Item 1A. Risk Factors
Item 1A. Risk Factors
The information set forth in this report should be read in conjunction with the risk factors set forth in Item 1A, “Risk Factors,” of Part I of our Annual Report on Form 10-K
for the year ended December 31, 2019, which could materially impact our business, financial condition or future results.
The outbreak of the novel strain of coronavirus, SARS-CoV-2,
which causes COVID-19,
could adversely impact our business, including our preclinical studies and clinical trials.
Public health crises such as pandemics or similar outbreaks could adversely impact our business. In December 2019, a novel strain of coronavirus, SARS-CoV-2,
which causes coronavirus disease 2019 (“COVID-19”),
surfaced in Wuhan, China. Since then, COVID-19
has spread to multiple countries, including the United States. In response to the spread of COVID-19,
we have closed our executive offices with our administrative employees continuing their work outside of our offices, restricted on-site
staff to only those required to execute their job responsibilities and limited the number of staff in any given research and development laboratory.
As a result of the COVID-19
outbreak, or similar pandemics, we have and may in the future experience disruptions that could severely impact our business and our anticipated rollout and/or continuation of our Phase 2b/3 NASH-RX
trial, including:
•
delays or difficulties in enrolling patients in our clinical trials;
•
delays or disruptions in non-clinical
experiments due to unforeseen circumstances at contract research organizations and vendors along their supply chain;
•
increased rates of patients withdrawing from our clinical trials following enrollment as a result of contracting COVID-19,
being forced to quarantine, or not accepting in office or home health visits;
•
diversion of healthcare resources away from the conduct of clinical trials, including the diversion of hospitals serving as sites for our NASH-RX
trials and hospital staff supporting the conduct of such trials;
•
interruption of key clinical trial activities, such as clinical trial site data monitoring, due to limitations on travel imposed or recommended by federal or state governments, employers and others or interruption of clinical trial subject visits and study procedures (particularly any procedures that may be deemed non-essential),
which may impact the integrity of subject data and clinical study endpoints;
•
interruption or delays in the operations of the FDA and comparable foreign regulatory agencies, which may impact review and approval timelines;
•
interruption of, or delays in receiving, supplies of our product candidates from our contract manufacturing organizations due to staffing shortages, production slowdowns or stoppages and disruptions in delivery systems; and
•
limitations on employee resources that would otherwise be focused on the conduct of our preclinical studies and clinical trials, including because of sickness of employees or their families, the desire of employees to avoid contact with large groups of people, an increased reliance on working from home or mass transit disruptions.
These and other factors arising from the COVID-19
pandemic could worsen in countries that are already afflicted with COVID-19,
could continue to spread to additional countries, or could return to countries where the pandemic has been partially contained, each of which could further adversely impact our ability to conduct clinical trials and our business generally, and could have a material adverse impact on our operations and financial condition and results.
In addition, the trading prices for our common stock and other biopharmaceutical companies have been highly volatile as a result of the COVID-19
epidemic. As a result, we may face difficulties raising capital through sales of our common stock or such sales may be on unfavorable terms. The COVID-19
outbreak continues to rapidly evolve. The extent to which the outbreak may impact our business, preclinical studies and clinical trials will depend on future developments, which are highly uncertain and cannot be predicted with confidence, such as the ultimate geographic spread of the disease, the duration of the outbreak, travel restrictions and actions to contain the outbreak or treat its impact, such as social distancing and quarantines or lock-downs in the United States and other countries, business closures or business disruptions and the effectiveness of actions taken in the United States and other countries to contain and treat the disease.
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Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
None
Item 3. Defaults Upon Senior Securities
None
Item 4. Mine Safety Disclosures
Not Applicable
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