10-Q
1
tm2024833-1_10q.htm
FORM 10-Q
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
x QUARTERLY
REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended June 30,
2020
OR
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 001-38596
REPLIMUNE GROUP, INC.
(Exact name of registrant as specified in
its charter)
Delaware
82-2082553
(State or other jurisdiction of
(I.R.S. Employer
incorporation or organization)
Identification No.)
500 Unicorn Park
Woburn MA 01801
(Address of principal executive offices)
(Zip Code)
(781) 222-9600
(Registrant’s telephone number, including
area code)
Securities registered pursuant to Section 12(b) of
the Act:
Title of each class
Trading Symbol(s)
Name of each exchange on which registered
Common Stock, par value $0.001 per share
REPL
The Nasdaq Stock Market LLC (Nasdaq Global Select Market)
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, 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.
Large accelerated filer o
Accelerated filer o
Non-accelerated filer x
Smaller reporting company x
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
The number of shares of the registrant’s Common Stock,
par value $0.001 per share, outstanding as of August 4, 2020 was 40,288,329.
REPLIMUNE GROUP, INC.
FORM 10-Q
INDEX
Page No.
PART I FINANCIAL INFORMATION
2
Item 1.
Condensed Consolidated Financial Statements (Unaudited)
2
Condensed Consolidated Balance Sheets
2
Condensed Consolidated Statements of Operations
3
Condensed Consolidated Statements of Comprehensive Loss
4
Condensed Consolidated Statements of Stockholders’ Equity
5
Condensed Consolidated Statements of Cash Flows
6
Notes to Unaudited Condensed Consolidated Financial Statements
Item 2.
Management’s Discussion and Analysis of Financial Condition and Results of Operations
23
Item 3.
Quantitative and Qualitative Disclosures About Market Risk
Item 4.
Controls and Procedures
39
PART II OTHER INFORMATION
41
Item 1.
Legal Proceedings
41
Item 1A.
Risk Factors
41
Item 2.
Unregistered Sales of Equity Securities and Use of Proceeds
86
Item 3.
Defaults Upon Senior Securities
86
Item 4.
Mine Safety Disclosure
86
Item 5.
Other Information
86
Item 6.
Exhibits
87
SIGNATURES
88
1
PART I
- FINANCIAL INFORMATION
Item 1. Financial Statements.
REPLIMUNE GROUP, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(Amounts in thousands, except share
and per share amounts)
(Unaudited)
June 30,
March 31,
2020
2020
Assets
Current assets:
Cash and cash equivalents
$ 104,797
$ 59,500
Short-term investments
156,962
109,055
Research and development incentives receivable
2,951
2,962
Prepaid expenses and other current assets
3,031
2,734
Total current assets
267,741
174,251
Property, plant and equipment, net
7,357
6,860
Research and development incentives receivable - long term
679
Restricted cash
1,636
1,636
Right-to-use asset - operating leases
5,852
4,425
Right-to-use asset - financing leases
46,318
46,925
Total assets
$ 329,583
$ 234,097
Liabilities and Stockholders' Equity
Current liabilities:
Accounts payable
$ 3,480
$ 3,434
Accrued expenses and other current liabilities
5,139
5,156
Operating lease liabilities, current
830
873
Financing lease liabilities, current
2,429
2,411
Total current liabilities
11,878
11,874
Long term debt, net of debt discount
9,764
9,801
Operating lease liabilities, non-current
5,210
3,737
Financing lease liabilities, non-current
24,917
24,967
Total liabilities
51,769
50,379
Commitments and contingencies (Note 12)
Stockholders' equity
Common stock, $0.001 par value; 150,000,000 shares authorized as of
June 30, 2020 and March 31, 2020; 40,280,420 and 36,668,743 shares issued and outstanding
as of June 30, 2020 and March 31, 2020, respectively
40
37
Additional paid-in capital
408,755
296,961
Accumulated deficit
(129,791 )
(112,298 )
Accumulated other comprehensive loss
(1,190 )
(982 )
Total stockholders' equity
277,814
183,718
Total liabilities and stockholders' equity
$ 329,583
$ 234,097
The accompanying notes are an integral part
of these condensed consolidated financial statements.
2
REPLIMUNE GROUP, INC.
CONDENSED CONSOLIDATED STATEMENTS OF
OPERATIONS
(Amounts in thousands, except share
and per share amounts)
(Unaudited)
Three Months Ended
June 30,
2020
2019
Operating expenses:
Research and development
$ 12,157
$ 7,457
General and administrative
5,676
3,450
Total operating expenses
17,833
10,907
Loss from operations
(17,833 )
(10,907 )
Other income:
Research and development incentives
686
621
Investment income
527
687
Interest expense on finance lease liability
(561 )
-
Interest expense on debt obligations
(284 )
-
Other income
(28 )
91
Total other income, net
340
1,399
Net loss attributable to common stockholders
$ (17,493 )
$ (9,508 )
Net loss per share attributable to common stockholders, basic and
diluted
$ (0.44 )
$ (0.30 )
Weighted average common shares outstanding, basic and diluted
39,862,319
31,661,430
The accompanying notes are an integral part
of these condensed consolidated financial statements.
3
REPLIMUNE GROUP, INC.
CONDENSED CONSOLIDATED STATEMENTS OF
COMPREHENSIVE LOSS
(Amounts in thousands)
(Unaudited)
Three Months Ended
June 30,
2020
2019
Net loss
$ (17,493 )
$ (9,508 )
Other comprehensive loss:
Foreign currency translation loss
(12 )
(182 )
Net unrealized gain (loss) on short-term investments, net of tax
(196 )
65
Comprehensive loss
$ (17,701 )
$ (9,625 )
The accompanying notes are an integral part
of these condensed consolidated financial statements.
4
REPLIMUNE GROUP, INC.
CONSOLIDATED STATEMENTS OF STOCKHOLDERS’
EQUITY
(Amounts in thousands, except share
amounts)
(Unaudited)
Common stock
Additional
paid-in
Accumulated
Accumulated
other
comprehensive
Total
stockholders’
Shares
Amount
capital
deficit
loss
equity
Balances as of March 31, 2020
36,668,743
$ 37
$ 296,961
$ (112,298 )
$ (982 )
$ 183,718
Issuance of prefunded warrants to purchase common stock, net of
$2,100 issuance costs
-
-
32,900
-
-
32,900
Issuance of common stock, net of issuance costs and underwriter
fees of $5,117
3,478,261
3
74,879
74,882
Foreign currency translation adjustment
-
-
-
-
(12 )
(12 )
Unrealized loss on short-term investments
-
-
-
-
(196 )
(196 )
Exercise of stock options
133,416
1,547
-
-
1,547
Stock-based compensation expense
-
-
2,468
-
-
2,468
Net loss
-
-
-
(17,493 )
-
(17,493 )
Balances as of June 30, 2020
40,280,420
$ 40
$ 408,755
$ (129,791 )
$ (1,190 )
$ 277,814
Balances as of March 31, 2019
31,656,950
32
198,645
(59,766 )
(1,055 )
137,856
Foreign currency translation adjustment
-
-
-
-
(182 )
(182 )
Unrealized gain on short-term investments
-
-
-
-
65
65
Exercise of stock options
6,751
-
18
-
-
18
Stock-based compensation expense
-
-
1,810
-
-
1,810
Impact of adoption of ASC 842
-
-
-
93
-
93
Net loss
-
-
-
(9,508 )
-
(9,508 )
Balances as of June 30, 2019
31,663,701
$ 32
$ 200,473
$ (69,181 )
$ (1,172 )
$ 130,152
The accompanying notes are an integral part
of these condensed consolidated financial statements.
5
REPLIMUNE GROUP, INC.
CONDENSED CONSOLIDATED
STATEMENTS OF CASH FLOWS
(Amounts in thousands)
(Unaudited)
Three Months Ended
June 30,
2020
2019
Cash flows from operating activities:
Net loss
$ (17,493 )
$ (9,508 )
Adjustments to reconcile net loss to net cash used in operating
activities:
Stock-based compensation expense
2,468
1,810
Depreciation and amortization
391
42
Noncash interest expense
63
-
Net amortization of premiums and discounts on short-term investments
91
(436 )
Changes in operating assets and liabilities:
Research and development incentives receivable
(684 )
(621 )
Prepaid expenses and other current assets
(301 )
(847 )
Operating lease, right-of-use-asset
135
85
Finance lease, right-of-use-asset
607
Long term prepaid rent
-
(6,895 )
Accounts payable
(224 )
3,764
Accrued expenses and other current liabilities
(11 )
(885 )
Operating lease liabilities
(132 )
(91 )
Net cash used in operating activities
(15,090 )
(13,582 )
Cash flows from investing activities:
Purchases of property, plant and equipment
(932 )
(362 )
Purchase of short-term investments
(125,812 )
(18,486 )
Proceeds from sales and maturities of short-term investments
77,618
45,659
Net cash provided by (used in) investing activities
(49,126 )
26,811
Cash flows from financing activities:
Payment of issuance costs
(100 )
-
Proceeds from issuance of common stock in follow-on public offering,
net of underwriting fees and discounts
75,199
-
Proceeds from issuance of prefunded warrants to purchase common
stock, net of underwriting fees and discounts
32,900
-
Principal payment of finance lease obligation
(32 )
-
Exercise of stock options
1,547
18
Net cash provided by financing activities
109,514
18
Effect of exchange rate changes on cash, cash
equivalents and restricted cash
(1 )
(137 )
Net increase in cash, cash equivalents
and restricted cash
45,297
13,110
Cash, cash equivalents and restricted cash at beginning of period
61,136
26,890
Cash, cash equivalents and restricted cash at end of period
$ 106,433
$ 40,000
Supplemental disclosure of cash flow information:
Cash paid during the period for interest
$ 221
$ -
Supplemental disclosure of non-cash investing
and financing activities:
Net unrealized gain (loss) on short-term investments
$ (196 )
$ 65
Issuance costs included in accounts payable
$ 317
$ -
Purchases of property and equipment included in accounts payable
$ 64
$ -
Lease assets obtained in exchange for new operating lease liabilities
$ 1,580
$ 789
The accompanying notes are an integral part
of these condensed consolidated financial statements.
6
1. Nature of the business
Replimune Group, Inc. (the “Company”)
is a clinical-stage biotechnology company focused on the development of oncolytic immunotherapies to treat cancer. Replimune Group, Inc.,
whose predecessor was founded in 2015, is the parent company of its wholly owned subsidiaries: Replimune Limited (“Replimune
UK”); Replimune, Inc. (“Replimune US”); and Replimune Securities Corporation.
The Company is subject to risks and uncertainties
common to early-stage companies in the biotechnology industry, including, but not limited to, development by competitors of new
technological innovations, dependence on key personnel, protection of proprietary technology, compliance with government regulations
and the ability to secure additional capital to fund operations. Product candidates currently under development will require significant
additional research and development efforts, including preclinical and clinical testing and regulatory approval, prior to commercialization.
These efforts require significant amounts of additional capital, adequate personnel and infrastructure and extensive compliance
and reporting capabilities. Even if the Company’s product development efforts are successful, it is uncertain when, if ever,
the Company will realize significant revenue from product sales.
Basis of presentation
The accompanying consolidated financial
statements have been prepared on the basis of continuity of operations, realization of assets and the satisfaction of liabilities
and commitments in the ordinary course of business. The Company has incurred recurring losses since its inception, including net
losses of $17,493 and $9,508 for the three months ended June 30, 2020 and 2019, respectively. In addition, as of June 30,
2020, the Company had an accumulated deficit of $129,791. The Company expects to continue to generate operating losses for the
foreseeable future. As of the issuance date of these consolidated financial statements, the Company expects that its cash and cash
equivalents and short-term investments will be sufficient to fund its operating expenses and capital expenditure requirements through
at least 12 months from the issuance of the consolidated financial statements. The
Company expects to seek additional funding through public and private equity financings, debt financings, collaborations, licensing
arrangements, and/or strategic alliances.
If the Company is unable to obtain funding
it could be forced to delay, reduce or eliminate some or all of its research and development programs, product portfolio expansion
or commercialization efforts, which could adversely affect its business prospects, or it may be unable to continue operations.
Although management continues to pursue these plans, there is no assurance that the Company will be successful in obtaining sufficient
funding on terms acceptable to the Company to fund continuing operations, if at all.
Impact of the COVID-19 coronavirus
In December 2019, a novel strain of
coronavirus, which causes the disease known as COVID-19, was reported to have surfaced in Wuhan, China. Since then, COVID-19 coronavirus
has spread globally. In March 2020, the World Health Organization declared the COVID-19 outbreak a pandemic and the U.S. government
imposed travel restrictions on travel between the United States, Europe and certain other countries. The impact of this pandemic
has been, and will likely continue to be, extensive in many aspects of society, which has resulted, and will likely continue to
result, in significant disruptions to the global economy as well as businesses and capital markets around the world.
In response to public health directives
and orders and to help minimize the risk of the virus to employees, the Company has taken precautionary measures, including implementing
work-from-home policies for the Company’s employees, other than certain essential employees in our laboratory and who perform
manufacturing functions, and certain other employees who we deem essential from time to time. For those essential employees, the
Company has implemented stringent safety measures designed to comply with applicable federal, state and local guidelines instituted
in response to the COVID-19 pandemic. The Company has taken these and other precautionary steps while maintaining business continuity
in order to continue to progress its programs. While there has been no prolonged material disruption to the Company’s business
to date, the impact of the virus, including work-from-home policies, may negatively impact productivity, disrupt the Company’s
business, and delay its preclinical research and clinical trial activities and its development program timelines, the magnitude
of which will depend, in part, on the length and severity of the restrictions and other limitations on the Company’s ability
to conduct its business in the ordinary course. Other impacts to the Company’s business may include temporary closures of
its suppliers and disruptions or restrictions on its employees’ ability to travel. Any prolonged material disruption to
the Company’s employees or suppliers could adversely impact the Company’s preclinical research and clinical trial
activities, financial condition and results of operations, including its ability to obtain financing.
7
2. Summary of significant accounting policies
Principles of consolidation
The accompanying consolidated financial
statements have been prepared in accordance with accounting principles generally accepted in the United States of America, or GAAP,
and include the accounts of the Company and its wholly owned subsidiaries, Replimune UK, Replimune US and Replimune Securities
Corporation, after elimination of all intercompany accounts and transactions. The consolidated financial statements reflect the
capital as if Replimune Group, Inc. had been in existence for all periods presented.
Use of estimates
The preparation of consolidated financial
statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets
and liabilities, the disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the
reported amounts of expenses during the reporting periods. Significant estimates and assumptions reflected in these consolidated
financial statements include, but are not limited to, the accrual for research and development expenses and the valuation of common
stock and stock-based awards. The Company bases its estimates on historical experience, known trends and other market-specific
or other relevant factors that it believes to be reasonable under the circumstances.
The full extent to which the COVID-19 pandemic
will directly or indirectly impact our business, results of operations and financial condition, including, expenses, research and
development costs and employee-related amounts, will depend on future developments that are highly uncertain, including as a result
of new information that may emerge concerning COVID-19 and the actions taken to contain it or treat COVID-19. We have made estimates
of the impact of COVID-19 within our financial statements and there may be changes to those estimates in future periods.
Estimates are periodically reviewed in light
of reasonable changes in circumstances, facts and experience. Changes in estimates are recorded in the period in which they become
known. Actual results could differ from those estimates or assumptions.
Unaudited interim financial information
The accompanying consolidated balance sheet
as of June 30, 2020, the consolidated statements of operations, of comprehensive loss and of cash flows for the three months
ended June 30, 2020 and 2019 and the consolidated statement of stockholders’ equity as of June 30, 2020 and 2019
are unaudited. The unaudited interim consolidated financial statements have been prepared on the same basis as the audited annual
consolidated financial statements and, in the opinion of management, reflect all adjustments, which include only normal recurring
adjustments, necessary for the fair presentation of the Company’s financial position as of June 30, 2020 and the results
of its operations and its cash flows for the three months ended June 30, 2020 and 2019. The financial data and other information
disclosed in these consolidated notes related to the three months ended June 30, 2020 and 2019 are unaudited. The results
for the three months ended June 30, 2020 are not necessarily indicative of results to be expected for the year ending March 31,
2021, any other interim periods or any future year or period. The financial information included herein should be read in conjunction
with the financial statements and notes in the Company's Annual Report on Form 10-K for the year ended March 31, 2020.
During the three months ended June 30,
2020, there have been no changes to the Company’s significant accounting policies as described in the Company's Annual Report
on Form 10-K for the year ended March 31, 2020, except as described below.
8
Recently adopted accounting
pronouncements
In August 2018, the FASB issued ASU
No. 2018-13, Fair Value Measurement (Topic 820), Disclosure Framework- Changes to the Disclosure Requirements for
Fair Value Measurement (“ASU 2018-13”). The amendments in this ASU require certain existing disclosure requirements
in Topic 820 to be modified or removed, and certain new disclosure requirements to be added to the Topic. In addition, this ASU
allows entities to exercise more discretion when considering fair value measurement disclosures. The Company adopted ASU 2018-13
on April 1, 2020. The adoption of ASU 2018-13 did not have a material impact on the Company's consolidated financial statements.
In November 2018, the FASB issued ASU
No. 2018-18, Collaborative Arrangements (Topic 808): Clarifying the Interaction between Topic 808 and Topic 606 (“ASU2018-18”),
which clarifies that certain transactions between collaborative arrangement participants should be accounted for as revenue under
Topic 606 when the collaborative arrangement participant is a customer in the context of a unit of account. In those situations,
all the guidance in Topic 606 should be applied, including recognition, measurement, presentation, and disclosure requirements.
The standard adds unit-of-account guidance in Topic 808 to align with the guidance in Topic 606 (that is, a distinct good or service)
when an entity is assessing whether the collaborative arrangement or a part of the arrangement is within the scope of Topic 606,
and requires that in a transaction with a collaborative arrangement participant that is not directly related to sales to third
parties, presenting the transaction together with revenue recognized under Topic 606 is precluded if the collaborative arrangement
participant is not a customer. The standard is effective for interim and annual periods beginning after December 15, 2019,
with early adoption permitted, including adoption in any interim period for public business entities for periods in which financial
statements have not been issued. Amendments in the standard should be applied retrospectively to the date of initial application
of Topic 606, but entities may elect to apply the amendments in this Update retrospectively either to all contracts or only to
contracts that are not completed at the date of initial application of Topic 606, and should disclose the election. An entity may
also elect to apply the practical expedient for contract modifications that is permitted for entities using the modified retrospective
transition method in Topic 606. The Company adopted ASU 2018-18 on April 1, 2020. The adoption of ASU 2018-18 did not have
a material impact on the Company's consolidated financial statements.
Recently issued accounting
pronouncements
In June 2016, the FASB issued ASU No. 2016-13, Financial
Instruments- Credit Losses (Topic 326). The standard changes how entities will measure credit losses for most financial
assets and certain other instruments that are not measured at fair value through net income. Financial assets measured at amortized
cost will be presented at the net amount expected to be collected by using an allowance for credit losses. In April 2019,
the FASB issued ASU No. 2019-04, Codification Improvements to Topic 326, Financial Instruments - Credit
Losses, Topic 815, Derivatives and Hedging, and Topic 825, Financial Instruments, which clarifies and corrects certain
unintended applications of the guidance contained in each of the amended Topics. Additionally, in May 2019, the FASB issued
ASU No. 2019-05, Financial Instruments - Credit Losses (Topic 326), which provides an option
to irrevocably elect to measure certain individual financial assets at fair value instead of amortized cost. The standard is effective
for fiscal years and interim periods beginning after December 15, 2023. Early adoption is permitted for all periods beginning
after December 15, 2018. The adoption of ASU 2016-13 is not expected to have a material impact on the Company's consolidated
financial statements.
3. Fair value of financial assets and liabilities
The following tables present information
about the Company’s financial assets and liabilities measured at fair value on a recurring basis:
Fair Value Measurements as of
June 30, 2020 Using:
Level 1
Level 2
Level 3
Total
Assets
Money market funds
$ -
$ 43,566
$ -
$ 43,566
US Treasury bonds
-
84,785
-
84,785
US Government Agency bonds
-
105,624
-
105,624
$ -
$ 233,975
$ -
$ 233,975
Fair
Value Measurements as of
March 31, 2020 Using:
Level 1
Level 2
Level 3
Total
Assets
Money market funds
$ -
$ 36,712
$ -
$ 36,712
Commercial paper
-
21,884
-
21,884
US Treasury bonds
-
35,810
-
35,810
US Government Agency bonds
-
15,295
-
15,295
Corporate debt securities
-
36,066
-
36,066
$ -
$ 145,767
$ -
$ 145,767
9
The underlying securities held in the money
market funds held by the Company are all government backed securities.
During the three months ended June 30,
2020 and 2019, there were no transfers between levels.
Valuation of cash equivalents and short-term investments
Money market funds, commercial
paper, U.S. Treasury bonds, U.S. Government Agency bonds and corporate debt securities were valued by the Company using quoted
prices in active markets for similar securities, which represent a Level 2 measurement within the fair value hierarchy. Cash
equivalents consisted of money market funds at June 30, 2020 and March 31, 2020.
4. Short-term investments
Short-term investments by investment type
consisted of the following:
June 30, 2020
Amortized
cost
Gross unrealized
gains
Gross unrealized
losses
Fair value
Commercial paper
$ -
US Government agency bonds
$ 90,147
$ 37
$ (9 )
$ 90,175
US Treasury bonds
66,688
102
(3 )
66,787
$ 156,835
$ 139
$ (12 )
$ 156,962
March 31,
2020
Amortized
cost
Gross unrealized
gains
Gross unrealized
losses
Fair value
Commercial paper
$ 21,818
$ 66
$ -
$ 21,884
US Government agency bonds
15,217
78
-
15,295
US Treasury bonds
35,590
220
-
35,810
Corporate debt securities
36,107
24
(65 )
36,066
$ 108,732
$ 388
$ (65 )
$ 109,055
10
5. Property, plant and equipment, net
Property, plant and equipment, net consisted
of the following:
June 30,
March 31,
2020
2020
Construction in progress
$ 1,246
$ 1,217
Plant and laboratory equipment
4,409
3,669
Leasehold improvements
647
532
Computer equipment
1,662
1,658
Office equipment
721
721
8,685
7,797
Less: Accumulated depreciation and amortization
(1,328 )
(937 )
$ 7,357
$ 6,860
Depreciation and amortization
expense was $391 and $42 for the three months ended June 30, 2020 and 2019, respectively, and recorded within research and
development and general and administrative expenses in the consolidated statement of operations.
6. Accrued expenses and other current liabilities
Accrued expenses and other current liabilities
consisted of the following:
June 30,
March 31,
2020
2020
Accrued research and development costs
$ 2,872
$ 2,009
Accrued compensation and benefits costs
1,189
2,065
Accrued professional fees
503
779
Other
575
303
$ 5,139
$ 5,156
7. Long-term debt
Long-term debt consisted of the following:
June 30,
March 31,
2020
2020
Principal amount of long-term debt
$ 10,000
$ 10,000
Unamortized debt discount
(236 )
(199 )
Long-term debt, net of discount
$ 9,764
$ 9,801
Hercules Loan Agreement
On August 8, 2019, (the “Closing
Date”) and as amended on June 1, 2020 (“the First Amendment”), the Company and certain of its affiliates
entered into a Loan and Security Agreement (the “Hercules Loan Agreement”) with Hercules Capital, Inc. (“Hercules”)
pursuant to which Hercules agreed to make available to the Company a secured term loan facility in the amount of $30,000 (the
“Term Loan Facility”), subject to certain terms and conditions. The Company borrowed $10,000 under the Hercules Loan
Agreement in one advance as a single tranche Term Loan on the Closing Date upon which the Company paid a $225 facility charge
and incurred $130 in additional closing and legal fees. The Company may borrow the unused $20,000 available under the Term Loan
Facility in two separate advances. The second advance of up to $10,000 may be borrowed between January 1, 2020 and December 15,
2020 and the third advance of up to $10,000 may be borrowed between July 1, 2020 and June 30, 2021.
In June 2020, the Company entered
into the First Amendment to the Hercules Loan Agreement (the “Hercules First Amendment”), which amended the secured
term loan facility from $30,000 to $40,000, subject to terms and conditions, by adding a fourth advance of up to $10,000. The
Company may borrow the second advance of $10,000 may between October 1, 2020 and December 15, 2020. In the event the
Company does not draw on the second advance or if the Term Loan Facility is terminated prior to a draw of the second advance,
the Company shall pay Hercules a one-time facility charge fee of $0.1 million on the earliest of (i) December 16, 2020
or (ii) the date the Company prepays the outstanding obligations. The third advance of up to $10,000 may be borrowed between
July 1, 2020 and June 30, 2021. The fourth advance of up to $10,000 may be borrowed between July 1, 2021 and December 15,
2021. The Company incurred $103 in additional closing and legal fees in connection with Hercules First Amendment, of which $100
will be capitalized and amortized as part of the effective yield. Additionally, the Amortization Date was changed from March 1,
2022 to September 1, 2022 (the “Amortization Date”) to extend the interest only payment period by six months.
11
Advances under the Term Loan Facility bear
interest at a rate per annum equal to the greater of either (i) the prime rate as reported in The Wall Street Journal plus
2.75%, or (ii) 8.75%. The Hercules Loan Agreement includes covenants, limitations, and events of default customary for similar
facilities. The term of the Hercules Loan Agreement is four years, ending August 1, 2023.
Interest is payable on a monthly basis
until the Amortization Date. After the Amortization Date, payments shall consist of equal monthly installments of principal and
interest payable until the secured obligations are repaid in full.
At any time the Company may prepay the
principal of any advance pursuant to the terms of the Term Loan Facility subject to a prepayment charge equal to: 3.0%, if such
advance is prepaid within the first twelve months following the Closing Date, 2.0%, if such advance is prepaid after twelve months
but prior to twenty four months following the Closing Date, and 1.0%, if such advance is prepaid anytime thereafter. The Company
will also pay a charge equal to the product of 4.95% and the aggregate amount of any advance made pursuant to the terms of the
Term Loan Facility.
The Term Loan Facility is secured by substantially
all of the Company’s assets, but excluding its intellectual property, and subject to certain exceptions and exclusions.
The Hercules Loan Agreement contains customary
covenants for transactions of this type and other covenants agreed to by the parties, including, among others, (i) the provision
of delivery of annual and quarterly financial statements and insurance policies and restrictions on incurring debt, granting liens,
making acquisitions, making loans, paying dividends, dissolving, and entering into leases and asset sales. The Hercules Loan Agreement
also provides for customary events of default, including, among others, events of default relating to failure to make payment,
bankruptcy, breach of covenants, breaches of representations and warranties, change of control, judgment and material adverse
effects.
