Item 2. Management’s Discussion and Analysis
ITEM
2.
MANAGEMENT’S
DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
OVERVIEW
Abeona
Therapeutics Inc., a Delaware corporation (together with our subsidiaries, “we,” “our,” “Abeona”
or the “Company”), is a clinical-stage biopharmaceutical company developing gene and cell therapies for life-threatening
rare genetic diseases. Our lead clinical programs consist of: (i) EB-101, an autologous, gene-corrected cell therapy for recessive dystrophic
epidermolysis bullosa (“RDEB”), (ii) ABO-102, an adeno-associated virus (“AAV”)-based gene therapy for Sanfilippo
syndrome type A (“MPS IIIA”), and (iii) ABO-101, an AAV-based gene therapy for Sanfilippo syndrome type B (“MPS IIIB”).
We continue to develop additional AAV-based gene therapies designed to treat ophthalmic and other diseases, next-generation AAV-based
gene therapies using the novel AIM™ capsid platform that we have exclusively licensed from the University of North Carolina at
Chapel Hill, and internal AAV vector research programs. A number of our product candidates are eligible for orphan drug designation,
breakthrough therapy designation, or other expedited review processes in the U.S., Europe, Japan, or other world markets. Our pipeline
includes three programs in clinical development—EB-101, ABO-101 and ABO-102—for which we hold several U.S. and European Union
(“EU”) regulatory designations, and a pipeline of additional earlier stage programs:
Our
robust pipeline features early- and late-stage candidates with the potential to transform the treatment of devastating genetic diseases,
and we are conducting clinical trials in the U.S. and abroad.
Our
Mission and Strategy
Abeona
is at the forefront of gene and cell therapy research and development. We are a fully-integrated company featuring therapies in clinical
development, in-house manufacturing facilities, a robust pipeline, and scientific and clinical leadership. We see our mission as working
to create, develop, manufacture, and deliver gene and cell therapies for people impacted by serious diseases. We partner with leading
academic researchers, patient advocacy organizations and caregivers to develop therapies that address the underlying cause of a broad
spectrum of rare genetic diseases for which no effective treatment options exist today.
14
Since
our last fiscal year, we have continued to make progress toward fulfilling our goal of harnessing the promise of genetic medicine to
transform the lives of people impacted by serious diseases and redefining the standard of care through gene and cell therapies. Our strategy
to achieve this goal consists of:
Advancing
Our Clinical Gene and Cell Therapy Programs and Research and Development with a Focus on Rare and Orphan Diseases.
We
have three programs in clinical development—EB-101, ABO-101 and ABO-102—and a pipeline of additional earlier stage programs.
Through our gene and cell therapy research and development expertise, we believe we are positioned to introduce efficacious and safe
therapeutics to transform the standard of care in devastating diseases and establish our leadership position in the field.
Applying
Novel Next Generation AAV Capsid Technology to Develop New In-Vivo Gene Therapies.
We
are researching and developing next-generation AAV-based gene therapy using our novel capsids developed from the AIM™ Capsid Technology
Platform and additional Company-invented AAV capsids. We plan to continue to develop chimeric AAV capsids capable of improved tissue
targeting for various indications and potentially evading immunity to wildtype AAV vectors.
Establishing
Leadership Position in Commercial-Scale Gene and Cell-Therapy Manufacturing.
We
established current Good Manufacturing Practice (“cGMP”), clinical-scale manufacturing capabilities for gene-corrected cell
therapy and AAV-based gene therapies in our state-of-the-art Cleveland facility. We believe that our platform provides us with distinct
advantages, including flexibility, scale, reliability, and the potential for reduced development risk, reduced cost, and faster times
to market. We have focused on establishing internal Chemistry, Manufacturing and Controls (“CMC”) capabilities that drive
value for our organization through process development, assay development and manufacturing. We have also deployed robust quality systems
governing all aspects of product lifecycle from preclinical through commercial stage.
Establishing
Additional Gene and Cell Therapy Franchises and Adjacencies through In-Licensing and Strategic Partnerships.
We
seek to be the partner of choice in gene therapy treatment and have closely collaborated with leading academic institutions, key opinion
leaders, patient foundations, and industry partners to generate novel intellectual property, accelerate research and development, and
understand the needs of patients and their families.
Maintaining
and Growing IP Portfolio.
We
strive to have a leading intellectual property portfolio. To that end, we seek patent rights for various aspects of our programs, including
vector engineering and construct design, our production process, and all features of our clinical products including composition of matter
and method of administration and delivery. We expect to continue to expand our intellectual property portfolio by aggressively seeking
patent rights for promising aspects of our product engine and product candidates.
