecting raw material supply
or manufacturing capabilities abroad; and
•business
interruptions resulting from geo-political actions, including war
and terrorism.
In addition, the conflict between Russia and Ukraine could lead to
disruption, instability and volatility in global markets and
industries that could negatively impact our operations. The U.S.
government and other governments in jurisdictions in which we may
operate in the future have imposed severe sanctions and export
controls against Russia and Russian interests and threatened
additional sanctions and controls. The impact of these measures, as
well as potential responses to them by Russia, is currently unknown
and they could adversely affect our business, supply chain,
business partners or customers.
These and other risks associated with our international operations
may compromise our ability to achieve or maintain
profitability.
The preclinical studies and clinical trials for FYARRO or any other
product candidates that we may develop in the future may not
demonstrate safety and efficacy to the satisfaction of the FDA, EMA
or other comparable foreign regulatory authorities or otherwise
produce positive results, which would prevent, delay, or limit the
scope of development, regulatory approval and
commercialization.
Before obtaining regulatory approval from the EMA or other foreign
regulatory authorities for the sale of FYARRO for advanced
malignant PEComa or any additional indications that we may seek
approval for, or other product candidates when approved, we, among
other requirements, must complete preclinical development and
extensive clinical trials to demonstrate with substantial evidence
the safety and efficacy of such product or other product
candidates. Each product or product candidate must demonstrate an
adequate risk versus benefit profile in our intended patient
population and for our intended use. Drug product must also be
manufactured and tested in accordance with regional regulatory
requirements which may differ from region to region. Clinical
testing is expensive, difficult to design and implement, can take
many years to complete and its ultimate outcome is inherently
uncertain. A failure of one or more preclinical studies or clinical
trials can occur at any stage of the process. The outcome of
preclinical studies and early-stage clinical trials may not be
predictive of the success of later clinical trials. In addition,
initial success in clinical trials may not be indicative of results
obtained when such trials are completed. Moreover, preclinical and
clinical data are often susceptible to varying interpretations and
analyses, and many companies in the biopharmaceutical industry that
have believed their product candidates performed satisfactorily in
preclinical studies and clinical trials have nonetheless failed to
obtain regulatory approval of their products. Our current or future
clinical trials may not ultimately be successful or support further
clinical development of FYARRO or any other product candidates we
may develop in the future.
We may experience numerous unforeseen events during, or as a result
of, clinical trials that could delay or prevent our ability to
receive regulatory approval or our ability to commercialize FYARRO
for additional indications or for any other product candidates we
may develop in the future, including:
•receipt
of feedback from regulatory authorities that require us to modify
the design of our clinical trials;
•negative
or inconclusive clinical trial results that may require us to
conduct additional clinical trials or abandon certain drug
development programs;
•the
number of patients required for clinical trials being larger than
anticipated, enrollment in these clinical trials being slower than
anticipated or participants dropping out of these clinical trials
at a higher rate than anticipated;
•clinical
trial sites or our CRO failing to comply with regulatory
requirements or meet their contractual obligations to us in a
timely manner, or at all;
•the
suspension or termination of our clinical trials for various
reasons, including non-compliance with regulatory requirements or a
finding that our product candidates have undesirable side effects
or other unexpected characteristics;
•the
cost of clinical trials of our product candidates being greater
than anticipated;
•the
supply or quality of our product candidates or other materials
necessary to conduct clinical trials of
our product candidates being insufficient or inadequate;
and
•delays
due to the recent COVID-19 pandemic, including starting any
clinical trials for other indications or programs.
For instance, we do not know whether FYARRO will perform in current
or future clinical trials for additional indications as it has
performed in preclinical studies or prior clinical trials. Product
candidates in later-stage clinical trials may fail to demonstrate
sufficient safety and efficacy to the satisfaction of the FDA, EMA,
and other comparable foreign regulatory authorities despite having
progressed through preclinical studies and early-stage clinical
trials. Additionally, while we are aware of several other approved
and clinical-stage mTOR inhibitors being developed by multiple
other companies, to our knowledge, there are no mTOR inhibitors
approved specifically for the treatment of advanced malignant
PEComa other than FYARRO. As such, the development of FYARRO and
our stock price may be impacted by inferences, whether correct or
not, that are drawn between the success of our product and those of
other companies’ mTOR inhibitors. Regulatory authorities may also
limit the scope of later-stage trials until we have demonstrated
satisfactory safety and efficacy results, which could delay
regulatory approval, limit the size of the patient population to
which we may market our product candidates, or prevent regulatory
approval.
In some instances, there can be significant variability in safety
and efficacy results between different clinical trials of the same
product candidate due to numerous factors, including changes in
trial protocols, differences in size and type of the patient
populations, differences in and adherence to the dose and dosing
regimen and other trial protocols and the rate of dropout among
clinical trial participants. Patients treated with our products may
also be undergoing surgical, radiation and chemotherapy treatments
and may be using other approved products or investigational new
drugs, which can cause side effects or adverse events that are
unrelated to our products. As a result, assessments of efficacy can
vary widely for a particular patient, and from patient to patient
and site to site within a clinical trial. This subjectivity can
increase the uncertainty of, and adversely impact, our clinical
trial outcomes.
We do not know whether any clinical trials we may conduct will
demonstrate consistent or adequate efficacy and safety sufficient
to obtain approval to market FYARRO for additional indications or
for any other product candidates we may develop in the future. If
we are required to conduct additional clinical trials or other
testing of our product beyond those that we currently contemplate,
if we are unable to successfully complete clinical trials of our
product or other testing in a timely manner, if the results of
these trials or tests are not positive or are only modestly
positive or if there are safety concerns, we may (i) incur
unplanned costs, (ii) be delayed in seeking and obtaining
regulatory approval for respective indications, if we receive such
approval at all, (iii) receive more limited or restrictive
regulatory approval for respective indications, (iv) be subject to
additional post-marketing testing requirements or (v) have the drug
removed from the market after obtaining regulatory approval. Even
if regulatory approval is secured for any of our product
candidates, the terms of such approval may limit the scope and use
of our product candidates, which may also limit their commercial
potential.