In connection with entering into the Hercules
Loan Agreement, the Company paid Hercules $355 of upfront fees, including closing costs and legal fees associated with entering
into the agreement, which were recorded as a debt discount. In connection with entering into the Hercules First Amendment, the
Company paid $100 of upfront fees, including closing costs and legal fees associated with entering into the amendment, which were
recorded as debt discount, totaling the debt discount to $455 as of June 30, 2020. The debt discount is reflected as a reduction
of the carrying value of long-term debt on the Company’s consolidated balance sheet and is being amortized to interest expense
over the term of the loan using the effective interest method.
The Company recognized aggregate interest
expense under the Hercules Loan Agreement of $284 during the three months ended June 30, 2020, which included non-cash interest
expense of $27 and $36 related to the accretion of the debt discount and the final payment. As of June 30, 2020, the unamortized
debt discount was $236. The Company’s annual effective interest rate of the Hercules First Amendment was approximately 10.5%
as of June 30, 2020.
There were no principal payments due or
paid under the Hercules Loan Agreement during the three months ended June 30, 2020.
Future payments of long-term debt as of
June 30, 2020 are as follows (fiscal years):
Debt maturity as of June
30, 2020
Future long-term debt payments:
2021 (remaining nine months)
$ -
2022
-
2023
5,722
2024
4,278
Total debt payments
$ 10,000
The table of future payments of long-term
debt excludes the end of term charge of $495 which is due upon the maturity of the loan.
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8. Stockholders’ Equity
Common stock
As of June 30, 2020
and March 31, 2020, the Company’s certificate of incorporation, as amended and restated, authorized the Company to
issue up to 150,000,000 shares of common stock, par value $0.001 per share.
As of June 30, 2020
and March 31, 2020, the Company had reserved 13,670,676 and 10,449,033 shares of common stock for the exercise of outstanding
stock options, the number of shares remaining available for grant under the Company’s 2018 Omnibus Incentive Compensation
Plan and the Company’s Employee Stock Purchase Plan (see Note 9) and the exercise of the outstanding warrants to purchase
shares of common, respectively.
Undesignated preferred
stock
As of June 30, 2020, the Company’s
certificate of incorporation, as amended and restated, authorized the Company to issue up to 10,000,000 shares of undesignated
preferred stock, par value $0.001 per share. There were no undesignated preferred shares issued or outstanding as of June 30,
2020.
Convertible preferred stock and preferred stock
warrants
The Company has issued series seed convertible
preferred stock (the “series seed preferred stock”), series A convertible preferred stock (the “series A preferred
stock”) and series B convertible preferred stock (the “series B preferred stock”). The series seed preferred
stock, series A preferred stock and series B preferred stock are collectively referred to as the “preferred stock.”
In connection with the closing of the IPO, the preferred stock converted into 19,157,360 shares of common stock on a 1:9.94688
basis. There was no preferred stock outstanding as of June 30, 2020 and March 31, 2020.
In
connection with the issuance of the series seed preferred stock, the Company issued to the holders of the series seed preferred
stock warrants for the purchase of 50,000 shares of series seed preferred stock, which became fully vested and exercisable in
the year of issuance. The warrants to purchase shares of series seed preferred stock were issued at an exercise price of $10.00
per share and expire on the earlier of September 16, 2025 or a qualified change of control event. Upon the closing of the
Company's IPO in July 2018, the series seed preferred stock warrants became exercisable for 497,344 shares of common stock
and were reclassified to stockholders’ equity.
ATM program
In August 2019, the Company entered
into a Sales Agreement (as amended, the “Sales Agreement”) with SVB Leerink LLC (the “Agent”), pursuant
to which the Company could sell, from time to time, at its option, up to an aggregate amount of $75,000 of shares of the Company’s
common stock, $0.001 par value per share (the “Shares”), through the Agent, as the Company’s sales agent. In
June 2020, the Sales Agreement was amended to reduce the aggregate offering amount under the Sales Agreement from $75,000
of shares to $30,000 of Shares. Any Shares to be offered and sold under the Sales Agreement will be issued and sold (i) by
methods deemed to be an “at the market offering” (“ATM”), as defined in Rule 415(a)(4) promulgated
under the Securities Act of 1933, as amended or in negotiated transactions, if authorized by the Company, and (ii) pursuant
to, and only upon the effectiveness of, a registration statement on Form S-3 filed by the Company with the Securities and
Exchange Commission on August 8, 2019 for an offering of up to $250,000 of various securities, including shares of the Company’s
common stock, preferred stock, debt securities, warrants and/or units for sale to the public in one or more public offerings.
13
Subject to the terms of the Sales Agreement,
the Agent will use commercially reasonable efforts to sell the Shares from time to time, based upon the Company’s instructions
(including any price, time or size limits or other customary parameters or conditions the Company may impose). The Company will
pay the Agent a commission of 3.0% of the gross proceeds from the sale of the Shares, if any. During the year ended March 31,
2020, the Company issued and sold 287,559 Shares for gross proceeds of $4,568 less offering fees of $137 for net proceeds of $4,431
under the ATM. As of June 30, 2020, the Company had $25,432 of Shares remaining available for sale under the ATM.
Equity offerings
In November 2019, the Company entered
into an Underwriting Agreement (the “November 2019 Underwriting Agreement”) with J.P. Morgan Securities LLC and
SVB Leerink LLC, as representatives of the several underwriters named therein (the “November 2019 Underwriters”),
relating to the issuance and sale of an aggregate of (a) 3,678,031 shares of the Company’s common stock (the “November 2019
Shares”), and (b) pre-funded warrants to purchase 2,200,000 shares of the Company’s common stock (the “November 2019
Pre-Funded Warrants”) to the Underwriters (the “November 2019 Offering”). The November 2019 Shares
were sold to the purchasers at the public offering price of $13.61 per share. The November 2019 Pre-Funded Warrants were
sold at a public offering price of $13.6099 per November 2019 Pre-Funded Warrant, which represents the per share public offering
price for the Company’s common stock less a $0.0001 per share exercise price for each such November 2019 Pre-Funded
Warrant. In December 2019, the November 2019 Underwriters partially exercised their purchase option pursuant to the
Underwriting Agreement, and the Company issued and sold an additional 838,530 shares of its common stock. The Company received
aggregate net proceeds of approximately $85,598 in the November 2019 Offering, after deducting underwriting discounts,
commissions and other offering expenses payable by the Company of approximately $5,814.
Funds affiliated with Redmile Group, LLC
purchased all of the November 2019 Pre-Funded Warrants. The November 2019 Pre-Funded Warrants are exercisable at any
time after the date of issuance. A holder of November 2019 Pre-Funded Warrants may not exercise the November 2019 Pre-Funded
Warrant if the holder, together with its affiliates, would beneficially own more than 9.99% of the number of shares of the Company’s
common stock outstanding immediately after giving effect to such exercise. A holder of November 2019 Pre-Funded Warrants
may increase or decrease this percentage up to 19.99% by providing at least 61 days’ prior notice to the Company. As
of June 30, 2020, none of the November 2019 Pre-Funded Warrants had been exercised.
In June 2020, the Company entered
into a separate Underwriting Agreement (the “June 2020 Underwriting Agreement”) with J.P. Morgan Securities LLC
and SVB Leerink LLC, as representatives of the several underwriters named therein (the “June 2020 Underwriters”),
relating to the issuance and sale of an aggregate of (a) 2,826,088 shares of the Company’s common stock (the “June 2020
Shares”), and (b) pre-funded warrants to purchase 1,521,738 shares of the Company’s common stock (the “June 2020
Pre-Funded Warrants”) to the Underwriters (the “June 2020 Offering”). The June 2020 Shares were
sold to the purchasers at the public offering price of $23.00 per share. The June 2020 Pre-Funded Warrants were sold at a
public offering price of $22.9999 per June 2020 Pre-Funded Warrant, which represents the per share public offering price
for the Company’s common stock less a $0.0001 per share exercise price for each such June 2020 Pre-Funded Warrant.
The June 2020 Underwriters fully exercised their purchase option pursuant to the June 2020 Underwriting Agreement, and
the Company issued and sold an additional 652,173 shares of its common stock. The Company received aggregate net proceeds
of approximately $107,782 after deducting underwriting discounts, commissions and other offering expenses payable by
the Company of approximately $7,217.
Funds affiliated with Redmile Group, LLC
and funds affiliated with a second institutional investor purchased all of the June 2020 Pre-Funded Warrants. The June 2020
Pre-Funded Warrants are exercisable at any time after the date of issuance. A holder of June 2020 Pre-Funded Warrants may
not exercise the June 2020 Pre-Funded Warrant if the holder, together with its affiliates, would beneficially own more than
9.99% of the number of shares of the Company’s common stock outstanding immediately after giving effect to such exercise.
A holder of June 2020 Pre-Funded Warrants may increase or decrease this percentage up to 19.99% by providing at least 61
days’ prior notice to the Company. As of June 30, 2020, none of the June 2020 Pre-Funded Warrants had been
exercised.
14
All of the Company’s pre-funded warrants
to purchase the Company’s common stock were purchased by funds affiliated with Redmile Group, LLC (in both the November 2019
Offering and the June 2020 Offering) and funds affiliated with a second institutional investor (in the June 2020 Offering).
Other than as set forth in Note 10 to these consolidated financial statements, the 3,721,738 shares of the Company’s common
stock into which the November 2019 Pre-Funded Warrants and the June 2020 Pre-Funded Warrants are exercisable are not
included in the number of issued and outstanding shares of the Company’s common stock set forth herein. However, the November 2019
Pre-Funded Warrants and the June 2020 Pre-Funded Warrants are included in the calculation of basic and diluted net loss per
share attributable to common stockholders (see Note 10).
9. Stock-based compensation
2015 Enterprise Management
Incentive Share Option Plan
The 2015 Enterprise Management Incentive
Share Option Plan of Replimune UK (the “2015 Plan”) provided for Replimune UK to grant incentive stock options, non-statutory
stock options, stock awards, stock units, stock appreciation rights and other stock-based awards. Incentive stock options are
granted only to the Company’s employees, including officers and directors who are also employees. Non-statutory stock options
are granted to employees, members of the board of directors, outside advisors and consultants of the Company.
2017 Equity Compensation
Plan
In July 2017, in conjunction with
the Reorganization, the 2015 Plan was terminated, and all awards were cancelled with replacement awards issued under the 2017
Equity Compensation Plan (the “2017 Plan”). Subsequent to the Reorganization, no additional grants will be made under
the 2015 Plan and any outstanding awards under the 2015 Plan will continue with their original terms. The Company concluded that
the cancellation of the 2015 Plan and issuance of replacement awards under the 2017 Plan was a modification with no change in
the material rights and preferences and therefore no recorded change in the fair value of each respective award.
The Company’s 2017 Plan provides
for the Company to grant incentive stock options or non-statutory stock options, stock awards, stock units, stock appreciation
rights and other stock-based awards. Incentive stock options may be granted only to the Company’s employees, including officers
and directors who are also employees. Restricted stock awards and non-statutory stock options may be granted to employees, officers,
members of the board of directors, advisors and consultants of the Company. The maximum number of common shares that may be issued
under the 2017 Plan was 2,659,885 of which 0 remained available for future grants as of June 30, 2020. Shares with respect
to which awards have expired, terminated, surrendered or cancelled under the 2017 Plan without having been fully exercised will
be available for future awards under the 2017 Plan. In addition, shares of common stock that are tendered to the Company by a
participant to exercise an award are added to the number of shares of common stock available for the grant of awards.
2018 Omnibus Incentive
Compensation Plan
On July 9, 2018, the Company’s
board of directors adopted, and the Company’s stockholders approved the 2018 Omnibus Incentive Compensation Plan (the “2018
Plan”), which became effective immediately prior to the effectiveness of the registration statement for the Company’s
initial public offering. The 2018 Plan provides for the issuance of incentive stock options, non-qualified stock options, stock
awards, stock units, stock appreciation rights and other stock-based awards. The number of shares initially reserved for issuance
under the 2018 Plan is 3,617,968 shares. If any options or stock appreciation rights, including outstanding options and stock
appreciation rights granted under the 2017 Plan (up to 2,520,247 shares), terminate, expire, or are canceled, forfeited, exchanged,
or surrendered without having been exercised, or if any stock awards, stock units or other stock-based awards, including outstanding
awards granted under the 2017 Plan, are forfeited, terminated, or otherwise not paid in full in shares of common stock, the shares
of the Company’s common stock subject to such grants will be available for purposes of our 2018 Plan. On April 1, 2020,
the number of shares reserved for issuance under the 2018 Plan automatically increased by 1,466,749 shares pursuant to the terms
of the 2018 Plan. On April 1, 2019, the number of shares reserved for issuance under the 2018 Plan automatically increased
by 1,266,278 shares pursuant to the terms of the 2018 Plan. As of June 30, 2020, 1,909,204 shares remained available for
future grants under the 2018 Plan.
15
The 2015 Plan, the 2017 Plan and the 2018
Plan was administered by the board of directors or, at the discretion of the board of directors, by a committee of the board of
directors. However, the board of directors shall administer and approve all grants made to non-employee directors. The exercise
prices, vesting and other restrictions are determined at the discretion of the board of directors, except that the exercise price
per share of incentive stock options may not be less than 100% of the fair market value of the common stock on the date of grant
(or 110% of fair value in the case of an award granted to employees who hold more than 10% of the total combined voting power
of all classes of stock at the time of grant) and the term of stock options may not be greater than five years for an incentive
stock option granted to a 10% stockholder and greater than ten years for all other options granted. Stock options awarded under
both plans expire ten years after the grant date, unless the board of directors sets a shorter term. Vesting periods for both
plans are determined at the discretion of the board of directors. Incentive stock options granted to employees and non-statutory
options granted to employees, officers, members of the board of directors, advisors, and consultants of the Company typically
vest over four years.
Employee Stock Purchase
Plan
On July 9, 2018, the Company’s
board of directors adopted and the Company’s stockholders approved the Employee Stock Purchase Plan (the “ESPP”),
which became effective immediately prior to the effectiveness of the registration statement for the Company’s IPO. The total
shares of common stock initially reserved for issuance under the ESPP is limited to 348,612 shares. In addition, as of the first
trading day of each fiscal year during the term of the ESPP (excluding any extensions), an additional number of shares of the
Company’s common stock equal to 1% of the total number of shares outstanding on the last trading day in the immediately
preceding fiscal year or 697,224 shares, whichever is less (or such lesser amount as determined by the Company’s board of
directors) will be added to the number of shares authorized under the ESPP. In accordance, on April 1, 2020, the number of
shares reserved for issuance under the ESPP automatically increased by 366,687 shares, for a total of 1,031,868 shares reserved
for the ESPP. In accordance, on April 1, 2019, the number of shares reserved for issuance under the ESPP automatically increased
by 316,569 shares, for a total of 665,181 shares reserved for the ESPP. If the total number of shares of common stock to be purchased
pursuant to outstanding purchase rights on any particular date exceed the number of shares then available for issuance under the
ESPP, then the plan administrator will allocate the available shares pro-rata and refund any excess payroll deductions or other
contributions to participants.
Stock option valuation
The fair value of stock option grants is
estimated using the Black-Scholes option-pricing model. The Company lacks company-specific historical and implied volatility information.
Therefore, it estimated its expected stock volatility based on the historical volatility of a publicly traded set of peer companies.
For options with service-based vesting conditions, the expected term of the Company’s stock options has been determined
utilizing the “simplified” method for awards that qualify as “plain-vanilla” options. The expected term
of stock options granted to non-employees is equal to the contractual term of the option award. The risk-free interest rate is
determined by reference to the U.S. Treasury yield curve in effect at the time of grant of the award for time periods approximately
equal to the expected term of the award. Expected dividend yield is based on the fact that the Company has never paid cash dividends
and does not expect to pay any cash dividends in the foreseeable future.
The following table presents, on a weighted-average
basis, the assumptions that the Company used to determine the grant-date fair value of stock options granted to employees and
directors:
Three Months
Ended
June 30,
2020
2019
Risk-free interest rate
1.24 %
2.34 %
Expected term (in years)
6.5
6.0
Expected volatility
75.0 %
71.0 %
Expected dividend yield
0 %
0 %
16
Stock options
The following table summarizes the Company’s
stock option activity:
Weighted
Weighted
Average
Average
Aggregate
Number of
Exercise
Contractual
Intrinsic
Shares
Price
Term (Years)
Value
Outstanding as of March 31, 2020
4,964,381
$ 9.78
8.02
$ 15,344
Granted
1,721,504
10.43
9.77
Exercised
(133,416 )
11.60
Cancelled
(41,947 )
12.02
Outstanding as of June 30, 2020
6,510,522
9.90
8.29
$ 97,322
Options exercisable as of March 31, 2020
2,117,721
$ 5.66
7.20
$ 11,733
Options exercisable as of June 30, 2020
2,545,850
$ 7.01
7.21
$ 45,430
The aggregate intrinsic value of stock
options is calculated as the difference between the exercise price of the stock options and the fair value of the Company’s
common stock for those stock options that had exercise prices lower than the fair value of the Company’s common stock.
The weighted average grant-date fair value
per share of stock options granted during the three months ended June 30, 2020 and 2019 was $6.94 and $9.96, respectively.
The total fair value of options vested during the three months ended June 30, 2020 and 2019 was $4,633 and $211, respectively.
Stock-based compensation expense
Stock-based compensation expense was classified
in the consolidated statements of operations as follows:
Three Months Ended
June 30,
2020
2019
Research and development
$ 1,000
$ 841
General and administrative
1,468
969
$ 2,468
$ 1,810
As of June 30, 2020, total unrecognized
compensation cost related to the unvested stock-based awards was $27,901, which is expected to be recognized over a weighted average
period of 2.96 years.
10. Net loss per share
Basic and diluted net loss per share attributable
to common stockholders was calculated as follows:
Three Months
Ended June 30,
2020
2019
Numerator:
Net loss attributable
to common stockholders
$ (17,493 )
$ (9,508 )
Denominator:
Weighted average common shares
outstanding, basic and diluted
39,862,319
31,661,430
Net loss per share attributable to common stockholders,
basic and diluted
$ (0.44 )
$ (0.30 )
17
The November 2019 Pre-Funded Warrants
and the June 2020 Pre-Funded Warrants are included in the calculation of basic and diluted net loss per share attributable
to common stockholders. The Company’s potentially dilutive securities, which include stock options, preferred stock and
warrants to purchase shares of series seed preferred stock, have been excluded from the computation of diluted net loss per share
as the effect would be to reduce the net loss per share. Therefore, the weighted average number of common shares outstanding used
to calculate both basic and diluted net loss per share attributable to common stockholders is the same. The Company excluded the
following potential common shares, presented based on amounts outstanding at each period end, from the computation of diluted
net loss per share attributable to common stockholders for the periods indicated because including them would have had an anti-dilutive
effect:
Three Months
Ended June 30,
2020
2019
Options to purchase common stock
6,510,522
4,845,068
Warrants to purchase convertible preferred stock (as converted
to common stock)
497,344
497,344
7,007,866
5,342,412
11. Significant agreements
Agreement with Bristol-Myers
Squibb Company
In February 2018, the Company entered
into an agreement with Bristol-Myers Squibb Company (“BMS”). Pursuant to the agreement, BMS will provide to the Company,
at no cost, a compound for use in the Company’s ongoing clinical trial. Under the agreement, the Company will sponsor, fund
and conduct the clinical trial in accordance with an agreed-upon protocol. BMS granted the Company a non-exclusive, non-transferrable,
royalty-free license (with a right to sublicense) under its intellectual property to its compound in the clinical trial and agreed
to supply its compound, at no cost to the Company, for use in the clinical trial. In January 2020, this agreement was expanded
to cover an additional cohort of 125 patients with anti-PD-1 refractory melanoma.
Unless earlier terminated, the agreement
will remain in effect until (i) the completion of the clinical trial, (ii) all related clinical trial data have been
delivered to both parties and (iii) the completion of any statistical analyses and bioanalyses contemplated by the clinical
trial protocol or any analysis otherwise agreed upon by the parties. The agreement may be terminated by either party (i) in
the event of an uncured material breach by the other party, (ii) in the event the other party is insolvent or in bankruptcy
proceedings or (iii) for safety reasons. Upon termination, the licenses granted to the Company to use BMS’s compound
in the clinical trial will terminate.
In April 2019, the Company entered
into a separate agreement with BMS on terms similar to the terms set forth in the agreement described above, pursuant to which
BMS will provide to the Company, at no cost, nivolumab for use in the Company’s Phase 1 clinical trial of RP2 in combination
with nivolumab.
As of June 30, 2020, the Company had
not incurred any costs and does not expect to incur future costs in connection with this agreement.
Agreement with Regeneron
Pharmaceuticals, Inc .
In May 2018, the Company entered into
an agreement with Regeneron Pharmaceuticals, Inc. (“Regeneron”). The Company and Regeneron are each independently
developing compounds for the treatment of certain tumor types. Pursuant to the agreement, the Company and Regeneron will undertake
one or more clinical trials using a combination of the compounds being developed by each entity. Under the agreement, each study
will be conducted under terms set out in a separately agreed upon study plan that will identify the name of the sponsor and which
party will manage the particular clinical trial, and include the protocol, the budget and a schedule of clinical obligations.
In June 2018, under the terms of the agreement between the Company and Regeneron, the parties agreed to the first study plan.
The Company and Regeneron have agreed to the protocol, budget, sample testing and clinical obligations schedule under the study
plan. Development and supply costs associated with the study plan will be split equally between the Company and Regeneron.
Pursuant to the terms of the agreement,
each party granted the other party a non-exclusive license under its respective intellectual property and agreed to contribute
the necessary resources needed to fulfill its respective obligations, in each case, under the terms of the agreed-upon or to-be
agreed upon study plans. Development costs of a particular clinical trial will be split equally between the Company and Regeneron.
The agreement may be terminated by either
party if (i) there is no active study plan for which a final study report has not been completed, (ii) the parties have
not entered into a study plan for an additional clinical trial within a period of time after the delivery of the most recent final
study report or (iii) in the event of a material breach.
18
The Company will account for costs incurred
as part of the study, including costs to supply compounds for use in the study, as research and development expenses within the
consolidated statement of operations. The Company will recognize any amounts received from Regeneron in connection with this agreement
as an offset to research and development expense within the consolidated statement of operations.
Under the terms of the agreement, on a
quarterly basis the Company and Regeneron true-up costs of the study and make corresponding payments to the party that incurred
the majority of the costs. During the three months ended June 30, 2020 or 2019, the Company did not make any payments under
the terms of the agreement to Regeneron. During the three months ended June 30, 2020 and 2019, the Company received
payments under the terms of the agreement to Regeneron of $971 and $337, respectively. As of June 30, 2020 and
March 31, 2020, the Company recorded $1,432 and $971 of receivables from Regeneron in connection with this agreement in prepaid
expenses and other current assets in the consolidated balance sheet, respectively.
12. Commitments and contingencies
Leases
In April 2016, the Company entered
into a lease agreement for office and laboratory space in Abingdon, England. On June 29, 2020 the Company modified the lease
terms to extend the expiration date to April 3, 2031 and the lease modification was not accounted for as a separate contract.
As part of the lease modification, the lease liability was remeasured in accordance with the updated terms of the contract and
the associated lease liability and right-of-use asset was increased by $1,580. The Company has the right to terminate the lease
as of April 4, 2026 upon at least twelve months’ prior written notice. Monthly lease payments are inclusive of base
rent, ancillary charges, non-rent shared tenant occupancy costs and the respective value added tax to be paid. Monthly lease payments
include base rent of approximately $29 through June 23, 2020, $14 from June 24, 2020 through December 24, 2020,
and $29 thereafter. Monthly base rent is subject to increase after April 2021 in proportion to the Retail Price Index or
market rates. The lease is classified as an operating lease.
In June 2018, the Company entered
into an agreement to lease approximately 63,000 square feet of office, manufacturing and laboratory space in Framingham, Massachusetts.
Pursuant to the lease agreement, the lease term commenced in December 2018, subject to the landlord completing certain agreed
upon landlord improvements. The rent commencement date started in August 2019. The initial lease term is ten years from the
rent commencement date and includes two optional five-year extensions. Annual lease payments during the first year were $2,373
with increases of 3.0% each year thereafter until the expiration of the lease.
Construction was completed associated with
approximately 10,500 square feet of the leased space in Framingham, Massachusetts and the Company occupied the building as office
space beginning August 1, 2019. The Company recorded a right-of-use asset and lease liability associated with the occupied
space as of August 1, 2019. The Company recorded $2,368 in related construction costs to the right-of-use asset upon the
lease commencement date which were reclassified from prepaid rent. The Company occupied the remainder of the facility, approximately
53,000 square feet used as laboratory space, on October 22, 2019. The Company recorded a right-of-use asset and lease
liability associated with the remaining space as of October 22, 2019. The Company recorded $18,164 in related construction
costs and $261 in rent payments made prior to the lease commencement date to the right-of-use asset upon the lease commencement
date which were reclassified from prepaid rent. The lease is classified as a financing lease.
In June 2019, the Company entered
into an agreement to lease approximately 18,700 square feet of office space in Woburn, Massachusetts. Pursuant to the lease agreement,
the lease term commenced in August 2019. The rent commenced in September 2019. The initial lease term is ten years from
the rent commencement date and includes an optional five-year extension. Annual lease payments during the first year are $488
with increases of approximately 1.6% each year. The Company recorded a right-of-use asset and a lease liability of $4,363 upon
the commencement date of the lease and the lease is classified as an operating lease.
19
The Company determines if an arrangement
is a lease at inception. Operating leases are included in our balance sheet as right-to-use—operating leases, operating
lease liabilities, current and operating lease liabilities, non-current. Finance leases are included in the balance sheet
as right-to-use asset—finance lease finance lease liabilities, current, and finance lease liabilities, non-current. Certain
of the Company’s lease agreements contain renewal options; however, the Company does not recognize right-of-use assets or
lease liabilities for renewal periods unless it is determined that the Company is reasonably certain of renewing the lease at
inception or when a triggering event occurs. As the Company’s leases do not provide an implicit rate, the Company estimated
the incremental borrowing rate in calculating the present value of the lease payments. Since the Company elected to account for
each lease component and its associated non-lease components as a single combined lease component, all contract consideration
was allocated to the combined lease component. Some of the Company’s lease agreements contain rent escalation clauses (including
index-based escalations). The Company recognizes the minimum rental expense on a straight-line basis based on the fixed components
of a lease arrangement. The Company amortizes this expense over the term of the lease beginning with the date of initial possession,
which is the date the Company can enter the leased space and begin to make improvements in preparation for its intended use. Variable
lease components represent amounts that are not fixed in nature and are not tied to an index or rate, and are recognized as incurred.