IMPACT
OF COVID-19 PANDEMIC ON OUR BUSINESS
We
continue to monitor the impact of the COVID-19 pandemic on our business and take appropriate actions to manage our spending activities
and preserve our cash resources. While there have been vaccines developed and administered, and the spread of COVID-19 may eventually
be contained or mitigated, we cannot predict the timing of vaccine adoption or roll-out globally or the efficacy of such vaccines, including
against variants that emerge, and we do not yet know how businesses and our partners will operate in a post COVID-19 environment. While
we are unable to determine or predict the extent, duration or scope of the overall impact the COVID-19 pandemic will have on our business,
operations, financial condition or liquidity, we believe it is important to keep our stakeholders informed about how our response to
COVID-19 is progressing and how our operations and financial condition may change.
The
extent of the impact of the COVID-19 pandemic on our business, operations, and clinical trials continues to evolve and will depend on
certain developments, including: (i) the duration of the declared health emergencies; (ii) future actions taken by governmental authorities
and regulators with respect to the pandemic, including reinstituting state and local lockdowns; (iii) the impact on our partners, collaborators,
and suppliers; and (iv) actions being taken by us in response to this crisis. We remain dedicated to communicating regularly and openly
with our stakeholders as more information becomes available, including updates on material changes to prior guidance as we continue to
follow applicable government, regulatory and institutional guidelines.
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RESULTS
OF OPERATIONS
Comparison
of Three Months Ended September 30, 2021 and September 30, 2020
License
and other revenues for the third quarter of 2021 were nil, as compared to $7.0 million for the same period of 2020. The revenues in the
third quarter of 2020 were due to the sublicense and inventory purchase agreements we entered into with Taysha Gene Therapies (“Taysha”)
in August 2020 for ABO-202, an AAV gene therapy for CLN1 disease (also known as infantile Batten disease). The agreements grant to Taysha
worldwide exclusive rights to intellectual property developed by scientists at the University of North Carolina at Chapel Hill and us,
and our know-how relating to the research, development and manufacture of the gene therapy.
Total
research and development spending was $8.0 million for each of the third quarters of 2021 and 2020.
Total
general and administrative spending was $6.1 million in the third quarter of 2021, as compared to $4.4 million for the same period of
2020, an increase of $1.7 million. The increase in expenses was primarily due to:
●
increased
stock-based compensation of $1.3 million; and
●
increased
professional fees of $0.7 million; partially offset by
●
decreased
salary and related costs of $0.3 million.
Depreciation
and amortization was $0.8 million in each of the third quarters of 2021 and 2020.
Gain on settlement with licensor was $6.7
million in the third quarter of 2021, as compared to nil in the same period of 2020. On November 12, 2021, we entered into a Settlement
Agreement with REGENXBIO to resolve all current disputes between us and REGENXBIO. As of September 30, 2021, we have recorded the payable
to licensor in the balance sheet based on the present value of the payments due to REGENXBIO under the Settlement Agreement. The accounting
for the Settlement Agreement resulted in a $6.7 million gain on settlement with REGENXBIO in the third quarter of 2021.
PPP
loan payable forgiveness income was $1.8 million in the third quarter of 2021, as compared to nil in the same period of 2020. In July
2021, we received notice from the SBA that our PPP loan had been forgiven so the PPP loan payable was reversed in the third quarter of
2021.
Interest
and miscellaneous income was nil for the third quarter of 2021, as compared to $0.3 million for the same period in 2020. The decrease
resulted from lower earnings on short-term investments driven by lower interest rates and a lower average balance of short-term investments.
Interest expense was $0.7 million for the third
quarter of 2021, as compared to $1.3 million for the same period of 2020. The interest expense results from accrued interest under
the prior license agreement with REGENXBIO, which is discussed in Note 3 of our Notes to Condensed Consolidated Financial Statements.
The decrease results from a $0.6 million adjustment to accrued interest recorded in the third quarter of 2020 after it was determined
and ordered by the American Arbitration Association (“AAA”) tribunal that in accordance with the license agreement,
interest should be computed without compounding.
Net
loss was $7.0 million for the third quarter of 2021, or a $0.07 basic and diluted loss per common share as compared to
a net loss of $7.2 million, or a $0.08 basic and diluted loss per common share, for the same period in 2020.
Comparison
of Nine Months Ended September 30, 2021 and September 30, 2020
License
and other revenues for the first nine months of 2021 were nil, as compared to $7.0 million for the same period of 2020. The decrease
in revenue was due to the aforementioned sublicense and inventory purchase agreements we entered into with Taysha in August 2020.
