Item 1A. Risk Factors
ITEM
1A. Risk Factors
In
addition to other information set forth in this Quarterly Report, including the important information in the section entitled “Private
Securities Litigation Reform Act,” you should carefully consider the “Risk Factors” discussed in our Annual Report
on Form 10-K for the year ended December 31, 2024, for a discussion of important factors that could cause actual results to differ materially
from the results described in or implied by the forward-looking statements contained in this Quarterly Report. Except as set forth below,
there have been no material changes to the risk factors previously disclosed in such Annual Report on Form 10-K. Additional risks and
uncertainties not currently known to us or that we currently deem to be immaterial might materially adversely affect our actual business,
financial condition and/or operating results.
Changes
to trade policy, including new or increased tariffs and changing import and export regulations, could have a material adverse effect
on our business, results of operations and financial condition.
Our
business, results of operations, and financial condition could be adversely affected by uncertainty and changes in U.S. or international
trade policies, including tariffs, quotas, trade agreements, or other trade restrictions imposed by the U.S. or other governments. For
example, the U.S. has instituted certain changes, and has proposed additional changes, in trade policies that include the negotiation
or termination of trade agreements, the imposition of higher tariffs on imports into the U.S., and other government regulations affecting
trade between the U.S. and other countries. The new tariffs and other changes in U.S. trade policy have triggered retaliatory actions
by affected countries, and foreign governments have instituted or are considering imposing trade sanctions on U.S. goods. Several tariff
announcements have been followed by announcements of limited exemptions, revisions, and temporary pauses, resulting in significant uncertainty.
The
imposition of tariffs and other trade restrictions, as well as the escalation of trade disputes and any downturns in the global economy
resulting therefrom, could materially and adversely affect our business, financial condition and results of operations. The extent and
duration of the tariffs and other trade restrictions and the resulting impact on general economic conditions and on our business are
uncertain and depend on various factors, such as negotiations between the U.S. and affected countries, the responses of other countries
or regions, exemptions or exclusions that may be granted, and availability and cost of alternative sources of supply.
While
we plan to maintain adequate inventory of the gedatolisib active pharmaceutical ingredient (“API”) and to qualify a second
source of gedatolisib API, any imposition of, or increase in, tariffs or other restrictions on imports of equipment or other materials
(or the components of these materials) could increase the cost for such materials and also increase the prices for such materials available
domestically or locally, if any, which in turn could increase our costs. Such cost increases could materially and adversely affect our
results of operations and financial condition. Tariffs or other trade restrictions may lead to continuing uncertainty and volatility
in U.S. and global financial and economic conditions and commodity markets, declining consumer confidence, significant inflation, and
diminished expectations for the economy. Such conditions could have a material adverse impact on our business, results of operations
and financial position.
Disruptions
at the FDA, and other government agencies from funding cuts, personnel losses, leadership changes, regulatory reform, government shutdowns
and other developments could hinder our ability to obtain guidance from the FDA regarding our clinical development programs and develop
and secure approval of our product candidates in a timely manner, which would negatively impact our business.
The
FDA and comparable regulatory agencies in foreign jurisdictions, such as the European Medicines Agency (“EMA”), play an important
role in the development of our product candidates by providing guidance on our clinical development programs and reviewing our regulatory
submissions, including investigational new drug applications (“INDs”), requests for special designations and marketing applications.
If these oversight and review activities are disrupted, then correspondingly our ability to develop and secure timely approval of our
product candidates could be impacted in a negative manner.
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For
example, the recent loss of FDA leadership and personnel, and new leadership at the U.S. Department of Health and Human Services, FDA
and the Center for Drug Evaluation and Research could lead to disruptions and delays in FDA guidance and review and approval of our product
candidate. Further, while the FDA’s review of marketing applications and other activities for new drugs is largely funded through
the user fee program established under the Prescription Drug User Fee Act, it remains unclear how the administration’s recent reduction
in force and budget cuts will impact this program and the ability of the FDA to provide guidance and review our product candidate in
a timely manner.
There
is also substantial uncertainty as to how regulatory reform measures being implemented by the Trump Administration across the government
will impact the FDA and other federal agencies with jurisdiction over our activities. For example, since taking office, the President
has issued a number of executive orders that could have a significant impact on the manner in which the FDA conducts its operations and
engages in regulatory and oversight activities.