Three Months Ended
June 30,
Lease cost
2020
2019
Finance lease costs:
Amortization of right-to-use asset
$ 607
$ -
Interest on lease liabilities
561
-
Operating lease costs
230
114
Total lease cost
$ 1,398
$ 114
Finance lease costs of $90 and $0 are recognized
in general and administrative expenses for the three months ended June 30, 2020 and 2019, respectively, and $517 and $0 in
research and development expenses for the three months ended June 30 and 2019, respectively. Operating leases costs are recognized
in general and administrative expenses for the three months ended June 30, 2020 and 2019. The following table summarizes the
maturity of the Company’s lease liabilities on an undiscounted cash flow basis and a reconciliation to the operating and
financing lease liabilities recognized on our balance sheet as of June 30, 2020:
20
June 30, 2020
Operating leases
Financing lease
Total
2022 (remaining nine months)
$ 599
$ 1,817
$ 2,416
2023
930
2,483
3,413
2024
939
2,558
3,497
2025
949
2,634
3,583
2026
958
2,713
3,671
Thereafter
4,832
43,686
48,518
Total lease payments
9,207
55,891
65,098
Less: interest
3,167
28,545
31,712
Total lease liabilities
$ 6,040
$ 27,346
$ 33,386
The following table provides
lease disclosure as of June 30, 2020 and March 31, 2020:
June 30, 2020
March 31, 2020
Leases
Right-to-use operating lease asset
$ 5,852
$ 4,425
Right-to-use finance lease asset
46,318
46,925
Total lease assets
$ 52,170
$ 51,350
Operating lease liabilities, current
$ 830
$ 873
Finance lease liabilities, current
2,429
2,411
Operating lease liabilities, non-current
5,210
3,737
Finance lease liabilities, non-current
24,917
24,967
Total lease liabilities
$ 33,386
$ 31,988
The following table provides
lease disclosure for the three months ended June 30, 2020 and 2019:
Three Months Ended
June 30,
2020
2019
Other information
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows from operating leases
$ 209
$ 114
Operating cash flows from finance leases
$ 561
$ -
Financing cash flows from finance leases
$ 32
$ -
Right-to-use asset obtained in exchange for new operating lease liabilities
$ 1,580
$ 789
Weighted-average remaining lease term - operating leases
9.8 years
1.8 years
Weighted-average remaining lease term - financing leases
19.3 years
-
Weighted-average discount rate - operating leases
10 %
15 %
Weighted-average discount rate - financing leases
8 %
0 %
The variable lease costs and short-term lease costs
were insignificant for three months ended June 30, 2020 and 2019.
Manufacturing commitments
The Company has entered into an agreement
with a contract manufacturing organization to provide clinical trial products. As of June 30, 2020 and March 31, 2020,
the Company had committed to minimum payments under these arrangements totaling $3,109 and $3,569, respectively, through March 31,
2021.
Indemnification agreements
In the ordinary course of business, the
Company may provide indemnification of varying scope and terms to vendors, lessors, business partners and other parties with respect
to certain matters including, but not limited to, losses arising out of breach of such agreements or from intellectual property
infringement claims made by third parties. In addition, the Company has entered into indemnification agreements with members of
its board of directors that will require the Company, among other things, to indemnify them against certain liabilities that may
arise by reason of their status or service as directors or officers. The maximum potential amount of future payments the Company
could be required to make under these indemnification agreements is, in many cases, unlimited. To date, the Company has not incurred
any material costs as a result of such indemnifications. The Company is not aware of any claims under indemnification arrangements,
and therefore it has not accrued any liabilities related to such obligations in its consolidated financial statements as of June 30,
2020 or March 31, 2020.
21
Legal proceedings
The Company is not a party to any litigation
and does not have contingency reserves established for any litigation liabilities.
13. Geographic information
The Company operates in two geographic regions:
the United States (Massachusetts) and the United Kingdom (Oxfordshire). Information about the Company’s long-lived assets
held in different geographic regions is presented in the tables below:
June 30, 2020
March 31, 2020
United States
$ 6,806
$ 6,357
United Kingdom
551
503
$ 7,357
$ 6,860
22
Item 2. Management’s Discussion and Analysis of Financial
Condition and Results of Operations.
You should read the following discussion
and analysis of our financial condition and results of operations together with our unaudited consolidated financial statements
and related notes appearing in Part I, Item 1 of this Quarterly Report on Form 10-Q and with our audited consolidated
financial statements and notes thereto for the year ended March 31, 2020, included in our Annual Report on Form 10-K
for the fiscal year ended March 31, 2020.
Some of the statements contained in this
discussion and analysis or set forth elsewhere in this Quarterly Report on Form 10- Q, including information with respect
to our plans and strategy for our business, constitute forward-looking statements within the meaning of Section 27A of the
Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, or the Exchange Act.
We have based these forward-looking statements on our current expectations and projections about future events. The following information
and any forward-looking statements should be considered in light of factors discussed elsewhere in this Quarterly Report on Form 10-Q,
particularly including those risks identified in Part II, Item 1A “Risk factors” and our other filings with
the SEC.
Our actual results and timing of certain
events may differ materially from the results discussed, projected, anticipated, or indicated in any forward-looking statements.
We caution you that forward-looking statements are not guarantees of future performance and that our actual results of operations,
financial condition and liquidity, and the development of the industry in which we operate may differ materially from the forward-looking
statements contained in this Quarterly Report on Form 10-Q. Statements made herein are as of the date of the filing of this
Form 10-Q with the SEC and should not be relied upon as of any subsequent date. Even if our results of operations, financial
condition and liquidity, and the development of the industry in which we operate are consistent with the forward-looking statements
contained in this Quarterly Report on Form 10-Q, they may not be predictive of results or developments in future periods.
We disclaim any obligation, except as specifically required by law and the rules of the SEC, to publicly update or revise
any such statements to reflect any change in our expectations or in events, conditions or circumstances on which any such statements
may be based or that may affect the likelihood that actual results will differ from those set forth in the forward-looking statements.
Overview
General
We are a clinical-stage biotechnology company
committed to applying our leading expertise in the field of oncolytic immunotherapy to transform the lives of cancer patients.
We use our proprietary Immulytic platform to design and develop product candidates that are intended to maximally activate the
immune system against cancer.
Oncolytic immunotherapy, which we intend
to establish as the second cornerstone of immune-based cancer treatment, is an emerging class of immuno-oncology therapy, alongside
checkpoint blockade, that exploits the ability of certain viruses to selectively replicate in and directly kill tumors, as well
as induce a potent, patient-specific, anti-tumor immune response. Such oncolytic, or "cancer killing," viruses have the
potential to generate an immune response targeted to an individual patient's particular set of tumor antigens, including neo-antigens
that are uniquely present in tumors. Our product candidates incorporate multiple mechanisms of action into a practical "off-the-shelf"
approach that is intended to maximize the immune response against a patient's cancer and to offer significant advantages over personalized
vaccine approaches. We believe that the bundling of multiple approaches for the treatment of cancer into single therapies will
simplify the development path of our product candidates, while also improving patient outcomes at a lower cost to the healthcare
system than the use of multiple different drugs.
The foundation of our Immulytic platform
consists of a proprietary, engineered strain of herpes simplex virus 1, or HSV-1, that has been "armed" with a fusogenic
glycoprotein intended to substantially increase anti-tumor activity. Our Immulytic platform enables us to incorporate various genes
into HSV-1 that are intended to further augment the inherent properties of HSV-1 in order to both directly destroy tumor cells
and induce an anti-tumor immune response. We currently have three product candidates in our development pipeline, RP1, our lead
product candidate, and additionally RP2 and RP3.
We are currently conducting a number
of clinical trials of RP1, both as a monotherapy and in combination with anti-PD-1 therapy, with a focus on immune-responsive
tumors. We are conducting a randomized, controlled Phase 2 clinical trial of RP1 in approximately 240 patients with cutaneous
squamous cell carcinoma, or CSCC, RP1's lead indication. This registration-directed clinical trial is evaluating RP1 in
combination with cemiplimab, an anti-PD-1 therapy developed by Regeneron Pharmaceuticals, Inc., or Regeneron, versus
cemiplimab alone. Regeneron has granted to us a non-exclusive royalty-free license to cemiplimab for use in this trial, is
funding one-half of the clinical trial costs, and is supplying cemiplimab at no cost to us. If compelling clinical data are
generated demonstrating the benefits of the combined treatment in this clinical trial, we believe the data from this Phase 2
clinical trial could support a filing with regulatory authorities for marketing approval. Recruitment into this Phase 2
clinical trial is expected to take approximately eighteen to twenty-four months and we expect the primary data readout from
the clinical trial in 2022. We have also opened for enrollment a Phase 1b clinical trial of single agent RP1 in solid organ
transplant recipients with CSCC, which we believe to be potentially registrational (in its own right or, subject to
discussion with regulatory authorities, following enrollment of additional patients). We intend to enroll approximately 30
patients in this clinical trial to assess the safety and efficacy of RP1 in liver and kidney transplant recipients with
recurrent CSCC.
23
We have entered into a collaboration with
Bristol-Myers Squibb Company, or BMS, under which it has granted us a non-exclusive, royalty-free license to, and is supplying
at no cost, its anti-PD-1 therapy, nivolumab, for use in combination with RP1 in a multi-cohort clinical trial. We are currently
enrolling a 125-patient extension cohort of RP1 combined with nivolumab in anti-PD-1 refractory cutaneous melanoma. We initiated
this cohort after completing enrollment in a prior Phase 2 cohort in the same clinical trial of approximately 30 patients with
melanoma. The data generated in the melanoma cohort demonstrated that RP1 combined with nivolumab has the potential to treat anti-PD-1
refractory melanoma. We also believe this cohort to be potentially registrational (in its own right or, subject to discussion with
regulatory authorities, following enrollment of additional patients).
We continue to enroll patients in other
Phase 2 cohorts of approximately 30 patients each, testing RP1 in combination with nivolumab in non-melanoma skin cancers and microsatellite
instability high, or MSI-H/dMMR, tumors under our collaboration with BMS. Due in part to COVID-19 related disruptions, we expect
that the non-melanoma skin cancer cohort to be fully accrued by the end of 2020. Similarly, it is likely that accumulating sufficient
data to inform a decision as to whether to pursue MSI-H/dMMR tumors into registration-directed development will be delayed into
2021. In addition, as a result of changes in the competitive landscape, we recently announced our intention to replace a 30 patient
bladder cancer cohort with a cohort of patients with anti-PD-1 refractory non-small cell lung cancer, or NSCLC. We intend to initiate
enrollment into this cohort later this year.
We are also developing additional product
candidates, RP2 and RP3, that have been further engineered to enhance anti-tumor immune responses and are intended to address additional
tumor types. In addition to the expression of GALV-GP R(-) and human GM-CSF, RP2 has been engineered to express an antibody-like
molecule intended to block the activity of CTLA-4, a protein that inhibits the immune response to tumors. RP3 has been engineered
with the intent to further stimulate an anti-tumor response through activation of the immune co-stimulatory pathways through expression
of the ligands for CD40 and 4-1BB.
We initiated a Phase 1 clinical trial of
RP2 in October 2019. The Phase 1 clinical trial of RP2 is also being conducted as a collaboration with BMS, under which BMS
has granted us a non-exclusive, royalty-free license to, and will supply at no cost, nivolumab, for use in combination with RP2.
We expect to release initial safety and efficacy data from this Phase 1 clinical trial in the second half of 2020. Based on
the data generated to date, we have decided to amend the protocol to allow for an expansion of the second part of this clinical
trial (of RP2 combined with nivolumab) from 12 to 30 patients.
We intend to file an Investigational New
Drug application, or IND, and/or foreign equivalents for RP3 and, assuming regulatory clearance, enter clinical development during
2020. IND and/or foreign equivalent enabling studies of RP3 are currently underway.
Recent Developments
During the quarter ended June 30, 2020,
we announced interim data from the Phase 2 part of our Phase 1/2 clinical trial of RP1 in which we are assessing the safety and
efficacy of RP1 in combination with nivolumab in cohorts of approximately 30 patients. We announced that four of seven evaluable
CSCC patients in the 30-patient non-melanoma skin cancer cohort have ongoing complete responses and six of the seven evaluable
patients have either an ongoing complete response or an ongoing partial response. We continue to believe this interim data demonstrates
that RP1 in combination with nivolumab is well-tolerated, demonstrates immune activation and continues to drive deep and durable
responses in patients with CSCC. Of particular note, we observed clear differentiation in the number of complete responses in patients
with advanced CSCC who were treated with RP1 in combination with nivolumab as compared to the number of complete responses which
we believe would be expected in patients if they were treated with nivolumab alone.
24
We have enrolled and treated 36 melanoma
patients, including the six melanoma patients enrolled into the Phase 1 expansion cohort of RP1 combined with nivolumab. 16 patients
with anti-PD-1 refractory cutaneous melanoma have been treated as have an additional 20 patients with anti-PD-1 naïve cutaneous
melanoma, uveal melanoma (all anti-PD-1 refractory), and mucosal melanoma (anti-PD-1 naïve or refractory). Five of the 16
anti-PD-1 refractory cutaneous melanoma patients at the data cut-off date met the formal definition of response, with an additional
two patients remaining on treatment with the opportunity for response. Accordingly, we will observe a final response rate from
this cohort of at least 31%. Four of eight anti-PD-1 naïve cutaneous melanoma patients met the formal definition of response
at the data cut-off date, with an additional two patients continuing on treatment with the opportunity for response. Additionally,
two of the six mucosal melanoma patients met the formal definition of response at the data cut-off date, and two of the six uveal
melanoma patients are on study with the opportunity of response, with one such uveal melanoma patient demonstrating a 27.3% reduction
in target disease burden as of the last CT scan in April 2020.
Financial overview
Since our inception, we have devoted substantially
all of our resources to developing our Immulytic platform and our lead product candidate, RP1, building our intellectual property
portfolio, conducting research and development of our product candidates, business planning, raising capital and providing general
and administrative support for our operations. To date, we have financed our operations primarily with proceeds from the sale of
equity securities and to a lesser extent the proceeds from the issuance of debt securities. We do not have any products approved
for sale and have not generated any revenue from product sales. On July 24, 2018, we completed our initial public offering
(“IPO”) of our common stock and issued and sold 6,700,000 shares of our common stock at a public offering price of
$15.00 per share, resulting in net proceeds of approximately $93.5 million after deducting underwriting discounts and commissions
but before deducting offering costs. On July 30, 2018, we issued and sold an additional 707,936 shares of our common stock
at the IPO price of $15.00 per share pursuant to the underwriters’ partial exercise of their option to purchase additional
shares of common stock, resulting in additional net proceeds of approximately $9.9 million after deducting discounts and commissions
but before deducting other offering expenses.
On August 8, 2019, we entered into
a Loan and Security Agreement with Hercules Capital, Inc. (“Hercules Loan Agreement”), pursuant to which we borrowed
$10.0 million under a secured term loan facility in the amount of $30.0 million (“Term Loan Facility”). The Hercules
Loan Agreement was subsequently amended on June 1, 2020, in order to, among other things, increase the secured term loan facility
from $30.0 million to $40.0 million.
Also on August 8, 2019, we entered
into a Sales Agreement with SVB Leerink LLC (“Sales Agreement”), pursuant to which we could sell, from time to time,
at our option, up to an aggregate amount of $75.0 million of shares of our common stock, of which we have sold $4.5 million as
of June 30, 2020. In June 2020 the Sales Agreement was amended to reduce the aggregate offering amount under the Sales
Agreement from $75,000 of shares to $30,000 of Shares.
On November 18, 2019, we completed
a follow-on public offering, or the November Offering, of (i) 3,678,031 shares of our common stock at a public offering
price of $13.61 per share and (ii) pre-funded warrants to purchase 2,200,000 shares of our common stock at a purchase price
of $13.6099 per pre-funded warrant, the public offering price per share of common stock less the $0.0001 per share exercise price
of each pre-funded warrant. On December 13, 2019 we sold 838,530 shares of our common stock to the underwriters at the public
offering price in connection with the underwriters’ partial exercise of their option to purchase additional shares of our
common stock. We received aggregate net proceeds of approximately $85.6 million after deducting underwriting discounts, commissions
and other offering expenses of approximately $5.8 million.
On June 11, 2020, we completed an additional
follow-on public offering, or the “June Offering”, of (i) 2,826,088 shares of our common stock at a public
offering price of $23.00 per share and (ii) pre-funded warrants to purchase 1,521,738 shares of our common stock at a purchase
price of $22.9999 per pre-funded warrant, the public offering price per share of common stock less the $0.0001 per share exercise
price of each pre-funded warrant. On June 29, 2020 we sold 652,173 shares of our common stock to the underwriters at the public
offering price in connection with the underwriters’ full exercise of their option to purchase additional shares of our common
stock. We received aggregate net proceeds of approximately $107.8 million after deducting underwriting discounts, commissions and
other offering expenses of approximately $7.2 million.
25
Funds affiliated with two separate institutional
investors hold all of our outstanding pre-funded warrants. Other than as set forth in Note 10 of our condensed consolidated financial
statements appearing elsewhere in this Quarterly Report, the 3,721,738 shares of our common stock into which our outstanding pre-funded
warrants are exercisable are not included in the number of issued and outstanding shares of our common stock set forth in this
Quarterly Report. However, the November 2019 Pre-Funded Warrants and the June 2020 Pre-Funded Warrants are included in
the calculation of basic and diluted net loss per share attributable to common stockholders (see Note 10).
Since our inception, we have incurred significant
operating losses. Our ability to generate product revenue sufficient to achieve profitability will depend on the successful development
and eventual commercialization of one or more of our product candidates. Our net losses were $17.5 million and $9.5 million
for the three months ended June 30, 2020 and 2019, respectively. As of June 30, 2020, we had an accumulated deficit of
$129.8 million. These losses have resulted primarily from costs incurred in connection with research and development activities
and general and administrative costs associated with our operations. We expect to continue to incur significant expenses and increasing
operating losses for at least the next several years.
We anticipate that our expenses and capital
requirements will increase substantially in connection with our ongoing activities, particularly as we advance the preclinical
activities and clinical trials of our product candidates, and if and as we:
● conduct our current and future clinical trials with RP1;
● progress the clinical development of RP2 and preclinical development of RP3;
● operate our own in-house manufacturing facility;
● seek to identify and develop additional product candidates;
● seek marketing approvals for any of our product candidates that successfully complete clinical trials, if any;
● establish a sales, marketing and distribution infrastructure to commercialize any products for which we may obtain marketing
approval;
● maintain, expand and protect our intellectual property portfolio;
● hire and retain additional clinical, quality control, scientific and general and administration personnel;
● acquire or in-license other drugs and technologies; and
● add operational, financial and management information systems and personnel, including personnel to support our research and
development programs and any future commercialization efforts.
We will not generate revenue from product
sales unless and until we successfully complete clinical development and obtain regulatory approval for RP1 or our other product
candidates. If we obtain regulatory approval for any of our product candidates and do not enter into a commercialization partnership
in any jurisdiction, we expect to incur significant expenses related to developing our internal commercialization capability to
support product sales, marketing, and distribution.
As a result, we will need substantial additional
funding to support our continuing operations and pursue our growth strategy. Until such time as we can generate significant revenue
from product sales, if ever, we expect to finance our operations through a combination of equity offerings, debt financings, collaborations,
strategic alliances, and marketing, distribution, or licensing arrangements. We may be unable to raise additional funds or enter
into such other agreements or arrangements when needed on favorable terms, or at all. If we fail to raise capital or enter into
such agreements as, and when, needed, we may have to significantly delay, scale back, or discontinue the development and commercialization
of one or more of our product candidates.
26
Because of the numerous risks and
uncertainties associated with pharmaceutical product development, we are unable to accurately predict the timing or amount of
increased expenses or when, or if, we will be able to achieve or maintain profitability. Even if we are able to generate
product sales, we may not become profitable. If we fail to become profitable or are unable to sustain profitability on a
continuing basis, then we may be unable to continue our operations at planned levels and be forced to reduce or terminate our
operations.
As of June 30, 2020, we had cash and
cash equivalents and short-term investments of $261.8 million. We believe that our existing cash and cash equivalents and
short-term investments will enable us to fund our operating expenses and capital expenditure requirements through at least 12 months
from the issuance of the consolidated financial statements included in this Quarterly Report on Form 10-Q.
See “—Liquidity and capital
resources” and “Risk factors—Risks related to our financial position and need for additional capital.”
Components of our results of operations
Revenue
To date, we have not generated any revenue
from product sales as we do not have any approved products and do not expect to generate any revenue from the sale of products
in the near future. If our development efforts for RP1 or any other product candidates that we may develop in the future are successful
and result in regulatory approval, or if we enter into collaboration or license agreements with third parties, we may generate
revenue in the future from a combination of product sales or payments from those collaborations or license agreements.
Operating expenses
Our expenses since inception have consisted
solely of research and development costs and general and administrative costs.
Research and development expenses
Research and development expenses consist
primarily of costs incurred for our research activities, including our discovery efforts and the development of our product candidates,
and include:
● expenses incurred under agreements with third parties, including clinical research organizations, or CROs, that conduct research,
preclinical activities and clinical trials on our behalf as well as contract manufacturing organizations, or CMOs, that manufacture
our product candidates for use in our preclinical and clinical trials;
● salaries, benefits and other related costs, including stock-based compensation expense, for personnel engaged in research and
development functions;
● costs of outside consultants, including their fees, stock-based compensation and related travel expenses;
● the costs of laboratory supplies and acquiring, developing and manufacturing preclinical study and clinical trial materials;
● costs related to compliance with regulatory requirements in connection with the development of our product candidates; and
● facility-related expenses, which include direct depreciation costs and allocated expenses for rent and maintenance of facilities
and other operating costs.
27
These costs will be partially offset by
our agreement with Regeneron related to our Phase
2 clinical trial of RP1 in approximately 240 patients with CSCC clinical trial .
We expense research and development
costs as incurred. We recognize external development costs based on an evaluation of the progress to completion of specific
tasks using information provided to us by our service providers. Payments for these activities are based on the terms of the
individual agreements, which may differ from the pattern of costs incurred, and are reflected in our consolidated financial
statements as prepaid or accrued research and development expenses.
Our direct external research and development
expenses are tracked on a program-by-program basis and consist of costs, such as fees paid to consultants, contractors, CMOs, and
CROs in connection with our preclinical and clinical development activities. To date, we have not allocated expenses to our earlier-stage
programs for RP2 and RP3. In addition, we do not allocate employee costs, costs associated with our discovery efforts, laboratory
supplies, and facilities, including depreciation or other indirect costs, to specific product development programs because these
costs are deployed across multiple product development programs and, as such, are not separately classified.
The table below summarizes our research
and development expenses by product candidate or development program for each of the periods presented:
Three Months Ended
June 30,
2020
2019
(Amounts in thousands)
Direct research and development expenses by program:
RP1
5,997
$ 3,701
Unallocated research and development expenses:
Personnel related (including stock-based compensation)
5,060
3,086
Other
1,100
670
Total research and development expenses
$ 12,157
$ 7,457
Research and development activities are
central to our business model. 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. We expect that our research and development expenses will continue to increase for the foreseeable future as we continue
enrollment and initiate additional clinical trials of RP1, pursue initial stages of clinical development of RP2, complete preclinical
development of RP3 and continue to discover and develop additional product candidates. The successful development and commercialization
of our product candidates is highly uncertain. This is due to the numerous risks and uncertainties associated with product development
and commercialization, including the following:
● the scope, rate of progress, expense and results of our ongoing clinical trials, as well future clinical trials or other product
candidates and other research and development activities that we may conduct;
● the number and scope of preclinical and clinical programs we decide to pursue;
● our ability to maintain our current research and development programs and to establish new ones;
● uncertainties in clinical trial design and patient enrollment rates;
● the successful completion of clinical trials with safety, tolerability, and efficacy profiles that are satisfactory to the
FDA or any comparable foreign regulatory authority;
● the receipt of regulatory approvals from applicable regulatory authorities;
28
● our success in operating a manufacturing facility, or securing manufacturing supply through relationships with third parties;
● our ability to obtain and maintain patents, trade secret protection, and regulatory exclusivity, both in the United States
and internationally;
● our ability to protect our rights in our intellectual property portfolio;
● the commercialization of our product candidates, if and when approved;
● the acceptance of our product candidates, if approved, by patients, the medical community, and third-party payors;
● our ability to successfully develop our product candidates for use in combination with third-party products or product candidates;
● negative developments in the field of immuno-oncology;
● competition with other products; and
● significant and changing government regulation and regulatory guidance.
A change in the outcome of any of these
variables with respect to the development of a product candidate could mean a significant change in the costs and timing associated
with the development of that product candidate. For example, if the FDA or another regulatory authority were to require us to conduct
clinical trials beyond those that we anticipate will be required for the completion of clinical development of a product candidate,
or if we experience significant trial delays due to patient enrollment or other reasons, we would be required to expend significant
additional financial resources and time on the completion of clinical development. We may never succeed in obtaining regulatory
approval for any of our product candidates.
General and administrative expenses
General and administrative expenses consist
primarily of salaries and other related costs, including stock-based compensation, for personnel in our executive, finance, corporate
and business development and administrative functions. General and administrative expenses also include professional fees for legal,
patent, accounting, auditing, tax and consulting services; travel expenses; and facility-related expenses, which include direct
depreciation costs and allocated expenses for rent and maintenance of facilities and other operating costs.
We expect that our general and
administrative expenses will increase in the future as we increase our general and administrative headcount to support our
continued research and the development and potential commercialization of our product candidates. We also expect to continue
to incur increased expenses, including accounting, audit, legal, regulatory and tax-related services costs associated with
maintaining compliance with exchange listing and SEC requirements; director and officer insurance costs; and investor and
public relations costs.
Other income (expense), net
Research and development incentives
Research and development incentives consists
of reimbursements of research and development expenditures. We participate, through our subsidiary in the United Kingdom, in the
research and development program provided by the United Kingdom tax relief program, such that a percentage of up to 14.5% of our
qualifying research and development expenditures are reimbursed by the United Kingdom government, and such incentives are reflected
as other income.
Investment income
Investment income consists of income earned
on our cash and cash equivalents and short-term investments.