Total
research and development spending was $22.6 million for the first nine months of 2021, as compared to $20.9 million for the same period
of 2020, an increase of $1.7 million. The increase in expenses was primarily due to increased clinical and development work for our gene
and cell therapy product candidates and other related costs of $1.7 million.
Total
general and administrative spending was $18.1 million for the first nine months of 2021, as compared to $16.4 million for the same period
of 2020, an increase of $1.7 million. The increase in expenses was primarily due to:
●
increased
stock-based compensation of $1.9 million; and
●
increased
professional fees of $3.0 million; partially offset by
●
decreased
salary and related costs of $3.1 million resulting from severance costs of $1.3 million recorded in the first nine months of 2020
and lower compensation costs of $1.8 million due to reduced general and administrative headcount in the first nine months of 2021;
and
●
decreased
other costs of $0.1 million.
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Depreciation
and amortization was $2.4 million for the first nine months of 2021, as compared to $3.7 million for the same period in 2020, a decrease
of $1.3 million. The decrease was driven by decreased amortization expense of $1.3 million on licensed technology in the first nine months
of 2021, as compared to the same period in 2020, due to the write-off of the REGENXBIO licensed technology in the first quarter of 2020.
Our
license agreement with REGENXBIO terminated on May 2, 2020. Since our impairment testing indicated that the carrying value of the license
agreement with REGENXBIO exceeded its fair value, we recorded a $32.9 million non-cash impairment charge in the first six months of 2020.
Gain on settlement with licensor was $6.7
million in the first nine months of 2021, as compared to nil in the same period of 2020. On November 12, 2021, we entered into a Settlement
Agreement with REGENXBIO to resolve all current disputes between us and REGENXBIO. As of September 30, 2021, we have recorded the payable
to licensor in the balance sheet based on the present value of the payments due to REGENXBIO under the Settlement Agreement. The accounting
for the Settlement Agreement resulted in a $6.7 million gain on settlement with REGENXBIO in the first nine months of 2021.
PPP
loan payable forgiveness income was $1.8 million in the first nine months of 2021, as compared to nil in the same period of 2020. In
July 2021, we received notice from the SBA that our PPP loan had been forgiven so the PPP loan payable was reversed in the first nine
months of 2021.
Interest
and miscellaneous income was nil for the first nine months of 2021, as compared to $1.3 million for the same period of 2020. The decrease
resulted from lower earnings on short-term investments driven by lower interest rates and a lower average balance of short-term investments.
Interest
expense was $3.6 million for the first nine months of 2021, as compared to $2.7 million for the same period of 2020. The increase results
primarily from accrued interest under the prior license agreement with REGENXBIO, which is discussed in Note 3 of our Notes to
Condensed Consolidated Financial Statements.
Net
loss was $38.3 million for the first nine months of 2021, or a $0.40 basic and diluted loss per common share as compared
to a net loss of $68.4 million, or a $0.74 basic and diluted loss per common share, for the same period in 2020. The decrease in the
net loss resulted primarily from a licensed technology impairment charge of $32.9 million in the first nine months of 2020.
LIQUIDITY
AND CAPITAL RESOURCES
We
have historically funded our operations primarily through sale of common stock. The COVID-19 pandemic has negatively affected the global
economy and created significant volatility and disruption of financial markets. An extended period of economic disruption could negatively
affect our business, financial condition, and access to sources of liquidity.
Our
principal source of liquidity is cash, cash equivalents and short-term investments. As of September 30, 2021 and December 31, 2020, our
cash, cash equivalents and short-term investments were $67.0 million and $95.0 million, respectively. Based on our existing cash, cash
equivalents and short-term investments, our ability to access additional financial resources and/or our financial flexibility to reduce
operating expenses if required, we believe that we have sufficient resources to fund operations through at least the next 12 months.
We will need to secure additional funding in the future to carry out all of our planned research and development activities. If we are
unable to obtain additional financing or generate license or product revenue, the lack of liquidity and sufficient capital resources
could have a material adverse effect on our future prospects.
As
of September 30, 2021 and December 31, 2020, our working capital was $41.4 million and $55.8 million, respectively. The decrease
in working capital as of September 30, 2021 resulted primarily from $35.4 million of cash used for operating activities, partially offset
by $8.5 million of cash provided by financing activities and the positive impact on working capital of the Settlement Agreement with
REGENXBIO as described further below.