FYARRO or any other product candidates that we may develop in the
future may cause significant adverse events, toxicities or other
undesirable side effects when used alone or in combination with
other approved products or investigational new drugs that could
delay or prevent regulatory approval, prevent market acceptance,
limit their commercial potential or result in significant negative
consequences.
If FYARRO or any other product candidates that we may develop in
the future is associated with serious adverse events or other
undesirable side effects or have unexpected characteristics in
preclinical studies or clinical trials when used alone or in
combination with other approved products or investigational new
drugs, we may need to conduct additional studies to further
evaluate the product candidates’ safety, interrupt, delay or
abandon their development or halt clinical trials or limit
development to more narrow uses or subpopulations in which the
undesirable side effects or other characteristics are less
prevalent, less severe or more acceptable from a risk-benefit
perspective. Treatment-related side effects could also affect
patient recruitment or the ability of enrolled subjects to complete
the trial or result in a more restrictive label, delay or denial of
regulatory approval or potential product liability claims. Any of
these occurrences may prevent us from achieving or maintaining
market acceptance of the affected product candidate, could
substantially increase the costs of commercializing our product(s)
and significantly impact our ability to successfully commercialize
our product(s) and generate revenues, and may harm our business,
financial condition and prospects significantly. For example, in
our AMPECT trial of FYARRO, most treatment-related adverse events
were mild or moderate, with the most commonly reported adverse
events being anemia, edema, infections, mucositis, pain, nail
changes, vomiting, thrombocytopenia, hypertension and nausea.
Treatment-related adverse events in our other oncology and PAH
trials of FYARRO included thrombocytopenia, diarrhea, fatigue,
mucosal inflammation, nausea, anemia, and rash. Additionally, in
our first- in-human study of FYARRO in solid tumors, one patient
died of dyspnea which was deemed possibly related to
FYARRO.
Patients in our completed and planned clinical trials may in the
future suffer other significant adverse events or other side
effects not observed or anticipated based on our preclinical
studies or previous clinical trials. FYARRO or other product
candidates may be used in populations for which safety concerns may
be particularly scrutinized by regulatory agencies. In addition,
FYARRO is being studied in combination with other therapies, which
may exacerbate adverse events associated with the therapy. Patients
treated with FYARRO or our other product candidates that we may
develop in the future may also be undergoing surgical, radiation
and/or chemotherapy treatments, which can cause side effects or
adverse events that are unrelated to our product candidate but may
still impact the success of our clinical trials. The inclusion of
critically ill patients in our clinical trials may result in deaths
or other adverse medical events due to other therapies or
medications that such patients may be using or due to the gravity
of such patients’ illnesses. For example, it is expected that some
of the patients enrolled in our FYARRO clinical trials will die or
experience major adverse clinical events either during the course
of our clinical trials or after such trials, which has occurred in
the past.
If further significant adverse events or other side effects are
observed in any of our current or future clinical trials, we may
have difficulty recruiting patients to the clinical trials,
patients may drop out of our trials, or we may be required to
abandon the trials or our development efforts of that product
candidate altogether. We, the FDA, EMA, other comparable regulatory
authorities or an institutional review board may suspend or
terminate clinical research at any time for various reasons,
including noncompliance with regulatory requirements or a finding
that the participants are being exposed to unacceptable health
risks or adverse side effects. Some potential therapeutics
developed in the biotechnology industry that initially showed
therapeutic promise in early-stage trials have later been found to
cause side effects that prevented their further
development.
Even if the side effects do not preclude the product candidate from
obtaining or maintaining regulatory approval, undesirable side
effects may inhibit market acceptance due to its tolerability
versus other therapies. Any of these developments could materially
harm our business, financial condition and prospects.
Further, for FYARRO for advanced malignant PEComa, or if FYARRO
receives regulatory approval for any other indication, or if any
other product candidate that we may develop in the future if any of
our product candidates obtains regulatory approval, toxicities
associated with such product candidates and not seen during
clinical testing may also develop after such approval and lead to a
requirement to (i) conduct additional clinical safety trials, (ii)
add additional contraindications, warnings and precautions to the
drug label, (iii) significantly restrict the use of the product,
(iv) change
the way the product is distributed or administered, (v) implement a
risk evaluation and mitigation strategy, or create a medication
guide outlining the risks of such side effects for distribution to
patients, or (vi) suspend or withdraw the product from the market.
We cannot predict whether our product candidates will cause
toxicities in humans that would preclude or lead to the revocation
of regulatory approval based on preclinical studies or early-stage
clinical trials.
Results from early preclinical studies and clinical trials of
FYARRO or other product candidates that we may develop in the
future are not necessarily predictive of the results of later
preclinical studies and clinical trials of FYARRO or such other
product candidates. If we cannot replicate the results from our
earlier preclinical studies and clinical trials in our later
preclinical studies and clinical trials, we may be unable to
successfully develop, obtain regulatory approval for and
commercialize FYARRO in additional indications or any future
product candidates.
Any results from early preclinical studies and clinical trials of
FYARRO or other product candidates that we may develop in the
future may not necessarily be predictive of the results from later
preclinical studies and clinical trials. Similarly, even if we are
able to complete our planned preclinical studies and clinical
trials according to our current development timeline,
the results from such preclinical studies and clinical trials may
not be replicated in subsequent preclinical studies or clinical
trial results.