Interest expense on finance lease liability
29
Interest expense on finance lease liability
consists of amortization of finance charges under our financing lease.
Interest expense on debt obligations
Interest expense on debt obligations consists
of the amortization of debt discount and cash paid for interest under the Term Loan Facility.
Other income (expense), net
Other income (expense), net consists primarily
of realized and unrealized foreign currency transaction gains and losses.
Income taxes
Since our inception and through June 30,
2020, we have not recorded any income tax benefits for the net losses we incurred in each jurisdiction in which we operate, as
we believe, based upon the weight of available evidence, that it is more likely than not that all of our net operating loss carryforwards
will not be realized.
Results of operations
Comparison of the three months ended June 30, 2020
and 2019
The following table summarizes our results
of operations for the three months ended June 30, 2020 and 2019:
Three Months Ended
June 30,
2020
2019
Change
(Amounts in thousands)
Operating expenses:
Research and development
$ 12,157
$ 7,457
$ 4,700
General and administrative
5,676
3,450
2,226
Total operating expenses
17,833
10,907
6,926
Loss from operations
(17,833 )
(10,907 )
(6,926 )
Other income (expense):
Research and development incentives
686
621
65
Investment income
527
687
(160 )
Interest expense on finance lease liability
(561 )
-
(561 )
Interest expense on debt obligations
(284 )
-
(284 )
Other income
(28 )
91
(119 )
Total other income (expense), net
340
1,399
(940 )
Net loss
$ (17,493 )
$ (9,508 )
$ (7,866 )
30
Research and development expenses
Three Months Ended
June 30,
2020
2019
Change
(Amounts in thousands)
Direct research and development expenses by program:
RP1
5,997
$ 3,701
$ 2,296
Unallocated research and development expenses:
Personnel related (including stock-based compensation)
5,060
3,086
1,974
Other
1,100
670
430
Total research and development expenses
$ 12,157
$ 7,457
$ 4,700
Research and development expenses for the
three months ended June 30, 2020 were $12.2 million, compared to $7.5 million for the year ended June 30, 2019.
The increase of $4.7 million was due primarily to an increase of approximately $2.3 million in direct research costs associated
with RP1 and an approximately $2.4 million increase in our unallocated research and development costs. The increase in RP1 costs
was due primarily to an increase in clinical trial costs in the three months ended June 30, 2020 associated with our ongoing
clinical trials as well as costs associated with operations of our new manufacturing facility for RP1 clinical trial supplies
The increase in unallocated research and
development expenses reflected an increase of $2.0 million in personnel-related costs, including stock-based compensation
and an increase of $0.2 million in other costs. The increase in personnel-related costs largely reflected the hiring of additional
personnel in our research and development functions as we expanded the development plan for RP1 in multiple indications. Personnel
related costs for the three months ended June 30, 2020 and 2019 included stock-based compensation expense of $1.0 million
and $0.8 million, respectively. Other costs increased primarily due to our potential registrational studies associated with
our RP1 development plan with multiple cohorts as well as costs associated with operations of our new manufacturing facility.
General and administrative expenses
General and administrative expenses were
$5.7 million for the three months ended June 30, 2020, compared to $3.5 million for the three months ended June 30,
2019. The increase of $2.2 million primarily reflected increases of $1.0 million in personnel related costs, increases of $0.6
million in facility and other variable costs and increases of $0.6 million in professional fees. The increase in personnel related
costs was due to the hiring of additional personnel in our general and administrative functions as we expanded our operations in
the United States. The increase in professional fees was due to costs associated with increased spending to build out our information
technology capabilities as well legal and accounting fees related to ongoing business operations and enhancements to the internal
control environment. The increase in facility and other variable costs was due primarily to an increase in costs associated with
our directors and officers insurance.
Total other income, net
Other income (expense) was $0.3 million
for the three months ended June 30, 2020, compared to $1.4 million for the three months ended June 30, 2019. The
decrease of $1.1 million was primarily attributable to a $0.6 million increase in interest related to our finance lease liability,
a $0.3 million increase in interest expense on debt obligations related to our Term Loan Facility, a $0.1 decrease in other income
due primarily to the changes in foreign exchange rates of the Great British Pounds to United States Dollar and a $0.2 million decrease
in investment income due to fluctuations in the rate of return on investments, partially offset by a $0.1 million increase in research
and development incentives.
31
The COVID-19 Pandemic
In December 2019, a novel strain of
coronavirus, which causes the disease known as COVID-19, was reported to have surfaced in Wuhan, China. In March 2020, the
World Health Organization declared the COVID-19 outbreak a pandemic, which continues to spread throughout the U.S. and worldwide.
We could be materially and adversely affected by the risks, or the public perception of the risks, related to an epidemic, pandemic,
outbreak, or other public health crisis, such as the recent outbreak of COVID-19. We are continuing to monitor the global outbreak
and spread of COVID-19 and have taken steps to identify and mitigate the adverse impacts on, and risks to, our business posed by
its spread and actions taken by governmental and health authorities to address the COVID-19 pandemic. The spread of COVID-19 has
caused us to modify our business practices, including implementing a global work from home policy for certain employees who are
able to perform their duties remotely and restricting all nonessential travel. For those employees working from our facilities,
including certain essential employees in our laboratory and who perform manufacturing functions, and certain other employees who
we deem essential from time to time, we have implemented stringent safety measures designed to comply with applicable federal,
state and local guidelines instituted in response to the COVID-19 pandemic. We expect to continue to take actions as may be required
or recommended by government authorities or as we determine are in the best interests of our employees, the patients we serve and
other business partners in light of COVID-19. The COVID-19 pandemic has delayed, and we expect it may continue to delay, the timing
of patient enrollment and treatment in certain of our ongoing clinical studies. For example, the enrollment of our clinical trial
of RP1 in solid organ transplant patients with CSCC, representing a highly immunocompromised patient populations, has been slower
than expected for reasons we attribute to the COVID-19 pandemic. However, the extent of such delay is currently unknown and has
and will likely continue to vary by clinical study site. In addition, we may incur unforeseen costs as a result of disruptions
in clinical supply or preclinical study or clinical trial delays. The impact of COVID-19 on our business future results will largely
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 pandemic, travel restrictions and social distancing in the United States and other countries,
business closures or business disruptions, the ultimate impact on financial markets and the global economy, and the effectiveness
of actions taken in the United States and other countries to contain and treat the disease. See “Risk Factors—Our financial
condition and results of operations could be adversely affected by the recent novel coronavirus disease-2019, or COVID-19, outbreak.”
in Part II, Item 1A of this Quarterly Report on Form 10-Q.
Liquidity and capital resources
Since our inception, we have not generated
any revenue from product sales and have incurred significant operating losses and negative cash flows from our operations. We have
not yet commercialized any of our product candidates, which are in various phases of preclinical and clinical development, and
we do not expect to generate revenue from sales of any products for the foreseeable future, if at all.
Sources of liquidity
To date, we have financed our operations
primarily with proceeds from the sale of equity securities and, to a lesser extent, proceeds from the issuance of debt securities.
Through June 30, 2020, we had received gross proceeds of approximately $419.0 million from our sales of equity instruments
and $10.0 million from the issuance of debt. As of June 30, 2020, we had cash and cash equivalents and short-term investments
of $261.8 million.
On July 24, 2018, we completed our
IPO and issued and sold 6,700,000 shares of our common stock at a public offering price of $15.00 per share, resulting in net
proceeds of $93.5 million after deducting underwriting discounts and commissions but before deducting offering costs. On
July 30, 2018, we issued and sold an additional 707,936 shares of our common stock at the IPO price of $15.00 per share pursuant
to the underwriters’ partial exercise of their option to purchase additional shares of our common stock, resulting in additional
net proceeds of $9.9 million after deducting discounts and commissions but before deducting other offering expenses. On August 8,
2019, we entered into the Hercules Loan Agreement, pursuant to which we borrowed $10.0 million under the secured Term Loan Facility
in the amount of $30.0 million. On June 1, 2020, the Company amended the Hercules Loan Agreement to, among other things,
increase the secured term loan facility from $30.0 million to $40.0 million by adding a fourth advance of up to $10.0 million
which may be borrowed between July 1, 2021 and December 15, 2021. On August 8, 2019, we entered into the Sales
Agreement with SVB Leerink LLC, pursuant to which we may sell, from time to time, at our option, up to an aggregate amount of
$75.0 million of shares of our common stock, of which we sold $4.5 million as of June 30, 2020. On June 8, 2020 the
Sales Agreement was amended to reduce the aggregate offering amount under the Sales Agreement from $75.0 million of shares to
$30.0 million of Shares. On November 18, 2019, we closed the November Offering of (i) 3,678,031 shares of its common
stock at a public offering price of $13.61 per share and (ii) pre-funded warrants to purchase 2,200,000 shares of our common
stock at a purchase price of $13.6099 per pre-funded warrant, the public offering price per share of the common stock less the
$0.0001 per share exercise price of each pre-funded warrant. On December 13, 2019, we sold 838,530 shares of our common stock
at the public offering price in connection with the underwriters’ partial exercise of an option to purchase additional shares
of our common stock. We received aggregate net proceeds of approximately $85.6 million after deducting underwriting discounts,
commissions and other offering expenses of approximately $5.8 million. On June 12, 2020, we closed the June Offering
of (i) 2,826,088 shares of our common stock at a public offering price of $23.00 per share and (ii) pre-funded warrants
to purchase 1,521,738 shares of our common stock at a purchase price of $22.9999 per pre-funded warrant, the public offering price
per share of common stock less the $0.0001 per share exercise price of each pre-funded warrant. On June 29, 2020 we sold
652,173 shares of our common stock to the underwriters at the public offering price in connection with the underwriters’
full exercise of their option to purchase additional shares of our common stock. We received aggregate net proceeds of approximately
$107.8 million after deducting underwriting discounts, commissions and other offering expenses of approximately $7.2 million.
32
Cash flows
The following table summarizes our cash
flows for each of the periods presented:
Three Months Ended
June 30,
2020
2019
(Amounts
in thousands)
Net cash used in operating activities
$ (15,090 )
$ (13,582 )
Net cash provided by (used in) investing activities
(49,126 )
26,811
Net cash provided by financing activities
109,514
18
Effect of exchange rate changes on cash and cash equivalents
(1 )
(137 )
Net increase (decrease) in cash and cash equivalents
$ 45,297
$ 13,110
Operating activities
During the three months ended June 30,
2020, net cash used in operating activities was $15.1 million, primarily resulting from our net loss of $17.5 million
and net cash used by changes in our operating assets and liabilities of $0.6 million, partially offset by non-cash charges of $3.0 million.
Net cash used by our changes in our operating assets and liabilities for the three months ended June 30, 2020 consisted primarily
of a $0.7 million increase in research and development incentive receivables, partially from the United Kingdom government due
to the timing and amount of our qualifying expenditures, $0.3 million increase in prepaid expenses and other current assets and
$0.2 million decrease in accounts payable, partially offset by $0.6 million net decrease related to ASC 842 (including changes
in operating lease liabilities, operating lease, right-of-use asset and financing lease, right-of-use asset). The changes in accounts
payable were primarily due to the timing of vendor invoicing and payments.
During the three months ended June 30,
2019, net cash used in operating activities was $13.6 million, primarily resulting from our net loss of $9.5 million and net cash
used by changes in our operating assets and liabilities of $5.5 million, partially offset by net non-cash charges of $1.4 million.
Net cash used by changes in our operating assets and liabilities for the three months ended June 30, 2019 consisted primarily
of a $6.9 million increase in long term prepaid rent, a $0.9 million decrease in accrued expenses and other current liabilities,
a $0.8 million increase in prepaid expenses and other current assets, a $0.6 million increase in the research and development incentives
receivable from the United Kingdom government due to the timing and amount of our qualifying expenditures and $0.1 million decrease
in lease liabilities, partially offset by a $3.8 million increase in accounts payable and $0.1 million decrease in right-to-use
asset.
33
Investing activities
During the three months ended June 30,
2020, net cash used in investing activities was $49.1 million, consisting of $125.8 million in purchases of available for sale
securities and $0.9 million in purchases of property, plant and equipment, partially offset by $77.6 million in proceeds from sales
and maturities of short-term investments.
During the three
months ended June 30, 2019, net cash provided by investing activities was $26.8 million, consisting of $45.7 million
in proceeds from sales and maturities of short-term investments, partially offset by $18.5 million in purchases of available for
sale securities and $0.4 million in purchases of property, plant and equipment.
Financing Activities
During the three months ended June 30,
2020, net cash provided by financing activities was $109.5 million, consisting of $75.2 million from the issuance of common stock,
$32.9 million in net proceeds from the issuance of pre-funded warrants to purchase common stock in connection with our follow-on
public offering in June 2020, $1.5 million in proceeds from the exercise of stock options, partially offset by $0.1 million
of issuance costs.
During the three
months ended June 30, 2019, net cash provided by financing activities consists of an immaterial amount of proceeds from the
exercise of stock options.
Hercules Loan Agreement
On August 8, 2019 and as amended on
June 1, 2020, we and certain of our affiliates entered into the Hercules Loan Agreement with Hercules Capital, Inc.,
which, provided for aggregate borrowings of up to $40.0 million in the form of term loans. We borrowed $10.0 million
at closing under the Hercules Loan Agreement. We may borrow the unused $30.0 million available under the Term Loan Facility in
three separate advances. The second advance of up to $10.0 million may be borrowed between October 1, 2020 and December 15,
2020, the third advance of up to $10.0 million may be borrowed between July 1, 2020 and June 30, 2021 and the fourth
advance of up to $10.0 million may be borrowed between July 1, 2021 and December 15, 2021 which contains certain borrowing
milestones as defined in the agreement. In the event the Company does not draw on the second advance or if the Term Loan Facility
is terminated prior to a draw of the second advance, the Company shall pay Hercules a one-time facility charge fee of $0.1 million
on the earliest of (i) December 16, 2020 or (ii) the date the Company prepays the outstanding obligations.
Borrowings under the Hercules Loan Agreement
bear interest at a rate per annum equal to the greater of either (i) the prime rate as reported in The Wall Street Journal
plus 2.75%, or (ii) 8.75%. Under the Hercules Loan Agreement, we were required to make monthly interest-only payments through
September 1, 2022, and are required to make equal monthly payments of principal, plus accrued interest, from October 1,
2022 through August 1, 2023. As of June 30, 2020, the outstanding principal amount under the Hercules Loan Agreement
was $10.0 million. The term of the Hercules Loan Agreement is four years, ending August 1, 2023.
We may voluntarily prepay all, but not less
than all, of the outstanding principal at any time prior to the maturity date, subject to a prepayment fee, which ranges from 1%
to 3% of the outstanding principal. A final payment of 4.95% of the aggregate amount of any advances made under the Hercules Loan
Agreement.
The Term Loan Facility is secured by substantially
all of our assets, excluding our intellectual property, and subject to certain exceptions and exclusions. The Hercules Loan Agreement
contains customary affirmative and negative covenants, including restrictions on our ability to pay dividends, incur debt, grant
liens, make acquisitions, make loans, dissolving, and entering into leases and asset sales, but does not contain any financial
covenants.
34
Funding requirements
Our plan of operation is to continue
implementing our business strategy, continue research and development of RP1 and our other product candidates and continue to
expand our research pipeline and our internal research and development capabilities. We expect our expenses to increase
substantially in connection with our ongoing activities, particularly as we advance the preclinical activities and clinical
trials of our product candidates, and if and as we:
● conduct our current and future clinical trials of RP1;
● progress the preclinical and clinical development of RP2 and RP3;
● operate our own in-house manufacturing facility;
● seek to identify and develop additional product candidates;
● seek marketing approvals for any of our product candidates that successfully complete clinical trials, if any;
● establish a sales, marketing and distribution infrastructure to commercialize any products for which we may obtain marketing
approval;
● until our planned manufacturing facility is fully validated, continued manufacturing by third parties of larger quantities
of our product candidates for clinical development.
● maintain, expand and protect our intellectual property portfolio;
● acquire or in-license other drugs and technologies; and
● add operational, financial and management information systems and personnel, including personnel to support our research and
development programs and any future commercialization efforts.
As of June 30, 2020, we had cash and
cash equivalents and short-term investments of $261.8 million. We believe that our existing cash and cash equivalents and short-term
investments along with our debt commitments will enable us to fund our operating expenses and capital expenditure requirements
to mid-2023.
Because of the numerous risks and uncertainties
associated with the development of RP1 and other product candidates and programs, and because the extent to which we may enter
into collaborations with third parties for development of our product candidates is unknown, we are unable to estimate the timing
and amounts of increased capital outlays and operating expenses associated with completing the research and development of our
product candidates. Our future capital requirements will depend on many factors, including those described in this section and
above under “—Operating expenses—Research and development expenses.”
Developing novel biopharmaceutical products,
including conducting preclinical studies and clinical trials, is a time-consuming, expensive and uncertain process that takes years
to complete, and we may never generate the necessary data or results required to obtain marketing approval for any product candidates
or generate revenue from the sale of any products for which we may obtain marketing approval. In addition, our product candidates,
if approved, may not achieve commercial success. Our commercial revenues, if any, will be derived from sales of therapies that
we do not expect to be commercially available for many years, if ever. Accordingly, we will need to obtain substantial additional
funds to achieve our business objectives.
Adequate additional funds may not be available
to us on acceptable terms, or at all. We do not currently have any committed external source of funds. To the extent that we raise
additional capital through the sale of our equity or convertible debt securities, our shareholders’ interest may be diluted,
and the terms of these securities may include liquidation or other preferences and anti-dilution protections that could adversely
affect the rights of our common stockholder. Additional debt or preferred equity financing, if available, may involve agreements
that include restrictive covenants that may limit our ability to take specific actions, such as incurring debt adversely impact
our ability to conduct our business, and may require the issuance of warrants, which could potentially dilute your ownership interest.
If we raise additional funds through collaborations,
strategic alliances or licensing arrangements with third parties, we may have to relinquish valuable rights to our technology,
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 financings or collaborations, strategic alliances or licensing arrangements
with third parties when needed, we may be required to delay, limit, reduce and/or terminate our product development programs or
any future commercialization efforts or grant rights to develop and market product candidates that we would otherwise prefer to
develop and market ourselves.
35
Contractual obligations and commitments
During the three months ended June 30,
2020, there were no material changes to our contractual obligations and commitments from those described under the heading “Management’s
Discussion and Analysis of Financial Condition and Results of Operations—Contractual Obligations and Commitments” in
our Annual Report on Form 10-K for the year ended March 31, 2020, which was filed with the Securities and Exchange Commission
on June 3, 2020.
Collaborations
BMS
On February 26, 2018, we entered into
a Clinical Trial Collaboration and Supply Agreement with Bristol-Myers Squibb Company, or BMS. Pursuant to the agreement, BMS is
providing to us, at no cost, nivolumab, its anti-PD-1 therapy, for use in combination with RP1 in our ongoing Phase 1/2 clinical
trial. Under the agreement, we will sponsor, fund and conduct the clinical trial in accordance with an agreed-upon protocol. BMS
granted us a non-exclusive, non-transferrable, royalty-free license (with a right to sublicense) under its intellectual property
to use nivolumab in the clinical trial and has agreed to supply nivolumab, at no cost to us, for use in the clinical trial. Both
parties will own the study data produced in the clinical trial, other than study data related solely to nivolumab, which will belong
solely to BMS, or study data related solely to RP1, which will belong solely to us. In January 2020, this agreement was expanded
to cover an additional cohort of 125 patients with anti-PD-1 refractory melanoma.
Unless earlier terminated, the agreement
will remain in effect until (i) the completion of the clinical trial, (ii) all related clinical trial data have been
delivered to both parties and (iii) the completion of any statistical analyses and bioanalyses contemplated by the clinical
trial protocol or any analysis otherwise agreed upon by the parties. The agreement may be terminated by either party (i) in
the event of an uncured material breach by the other party, (ii) in the event the other party is insolvent or in bankruptcy
proceedings or (iii) for safety reasons. Upon termination, the licenses granted to us to use nivolumab in the clinical trial
will terminate. The agreement contains representations, warranties, undertakings and indemnities customary for a transaction of
this nature.
On April 12, 2019,
we entered into a separate agreement with BMS on terms similar to the terms set forth in the agreement described above, pursuant
to which BMS will provide, at no cost to us, nivolumab for use in our Phase 1 clinical trial of RP2 in combination with nivolumab.
Regeneron
On May 29, 2018, we entered into a
Master Clinical Trial Collaboration and Supply Agreement with Regeneron Pharmaceuticals, Inc., or Regeneron. Pursuant to the
agreement we agreed to undertake one or more clinical trials with Regeneron for the administration of our product candidates in
combination with cemiplimab, an anti-PD-1 therapy developed by Regeneron, across multiple solid tumor types, the first of which
is our ongoing Phase 2 clinical trial testing RP1 in combination with cemiplimab versus cemiplimab alone in patients with
CSCC. Each clinical trial will be conducted pursuant to an agreed study plan which, among other things, will identify the name
of the sponsor and which party will manage the particular study, and include the protocol, the budget and a schedule of clinical
obligations. The first study plan related to the Phase 2 clinical trial in CSCC has been agreed.
Pursuant to the terms of the agreement,
each party granted the other party a non-exclusive license of their respective intellectual property and agreed to contribute the
necessary resources needed to fulfill their respective obligations, in each case, under the terms of agreed study plans. Development
costs of a particular clinical trial will be split equally. The agreement contains representations, warranties, undertakings and
indemnities customary for a transaction of this nature. The agreement also contains certain covenants that restrict us from entering
into a third-party arrangement with respect to the use of our product candidates in combination with an anti-PD-1 therapy and that
restrict Regeneron from entering into a third-party arrangement with respect to the use of cemiplimab in combination with an HSV-1
virus, in each case, for the treatment of a tumor type that is the subject of a clinical trial to which the covenants apply. Unless
otherwise mutually agreed in a future study plan, these covenants are only applicable to our ongoing Phase 2 clinical trial
in CSCC, and expire upon the one-year anniversary of the commencement of the applicable study plan.
The agreement may be terminated by either
party if (i) there is no active study plan for which a final study report has not been completed, (ii) the parties have
not entered into a study plan for an additional clinical trial within a period of time after the delivery of the most recent final
study report or (iii) in the event of a material breach.
36
Critical accounting policies and significant judgments and
estimates
Our management’s discussion and analysis
of financial condition and results of operations is based on our consolidated financial statements, which have been prepared in
accordance with generally accepted accounting principles in the United States. The preparation of our consolidated financial statements
and related disclosures requires us to make estimates and assumptions that affect the reported amounts of assets and liabilities,
costs and expenses and the disclosure of contingent assets and liabilities in our consolidated financial statements. We base our
estimates on historical experience, known trends and events and various other factors that we believe are reasonable under the
circumstances, the results of which form the basis for making judgments about the carrying values of assets and liabilities that
are not readily apparent from other sources. We evaluate our estimates and assumptions on an ongoing basis. Our actual results
may differ from these estimates under different assumptions or conditions.
While our significant accounting policies
are described in greater detail in Note 2 to our consolidated financial statements appearing elsewhere in this Quarterly Report
Form on 10-Q, we believe that the following accounting policies are those most critical to the judgments and estimates used
in the preparation of our consolidated financial statements.
Accrued research and
development expenses
As part of the process of preparing our
consolidated financial statements, we are required to estimate our accrued research and development expenses. This process involves
reviewing open contracts and purchase orders, communicating with our personnel to identify services that have been performed on
our behalf and estimating the level of service performed and the associated cost incurred for the service when we have not yet
been invoiced or otherwise notified of actual costs. The majority of our service providers invoice us in arrears for services performed,
on a pre-determined schedule or when contractual milestones are met; however, some require advanced payments. We make estimates
of our accrued expenses as of each balance sheet date in the consolidated financial statements based on facts and circumstances
known to us at that time. Examples of estimated accrued research and development expenses include fees paid to:
● CROs in connection with performing research activities and conducting preclinical studies and clinical trials on our behalf;
● CMOs in connection with the production of preclinical and clinical trial materials;
● investigative sites or other service providers in connection with clinical trials;
● vendors in connection with preclinical and clinical development activities; and
● vendors related to product manufacturing and development and distribution of preclinical and clinical supplies.
We base our expenses related to preclinical
studies and clinical trials on our estimates of the services received and efforts expended pursuant to quotes and contracts with
multiple CMOs and CROs that supply, conduct and manage preclinical studies and clinical trials on our behalf. The financial terms
of these agreements are subject to negotiation, vary from contract to contract and may result in uneven payment flows. There may
be instances in which payments made to our vendors will exceed the level of services provided and result in a prepayment of the
expense. Payments under some of these contracts depend on factors such as the successful enrollment of patients and the completion
of clinical trial milestones. In accruing service fees, we estimate the time period over which services will be performed and the
level of effort to be expended in each period. If the actual timing of the performance of services or the level of effort varies
from the estimate, we adjust the accrual or the amount of prepaid expenses accordingly. Although we do not expect our estimates
to be materially different from amounts actually incurred, our understanding of the status and timing of services performed relative
to the actual status and timing of services performed may vary and may result in reporting amounts that are too high or too low
in any particular period. To date, there have not been any material adjustments to our prior estimates of accrued research and
development expenses.
37
Stock-based compensation
We measure stock-based awards granted to
employees and directors based on their fair value on the date of the grant and recognize compensation expense for those awards
over the requisite service period, which is generally the vesting period of the respective award. We have to date only issued stock-based
awards with service-based vesting conditions and record the expense for these awards using the straight-line method. The fair value
of each stock option grant is estimated on the date of grant using the Black-Scholes option-pricing model, which requires inputs
based on certain subjective assumptions, including the expected stock price volatility, the expected term of the option, the risk-free
interest rate for a period that approximates the expected term of the option, and our expected dividend yield. See Note 9
to our consolidated financial statements appearing elsewhere in this Quarterly Report on Form 10-Q for more information. Forfeitures
are accounted for as they occur. The fair value of each stock-based award is estimated on the date of grant based on the fair value
of our common stock on that same date.
Prior to the adoption of ASC 2018-07 on
April 1, 2019, for stock-based awards granted to consultants and non-employees, we recognize compensation expense over the
period during which services are rendered by such non-employees and consultants until completed. At the end of each financial reporting
period prior to completion of the service, the fair value of these awards is remeasured using the then-current fair value of our
common stock and updated assumption inputs in the Black-Scholes option pricing model.