Accordingly,
if any of the foregoing developments and others impact the ability of the FDA to provide us with guidance regarding our clinical development
programs or delay the agency’s review and processing of our regulatory submissions, including INDs and new drug applications, our
business would be negatively impacted.
Our
indebtedness and liabilities could limit the cash flow available for our operations, expose us to risks that could adversely affect our
business, financial condition and results of operations and impair our ability to satisfy our debt obligations.
As
of June 30, 2025, we had $100.0 million aggregate principal amount of indebtedness for borrowed money, all of which was secured indebtedness
consisting of the Term Loans. We incurred $201.25 million principal amount of additional indebtedness as a result of the offering of
the Notes. We may incur additional indebtedness to meet future financing needs. For example, we intend to draw down our $30.0 million
Term D Loan in late August 2025 prior to the expiration of the Term D Draw Period on August 31, 2025, and have an additional $50.0 million
in incremental Term Loans that can be drawn under the A&R Loan Agreement upon the achievement of certain clinical milestones. Our
indebtedness could have significant negative consequences for our security holders and our business, results of operations and financial
condition by, among other things:
●
increasing
our vulnerability to adverse economic and industry conditions;
●
limiting
our ability to obtain additional financing on acceptable terms or at all;
●
requiring
the dedication of a substantial portion of our cash flow from operations to service our indebtedness, which will reduce the amount
of cash available for other purposes;
●
limiting
our flexibility to plan for, or react to, changes in our business;
●
diluting
the interests of our existing stockholders as a result of issuing shares of our common stock upon conversion of the Notes; and
●
placing
us at a possible competitive disadvantage with competitors that are less leveraged than us or have better access to capital.
Our
business may not generate sufficient funds, and we may otherwise be unable to maintain sufficient cash reserves, to pay amounts due under
our indebtedness, and our cash needs may increase in the future. In addition, the A&R Loan Agreement contains, and any future indebtedness
that we may incur in the future may contain, financial and other restrictive covenants that limit our ability to operate our business,
raise capital or make payments under our other indebtedness. If we fail to comply with these covenants or to make payments under our
indebtedness when due, then we would be in default under that indebtedness, which could, in turn, result in that and our other indebtedness
becoming immediately due and payable in full.
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We
may be unable to raise the funds necessary to repurchase the Notes for cash following a fundamental change or to pay any cash amounts
due upon maturity and our other indebtedness may limit our ability to repurchase the Notes or to pay any cash amounts due upon their
maturity.
Noteholders
may, subject to a limited exception, require us to repurchase their Notes following a fundamental change at a cash repurchase price generally
equal to the principal amount of the Notes to be repurchased, plus accrued and unpaid interest, if any, to, but excluding, the fundamental
change repurchase date. Upon maturity of the Notes, we must pay their principal amount and accrued and unpaid interest in cash, unless
they have been previously converted, redeemed or repurchased. We may not have enough available cash or be able to obtain financing at
the time we are required to repurchase the Notes or pay any cash amounts due upon their maturity. In addition, applicable law, regulatory
authorities and the agreements governing our other indebtedness may restrict our ability to repurchase the Notes or to pay any cash amounts
due upon their maturity. Our failure to repurchase Notes or to pay any cash amounts due upon their maturity when required will constitute
a default under the Indenture. A default under the Indenture or the fundamental change itself could also lead to a default under agreements
governing our other indebtedness, which may result in that other indebtedness becoming immediately payable in full after any applicable
notice or grace periods. We may not have sufficient funds to satisfy all amounts due under our indebtedness.
Provisions
in the Indenture could delay or prevent an otherwise beneficial takeover of us.
Certain
provisions in the Notes and the Indenture could make a third-party attempt to acquire us more difficult or expensive. For example, if
a takeover constitutes a fundamental change, then, subject to limited exceptions, Noteholders will have the right to require us to repurchase
their Notes for cash. In addition, if a takeover constitutes a make-whole fundamental change, then we may be required to temporarily
increase the conversion rate of the Notes. In either case, and in other cases, our obligations under the Notes and the Indenture could
increase the cost of acquiring us or otherwise discourage a third party from acquiring us or removing incumbent management, including
in a transaction that holders of our common stock may view as favorable.
ITEM
2. Unregistered Sales of Equity Securities and Use of Proceeds
Recent
Unregistered Sales of Equity Securities
None.
Issuer
Purchases of Equity Securities
None.
ITEM
3. Defaults Upon Senior Securities
None.
ITEM
4. Mine Safety Disclosures
None.
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