On
August 17, 2018, we entered into an open market sale agreement with Jefferies LLC (the “2018 ATM Agreement”). Pursuant to
the terms of the 2018 ATM Agreement, we were able to sell from time to time, through Jefferies LLC, shares of our common stock for an
aggregate sales price of up to $150 million. Any sales of shares pursuant to the 2018 ATM Agreement are made under an effective “shelf”
registration statement on Form S-3 that is on file with and has been declared effective by the SEC. We sold 3,083,286 shares of our common
stock under the 2018 ATM Agreement and received $7.7 million of net proceeds during the nine months ended September 30, 2021. Cumulatively,
as of September 30, 2021, we have sold an aggregate of 6,170,236 shares of our common stock under the 2018 ATM Agreement and received
$27.7 million of net proceeds.
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License
Agreement
On
November 4, 2018, we entered into a license agreement with REGENXBIO to obtain rights to an exclusive worldwide license (subject to certain
non-exclusive rights previously granted for MPS IIIA), with rights to sublicense, to REGENXBIO’s NAV AAV9 vector for gene therapies
for treating MPS IIIA, MPS IIIB, CLN1 Disease and CLN3 Disease. Consideration for the rights granted under the original agreement included
fees totaling $180 million and a running royalty on net sales, including: (i) an initial fee of $20 million, $10 million of which was
due to REGENXBIO shortly after the effective date of the agreement, and $10 million of which was to be due on the first anniversary of
the effective date of the agreement in November 2019, (ii) annual fees totaling up to $100 million, payable in $20 million annual installments
beginning on the second anniversary of the effective date (the first of which was to remain payable if the agreement were terminated
before the second anniversary in November 2020), (iii) sales milestone payments totaling $60 million, and (iv) royalties payable in the
low double digits to low teens on net sales of products covered under the agreement. The license was being amortized over the life of
the patent of eight years. On November 1, 2019, we entered into an amendment to the original license agreement. The amended agreement
replaced the $10 million payment due on November 4, 2019 with a $3 million payment due on November 4, 2019 and an additional $8 million
payment (which included $1 million of interest) that would have been due no later than April 1, 2020. That $8 million payment that had
been scheduled to be paid by April 1, 2020 and the $20 million that had been due to be paid on November 4, 2020 are both recorded as
payable to licensor on the consolidated balance sheet. The Company disputed that it was responsible for the $8 million and $20 million
payments, and those payments were the subject of an arbitration between the Company and REGENXBIO as noted below.
Prior to the
April 1, 2020 deadline, we engaged REGENXBIO in discussions in an attempt to renegotiate the financial terms of the agreement, but we
were unable to reach an agreement, and we did not make the $8 million payment due by April 1, 2020. On April 17, 2020, REGENXBIO sent
us a written demand for the $8 million fee, payable within a 15-day cure period after receipt of the demand letter. The license terminated
on May 2, 2020, when the 15-day period expired. There were no penalties for early termination of the license.
On May 25, 2020,
we filed an arbitration claim with the American Arbitration Association (“AAA”) alleging that REGENXBIO materially breached
the license agreement prior to termination and seeking, among other things, a declaration that as a result of REGENXBIO’s material
breach, we were not responsible for payments totaling $28 million (which would otherwise have been due in 2020) plus accrued interest.
REGENXBIO disputed our arbitration claim and filed a counterclaim seeking payment of the $28 million plus interest, which REGENXBIO argued
remained due. An arbitration hearing before a tribunal of three AAA arbitrators was held on March 8 and March 9, 2021. On July 13, 2021,
the tribunal found in favor of REGENXBIO in connection with the parties’ arbitration claims and counterclaims. The tribunal awarded
REGENXBIO $28.0 million plus interest.
On August 9,
2021, we filed a second arbitration claim with the AAA asserting that a settlement had been reached before the tribunal’s award
in the first arbitration was issued. On September 14, 2021, REGENXBIO filed its answer, a counterclaim seeking attorney fees and costs,
and a request for permission to file a case dispositive motion. A preliminary hearing was held on November 1, 2021, during which the
AAA Tribunal set timetables for discovery and for REGENXBIO’s filing of its case dispositive motion. Those timetables were formalized
in a procedural order issued by the Tribunal on November 8, 2021. Under the schedule set by the Tribunal, REGENXBIO’s opening brief
in support of its case dispositive motion was filed on November 8, 2021, briefing was scheduled to be completed on December 29, 2021,
and oral argument was scheduled for January 14, 2022. REGENXBIO had also filed suit in the New York State Supreme Court Commercial Division
seeking enforcement of the original arbitration award, and we had requested that the Court stay that proceeding until the second arbitration
is complete. Oral argument on our request for a stay was set for March 10, 2022.