After the adoption of ASC 2018-07, for stock-based
awards granted to consultants and non-employees, we measure stock-based these awards based on their fair value on the date of the
grant and recognizes compensation expense for those awards over the requisite service period, which is generally the vesting period
of the respective award. We have to date only issued stock-based awards with service-based vesting conditions and record the expense
for these awards using the straight-line method. The fair value of each stock option grant is estimated on the date of grant using
the Black-Scholes option-pricing model, which requires inputs based on certain subjective assumptions, including the expected stock
price volatility, the expected term of the option, the risk-free interest rate for a period that approximates the expected term
of the option, and our expected dividend yield.
We classify stock-based compensation expense
in our consolidated statements of operations in the same manner in which the award recipient’s payroll costs are classified
or in which the award recipient’s service payments are classified.
Off-balance sheet arrangements
We did not have any off-balance sheet arrangements
during the periods presented, and we do not currently have, any off-balance sheet arrangements, as defined in the rules and
regulations of the SEC.
Recently issued accounting pronouncements
A description of recently issued accounting
pronouncements that may potentially impact our financial position and results of operations is disclosed in Note 2 to our
consolidated financial statements appearing elsewhere in this Quarterly Report on Form 10-Q.
Emerging growth company status
As an “emerging growth company,”
the Jumpstart Our Business Startups Act of 2012 permits us to take advantage of an extended transition period to comply with new
or revised accounting standards applicable to public companies until those standards would otherwise apply to private companies.
We have irrevocably elected to “opt out” of this provision and, as a result, we will comply with new or revised accounting
standards when they are required to be adopted by public companies that are not emerging growth companies.
38
Item 4. Controls and Procedures Evaluation
of Disclosure Controls and Procedures
The term "disclosure
controls and procedures," as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act, refers to controls
and procedures that are 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 recorded, processed, summarized and reported, within the time periods specified in the SEC's
rules and forms. Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure
that such information is accumulated and communicated to a 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.
Because of the inherent limitations in a control system, misstatements due to error or fraud may occur and not be detected.
Based on the evaluation
of our disclosure controls and procedures as of June 30, 2020, our Chief Executive Officer and Chief Financial Officer have
concluded that, as of June 30, 2020, our disclosure controls and procedures were not effective at the reasonable assurance
level as a result of the material weaknesses discussed below. Notwithstanding these material weaknesses, our Chief Executive Officer
and Chief Financial Officer concluded that the financial statements included elsewhere in this Annual Report on Form 10-K
present fairly, in all material respects, our financial position, results of operations and cash flows in conformity with generally
accepted accounting principles, or GAAP.
Material Weakness
During the audit of our consolidated financial
statements as of and for the years ended March 31, 2020 and 2019, we identified material weaknesses in our internal control
over financial reporting. A material weakness is a deficiency, or combination of deficiencies, in internal control over financial
reporting, such that there is a reasonable possibility that a material misstatement of our annual or interim financial statements
will not be prevented or detected on a timely basis. The material weaknesses that we identified were as follows:
We did not design or maintain an effective
control environment commensurate with our financial reporting requirements. We lacked a sufficient number of professionals with
an appropriate level of accounting knowledge, training and experience to appropriately analyze, record and disclose accounting
matters timely and accurately. Additionally, the limited personnel resulted in our inability to consistently establish appropriate
authorities and responsibilities in pursuit of our financial reporting objectives, as demonstrated by, among other things, our
insufficient segregation of duties in our accounting function. This material weakness further contributed to the material weakness
below.
We did not design and maintain formal accounting
policies, processes and controls to analyze, account for and disclose complex transactions, including accounting for preferred
stock, stock-based compensation, warrant liabilities and leases.
Each of these control deficiencies could
result in a misstatement of our accounts or disclosures that would result in a material misstatement of our annual or interim consolidated
financial statements that would not be prevented or detected, and accordingly, we determined that these control deficiencies constitute
material weaknesses.
These material weaknesses also resulted
in adjustments to preferred stock, stock compensation expense, warrant liability and deferred rent in our consolidated financial
statements as of and for the year ended March 31, 2017, which were recorded prior to their issuance.
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Remediation
activities
We have identified
and implemented, and continue to implement, certain remediation efforts to improve the effectiveness of our internal control over
financial reporting and disclosure controls and procedures. These remediation efforts are ongoing. The following remedial actions
have been completed as of the quarter ended June 30, 2020:
● We hired a Chief Financial Officer and other additional full-time accounting resources with appropriate levels of experience
and reallocated responsibilities across the accounting organization to provide for segregation of duties and that the appropriate
level of knowledge and experience is applied based on risk and complexity of transactions and tasks under review.
● We have increased the level of involvement and oversight from our new Chief Financial Officer and will maintain this level
of oversight until the control environment and risk assessment processes have matured.
● We engaged a professional accounting services firm to assist us in testing the operating effectiveness of our formal policies,
processes and internal controls for complying with the Sarbanes-Oxley Act, including formal policies, processes and internal controls
to analyze, account for and disclose complex accounting transactions.
● We have performed a detailed financial reporting risk assessment to identify areas that require improvement and developed and
implemented plans to address these areas; as a result, we have improved documentation of account reconciliations, and management
review procedures and enhanced our GAAP training initiatives in key areas
The process of
implementing an effective financial reporting system is a continuous effort that requires us to anticipate and react to changes
in our business and the economic and regulatory environments and to expend significant resources to maintain a financial reporting
system that is adequate to satisfy our reporting obligations. As we continue to evaluate and take actions to improve our internal
control over financial reporting, we may take additional actions to address control deficiencies or modify certain of the remediation
measures described above.
While progress
has been made to enhance our internal control over financial reporting, we are still in the process of implementing, documenting
and testing these processes, procedures and controls. Additional time is required to complete implementation and to assess and
ensure the sustainability of these procedures. We will continue to devote significant time and attention to these remedial efforts.
However, the material weaknesses cannot be considered remediated until the applicable remedial controls operate for a sufficient
period of time and management has concluded, through testing, that these controls are operating effectively.
Changes in internal control over
financial reporting
Other than the
applicable remediation efforts described above that were implemented or commenced during the three months ended June 30, 2020,
there have been no other changes in our internal control over financial reporting during the three months ended June 30, 2020
that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
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PART II — OTHER INFORMATION
Item 1. Legal proceedings.
We are not currently a party to any material
legal proceedings.
Item 1A. Risk factors
Investing in our common stock involves
a high degree of risk. You should carefully consider the risks and uncertainties described below, together with all of the other
information in this Quarterly Report on Form 10-Q, including our consolidated financial statements and related notes and “Management’s
discussion and analysis of results of operations and financial condition.” If any of the following risks are realized, our
business, financial condition, operating results and prospects could be materially and adversely affected. In that event, the price
of our common stock could decline, and you could lose part or all of your investment. The risks and uncertainties described below
are not the only ones we face. Additional risks and uncertainties not presently known to us or that we currently believe to be
immaterial may also adversely affect our business.
Risks related to product development
Our product candidates are in the early stages of development,
are not approved for commercial sale and might never receive regulatory approval or become commercially viable. We have never generated
any revenue from product sales and may never be profitable.
All of our product candidates are in research
or early development. We have not generated any revenues from the sale of products and do not expect to do so for at least the
next several years. Our lead product candidate, RP1, and any other product candidates will require extensive preclinical and/or
clinical testing and regulatory approval prior to commercial use. Our research and development efforts may not be successful. Even
if our clinical development efforts result in positive data, our product candidates may not receive regulatory approval or be successfully
introduced and marketed at prices that would permit us to operate profitably.
We currently have only two product candidates in clinical
development. A failure of these product candidates in clinical development would adversely affect our business and may require
us to discontinue development of other product candidates based on the same or similar therapeutic approaches.
RP1 and RP2 are our only clinical development-stage
product candidates. Although we have another product candidate, RP3, in preclinical development and we may develop additional product
candidates in the coming years, it will take additional investment and time for such product candidates to reach the same stage
of development as those that are in clinical development, and there can be no assurance that they will ever do so. Since all of
the product candidates in our current pipeline are based on our Immulytic platform, if RP1 fails in development as a result of
any underlying problem with our Immulytic platform, then we may be required to discontinue development of all product candidates
that are based on our therapeutic approach. If we were required to discontinue development of RP1, RP2 or our other product candidates,
or if any of them were to fail to receive regulatory approval or achieve sufficient market acceptance, we could be prevented from
or significantly delayed in achieving profitability. We can provide no assurance that we would be successful at developing other
product candidates based on an alternative therapeutic approach.
We will not be able to commercialize our product candidates
if our preclinical studies do not produce successful results and/or our clinical trials do not demonstrate the safety and efficacy
of our product candidates.
Our lead product candidate, RP1, is in an
ongoing Phase 1/2 clinical trial alone and in combination with nivolumab and we have initiated a Phase 2 clinical trial of
RP1 in combination with cemiplimab in CSCC. We have also opened for enrollment a Phase 1b clinical trial of single agent RP1 in
solid organ transplant recipients in approximately 30 patients with CSCC. Additionally, RP2, the next product candidate from our
Immulytic platform, is in an ongoing Phase 1/2 clinical trial alone and in combination with nivolumab. Our third product candidate,
RP3, is in preclinical development, and we expect to enter clinical development in 2020. Our product candidates will require preclinical
and/or clinical trials before we can submit a marketing application to the applicable regulatory authorities.
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Our product candidates are susceptible to
the risks of failure inherent at any stage of product development, including the occurrence of unexpected or unacceptable adverse
events or the failure to demonstrate efficacy in clinical trials. Clinical development is expensive and can take many years to
complete, and its outcome is inherently uncertain.
The results of preclinical studies, preliminary
study results, and early clinical trials of our product candidates may not be predictive of the results of later stage clinical
trials. Our product candidates may not perform as we expect, may ultimately have a different or no impact on tumors, may have a
different mechanism of action than we expect in humans, and may not ultimately prove to be safe and effective.
Preliminary and final results from preclinical
studies and early stage trials, and trials in compounds that we believe are similar to ours, may not be representative of results
that are found in larger, controlled, blinded, and longer-term studies. Product candidates may fail at any stage of preclinical
or clinical development. Product candidates may fail to show the desired safety and efficacy traits even if they have progressed
through preclinical studies or initial clinical trials. Preclinical studies and clinical trials may also reveal unfavorable product
candidate characteristics, including safety concerns. A number of companies in the biopharmaceutical industry have suffered significant
setbacks in clinical trials, notwithstanding promising results in earlier preclinical studies or clinical trials or promising mechanisms
of action. In some instances, there can be significant variability in safety or efficacy results between different clinical trials
of the same product candidate due to numerous factors, including changes in trial procedures set forth in protocols, differences
in the size and type of the patient populations, changes in and adherence to the clinical trial protocols and the rate of dropout
among clinical trial participants. Moreover, should there be an issue with the design of a clinical trial, our results may be impacted.
We may not discover such a flaw until the clinical trial is at an advanced stage.
We may also experience numerous unforeseen
events during, or as a result of, clinical trials that could delay or prevent our ability to receive marketing approval or commercialize
our product candidates, including:
● regulators or institutional review boards, or IRBs, may not authorize us or our investigators to commence a clinical trial,
conduct a clinical trial at a prospective trial site, or amend trial protocols, or may require that we modify or amend our clinical
trial protocols;
● we may experience delays in reaching, or fail to reach, agreement on acceptable clinical trial contracts or clinical trial
protocols with prospective trial sites and/or contract research organizations, or CROs;
● clinical trials of our product candidates may produce negative or inconclusive results, or our studies may fail to reach the
necessary level of statistical significance, and we may decide, or regulators may require us, to conduct additional clinical trials
or abandon product development programs;
● the number of patients required for clinical trials of our product candidates may be larger than we anticipate, enrollment
in these clinical trials may be slower than we anticipate or participants may drop out of these clinical trials or be lost to follow-up
at a higher rate than we anticipate, or may elect to participate in alternative clinical trials sponsored by our competitors with
product candidates that treat the same indications as our product candidates;
● our third-party contractors may fail to comply with regulatory requirements or the clinical trial protocol, or meet their contractual
obligations to us in a timely manner, or at all, or we may be required to engage in additional clinical trial site monitoring;
● we, regulators, or IRBs may require that we or our investigators suspend or terminate clinical research for various reasons,
including noncompliance with regulatory requirements or a finding that the participants are being exposed to unacceptable health
risks, undesirable side effects, or other unexpected characteristics of the product candidate, or due to findings of undesirable
effects caused by a chemically or mechanistically similar therapeutic or therapeutic candidate;
● changes could be adopted in marketing approval policies during the development period, rendering our data insufficient to obtain
marketing approval;
42
● statutes or regulations could be amended or new ones could be adopted;
● changes could be adopted in the regulatory review process for submitted product applications;
● the cost of clinical trials of our product candidates may be greater than we anticipate or we may have insufficient funds for
a clinical trial or to pay the substantial user fees required by the FDA upon the filing of a Biologics License Application, or
BLA, or equivalent authorizations from comparable foreign regulatory authorities;
● the supply or quality of our product candidates or other materials necessary to conduct clinical trials of our product candidates
may be insufficient or inadequate;
● we may decide, or regulators may require us, to conduct or gather, as applicable, additional clinical trials, analyses, reports,
data, or preclinical trials, or we may abandon product development programs;
● we may fail to reach an agreement with regulators or IRBs regarding the scope, design, or implementation of our clinical trials,
and the FDA or comparable foreign regulatory authorities may require changes to our study designs that make further study impractical
or not financially prudent;
● regulators may ultimately disagree with the design or our conduct of our preclinical studies or clinical trials, finding that
they do not support product candidate approval;
● we may have delays in adding new investigators or clinical trial sites, or we may experience a withdrawal of clinical trial
sites;
● patients that enroll in our studies may misrepresent their eligibility or may otherwise not comply with the clinical trial
protocol, resulting in the need to drop the patients from the study or clinical trial, increase the needed enrollment size for
the clinical trial or extend its duration;
● there may be regulatory questions or disagreements regarding interpretations of data and results;
● the FDA or comparable foreign regulatory authorities may disagree with our study design, including endpoints, or our interpretation
of data from preclinical studies and clinical trials or find that a product candidate’s benefits do not outweigh its safety
risks;
● the FDA or comparable foreign regulatory authorities may not accept data from studies with clinical trial sites in foreign
countries;
● the FDA or comparable foreign regulatory authorities may disagree with our intended indications;
● the FDA or comparable foreign regulatory authorities may fail to approve or subsequently find fault with the manufacturing
processes or our manufacturing facilities for clinical and future commercial supplies;
● the data collected from clinical trials of our product candidates may not be sufficient to the satisfaction of the FDA or comparable
foreign regulatory authorities to support the submission of a BLA or other comparable submission in foreign jurisdictions or to
obtain regulatory approval in the United States or elsewhere;
● the FDA or comparable foreign regulatory authorities may take longer than we anticipate to make a decision on our product candidates;
● we may not be able to demonstrate that a product candidate provides an advantage over current standards of care or current
or future competitive therapies in development; and
● we, the third parties on which we rely, and the FDA may have delays in the conduct of our respective operations as a result
of the effects of the COVID-19 pandemic, which could result in delays or prevent our ability to receive marketing approval or commercialize
our product candidates.
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Our development costs will also increase
if we experience delays in testing or approvals, and we may not have sufficient funding to complete the testing and approval process
for any of our product candidates. We may be required to obtain additional funds to complete clinical trials and prepare for possible
commercialization of our product candidates. We do not know whether any preclinical tests or clinical trials beyond what we currently
have planned will be required, will begin as planned, will need to be restructured, or will be completed on schedule, or at all.
Significant delays relating to any preclinical or clinical trials also could shorten any periods during which we may have the exclusive
right to commercialize our product candidates or allow our competitors to bring products to market before we do and impair our
ability to successfully commercialize our product candidates and may harm our business and results of operations. In addition,
many of the factors that cause, or lead to, delays in clinical trials may ultimately lead to the denial of marketing approval of
any of our product candidates. If any of these occur, our business, financial condition, results of operations, stock price and
prospects may be materially harmed.
We anticipate that our product candidates will be used
in combination with third-party drugs, some of which are still in development, and we have limited or no control over the supply,
regulatory status, or regulatory approval of such drugs.
Our product candidates may be administered
in combination with checkpoint blockade drugs, a class of drugs that are intended to stop tumor cells from “switching off”
an immune system attack against themselves. We have entered into agreements with BMS for the supply of nivolumab, its anti-PD-1
therapy, for use in connection with our current Phase 1/2 clinical trials with RP1 and RP2. We have also entered into a clinical
collaboration agreement with Regeneron, which includes the supply of cemiplimab, its anti-PD-1 therapy, for clinical trials conducted
thereunder. We are enrolling patients in our first planned clinical trial under the Regeneron agreement, a randomized, controlled
Phase 2 clinical trial of RP1 in combination with cemiplimab, versus cemiplimab alone, in approximately 240 patients with
CSCC. We may enter into additional agreements for the supply of anti-PD-1 products for use in connection with the development of
one or more of our product candidates. Our ability to develop and ultimately commercialize our product candidates used in combination
with nivolumab, cemiplimab or any other checkpoint blockade therapy will depend on our ability to access such drugs on commercially
reasonable terms for the clinical trials and their availability for use with the commercialized product, if approved. We cannot
be certain that current or potential future commercial relationships will provide us with a steady supply of such drugs on commercially
reasonable terms or at all.
Any failure to maintain or enter into new
successful commercial relationships, or the expense of purchasing checkpoint blockade therapies in the market, may delay our development
timelines, increase our costs and jeopardize our ability to develop our product candidates as commercially viable therapies. If
any of these occur, our business, financial condition, results of operations, stock price and prospects may be materially harmed.
Moreover, the development of product candidates
for use in combination with another product or product candidate may present challenges that are not faced for single agent product
candidates. While we are planning a new clinical trial for use of RP1 as a monotherapy, we are developing RP1 and our other product
candidates for use in combination with anti-PD-1 or anti-PDL1 therapies and may develop RP1 or our other product candidates for
use with other therapies. The FDA may require us to use more complex clinical trial designs in order to evaluate the contribution
of each product and product candidate to any observed effects. It is possible that the results of these trials could show that
any positive previous trial results are attributable to the combination therapy and not our product candidates. Moreover, following
product approval, the FDA may require that products used in conjunction with each other be cross-labeled for combined use. To the
extent that we do not have rights to the other product, this may require us to work with a third party to satisfy such a requirement.
Moreover, developments related to the other product may impact our clinical trials for the combination as well as our commercial
prospects should we receive marketing approval. Such developments may include changes to the other product’s safety or efficacy
profile, changes to the availability of the approved product, and changes to the standard of care.
In the event that BMS, Regeneron or any
future collaborator or supplier cannot continue to supply their products on commercially reasonable terms, we would need to identify
alternatives for accessing an anti-PD-1 therapy. Additionally, should the supply of products from BMS, Regeneron or any future
collaborator or supplier be interrupted, delayed or otherwise be unavailable to us, our clinical trials may be delayed. In the
event we are unable to source a supply of an alternative anti-PD-1 therapy, or are unable to do so on commercially reasonable terms,
our business, financial condition, results of operations, stock price and prospects may be materially harmed.
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If we fail to develop additional product candidates, our
commercial opportunity could be limited.
Our lead product candidate is RP1. A key
part of our strategy is to pursue clinical development of RP1 and additional product candidates, including RP2 and RP3. Developing,
obtaining marketing approval for, and commercializing additional product candidates will require substantial additional funding
and will be subject to the risks of failure inherent in medical product development. We cannot assure our shareholders that we
will be able to successfully advance any of these additional product candidates through the development process.
Even if we obtain approval from the FDA
or comparable foreign regulatory authorities to market additional product candidates for the treatment of solid tumors, we cannot
assure our shareholders that any such product candidates will be successfully commercialized, widely accepted in the marketplace,
or more effective than other commercially available alternatives. If we are unable to successfully develop and commercialize additional
product candidates, our commercial opportunity may be limited and our business, financial condition, results of operations, stock
price and prospects may be materially harmed.
Risks related to regulatory approval
Even if our development efforts are successful, we may
not obtain regulatory approval for any of our product candidates in the United States or other jurisdictions, which would prevent
us from commercializing our product candidates. Even if we obtain regulatory approval for our product candidates, any such approval
may be subject to limitations, including with respect to the approved indications or patient populations, which could impair our
ability to successfully commercialize our product candidates.
We are not permitted to market or promote
or sell any of our product candidates before we receive regulatory approval from the FDA or comparable foreign regulatory authorities,
and we may never receive such regulatory approval for any of our product candidates. Securing marketing approval requires the submission
of extensive preclinical and clinical data and supporting information to regulatory authorities for each therapeutic indication
to establish the product candidate’s safety and efficacy for that indication. Securing marketing approval also requires the
submission of information about the product manufacturing process to, and inspection of manufacturing facilities and clinical trial
sites by, the regulatory authorities. If we do not receive approval from the FDA and comparable foreign regulatory authorities
for any of our product candidates, we will not be able to commercialize such product candidates in the United States or in other
jurisdictions. If significant delays in obtaining approval for and commercializing our product candidates occur in any jurisdictions,
our business, financial condition, results of operations, stock price and prospects will be materially harmed. Even if our product
candidates are approved, they may:
● be subject to limitations on the indicated uses or patient populations for which they may be marketed, distribution restrictions,
or other conditions of approval;
● contain significant safety warnings, including boxed warnings, contraindications, and precautions;
● not be approved with label statements necessary or desirable for successful commercialization; or
● contain requirements for costly post-market testing and surveillance, or other requirements, including the submission of a
risk evaluation and mitigation strategy, or REMS, to monitor the safety or efficacy of the products.
We have not previously submitted a BLA to
the FDA, or a similar marketing application to comparable foreign regulatory authorities, for any product candidate, and we can
provide no assurance that we will ultimately be successful in obtaining regulatory approval for claims that are necessary or desirable
for successful marketing, or at all.
The regulatory approval processes of the FDA and comparable
foreign regulatory authorities are lengthy, time consuming and inherently unpredictable. If we are not able to obtain, or experience
delays in obtaining, required regulatory approvals, we will not be able to commercialize our product candidates as expected, and
our ability to generate revenue may be materially impaired.
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The time required to obtain approval
by the FDA and comparable foreign regulatory authorities is unpredictable but typically takes many years following the
commencement of clinical trials and depends upon numerous factors, including the substantial discretion of the regulatory
authorities. In addition, approval policies, regulations, or the type and amount of clinical data necessary to gain approval
may change during the course of a product candidate’s clinical development and may vary among jurisdictions and there
may be varying interpretations of data obtained from preclinical studies or clinical trials, any of which may cause delays or
limitations in the approval or a decision not to approve an application. These regulatory requirements may require us to
amend our clinical trial protocols, conduct additional preclinical studies or clinical trials that may require regulatory or
IRB approval, or otherwise cause delays in the approval or rejection of an application. Any delay in obtaining or failure to
obtain required approvals could materially adversely affect our ability to generate revenue from the particular product
candidate, which may materially harm our business, financial condition, results of operations, stock price and prospects.
If we experience delays in obtaining approval,
if we fail to obtain approval of a product candidate or if the label for a product candidate does not include the labeling claims
necessary or desirable for the successful commercialization of that product candidate, the commercial prospects for such product
candidate may be harmed and our ability to generate revenues from that product candidate may be materially impaired.
The FDA or a comparable foreign regulatory authority may
determine that our product candidates have undesirable side effects that could delay or prevent their regulatory approval or commercialization.
To date, the most commonly reported adverse
events observed for RP1 are local injection site reactions and systemic constitutional symptoms, such as fatigue, fevers and chills.
However, there can be no assurance that additional undesirable side effects or serious adverse events will not be caused by or
associated with RP1 or our other product candidates as they continue through or enter clinical development. Serious adverse events
or undesirable side effects caused by our product candidates could cause us, IRBs, and other reviewing entities or regulatory
authorities to interrupt, delay, or halt clinical trials and could result in a more restrictive label or the delay or denial of
regulatory approval by the FDA or comparable foreign regulatory authorities. For example, if concerns are raised regarding the
safety of a new therapeutic as a result of undesirable side effects identified during clinical or preclinical testing, the FDA
or comparable foreign regulatory authority may order us to cease further development, decline to approve the product candidate
or issue a letter requesting additional data or information prior to making a final decision regarding whether or not to approve
the product candidate. The FDA or comparable foreign regulatory authorities, or IRBs and other reviewing entities, may also require,
or we may voluntarily develop, strategies for managing adverse events during clinical development, which could include restrictions
on our enrollment criteria, the use of stopping criteria, adjustments to a study’s design, or the monitoring of safety data
by a data monitoring committee, among other strategies. The FDA or comparable foreign regulatory authority requests for additional
data or information could also result in substantial delays in the approval of our product candidates.
Undesirable side effects caused by any of
our product candidates could also result in denial of regulatory approval by the FDA or comparable foreign regulatory authorities
for any or all targeted indications or the inclusion of unfavorable information in our product labeling, such as limitations on
the indicated uses for which the products may be marketed or distributed, a label with significant safety warnings, including boxed
warnings, contraindications, and precautions, a label without statements necessary or desirable for successful commercialization,
or may result in requirements for costly post-marketing testing and surveillance, or other requirements, including REMS, to monitor
the safety or efficacy of the products, and in turn prevent us from commercializing and generating revenues from the sale of our
product candidates. Undesirable side effects may limit the potential market for any approved products or could result in the discontinuation
of the sales and marketing of the product, or withdrawal of product approvals. Later discovered undesirable side effects may further
result in the imposition of a REMS, label revisions, post approval study requirements, or other testing and surveillance.
If any of our product candidates is associated
with serious adverse events or undesirable side effects or have properties that are unexpected, we may need to abandon development
or limit development of that product candidate to certain 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. The therapeutic-related side
effects could affect patient recruitment or the ability of enrolled patients to complete the trial or result in potential product
liability claims. Any of these occurrences may materially harm our business, financial condition, results of operations, stock
price and prospects.
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Changes in product candidate manufacturing or formulation
may result in additional costs or delay.
As product candidates are developed through
preclinical studies to later stage clinical trials towards approval and commercialization, it is common that various aspects of
the development program, such as manufacturing methods and formulation, are altered along the way in an effort to optimize processes
and results. Any of these changes could cause our product candidates to perform differently and affect the results of planned clinical
trials or other future clinical trials conducted with the altered materials. Such changes may also require additional testing,
or notification to, or approval by the FDA or a comparable foreign regulatory authority. This could delay completion of clinical
trials, require the conduct of bridging clinical trials or studies, require the repetition of one or more clinical trials, increase
clinical trial costs, delay approval of our product candidates and/or jeopardize our ability to commence product sales and generate
revenue.
Regulatory approval by the FDA or comparable foreign regulatory
authorities is limited to those specific indications and conditions for which approval has been granted, and we may be subject
to substantial fines, criminal penalties, injunctions, or other enforcement actions if we are determined to be promoting the use
of our products for unapproved or “off label” uses, resulting in damage to our reputation and business.
We must comply with requirements concerning
advertising and promotion for any product candidates for which we obtain marketing approval. Promotional communications with respect
to therapeutics are subject to a variety of legal and regulatory restrictions and continuing review by the FDA, Department of Justice,
Department of Health and Human Services’ Office of Inspector General, state attorneys general, members of Congress, and the
public. When the FDA or comparable foreign regulatory authorities issue regulatory approval for a product candidate, the regulatory
approval is limited to those specific uses and indications for which a product is approved. If we are not able to obtain FDA approval
for desired uses or indications for our product candidates, we may not market or promote them for those indications and uses, referred
to as off label uses, and our business, financial condition, results of operations, stock price and prospects may be materially
harmed. We also must sufficiently substantiate any claims that we make for our products, including claims comparing our products
to other companies’ products, and must abide by the FDA’s strict requirements regarding the content of promotion and
advertising.
While physicians may choose to prescribe
products for uses that are not described in the product’s labeling and for uses that differ from those tested in clinical
trials and approved by the regulatory authorities, we are prohibited from marketing and promoting the products for indications
and uses that are not specifically approved by the FDA. These off label uses are common across medical specialties and may constitute
an appropriate treatment for some patients in varied circumstances. Regulatory authorities in the United States generally do not
restrict or regulate the behavior of physicians in their choice of treatment within the practice of medicine. Regulatory authorities
do, however, restrict communications by biopharmaceutical companies concerning off label use.
If we are found to have impermissibly promoted
any of our product candidates, we may become subject to significant liability and government fines. The FDA and other agencies
actively enforce the laws and regulations regarding product promotion, particularly those prohibiting the promotion of off label
uses, and a company that is found to have improperly promoted a product may be subject to significant sanctions. The federal government
has levied large civil and criminal fines against companies for alleged improper promotion and has enjoined several companies from
engaging in off label promotion. The FDA has also requested that companies enter into consent decrees or permanent injunctions
under which specified promotional conduct is changed or curtailed.
In the United States, engaging in the impermissible
promotion of our products, following approval, for off label uses can also subject us to false claims and other litigation under
federal and state statutes. These include fraud and abuse and consumer protection laws, which can lead to civil and criminal penalties
and fines and agreements with governmental authorities that materially restrict the manner in which we promote or distribute therapeutic
products and conduct our business. These restrictions could include corporate integrity agreements, suspension or exclusion from
participation in federal and state healthcare programs, and suspension and debarment from government contracts and refusal of orders
under existing government contracts. These False Claims Act lawsuits against manufacturers of drugs and biologics have increased
significantly in volume and breadth. In addition, False Claims Act lawsuits may expose manufacturers to follow-on claims by private
payers based on fraudulent marketing practices. This growth in litigation has increased the risk that a biopharmaceutical company
will have to defend a false claim action, pay settlement fines or restitution, as well as criminal and civil penalties, agree to
comply with burdensome reporting and compliance obligations, and be excluded from Medicare, Medicaid, or other federal and state
healthcare programs. If we do not lawfully promote our approved products, if any, we may become subject to such litigation and,
if we do not successfully defend against such actions, those actions may have a material adverse effect on our business, financial
condition, results of operations, stock price and prospects.
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In the United States, the promotion of biopharmaceutical
products is subject to additional FDA requirements and restrictions on promotional statements. If after one or more of our product
candidates obtains marketing approval the FDA determines that our promotional activities violate its regulations and policies pertaining
to product promotion, it could request that we modify our promotional materials or subject us to regulatory or other enforcement
actions, including issuance of warning letters or untitled letters, suspension or withdrawal of an approved product from the market,
requests for recalls, payment of civil fines, disgorgement of money, imposition of operating restrictions, injunctions or criminal
prosecution, and other enforcement actions. Similarly, industry codes in foreign jurisdictions may prohibit companies from engaging
in certain promotional activities and regulatory agencies in various countries may enforce violations of such codes with civil
penalties. If we become subject to regulatory and enforcement actions our business, financial condition, results of operations,
stock price and prospects will be materially harmed.
Even if our product candidates receive regulatory approval,
we will be subject to ongoing obligations and continued regulatory review, which may result in significant additional expense and
limit how we manufacture and market our products.
Any product candidate for which we obtain
marketing approval will be subject to extensive and ongoing requirements of and review by the FDA and comparable foreign regulatory
authorities, including requirements related to the manufacturing processes, post approval clinical data, labeling, packaging, distribution,
adverse event reporting, shortage reporting, risk management plans, supply chain security, storage, recordkeeping, export, import,
advertising, marketing, and promotional activities for such product. These requirements further include submissions of safety and
other post-marketing information, including manufacturing deviations and reports, registration and listing requirements, the payment
of annual fees, continued compliance with current Good Manufacturing Practice, or cGMP, requirements relating to manufacturing,
quality control, quality assurance, and corresponding maintenance of records and documents, and good clinical practices, or GCPs,
for any clinical trials that we conduct post approval.
The FDA and comparable foreign regulatory
authorities will continue to closely monitor the safety profile of any product even after approval. If the FDA or comparable foreign
regulatory authorities become aware of new safety information after approval of any of our product candidates, they may withdraw
approval, issue public safety alerts, require labeling changes or establishment of a REMS or similar strategy, impose significant
restrictions on a product’s indicated uses or marketing, or impose ongoing requirements for potentially costly post approval
studies or post-market surveillance. Any such restrictions could limit sales of the product.
We and any of our suppliers or collaborators,
including our contract manufacturers, could be subject to periodic unannounced inspections by the FDA to monitor and ensure compliance
with cGMPs and other FDA regulatory requirements. Application holders must further notify the FDA, and depending on the nature
of the change, obtain FDA preapproval for product and manufacturing changes.
In addition, later discovery of previously
unknown adverse events or that the product is less effective than previously thought or other problems with our products, manufacturers
or manufacturing processes, or failure to comply with regulatory requirements both before and after approval, may yield various
negative results, including:
● restrictions on manufacturing, distribution, or marketing of such products;
● restrictions on the labeling, including required additional warnings, such as black boxed warnings, contraindications, precautions,
and restrictions on the approved indication or use;
● modifications to promotional pieces;
● issuance of corrective information;
● requirements to conduct post-marketing studies or other clinical trials;
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● clinical holds or termination of clinical trials;
● requirements to establish or modify a REMS or similar strategy;
● changes to the way the product candidate is administered;
● liability for harm caused to patients or subjects;
● reputational harm;
● the product becoming less competitive;
● warning, untitled, or cyber letters;
● suspension of marketing or withdrawal of the products from the market;
● regulatory authority issuance of safety alerts, Dear Healthcare Provider letters, press releases, or other communications containing
warnings or other safety information about the product candidate;
● refusal to approve pending applications or supplements to approved applications that we submit;
● recalls of products;
● fines, restitution or disgorgement of profits or revenues;
● suspension or withdrawal of marketing approvals;
● refusal to permit the import or export of our products;
● product seizure or detention;
● FDA debarment, suspension and debarment from government contracts, and refusal of orders under existing government contracts,
exclusion from federal healthcare programs, consent decrees, or corporate integrity agreements; or
● injunctions or the imposition of civil or criminal penalties, including imprisonment.
Any of these events could prevent us from
achieving or maintaining market acceptance of the particular product candidate, if approved, or could substantially increase the
costs and expenses of commercializing such product, which in turn could delay or prevent us from generating significant revenues
from its marketing and sale. Any of these events could further have other material and adverse effects on our operations and business
and could adversely impact our business, financial condition, results of operations, stock price and prospects.
The FDA’s policies or those of comparable
foreign regulatory authorities may change and additional government regulations may be enacted that could prevent, limit or delay
regulatory approval of our product candidates, limit the marketability of our product candidates, or impose additional regulatory
obligations on us. Changes in medical practice and standard of care may also impact the marketability of our product candidates.
If we are slow or unable to adapt to changes
in existing requirements, standards of care, or the adoption of new requirements or policies, or if we are not able to maintain
regulatory compliance, we may lose any marketing approval that we may have obtained and be subject to regulatory enforcement action.
Should any of the above actions take place,
we could be prevented from or significantly delayed in achieving profitability. Further, the cost of compliance with post approval
regulations may have a negative effect on our operations and business and could adversely impact our business, financial condition,
results of operations, stock price and prospects.
49
Obtaining and maintaining marketing approval for our product
candidates in one jurisdiction would not mean that we will be successful in obtaining marketing approval of that product candidate
in other jurisdictions, which could prevent us from marketing our products internationally.
Obtaining and maintaining marketing
approval of our product candidates in one jurisdiction would not guarantee that we will be able to obtain or maintain
marketing approval in any other jurisdiction, while a failure or delay in obtaining marketing approval in one jurisdiction
may have a negative effect on the marketing approval process in others. For example, even if the FDA grants marketing
approval of a product candidate, comparable foreign regulatory authorities must also approve the manufacturing, marketing and
promotion of the product candidate in those countries. Approval procedures vary among jurisdictions and can involve
requirements and administrative review periods different from and, in some cases, greater than, those in the United States,
including additional preclinical studies or clinical trials, as clinical trials conducted in one jurisdiction may not be
accepted by regulatory authorities in other jurisdictions. In many jurisdictions outside the United States, a product
candidate must be approved for reimbursement before it can be approved for sale in that jurisdiction. In some cases, the
price that we intend to charge for our products is also subject to approval. Additionally, the outcome of the United
Kingdom’s impending withdrawal from the European Union, commonly referred to as Brexit, remains uncertain. Since a
significant proportion of the regulatory framework in the United Kingdom is derived from European Union directives and
regulations, the withdrawal of the United Kingdom from the European Union could materially impact the regulatory regime with
respect to the approval of our product candidates in the United Kingdom or the European Union.
Regulatory authorities in jurisdictions
outside of the United States have requirements for approval of product candidates with which we must comply prior to marketing
in those jurisdictions. Obtaining foreign marketing approvals and compliance with foreign regulatory requirements could result
in significant delays, difficulties and costs for us and could delay or prevent the introduction of our products in certain countries.
If we fail to comply with the regulatory requirements in international markets and/or receive applicable marketing approvals, our
target market will be reduced and our ability to realize the full market potential of our product candidates will be harmed. If
we obtain approval for any product candidate and ultimately commercialize that product in foreign markets, we would be subject
to additional risks and uncertainties, including the burden of complying with complex and changing foreign regulatory, tax, accounting
and legal requirements and the reduced protection of intellectual property rights in some foreign countries.
Risks related to commercialization
If we are unable to successfully commercialize any product
candidate for which we receive regulatory approval, or experience significant delays in doing so, our business will be materially
harmed.
If we are successful in obtaining marketing
approval from applicable regulatory authorities for RP1 or any of our other product candidates, our ability to generate revenues
from our product candidates will depend on our success in:
● launching commercial sales of our product candidates, whether alone or in collaboration with others;
● receiving an approved label with claims that are necessary or desirable for successful marketing, and that does not contain
safety or other limitations that would impede our ability to market the product candidates;
● creating market demand for our product candidates through marketing, sales and promotion activities;
● hiring, training, and deploying a sales force or contracting with third parties to commercialize product candidates in the
United States;
● manufacturing product candidates in sufficient quantities and at acceptable quality and cost to meet commercial demand at launch
and thereafter;
● establishing and maintaining agreements with wholesalers, distributors, and group purchasing organizations on commercially
reasonable terms;
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● creating partnerships with, or offering licenses to, third parties to promote and sell product candidates in foreign markets
where we receive marketing approval;
● maintaining patent and trade secret protection and regulatory exclusivity for our product candidates;
● achieving market acceptance of our product candidates by patients, the medical community, and third- party payors;
● achieving appropriate reimbursement for our product candidates;
● effectively competing with other therapies; and
● maintaining a continued acceptable safety profile of our product candidates following launch.
To the extent we are not able to do any
of the foregoing, our business, financial condition, results of operations, stock price and prospects will be materially harmed.
We face significant competition from other biopharmaceutical
and biotechnology companies, academic institutions, government agencies, and other research organizations, which may result in
others discovering, developing or commercializing products more quickly or marketing them more successfully than us. If their
product candidates are shown to be safer or more effective than ours, our commercial opportunity may be reduced or eliminated.
The development and commercialization of
cancer immunotherapy products is characterized by rapidly advancing technologies, intense competition and a strong emphasis on
proprietary rights. We face competition with respect to our current product candidates, and will face competition with respect
to any product candidates that we may seek to develop or commercialize in the future, from major biopharmaceutical companies, specialty
biopharmaceutical companies, and biotechnology companies worldwide. There are a number of large biopharmaceutical and biotechnology
companies that currently market and sell products or are pursuing the development of products for the treatment of solid tumors,
including oncolytic immunotherapy and cancer vaccine approaches. Potential competitors also include academic institutions, government
agencies, and other public and private research organizations that conduct research, seek patent protection, and establish collaborative
arrangements for research, development, manufacturing, and commercialization.
While our product candidates are intended
to be used in combination with other drugs with different mechanisms of action, if and when marketed they will still compete with
a number of drugs that are currently marketed or in development that also target cancer. To compete effectively with these drugs,
our product candidates will need to demonstrate advantages in clinical efficacy and safety compared to these competitors when used
alone or in combination with other drugs.
Our commercial opportunities could be reduced
or eliminated if our competitors develop and commercialize products that are safer, more effective, have fewer or less severe side
effects, are easier to administer or are less expensive alone or in combination with other therapies than any products that we
may develop alone or in combination with other therapies. Our competitors also may obtain FDA or comparable foreign regulatory
authority approval for their products more rapidly than we may obtain approval for ours, which could result in our competitors
establishing a strong market position before we are able to enter the market. In addition, our ability to compete may be affected
in many cases by insurers or other third-party payors coverage decisions.
Many of the companies with which we are
competing or may compete in the future have significantly greater financial resources and expertise in research and development,
manufacturing, preclinical testing, conducting clinical trials, obtaining regulatory approvals, and marketing approved products
than we do. Mergers and acquisitions in the biopharmaceutical and biotechnology industries may result in even more resources being
concentrated among a smaller number of our competitors. Early stage companies may also prove to be significant competitors, particularly
through collaborative arrangements with large and established companies. These third parties compete with us in recruiting and
retaining qualified scientific and management personnel and establishing clinical trial sites and patient registration for clinical
trials, as well as in developing or acquiring technologies complementary to, or necessary for, our programs. If we are unable to
successfully compete with these companies our business, financial condition, results of operations, stock price and prospects may
be materially harmed.
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If we are unable to establish effective marketing, sales
and distribution capabilities or enter into agreements with third parties to market and sell our product candidates, if they are
approved, the revenues that we generate may be limited and we may never become profitable.
We currently do not have a commercial infrastructure
for the marketing, sale, and distribution of our product candidates. If and when our product candidates receive marketing approval,
we intend to commercialize our product candidates on our own in the United States and potentially with pharmaceutical or biotechnology
partners in other geographies. In order to commercialize our products, we must build our marketing, sales, and distribution capabilities
or make arrangements with third parties to perform these services. We may not be successful in doing so. Should we decide to move
forward in developing our own marketing capabilities, we may incur expenses prior to product launch or even approval in order to
recruit a sales force and develop a marketing and sales infrastructure. If a commercial launch is delayed as a result of FDA or
comparable foreign regulatory authority requirements or other reasons, we would incur these expenses prior to being able to realize
any revenue from sales of our product candidates. Even if we are able to effectively hire a sales force and develop a marketing
and sales infrastructure, our sales force and marketing teams may not be successful in commercializing our product candidates.
This may be costly, and our investment would be lost if we cannot retain or reposition our sales and marketing personnel.
We may also or alternatively decide to
collaborate with third-party marketing and sales organizations to commercialize any approved product candidates in the United
States, in which event, our ability to generate product revenues may be limited. To the extent we rely on third parties to
commercialize any products for which we obtain regulatory approval, we may receive less revenues than if we commercialized
these products ourselves, which could materially harm our prospects. In addition, we would have less control over the sales
efforts of any other third parties involved in our commercialization efforts, and could be held liable if they failed to
comply with applicable legal or regulatory requirements.
We have no prior experience in the marketing,
sale, and distribution of biopharmaceutical products, and there are significant risks involved in building and managing a commercial
infrastructure. The establishment and development of commercial capabilities, including compliance plans, to market any products
we may develop will be expensive and time consuming and could delay any product launch, and we may not be able to successfully
develop this capability. We will have to compete with other biopharmaceutical and biotechnology companies, including oncology-focused
companies, to recruit, hire, train, manage, and retain marketing and sales personnel, which is expensive and time consuming and
could delay any product launch. Developing our sales capabilities may also divert resources and management attention away from
product development.
In the event we are unable to develop a
marketing and sales infrastructure, we may not be able to commercialize our product candidates in the United States or elsewhere,
which could limit our ability to generate product revenues and materially harm our business, financial condition, results of operations,
stock price and prospects. Factors that may inhibit our efforts to commercialize our product candidates include:
● the inability to recruit, train, manage, and retain adequate numbers of effective sales and marketing personnel;
● the inability of sales personnel to obtain access to physicians or persuade adequate numbers of physicians to prescribe our
product candidates;
● our inability to effectively oversee a geographically dispersed sales and marketing team;
● the costs associated with training sales and marketing personnel on legal and regulatory compliance matters and monitoring
their actions;
● an inability to secure adequate coverage and reimbursement by government and private health plans;
● the clinical indications for which the products are approved and the claims that we may make for the products;
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● limitations or warnings, including distribution or use restrictions, contained in the products’ approved labeling;
● any distribution and use restrictions imposed by the FDA or comparable foreign regulatory authorities or to which we agree
as part of a mandatory REMS or voluntary risk management plan;
● liability for sales or marketing personnel who fail to comply with the applicable legal and regulatory requirements;
● the lack of complementary products to be offered by sales personnel, which may put us at a competitive disadvantage relative
to companies with more extensive product lines; and
● unforeseen costs and expenses associated with creating an independent sales and marketing organization or engaging a contract
sales organization.
Our product candidates are based on a novel approach to
the treatment of cancer, which makes it difficult to predict the time and cost of product candidate development.
We have concentrated all of our
research and development efforts on product candidates based on our Immulytic platform, and our future success depends on the
successful development of this therapeutic approach. There can be no assurance that any development problems we experience in
the future will not cause significant delays or unanticipated costs, or that such development problems can be solved. Should
we encounter development problems, including unfavorable preclinical or clinical trial results, the FDA and foreign
regulatory authorities may refuse to approve our product candidates, or may require additional information, tests, or trials,
which could significantly delay product development and significantly increase our development costs. Moreover, even if we
are able to provide the requested information or trials to the FDA, there would be no guarantee that the FDA would accept
them or approve our product candidates. We may also experience delays in developing a sustainable, reproducible and scalable
manufacturing process, or developing or qualifying and validating product release assays, other testing and manufacturing
methods, and our equipment and facilities in a timely manner, which may prevent us from completing our clinical trials or
commercializing our product candidates on a timely or profitable basis, if at all.
In addition, the clinical trial requirements
of the FDA and comparable foreign regulatory authorities and the criteria these regulators use to determine the safety and efficacy
of a product candidate vary substantially according to the type, complexity, novelty and intended use and market of the potential
products. The FDA and comparable foreign regulatory authorities have limited experience with the approval of oncolytic immunotherapies.
Only one oncolytic immunotherapy, T-Vec, has received FDA approval to date. Any product candidates that are approved may be subject
to extensive post approval regulatory requirements, including requirements pertaining to manufacturing, distribution, and promotion.
We may need to devote significant time and resources to compliance with these requirements.
If our product candidates do not achieve broad market
acceptance, the revenues that we generate from their sales may be limited, and we may never become profitable.
We have never commercialized a product candidate
for any indication. Even if our product candidates are approved by the appropriate regulatory authorities for marketing and sale,
they may not gain acceptance among physicians, patients, third-party payors, and others in the medical community. If any product
candidates for which we obtain regulatory approval do not gain an adequate level of market acceptance, we could be prevented from
or significantly delayed in achieving profitability. Market acceptance of our product candidates by the medical community, patients,
and third-party payors will depend on a number of factors, some of which are beyond our control. For example, physicians are often
reluctant to switch their patients and patients may be reluctant to switch from existing therapies even when new and potentially
more effective or safer treatments enter the market.
Efforts to educate the medical community
and third-party payors on the benefits of our product candidates may require significant resources and may not be successful. If
any of our product candidates is approved but does not achieve an adequate level of market acceptance, we could be prevented from
or significantly delayed in achieving profitability. The degree of market acceptance of any of our product candidates will depend
on a number of factors, including:
53
● the efficacy of our product candidates in combination with marketed checkpoint blockade drugs;
● the commercial success of the checkpoint blockade drugs with which our products are co-administered;
● the prevalence and severity of adverse events associated with our product candidates or those products with which they are
co-administered;
● the clinical indications for which the products are approved and the approved claims that we may make for the products;
● limitations or warnings contained in the product’s FDA-approved labeling or those of comparable foreign regulatory authorities,
including potential limitations or warnings for our product candidates that may be more restrictive than other competitive products;
● changes in the standard of care for the targeted indications for our product candidates, which could reduce the marketing impact
of any claims that we could make following FDA approval or approval by comparable foreign regulatory authorities, if obtained;
● the relative convenience and ease of administration of our product candidates by direct injection into tumors, a less common
method for the administration of oncology therapies than systemic administration, which may result in slower adoption of our therapies;
● the relative convenience and ease of administration of any products with which our product candidates are co-administered;
● the cost of treatment compared with the economic and clinical benefit of alternative treatments or therapies;
● the availability of adequate coverage or reimbursement by third parties, such as insurance companies and other healthcare payors,
and by government healthcare programs, including Medicare and Medicaid;
● the price concessions required by third-party payors to obtain coverage;
● the extent and strength of our marketing and distribution of our product candidates;
● the safety, efficacy, and other potential advantages over, and availability of, alternative treatments already used or that
may later be approved;
● distribution and use restrictions imposed by the FDA or comparable foreign regulatory authorities with respect to our product
candidates or to which we agree as part of a REMS or voluntary risk management plan;
● the timing of market introduction of our product candidates, as well as competitive products;
● our ability to offer our product candidates for sale at competitive prices;
● the willingness of the target patient population to try new therapies and of physicians to prescribe these therapies;
● the extent and strength of our third-party manufacturer and supplier support;
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● the actions of companies that market any products with which our product candidates are co-administered;
● the approval of other new products;
● adverse publicity about our product candidates or any products with which they are co-administered, or favorable publicity
about competitive products; and
● potential product liability claims.
The size of the potential market for our product candidates
is difficult to estimate and, if any of our assumptions are inaccurate, the actual markets for our product candidates may be smaller
than our estimates.
The potential market opportunities for our
product candidates are difficult to estimate and will depend in large part on the drugs with which our product candidates are co-administered
and the success of competing therapies and therapeutic approaches. In particular, the market opportunity for oncolytic immunotherapies
is hard to estimate given that it is an emerging field with only one existing FDA-approved oncolytic immunotherapy, T-Vec, which
has yet to enjoy broad market acceptance. Our estimates of the potential market opportunities are predicated on many assumptions,
which may include industry knowledge and publications, third-party research reports, and other surveys. Although we believe that
our internal assumptions are reasonable, these assumptions involve the exercise of significant judgment on the part of our management,
are inherently uncertain, and their reasonableness has not been assessed by an independent source. If any of the assumptions proves
to be inaccurate, the actual markets for our product candidates could be smaller than our estimates of the potential market opportunities.
Negative developments in the field of immuno-oncology
could damage public perception of RP1 or any of our other product candidates and negatively affect our business.
The commercial success of our product candidates
will depend in part on public acceptance of the use of cancer immunotherapies. Adverse events in clinical trials of RP1 or our
other product candidates or in clinical trials of others developing similar products and the resulting publicity, as well as any
other negative developments in the field of immuno-oncology that may occur in the future, including in connection with competitor
therapies, could result in a decrease in demand for RP1 or our other product candidates that we may develop. These events could
also result in the suspension, discontinuation, or clinical hold of or modification to our clinical trials. If public perception
is influenced by claims that the use of cancer immunotherapies is unsafe, whether related to our therapies or those of our competitors,
our product candidates may not be accepted by the general public or the medical community and potential clinical trial subjects
may be discouraged from enrolling in our clinical trials. As a result, we may not be able to continue or may be delayed in conducting
our development programs.
As our product candidates consist of a modified
virus, adverse developments in antiviral vaccines or clinical trials of other oncolytic immunotherapy products based on viruses
may result in a disproportionately negative effect for RP1 or our other product candidates as compared to other products in the
field of immuno-oncology that are not based on viruses. Future negative developments in the field of immuno-oncology or the biopharmaceutical
industry could also result in greater governmental regulation, stricter labeling requirements and potential regulatory delays in
the testing or approvals of our products. Any increased scrutiny could delay or increase the costs of obtaining marketing approval
for RP1 or our other product candidates.
Risks related to our financial position and need for additional
capital
We are a clinical stage biopharmaceutical company with
a very limited operating history. We have incurred net losses since our inception and anticipate that we will continue to incur
substantial and increasing net losses in the foreseeable future. We may never achieve or sustain profitability.
We are a clinical stage biopharmaceutical
company with a limited operating history, and we are early in our development efforts. We have no products approved for commercial
sale and have not generated any revenue from product sales to date, and we continue to incur significant research and development
and other expenses related to our ongoing operations. Investment in biopharmaceutical product development is highly speculative
because it entails substantial upfront capital expenditures and significant risk that any potential product candidate will fail
to demonstrate adequate efficacy or an acceptable safety profile, gain marketing approval and become commercially viable. We have
financed our operations to date primarily through the sale of equity securities, including the sale of our common stock in our
public offerings. Since our inception, most of our resources have been dedicated to the preclinical and clinical development of
our Immulytic platform, RP1 and our other product candidates. The size of our future net losses will depend, in part, on our future
expenses and our ability to generate revenue, if any.
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We are not profitable and have incurred
losses in each period since our inception. For the three months ended June 30, 2020 we reported a net loss of $17.5 million.
At June 30, 2020, we had an accumulated deficit of $129.8 million. We expect to continue to incur significant losses for the
foreseeable future, and we expect these losses to increase as we continue our research and development of, and seek marketing approvals
for, RP1, our other product candidates and any additional product candidates we may develop.