On November
12, 2021, we entered into a settlement agreement (“Settlement Agreement”) with REGENXBIO to resolve all current disputes
between the parties including the aforementioned AAA arbitration and New York State Court action. In accordance with the Settlement Agreement,
we agreed to pay REGENXBIO a total of $30 million, payable as follows: (1) $20 million payable within one business day of the execution
of the Settlement Agreement, (2) $5 million on the first anniversary of the effective date of the Settlement Agreement, and (3) $5 million
upon the earlier of: (i) the third anniversary of the effective date of the Settlement Agreement or (ii) the closing of a Strategic Transaction,
as defined in the Settlement Agreement. Under the Settlement Agreement’s terms, the prior license agreement between the parties
was not reinstituted, and any future license agreement would need to be negotiated separately and require consideration in addition to
the consideration set forth in the Settlement Agreement. As of September 30, 2021, we have recorded the payable to licensor in the balance
sheet based on the present value of the payments due to REGENXBIO under the Settlement Agreement.
Since
our inception, we have incurred negative cash flows from operations and have expended, and expect to continue to expend, substantial
funds to complete our planned product development efforts. We have not been profitable since inception and to date have received limited
revenues from the sale of products. We expect to incur losses for the next several years as we continue to invest in product research
and development, preclinical studies, clinical trials, and regulatory compliance and cannot provide assurance that we will ever be able
to generate sufficient product sales or royalty revenue to achieve profitability on a sustained basis, or at all.
If
we raise additional funds by selling additional equity securities, the relative equity ownership of our existing investors will be diluted,
and the new investors could obtain terms more favorable than previous investors. If we raise additional funds through collaborations,
strategic alliances, or licensing arrangements with third parties, we may have to relinquish valuable rights to our technologies, future
revenue streams, research programs, or product candidates or grant licenses on terms that may not be favorable to us. If we are unable
to raise additional funds through equity or debt financing when needed, we may be required to delay, limit, or terminate our product
development programs or any future commercialization efforts or grant rights to develop and market product candidates to third parties
that we would otherwise prefer to develop and market ourselves.
18
We
are carefully and continually reassessing key business activities and all associated spending decisions. Nonetheless, we are spending
necessary funds on manufacturing activities and preclinical studies and clinical trials of potential products, including research and
development with respect to our acquired and developed technology. Our future capital requirements and adequacy of available funds depend
on many factors, including:
●
the
impact to our business, operations, and clinical programs from the COVID-19 pandemic and related effects on the U.S. and global economy;
●
the
successful development and commercialization of our gene and cell therapy and other product candidates;
●
the
ability to establish and maintain collaborative arrangements with corporate partners for the research, development, and commercialization
of products;
●
continued
scientific progress in our research and development programs;
●
the
magnitude, scope and results of preclinical testing and clinical trials;
●
the
costs involved in filing, prosecuting, and enforcing patent claims;
●
the
costs involved in conducting clinical trials;
●
competing
technological developments;
●
the
cost of manufacturing and scale-up;
●
the
ability to establish and maintain effective commercialization arrangements and activities; and
●
the
successful outcome of our regulatory filings.
Due
to uncertainties and certain of the risks described above, including those relating to the COVID-19 pandemic, our ability to successfully
commercialize our product candidates, our ability to obtain applicable regulatory approval to market our product candidates, our ability
to obtain necessary additional capital to fund operations in the future, our ability to successfully manufacture our products and our
product candidates in clinical quantities or for commercial purposes, government regulation to which we are subject, the uncertainty
associated with preclinical and clinical testing, intense competition that we face, market acceptance of our products, the potential
necessity of licensing technology from third parties and protection of our intellectual property, it is not possible to reliably predict
future spending or time to completion by project or product category or the period in which material net cash inflows from significant
projects are expected to commence. If we are unable to timely complete a particular project, our research and development efforts could
be delayed or reduced, our business could suffer depending on the significance of the project and we might need to raise additional capital
to fund operations, as discussed in the risks above.
We
plan to continue our policy of investing any available funds in suitable certificates of deposit, money market funds, government securities
and investment-grade, interest-bearing securities. We do not invest in derivative financial instruments.
OFF-BALANCE
SHEET ARRANGEMENTS
We
did not have, during the periods presented, and we do not currently have, any off-balance sheet arrangements, as defined under applicable
SEC rules.
ITEM
3.
QUANTITATIVE
AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
Not
applicable.
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