Even if we succeed in receiving marketing
approval for and commercialize RP1, we will continue to incur substantial research and development and other expenditures to develop
and market additional potential products. We may encounter unforeseen expenses, difficulties, complications, delays and other unknown
factors that may adversely affect our business. 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 stockholders’ equity and working capital.
We have never generated any revenue from product sales,
and our ability to generate revenue from product sales and become profitable will depend significantly on our success in achieving
a number of goals.
We have no products approved for commercial
sale, have not generated any revenue from product sales, and do not anticipate generating any revenue from product sales until
after we have received marketing approval for the commercial sale of a product candidate, if ever. Our ability to generate revenue
and achieve profitability depends significantly on our success in achieving a number of goals, including:
● completing research regarding, and preclinical and clinical development of, RP1 and our other product candidates;
● obtaining marketing approvals for RP1 and our other product candidates for which we complete clinical trials;
● developing a sustainable and scalable manufacturing process for RP1 and our other product candidates, including establishing
and maintaining commercially viable supply and manufacturing relationships with third parties;
● launching and commercializing RP1 and our other product candidates for which we obtain marketing approvals, either directly
or with a collaborator or distributor;
● obtaining market acceptance of RP1 and our other product candidates as viable treatment options;
● addressing any competing technological and market developments;
● identifying, assessing, acquiring and developing new product candidates;
● negotiating favorable terms in any collaboration, licensing, or other arrangements into which we may enter;
● obtaining, maintaining, protecting, and expanding our portfolio of intellectual property rights, including patents, trade secrets,
and know-how; and
● attracting, hiring, and retaining qualified personnel.
Even if our product candidates or any future
product candidates that we develop are approved for commercial sale, we anticipate incurring significant costs associated with
commercializing any such product candidate. Our expenses could increase beyond expectations if we are required by the FDA or comparable
foreign regulatory authorities to change our manufacturing processes or assays, or to perform clinical, nonclinical, or other types
of studies in addition to those that we currently anticipate.
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If we are successful in obtaining regulatory
approvals to market RP1 or our other product candidates, our revenue will be dependent, in part, upon the size of the markets in
the territories for which we gain marketing approval, the accepted price for the product, the ability to get reimbursement at any
price, and whether we own the commercial rights for that territory. If the number of our addressable patients is not as significant
as we estimate, the indication approved by regulatory authorities is narrower than we expect, the labels for our product candidates
contain significant safety warnings, regulatory authorities impose burdensome or restrictive distribution requirements, or the
reasonably accepted patient population for treatment is narrowed by competition, physician choice or treatment guidelines, we may
not generate significant revenue from sales of such products, even if approved. If we are not able to generate revenue from the
sale of any approved products, we could be prevented from or significantly delayed in achieving profitability.
We will require substantial additional financing to achieve
our goals, and a failure to obtain this necessary capital when needed on acceptable terms, or at all, could force us to delay,
limit, reduce or terminate our product development or commercialization efforts.
Our operations have consumed substantial
amounts of cash since inception. At June 30, 2020, our cash and cash equivalents and short-term investments were $261.8 million
We expect to continue to spend substantial amounts to continue the clinical and preclinical development of RP1 and our other product
candidates. Accordingly, we will need to obtain substantial additional funds to achieve our business objectives. If we are able
to gain marketing approval of any product candidate, we will require significant additional amounts of cash in order to launch
and commercialize such product. In addition, other unanticipated costs may arise.
Our future capital requirements depend on
many factors, including:
● the scope, progress, results and costs of researching and developing RP1 and our other product candidates, and conducting preclinical
studies and clinical trials;
● the timing of, and the costs involved in, obtaining marketing approvals for RP1 and our other product candidates if clinical
trials are successful;
● the success of any collaborations;
● the cost of commercialization activities for any approved product, including marketing, sales and distribution costs;
● the cost and timing of operating our manufacturing facility;
● the cost of manufacturing RP1 and our other product candidates for clinical trials in preparation for marketing approval and
commercialization;
● our ability to establish and maintain strategic licensing or other arrangements and the financial terms of such agreements;
● the costs involved in preparing, filing, prosecuting, maintaining, expanding, defending and enforcing patent claims, including
litigation costs and the outcome of such litigation;
● the timing, receipt, and amount of sales of, or royalties on, our future products, if any; and
● the emergence of competing cancer therapies and other adverse market developments.
We do not have any committed external source
of funds or other support for our development efforts. Until we can generate sufficient product revenue to finance our cash requirements,
which we may never do, we expect to finance our future cash needs through a combination of public or private equity offerings,
debt financings, collaborations, strategic alliances, licensing arrangements and other marketing or distribution arrangements.
Our ability to obtain debt financing may be limited by covenants we have made under our Loan and Security Agreement with Hercules
Capital, Inc. (“Hercules”) and our pledge to Hercules of our assets as collateral. Based on our research and development
plans, we expect that our existing cash and cash equivalents and short-term investments will enable us to fund our planned operating
expenses and capital expenditure requirements to mid-2023. We have based this estimate on assumptions that may prove to be wrong,
and we could exhaust our available capital resources sooner than we expect. In addition, because the design and outcome of our
planned and anticipated clinical trials is highly uncertain, we cannot reasonably estimate the actual amounts necessary to successfully
complete the development and commercialization of RP1 or our other product candidates.
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Raising additional capital may cause dilution to our stockholders,
restrict our operations or require us to relinquish rights to our technologies or product candidates.
To the extent that we raise additional capital
through the sale of common stock or securities convertible or exchangeable into common stock, our existing stockholders’
interest will be diluted. Debt financing, if available, would increase our fixed payment obligations and may involve agreements
that include covenants limiting or restricting our ability to take specific actions, such as incurring additional debt, making
capital expenditures or declaring dividends.
If we are unable to raise additional funds
through equity or debt financings when needed, we may be required to grant rights to develop and market one or more of our product
candidates or technologies that we would otherwise prefer to develop and market ourselves.
Risks related to intellectual property
If we are unable to obtain, maintain and protect our intellectual
property rights for our technology and product candidates, or if our intellectual property rights are inadequate, our competitive
position could be harmed.
Our commercial success will depend in part
on our ability to obtain and maintain patent and other intellectual property protection in the United States and other countries
with respect to our technology, Immulytic platform, RP1 and our other product candidates. We rely on trade secret, patent,
copyright and trademark laws, and confidentiality, licensing and other agreements with employees and third parties, all of which
offer only limited protection. We seek to protect our proprietary position by filing and prosecuting patent applications in the
United States and abroad related to our technology and product candidates.
The patent positions of biotechnology and
pharmaceutical companies generally are highly uncertain, involve complex legal and factual questions and have in recent years been
the subject of much litigation. As a result, the issuance, scope, validity, enforceability and commercial value of our licensed
patents and any patents we own in the future are highly uncertain. The steps we have taken to protect our proprietary rights may
not be adequate to preclude misappropriation of our proprietary information or infringement of our intellectual property rights,
both inside and outside of the United States.
Further, the examination process may
require us to narrow the claims for our pending patent applications, which may limit the scope of patent protection that may
be obtained if these applications issue. The scope of a patent may also be reinterpreted after issuance. The rights that may
be granted under our future issued patents may not provide us with the proprietary protection or competitive advantages we
are seeking. If we are unable to obtain and maintain patent protection for our technology or for RP1 or our other product
candidates, or if the scope of the patent protection obtained is not sufficient, our competitors could develop and
commercialize products similar or superior to ours, and our ability to successfully commercialize RP1 or our other product
candidates and future technologies may be adversely affected. It is also possible that we will fail to identify patentable
aspects of inventions made in the course of our development and commercialization activities before it is too late to obtain
patent protection on them.
In addition, the patent prosecution process
is expensive, time consuming and complex, and we may not be able to file, prosecute, maintain, enforce or license all necessary
or desirable patent applications at a reasonable cost or in a timely manner. Although we enter into nondisclosure and confidentiality
agreements with parties who have access to confidential or patentable aspects of our research and development output, such as our
employees, collaborators, and other third parties, any of these parties may breach the agreements and disclose such output before
a patent application is filed, thereby jeopardizing our ability to seek patent protection. It is also possible that we will fail
to identify patentable aspects of our research and development efforts in time to obtain patent protection.
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For the core technology in our Immulytic
platform and each of our product candidates, we have filed six patent applications under the PCT. Five of these PCT applications
have entered the national phase and are pending in a range of countries, and one is still in the international phase. Three US
patents have been granted. Other than the foregoing, none of our PCT-derived patent applications or U.S. provisional applications
have been granted by a patent office and examination has started only in connection with the European and US national phase applications.
Any future provisional patent applications are not eligible to become issued patents until, among other things, we file a
non-provisional patent application within 12 months of filing of one or more of our related provisional patent applications.
If we do not timely file any non-provisional patent applications, we may lose our priority date with respect to our provisional
patent applications and any patent protection on the inventions disclosed in our provisional patent applications. Although we intend
to timely file non-provisional patent applications relating to our provisional patent applications, we cannot predict whether any
of our future patent applications will result in the issuance of patents that effectively protect our technology or RP1 or our
other product candidates, or if any of our future issued patents will effectively prevent others from commercializing competitive
products. Publications of discoveries in the scientific literature often lag behind the actual discoveries, and patent applications
in the United States and other jurisdictions are typically not published until 18 months after filing or in some cases not
at all until they are issued as a patent. Therefore, we cannot be certain that we were the first to make the inventions claimed
in our pending patent applications, or that we were the first to file for patent protection of such inventions.
Our pending applications cannot be enforced
against third parties practicing the inventions claimed in such applications unless and until a patent issues from such applications.
Because the issuance of a patent is not conclusive as to its inventorship, scope, validity or enforceability, issued patents that
we license from third parties or own in the future may be challenged in the courts or patent offices in the United States and abroad,
including through opposition proceedings, derivation proceedings, inter partes review, interference proceedings or litigation.
Such proceedings may result in the loss of patent protection, the narrowing of claims in such patents or the invalidity or unenforceability
of such patents, which could limit our ability to stop others from using or commercializing similar or identical products, or limit
the duration of the patent protection for our technology. Protecting against the unauthorized use of our patented inventions, trademarks
and other intellectual property rights is expensive, time consuming, difficult and in some cases may not be possible. In some cases,
it may be difficult or impossible to detect third-party infringement or misappropriation of our intellectual property rights, even
in relation to issued patent claims, and proving any such infringement may be even more difficult. If we are unable to obtain,
maintain, and protect our intellectual property our competitive advantage could be harmed, and it could result in a material adverse
effect on our business, financial condition, results of operations, stock price and prospects.
If we are unable to protect the confidentiality of our
proprietary information and know-how, the value of our technology and products could be adversely affected.
In addition to seeking patent protection,
we also rely on other proprietary rights, including protection of trade secrets, know-how and confidential and proprietary information.
To maintain the confidentiality of our trade secrets and proprietary information, we enter into confidentiality agreements with
our employees, consultants, collaborators and other third parties who have access to our trade secrets. Our agreements with employees
also provide that any inventions conceived by the individual in the course of rendering services to us shall be our exclusive property.
However, we may not obtain these agreements in all circumstances, and individuals with whom we have these agreements may not comply
with their terms. The assignment of intellectual property rights may not be self-executing or the assignment agreements may be
breached, and we may be forced to bring claims against third parties, or defend claims that they may bring against us, to determine
the ownership of what we regard as our intellectual property. In addition, in the event of unauthorized use or disclosure of our
trade secrets or proprietary information, these agreements, even if obtained, may not provide meaningful protection, particularly
for our trade secrets or other confidential information. To the extent that our employees, consultants or contractors use technology
or know-how owned by third parties in their work for us, disputes may arise between us and those third parties as to the rights
in related inventions.
Adequate remedies may not exist in the event
of unauthorized use or disclosure of our confidential information including a breach of our confidentiality agreements. Enforcing
a claim that a party illegally disclosed or misappropriated a trade secret is difficult, expensive, and time consuming, and the
outcome is unpredictable. In addition, some courts in and outside of the United States are less willing or unwilling to protect
trade secrets. If any of our trade secrets were to be lawfully obtained or independently developed by a competitor or other third
party, we would have no right to prevent them from using that technology or information to compete with us. The disclosure of our
trade secrets or the independent development of our trade secrets by a competitor or other third party would impair our competitive
position and may materially harm our business, financial condition, results of operations, stock price and prospects.
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Third parties may in the future initiate legal proceedings
alleging that we are infringing their intellectual property rights, the outcome of which would be uncertain and could harm our
business.
Our commercial success depends on our ability
and the ability of our current or future collaborators to develop, manufacture, market and sell RP1 and our other product candidates,
and to use our related proprietary technologies without infringing, misappropriating or otherwise violating the intellectual property
and proprietary rights of third parties. The biotechnology and pharmaceutical industries are characterized by extensive litigation
regarding patents and other intellectual property rights. We may become party to, or threatened with, adversarial proceedings or
litigation regarding intellectual property rights with respect to our current and any other future product candidates, including
interference proceedings, post-grant review, inter partes review and derivation proceedings before the U.S. Patent and Trademark
Office, or USPTO. Third parties may assert infringement or other intellectual property claims against us based on existing patents
or patents that may be granted in the future. If we are found to infringe a third-party’s intellectual property rights, and
we are unsuccessful in demonstrating that such intellectual property rights are invalid or unenforceable, we could be required
to obtain a license from such third-party to continue developing, manufacturing and commercializing RP1 and our other product candidates.
However, we may not be able to obtain any required license on commercially reasonable terms or at all. Even if we were able to
obtain a license, it could be nonexclusive, thereby giving our competitors and other third parties access to the same technologies
licensed to us, and it could require us to make substantial licensing and royalty payments. We also could be forced, including
by court order, to cease developing, manufacturing, and commercializing RP1 or our other product candidates. In addition, in any
such proceeding or litigation, we could be found liable for significant monetary damages, including treble damages and attorneys’
fees, if we are found to have willfully infringed a patent or other intellectual property right. Any of the foregoing could have
a material adverse effect on our business, financial condition, results of operations, stock price and prospects. Any claims by
third parties that we have misappropriated their confidential information or trade secrets could have a similar material adverse
effect on our business.
In addition, we are developing certain of
our product candidates in combination with nivolumab and cemiplimab, which are covered by patents or licenses held by BMS and Regeneron,
respectively, to which we do not have a license other than for use in connection with the applicable clinical trial. We also plan
to develop our product candidates in combination with products developed by additional companies that are covered by patents or
licenses held by those entities to which we do not have a license. In the event that a labeling instruction is required in product
packaging recommending that combination, we could be accused of, or held liable for, infringement of the third-party patents covering
the product candidate or product recommended for administration with RP1 or our other product candidates. In such a case, we could
be required to obtain a license from the other company or institution to use the required or desired package labeling, which may
not be available on commercially reasonable terms, or at all.
We may not be able to protect our intellectual property
and proprietary rights throughout the world.
Filing, prosecuting and defending patents
on our technology in all countries throughout the world would be prohibitively expensive, and our intellectual property rights
in some countries outside the United States can be less extensive than those in the United States. In addition, the laws and practices
of some foreign countries do not protect intellectual property rights to the same extent as federal and state laws in the United
States. Consequently, we may not be able to prevent third parties from practicing our inventions in all countries outside the United
States, or from selling or importing products made using our inventions in and into the United States or other jurisdictions. Competitors
may use our technologies in jurisdictions where we have not obtained patent protection to develop and/or manufacture their own
products and may export otherwise infringing products to territories where we have patent protection but where enforcement is not
as strong as that in the United States. These products may compete with our products and our patent claims or other intellectual
property rights may not be effective or sufficient to prevent them from so competing.
Many companies have encountered significant
problems in protecting and defending intellectual property rights in certain foreign jurisdictions. The legal systems of certain
countries, particularly certain developing countries, do not favor the granting or enforcement of patents, trade secrets and other
intellectual property protection, particularly those relating to biopharmaceuticals, which could make it difficult for us to obtain
patent rights or stop the infringement of our patents or marketing of competing products in violation of our intellectual property
and proprietary rights generally in those countries. Proceedings to enforce our intellectual property and proprietary rights in
foreign jurisdictions could result in substantial cost and divert our efforts and attention from other aspects of our business,
could put our patents at risk of being invalidated or interpreted narrowly and our patent applications at risk of not issuing and
could provoke third parties to assert claims against us. We may not prevail in any lawsuits that we initiate, and the damages or
other remedies awarded, if any, may not be commercially meaningful. Accordingly, our efforts to protect and enforce our intellectual
property and proprietary rights around the world may be inadequate to obtain a significant commercial advantage from the intellectual
property we develop or license.
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In addition, the laws of certain foreign
countries may not protect our rights to the same extent as the laws of the United States, and those foreign laws may also be subject
to change. For example, methods of treatment and manufacturing processes may not be patentable in certain jurisdictions, and the
requirements for patentability may differ in certain countries. Furthermore, biosimilar product manufacturers or other competitors
may challenge the scope, validity and enforceability of our patents, requiring us to engage in complex, lengthy and costly litigation
or proceedings.
Moreover, many countries have compulsory
licensing laws under which a patent owner may be compelled to grant licenses to third parties. Many countries limit the enforceability
of patents against government agencies or government contractors. In these countries, the patent owner may have limited remedies,
which could materially diminish the value of such patent. If we are forced to grant a license to third parties with respect to
any patents relevant to our business, our competitive position may be impaired and our business and results of operations may be
adversely affected.
Obtaining and maintaining patent protection depends on
compliance with various procedural, document submission, fee payment and other requirements imposed by governmental patent agencies,
and our patent protection could be reduced or eliminated for noncompliance with these requirements.
The USPTO and various foreign governmental
patent agencies require compliance with a number of procedural, documentary, fee payments and other similar provisions during the
patent application process and to maintain patents after they are issued. For example, periodic maintenance fees, renewal fees,
annuity fees and various other government fees on issued patents and patent applications often must be paid to the USPTO and foreign
patent agencies over the lifetime of our licensed patents or any patents we own in the future. In certain circumstances, we may
rely on future licensing partners to take the necessary action to comply with these requirements with respect to licensed intellectual
property. Although an unintentional lapse can be cured for a period of time by payment of a late fee or by other means in accordance
with the applicable rules, there are situations in which noncompliance can result in abandonment or lapse of the patent or patent
application, resulting in partial or complete loss of patent rights in the relevant jurisdiction. Noncompliance events that could
result in abandonment or lapse of a patent or patent application include, but are not limited to, failure to respond to official
actions within prescribed time limits, nonpayment of fees and failure to properly legalize and submit formal documents. If we fail
to obtain and maintain the patents and patent applications covering our products or procedures, we may not be able to stop a competitor
from marketing products that are the same as or similar to RP1 or our other product candidates, which could have a material adverse
effect on our business.
Changes to the patent law in the United States and other
jurisdictions could diminish the value of patents in general, thereby impairing our ability to protect RP1 and our other product
candidates.
As is the case with other
biopharmaceutical companies, our success is heavily dependent on intellectual property, particularly patents. Obtaining and
enforcing patents in the biopharmaceutical industry involves both technological and legal complexity and is therefore costly,
time consuming and inherently uncertain. Changes in either the patent laws or interpretation of the patent laws in the United
States could increase the uncertainties and costs. Patent reform legislation in the United States and other countries,
including the Leahy-Smith America Invents Act, or the Leahy-Smith Act, signed into law on September 16, 2011, could
increase those uncertainties and costs surrounding the prosecution of our patent applications and the enforcement or defense
of our issued patents. The Leahy-Smith Act includes a number of significant changes to U.S. patent law. These include
provisions that affect the way patent applications are prosecuted, redefine prior art and provide more efficient and
cost-effective avenues for competitors to challenge the validity of patents. These include allowing third-party submission of
prior art to the USPTO during patent prosecution and additional procedures to attack the validity of a patent by USPTO
administered post-grant proceedings, including post-grant review, inter partes review, and derivation proceedings,
even in applications filed before the Leahy-Smith Act came into effect. Because these third-party challenges before the USPTO
have a lower evidentiary bar for patent invalidation as compared with the evidentiary standard in a U.S. Federal Court, it is
possible for a third party to invalidate a patent claim before the USPTO that would not have been invalidated before a
District Court. Additionally, rights of review and appeal for these USPTO third-party challenges is still a developing area
of law.
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On March 16 2013, under the Leahy-Smith
Act, the United States transitioned to a first inventor to file system in which, assuming that the other statutory requirements
are met, the first inventor to file a patent application will be entitled to the patent on an invention regardless of whether
a third party was the first to invent the claimed invention. Since patent applications in the United States and many other countries
are confidential for a period of time after a filing, we cannot be certain that we were the first to file any patent application
or first to invent any of the inventions claimed in our patents or patent applications. Thus, the Leahy-Smith Act and its implementation
could increase the uncertainties and costs surrounding the prosecution of our patent applications and the enforcement or defense
of our issued patents, all of which could have a material adverse effect on our business, financial condition, results of operations,
stock price and prospects.
The U.S. Supreme Court has ruled on several
patent cases in recent years, either narrowing the scope of patent protection available in certain circumstances or weakening the
rights of patent owners in certain situations. Depending on future actions by the U.S. Congress, the U.S. courts, the USPTO and
the relevant lawmaking bodies in other countries, the laws and regulations governing patents could change in unpredictable ways
that would weaken our ability to obtain new patents or to enforce our existing patents and patents that we might obtain in the
future.
We may become involved in lawsuits to protect or enforce
our intellectual property, which could be expensive, time consuming and unsuccessful and have a material adverse effect on the
success of our business.
Competitors may infringe any future licensed
patents or any patent we own in the future or misappropriate or otherwise violate our intellectual property rights. We may also
be required to defend against claims of infringement and our licensed patents and any patents we own in the future may become involved
in priority or other intellectual property related disputes. To counter infringement or unauthorized use, litigation may be necessary
in the future to enforce or defend our intellectual property rights, to protect our trade secrets or to determine the validity
and scope of our own intellectual property rights or the proprietary rights of others. Also, third parties may initiate legal proceedings
against us to assert that we are infringing their intellectual property rights or to challenge the validity or scope of our owned
or licensed intellectual property rights. These proceedings can be expensive and time consuming. Many of our current and potential
competitors have the ability to dedicate substantially greater resources to conduct intellectual property related litigations or
proceedings than we can. We may not have sufficient financial or other resources to conduct such litigation or proceedings adequately.
Accordingly, despite our efforts, we may not be able to prevent third parties from infringing upon or misappropriating our intellectual
property. Litigation and other intellectual property related proceedings could result in substantial costs and diversion of management
resources, which could harm our business and financial results. In addition, in an infringement proceeding, a court may decide
that a patent owned by or licensed to us is invalid or unenforceable, or may refuse to stop the other party from using the technology
at issue on the grounds that our patents do not cover the technology in question. An adverse result in any litigation or other
intellectual property related proceeding could put one or more of our patents at risk of being invalidated, held unenforceable
or interpreted narrowly.
Furthermore, because of the substantial
amount of discovery required in connection with intellectual property litigation in the United States, there is a risk that some
of our confidential information could be compromised by disclosure during this type of litigation. There could also be public announcements
of the results of hearings, motions or other interim proceedings or developments in any such proceedings. If securities analysts
or investors perceive these results to be negative, it could have a material adverse effect on the price of shares of our common
stock. Any of the foregoing may have a material adverse effect on our business, financial condition, results of operations, stock
price and prospects.
We may be subject to claims by third parties asserting
that our collaborators, employees or we have misappropriated their intellectual property, or claiming ownership of what we regard
as our own intellectual property.
Many of our employees, including our
senior management team, were previously employed at, or consulted for, universities or other biotechnology or pharmaceutical
companies, including our competitors or potential competitors. Our collaborators’ employees may currently be or
previously have been employed at universities or other biotechnology or pharmaceutical companies, including our competitors
or potential competitors. Some of these persons, including each member of our senior management team, executed proprietary
rights, nondisclosure and noncompetition agreements, or similar agreements, in connection with such previous employment or
consulting agreements, that assigned ownership of intellectual property relating to work performed under such agreements to
the contracting third party. Although we take steps to ensure that our employees do not use, claim as theirs, or
misappropriate the intellectual property, proprietary information or know-how of others in their work for us, we may be
subject to claims that we or these employees have used, claimed as theirs, misappropriated or disclosed intellectual
property, including trade secrets or other proprietary information, of any such individual’s current or former
employer. Litigation may be necessary to defend against such claims. If we fail in defending any such claims, in addition to
paying monetary damages, we may lose valuable intellectual property rights or personnel or sustain damages. Such intellectual
property rights could be awarded to a third party, and we could be required to obtain a license from such third-party to
commercialize our technology or products. Such a license may not be available on commercially reasonable terms, or at all.
Even if we are successful in defending against such claims, litigation could result in substantial costs and be a distraction
to management. Any of the foregoing may have a material adverse effect on our business, financial condition, results of
operations, stock price and prospects.
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We may be subject to damages resulting from claims that
we or our employees have wrongfully used or disclosed confidential information of third parties or are in breach of noncompetition
or nonsolicitation agreements with our competitors.
We could be subject to claims that we or
our employees, including senior management, have inadvertently or otherwise used or disclosed alleged trade secrets or other confidential
information of former employers or competitors or others. Although we take steps to ensure that our employees and consultants do
not use the intellectual property, proprietary information, know-how or trade secrets of others in their work for us, we may be
subject to claims that we caused an employee to breach the terms of their noncompetition or nonsolicitation agreement, or that
we or these individuals have, inadvertently or otherwise, used or disclosed the alleged trade secrets or other proprietary information
of a former employer or competitor or other party. Litigation may be necessary to defend against these claims. Even if we are successful
in defending against these claims, litigation could result in substantial costs and could be a distraction to management. If our
defenses to these claims fail, in addition to requiring us to pay monetary damages, a court could prohibit us from using technologies
or features that are essential to RP1 and our other product candidates, if such technologies or features are found to incorporate
or be derived from the trade secrets or other proprietary information of the former employers, competitors or other parties. An
inability to incorporate such technologies or features would have a material adverse effect on our business, and may prevent us
from successfully commercializing RP1 and our other product candidates. In addition, we may lose valuable intellectual property
rights or personnel as a result of such claims. Moreover, any such litigation or the threat thereof may adversely affect our ability
to hire employees or consultants. A loss of key personnel or their work product could hamper or prevent our ability to develop
and commercialize RP1 and our other product candidates, which could have an adverse effect on our business, financial condition,
results of operations, stock price and prospects.
If we obtain any issued patents covering our technology,
such patents could be found invalid or unenforceable if challenged in court or before the USPTO or comparable foreign regulatory
authority.
If we or one of our licensing partners initiate
legal proceedings against a third party to enforce a patent covering any of our technology, the defendant could counterclaim that
the patent covering our product candidate is invalid or unenforceable. In patent litigation in the United States, defendant counterclaims
alleging invalidity or unenforceability are commonplace, and there are numerous grounds upon which a third party can assert invalidity
or unenforceability of a patent. Grounds for a validity challenge could be, among other things, an alleged failure to meet any
of several statutory requirements, including lack of novelty, obviousness, or non-enablement. Grounds for an unenforceability assertion
could be, among other things, an allegation that someone connected with prosecution of the patent withheld relevant information
from the USPTO, or made a misleading statement, during prosecution. Third parties may also raise similar claims before administrative
bodies in the United States or abroad, even outside the context of litigation. Such mechanisms include reexamination, inter
partes review, post-grant review, interference proceedings, derivation proceedings and equivalent proceedings in foreign jurisdictions,
such as opposition proceedings. Such proceedings could result in revocation, cancellation or amendment of our patents in such a
way that they no longer cover and protect RP1 and our other product candidates. The outcome following legal assertions of invalidity
and unenforceability is unpredictable. For example, with respect to the validity of our licensed patents or any patents we obtain
in the future, we cannot be certain that there is no invalidating prior art of which we, our or our licensing partners’ patent
counsel, and the patent examiner were unaware during prosecution. If a third party were to prevail on a legal assertion of invalidity
and/or unenforceability, we would lose at least part, and perhaps all, of the patent protection on RP1 and our other product candidates.
Such a loss of patent protection could have a material adverse impact on our business.
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Patent terms may be inadequate to protect our competitive
position on our products for an adequate amount of time, and our product candidates for which we intend to seek approval as biological
products may face competition sooner than anticipated.
Given the amount of time required for the
development, testing and regulatory review of new product candidates, such as RP1 and our other product candidates, patents protecting
such product candidates might expire before or shortly after such product candidates are commercialized. In the United States,
the Drug Price Competition and Patent Term Restoration Act of 1984 permits a patent term extension of up to five years beyond the
normal expiration of the patent, but no longer than 14 years from the product’s approval date, which is limited to the
approved indication (or any additional indications approved during the period of extension). However, the applicable authorities,
including the FDA and the USPTO in the United States, and any equivalent regulatory authorities in other countries, may not agree
with our assessment of whether such extensions are available, and may refuse to grant extensions to our patents, or may grant more
limited extensions than we request. If this occurs, our competitors may be able to take advantage of our investment in development
and clinical trials by referencing our clinical and preclinical data and launch their products earlier than might otherwise be
the case, which could have a material adverse effect on our business, financial condition, results of operations, stock price and
prospects.
The enactment of the Biologics Price Competition
and Innovation Act of 2009, or BPCIA, as part of the Patient Protection and Affordable Care Act, or ACA, created an abbreviated
pathway for the approval of biosimilar and interchangeable biological products. The abbreviated regulatory pathway establishes
legal authority for the FDA to review and approve biosimilar biologics, including the possible designation of a biosimilar as “interchangeable”
based on its similarity to an existing brand product. Under the BPCIA, an application for a biosimilar product cannot be approved
by the FDA until 12 years after the original branded product was approved under a BLA. Certain changes, however, and supplements
to an approved BLA, and subsequent applications filed by the same sponsor, manufacturer, licensor, predecessor in interest, or
other related entity do not qualify for the 12-year exclusivity period.
RP1 and our other product candidates are
all biological product candidates. We anticipate being awarded market exclusivity for each of our biological product candidates
that is subject to its own BLA for 12 years in the United States, 10 years in Europe and significant durations in other
markets. However, the term of the patents that cover such product candidates may not extend beyond the applicable market exclusivity
awarded by a particular country. For example, in the United States, a third party could submit a marketing application for a biosimilar
product four years after approval of our biological product, the FDA could immediately review the application and approve the biosimilar
product for marketing 12 years after approval of our biological product, and if all of the patents that cover our particular
biological product expire before the 12 year market exclusivity expires, the biosimilar sponsor could then immediately begin marketing.
Alternatively, a third party could submit a full BLA for a similar or identical product any time after approval of our biological
product, and the FDA could immediately review and approve the similar or identical product for marketing and the third party could
begin marketing the similar or identical product upon expiry of all of the patents that cover our particular biological product.
There is also a risk that this exclusivity
could be changed in the future. For example, this exclusivity could be shortened due to congressional action or through other actions,
including future proposed budgets, international trade agreements and other arrangements or proposals. Additionally, there is a
risk that the FDA will not consider our product candidates to be reference products for competing products, potentially creating
the opportunity for biosimilar competition sooner than anticipated. The extent to which a biosimilar, once approved, will be substituted
for any one of our reference products in a way that is similar to traditional generic substitution for non-biological products
is not yet clear, and will depend on a number of marketplace and regulatory factors that are still developing. It is also possible
that payers will give reimbursement preference to biosimilars over reference biologics, even absent a determination of interchangeability.
To the extent that we do not receive any
anticipated periods of regulatory exclusivity for our product candidates or the FDA or foreign regulatory authorities approve any
biosimilar, interchangeable, or other competing products to our product candidates, it could have a material adverse effect on
our business, financial condition, results of operations, stock price and prospects.
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Risks related to manufacturing and our reliance on third
parties
We have agreements with BMS and Regeneron, and in the
future may have agreements with other companies, to obtain the supply of anti-PD-1 therapies for the development of our product
candidates. If our relationships with BMS, Regeneron, or any future collaborator or supplier are not successful, we may be delayed
in completing the development of our product candidates.
We have entered into arrangements with BMS
and Regeneron as part of our clinical development for RP1 and RP2. BMS is providing nivolumab, its anti-PD-1 therapy, for use in
our ongoing Phase 1/2 clinical trials with RP1 and RP2 and Regeneron is providing cemiplimab, its anti-PD-1 therapy, for use in
our randomized, controlled Phase 2 clinical trial with RP1 in approximately 240 patients with CSCC and may potentially do
so for other clinical trials in the future. We may also enter into agreements with additional companies for the supply of anti-PD-1
therapies for use in the development of RP1 and our other product candidates. The outcome of these clinical trials is dependent
both on the performance of our partners’ products and product candidates and also on our partners’ ability to deliver
sufficient quantities of adequately produced product. Should any of our partners’ products or product candidates fail to
produce the results that we anticipate, we may have to re-run clinical trials for RP1 or our other product candidates or may otherwise
be delayed in the commercialization of RP1 or our other product candidates. Similarly, should any partner fail to provide us with
a product or product candidate that suits our requirements, we may have to re-run clinical trials for RP1 or our other product
candidates or may be otherwise delayed in the commercialization of RP1 or our other product candidates.
Our collaboration agreements with any future partners
may not be successful, which could adversely affect our ability to develop and commercialize our product candidates.
We may in the future seek collaboration
arrangements with other parties for the development or commercialization of our product candidates. The success of any collaboration
arrangements may depend on the efforts and activities of our collaborators. Collaborators generally have significant discretion
in determining the efforts and resources that they will apply to these arrangements. Disagreements between parties to a collaboration
arrangement regarding clinical development and commercialization matters can lead to delays in the development process or commercializing
the applicable product candidate and, in some cases, termination of the collaboration arrangement. These disagreements can be difficult
to resolve if neither of the parties has final decision-making authority.
Collaborations with biopharmaceutical companies
and other third parties often are terminated or allowed to expire by the other party. Any such termination or expiration could
adversely affect us financially and could harm our business reputation.
Any future collaborations we might enter
into may pose a number of risks, including the following:
● collaborators may not perform their obligations as expected;
● collaborators may not pursue development and commercialization of any product candidates that achieve regulatory approval or
may elect not to continue or renew development or commercialization programs based on clinical trial results, changes in the collaborators’
strategic focus or available funding, or external factors, such as an acquisition, that divert resources or create competing priorities;
● collaborators may delay clinical trials, provide insufficient funding for a clinical trial program, stop a clinical trial or
abandon a product candidate, repeat or conduct new clinical trials or require a new formulation of a product candidate for clinical
testing;
● collaborators could fail to make timely regulatory submissions for a product candidate;
● collaborators may not comply with all applicable regulatory requirements or may fail to report safety data in accordance with
all applicable regulatory requirements, which could subject them or us to regulatory enforcement actions;
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● collaborators could independently develop, or develop with third parties, products that compete directly or indirectly with
our products or product candidates if the collaborators believe that competitive products are more likely to be successfully developed
or can be commercialized under terms that are more economically attractive than ours;
● product candidates discovered in collaboration with us may be viewed by our collaborators as competitive with their own product
candidates or products, which may cause collaborators to cease to devote resources to the commercialization of our product candidates;
● a collaborator with marketing and distribution rights to one or more of our product candidates that achieve regulatory approval
may not commit sufficient resources to the marketing and distribution of such product candidate or product;
● disagreements with collaborators, including disagreements over proprietary rights, contract interpretation or the preferred
course of development, might cause delays or termination of the research, development or commercialization of product candidates,
might lead to additional responsibilities for us with respect to product candidates, or might result in litigation or arbitration,
any of which would be time consuming and expensive;
● collaborators may not properly maintain or defend our intellectual property rights or may use our proprietary information in
such a way as to invite litigation that could jeopardize or invalidate our intellectual property or proprietary information or
expose us to potential litigation; and
● collaborators may infringe the intellectual property rights of third parties, which may expose us to litigation and potential
liability.
If any collaborations we might enter into
in the future do not result in the successful development and commercialization of products or if one of our collaborators subsequently
terminates its agreement with us, we may not receive any future research funding or milestone or royalty payments under such potential
future collaboration. If we do not receive the funding we expect under the agreements, our development of our product candidates
could be delayed and we may need additional resources to develop our product candidates and our product platform.
Additionally, if any future collaborator
of ours is involved in a business combination, the collaborator might deemphasize or terminate development or commercialization
of any product candidate it licenses to us. If one of our collaborators terminates its agreement with us, we may find it more difficult
to attract new collaborators and our reputation in the business and financial communities could be adversely affected.
We face significant competition in seeking
appropriate collaborators. Our ability to reach a definitive agreement for any collaboration will depend upon, among other things,
our assessment of the collaborator’s resources and expertise, the terms and conditions of the proposed collaboration and
the proposed collaborator’s evaluation of a number of factors.
If we are unable to reach agreements with
suitable collaborators on a timely basis, on acceptable terms, or at all, we may have to curtail the development of a product candidate,
reduce or delay its development program or one or more of our other development programs, delay its potential commercialization
or reduce the scope of any sales or marketing activities, or increase our expenditures and undertake development or commercialization
activities at our own expense. If we elect to fund and undertake development or commercialization activities on our own, we may
need to obtain additional expertise and additional capital, which may not be available to us on acceptable terms, or at all. If
we fail to enter into collaborations and do not have sufficient funds or expertise to undertake the necessary development and commercialization
activities, we may not be able to further develop our product candidates or bring them to market or continue to develop our product
platform and our business may be materially and adversely affected.
We rely, and expect to continue to rely, on third parties
to conduct, supervise, and monitor our preclinical studies and clinical trials. If those third parties do not perform satisfactorily,
including failing to meet deadlines for the completion of such trials or failing to comply with regulatory requirements, we may
be unable to obtain regulatory approval for our product candidates or any other product candidates that we may develop in the future.
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We rely on third-party CROs, study sites,
and others to conduct, supervise, and monitor our preclinical studies and clinical trials for our product candidates and do not
currently plan to independently conduct preclinical studies or clinical trials of any other potential product candidates. We expect
to continue to rely on third parties, such as CROs, clinical data management organizations, medical institutions, and clinical
investigators, to conduct our preclinical studies and clinical trials. Although we have agreements governing their activities,
we have limited influence over their actual performance and control only certain aspects of their activities. The failure of these
third parties to successfully carry out their contractual duties or meet expected deadlines could substantially harm our business
because we may be delayed in completing or unable to complete the studies required to support future approval of our product candidates,
or we may not obtain marketing approval for or commercialize our product candidates in a timely manner or at all. Moreover, these
agreements might terminate for a variety of reasons, including a failure to perform by the third parties. If we need to enter into
alternative arrangements our product development activities would be delayed and our business, financial condition, results of
operations, stock price and prospects may be materially harmed.
Our reliance on these third parties for
development activities will reduce our control over these activities. Nevertheless, we are responsible for ensuring that each of
our studies is conducted in accordance with the applicable protocol, legal, regulatory, and scientific standards and our reliance
on third parties does not relieve us of our regulatory responsibilities. For example, we will remain responsible for ensuring that
each of our trials is conducted in accordance with the general investigational plan and protocols for the trial. We must also ensure
that our preclinical trials are conducted in accordance with the FDA’s Good Laboratory Practice, or GLP, regulations, as
appropriate. Moreover, the FDA and comparable foreign regulatory authorities require us to comply with standards, commonly referred
to as GCPs for conducting, recording, and reporting the results of clinical trials to assure that data and reported results are
credible and accurate and that the rights, integrity, and confidentiality of trial participants are protected. Regulatory authorities
enforce these requirements through periodic inspections of trial sponsors, clinical investigators, and trial sites. If we or any
of our third parties fail to comply with applicable GCPs or other regulatory requirements, we or they may be subject to enforcement
or other legal actions, the data generated in our trials may be deemed unreliable and the FDA or comparable foreign regulatory
authorities may require us to perform additional studies.
In addition, we will be required to report
certain financial interests of our third-party investigators if these relationships exceed certain financial thresholds or meet
other criteria. The FDA or comparable foreign regulatory authorities may question the integrity of the data from those clinical
trials conducted by investigators who may have conflicts of interest.
We cannot assure you that upon inspection
by a given regulatory authority, such regulatory authority will determine that any of our trials complies with the applicable regulatory
requirements. In addition, our clinical trials must be conducted with product candidates that were produced under cGMP regulations.
Failure to comply with these regulations may require us to repeat clinical trials, which would delay the regulatory approval process.
We also are required to register certain clinical trials and post the results of certain completed clinical trials on a government
sponsored database, ClinicalTrials.gov, within specified timeframes. Failure to do so can result in enforcement actions and adverse
publicity.
The third parties with which we work
may also have relationships with other entities, some of which may be our competitors, for whom they may also be conducting
trials or other therapeutic development activities that could harm our competitive position. In addition, such third parties
are not our employees, and except for remedies available to us under our agreements with such third parties we cannot control
whether or not they devote sufficient time and resources to our ongoing clinical, nonclinical, and preclinical programs. If
these third parties do not successfully carry out their contractual duties, meet expected deadlines or conduct our
preclinical studies or clinical trials in accordance with regulatory requirements or our stated protocols, if they need to be
replaced or if the quality or accuracy of the data they obtain is compromised due to the failure to adhere to our protocols,
regulatory requirements or for other reasons, our trials may be repeated, extended, delayed, or terminated; we may not be
able to obtain, or may be delayed in obtaining, marketing approvals for our product candidates; we may not be able to, or may
be delayed in our efforts to, successfully commercialize our product candidates, or we or they may be subject to regulatory
enforcement actions. As a result, our results of operations and the commercial prospects for our product candidates would be
harmed, our costs could increase and our ability to generate revenues could be delayed. To the extent we are unable to
successfully identify and manage the performance of third-party service providers in the future, our business, financial
condition, results of operations, stock price and prospects may be materially harmed.
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If any of our relationships with these third
parties terminate, we may not be able to enter into arrangements with alternative providers or to do so on commercially reasonable
terms. Switching or adding additional third parties involves additional cost and requires management time and focus. In addition,
there is a natural transition period when a new third party commences work. As a result, delays could occur, which could compromise
our ability to meet our desired development timelines.
We also rely on other third parties to store
and distribute our products for the clinical trials that we conduct. Any performance failure on the part of our distributors could
delay clinical development, marketing approval, or commercialization of our product candidates, which could result in additional
losses and deprive us of potential product revenue.
If the manufacturers upon which we rely fail to produce
our product candidates in the volumes that we require on a timely basis, or fail to comply with stringent regulations applicable
to biopharmaceutical manufacturers, we may face delays in the development and commercialization of, or be unable to meet demand
for, our product candidates and may lose potential revenues.
Until our manufacturing facility is fully
operational and for a period of time thereafter, we will rely on third-party contract manufacturers to manufacture our clinical
trial product supplies. There can be no assurance that our clinical development will not be limited, interrupted, or of satisfactory
quality or continue to be available at acceptable prices. In particular, any replacement of our contract manufacturer could require
significant effort and expertise because there may be a limited number of qualified replacements. Any delays in obtaining adequate
supplies of our product candidates that meet the necessary quality standards may delay our development or commercialization.
We may not succeed in our efforts to establish
manufacturing relationships or other alternative arrangements for any of our product candidates or programs. Our product candidates
may compete with other products and product candidates for access to manufacturing facilities. There are a limited number of manufacturers
that operate under cGMP regulations and that are both capable of manufacturing and filling our viral product for us and willing
to do so. If our existing third-party manufacturers, or the third parties that we engage in the future, should cease to work with
us, we likely would experience delays in obtaining sufficient quantities of our product candidates for us to meet commercial demand
or to advance our clinical trials while we identify and qualify replacement suppliers. If for any reason we are unable to obtain
adequate supplies of our product candidates or the therapeutic substances used to manufacture them, it will be more difficult for
us to develop our product candidates and compete effectively. Further, even if we do establish such collaborations or arrangements,
our third-party manufacturers may breach, terminate, or not renew these agreements.
Any problems or delays we experience in
preparing for commercial scale manufacturing of a product candidate or component may result in a delay in product development timelines
and FDA or comparable foreign regulatory authority approval of the product candidate or may impair our ability to manufacture commercial
quantities or such quantities at an acceptable cost and quality, which could result in the delay, prevention, or impairment of
clinical development and commercialization of our product candidates and may materially harm our business, financial condition,
results of operations, stock price and prospects.
We currently have only one contract manufacturer
for our product candidates for use in our clinical trials. In addition, we do not have any long-term commitments from our suppliers
of clinical trial material or guaranteed prices for our product candidates or their components. The manufacture of biopharmaceutical
products requires significant expertise and capital investment, including the development of advanced manufacturing techniques
and process controls. Manufacturers of therapeutics often encounter difficulties in production, particularly in scaling up initial
production. These problems include difficulties with production costs and yields, quality control, including stability of the product
candidate and quality assurance testing, shortages of qualified personnel or key raw materials, and compliance with strictly enforced
federal, state, and foreign regulations. Our contract manufacturers may not perform as agreed. If our manufacturers were to encounter
these or other difficulties, our ability to provide product candidates to patients in our clinical trials could be jeopardized.
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Contract manufacturers of our product candidates
may be unable to comply with our specifications, applicable cGMP requirements or other FDA, state or foreign regulatory requirements.
Poor control of production processes can lead to the introduction of adventitious agents or other contaminants, or to inadvertent
changes in the properties or stability of a product candidate that may not be detectable in final product testing. If our contract
manufacturers cannot successfully manufacture material that conforms to our specifications and the strict regulatory requirements
of the FDA or other regulatory authorities, they will not be able to secure or maintain regulatory approval for their manufacturing
facilities. Any such deviations may also require remedial measures that may be costly and/or time consuming for us or a third party
to implement and that may include the temporary or permanent suspension of a clinical trial or the temporary or permanent closure
of a facility. Any such remedial measures imposed upon us or third parties with whom we contract could materially harm our business.
Any delays in obtaining products or product candidates that comply with the applicable regulatory requirements may result in delays
to clinical trials, product approvals, and commercialization. It may also require that we conduct additional studies.
While we are ultimately responsible for
the manufacturing of our product candidates and therapeutic substances, other than through our contractual arrangements, we have
little control over our manufacturers’ compliance with these regulations and standards. If the FDA or a comparable foreign
regulatory authority does not approve these facilities for the manufacture of our product candidates or if it withdraws any such
approval in the future, we may need to find alternative manufacturing facilities, which would significantly impact our ability
to develop, obtain regulatory approval for or market our product candidates, if approved. Any new manufacturers would need to either
obtain or develop the necessary manufacturing know-how, and obtain the necessary equipment and materials, which may take substantial
time and investment. We must also receive FDA approval for the use of any new manufacturers for commercial supply.
A failure to comply with the applicable
regulatory requirements, including periodic regulatory inspections, may result in regulatory enforcement actions against our manufacturers
or us (including fines and civil and criminal penalties, including imprisonment) suspension or restrictions of production, injunctions,
delay or denial of product approval or supplements to approved products, clinical holds or termination of clinical trials, warning
or untitled letters, regulatory authority communications warning the public about safety issues with the product candidate, refusal
to permit the import or export of the products, product seizure, detention, or recall, operating restrictions, suits under the
civil False Claims Act, corporate integrity agreements, consent decrees, withdrawal of product approval, environmental or safety
incidents and other liabilities. If the safety of any quantities supplied is compromised due to our manufacturers’ failure
to adhere to applicable laws or for other reasons, we may not be able to obtain regulatory approval for or successfully commercialize
our product candidates.
Any failure or refusal to supply our product
candidates or components for our product candidates that we may develop could delay, prevent or impair our clinical development
or commercialization efforts. Any change in our manufacturers could be costly because the commercial terms of any new arrangement
could be less favorable and because the expenses relating to the transfer of necessary technology and processes could be significant.
The transition of our manufacturing operations to our
new facility may result in further delays or expenses, and we may not experience the anticipated operating efficiencies.
We have completed the build-out of, obtained
an occupancy certificate with respect to, and successfully completed our first two tech transfers at, our approximately 63,000
square foot manufacturing facility in Framingham, Massachusetts at which we intend to operate our own manufacturing facility in
order to secure supplies for pivotal studies and commercial launch. This facility is intended to give us control over key aspects
of the supply chain for our products and product candidates. We may not experience the anticipated operating efficiencies as we
commence manufacturing operations at the new facility. Any such delays may disrupt or delay the supply of our product candidates
if we have not maintained a sufficient backup supply of our product candidates through third-party manufacturers. Moreover, changing
manufacturing facilities may also require that we conduct additional studies, make notifications to the regulatory authorities,
make additional filings to the regulatory authorities, and obtain regulatory authority approval for the new facilities, which may
be delayed or which we may never receive. We will further need to comply with the FDA’s and applicable foreign regulatory
authorities’ cGMP requirements for the production of our product candidates for clinical trials and, if approved, commercial
supply, and will be subject to FDA and comparable foreign regulatory authority inspection. These requirements include the qualification
and validation of our manufacturing equipment and processes. We may not be able to develop or acquire the internal expertise and
resources necessary for compliance with these requirements. If we fail to achieve the operating efficiencies that we anticipate,
our manufacturing and operating costs may be greater than expected, which could have a material adverse impact on our operating
results.
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In operating our own manufacturing facility,
we may be forced to devote greater resources and management time than anticipated, particularly in areas relating to operations,
quality, regulatory, facilities and information technology. If we experience unanticipated employee turnover in any of these areas,
we may not be able to effectively manage our ongoing manufacturing operations and we may not achieve the operating efficiencies
that we anticipate from the new facility, which may negatively affect our product development timeline.
Any such problems could result in the delay,
prevention, or impairment of clinical development and commercialization of our product candidates and may materially harm our business,
financial condition, results of operations, stock price and prospects.
Risks related to legal and compliance matters
We face potential product liability exposure, and if successful
claims are brought against us, we may incur substantial liability and have to limit the commercialization of any approved products
and/or our product candidates.
The use of our product candidates in
clinical trials, and the sale of any product for which we obtain regulatory approval, exposes us to the risk of product
liability claims. We face inherent risk of product liability related to the testing of our product candidates in human
clinical trials, including liability relating to the actions and negligence of our investigators, and will face an even
greater risk if we commercially sell any product candidates that we may develop. For example, we may be sued if any product
candidate we develop allegedly causes injury or is found to be otherwise unsuitable during clinical testing, manufacturing,
marketing or sale. Any such product liability claims may include allegations of defects in manufacturing, defects in design,
a failure to warn of dangers inherent in the product, negligence, strict liability or a breach of warranties. Claims could
also be asserted under state consumer protection acts. Product liability claims might be brought against us by consumers,
healthcare providers or others using, administering or selling our products. If we cannot successfully defend ourselves
against these claims, we will incur substantial liabilities or be required to limit commercialization of our product
candidates. Even successful defense would require significant financial and management resources. Regardless of merit or
eventual outcome, liability claims may result in:
● loss of revenue from decreased demand for our products and/or product candidates;
● impairment of our business reputation or financial stability;
● costs of related litigation;
● substantial monetary awards to patients or other claimants;
● diversion of management attention;
● withdrawal of clinical trial participants and potential termination of clinical trial sites or entire clinical programs;
● the inability to commercialize our product candidates;
● significant negative media attention;
● decreases in our stock price;
● initiation of investigations and enforcement actions by regulators; and
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● product recalls, withdrawals or labeling, marketing or promotional restrictions, including withdrawal of marketing approval.
We believe we have sufficient insurance
coverage in place for our business operations. However, our insurance coverage may not reimburse us or may not be sufficient to
reimburse us for any expenses or losses we may suffer. Moreover, insurance coverage is becoming increasingly expensive and, in
the future, we may not be able to maintain insurance coverage at a reasonable cost or in sufficient amounts to protect us against
losses due to liability. We intend to expand our insurance coverage to include the sale of commercial products if we obtain FDA
or comparable foreign regulatory approval for our product candidates in development, but we may be unable to obtain commercially
reasonable product liability insurance for any products approved for marketing, or at all. Failure to obtain and retain sufficient
product liability insurance at an acceptable cost could prevent or inhibit the commercialization of products we develop. On occasion,
large judgments have been awarded in class action lawsuits based on therapeutics that had unanticipated side effects. A successful
product liability claim or series of claims brought against us could cause our stock price to fall and, if judgments exceed our
insurance coverage, could decrease our cash, and materially harm our business, financial condition, results of operations, stock
price and prospects.
We are subject to the U.S. Foreign Corrupt Practices Act,
the U.K. Bribery Act and other anticorruption laws, as well as import and export control laws, customs laws, sanctions laws and
other laws governing our operations. If we fail to comply with these laws, we could be subject to civil or criminal penalties,
other remedial measures, and legal expenses, which could adversely affect our business, financial condition, results of operations,
stock price and prospects.
Our operations are subject to anticorruption
laws, including the U.S. Foreign Corrupt Practices Act, or FCPA, the U.K. Bribery Act 2010, or the Bribery Act, and other anticorruption
laws that apply in countries where we do business. The FCPA, the Bribery Act, and these other laws generally prohibit us and our
employees and intermediaries from bribing, being bribed or making other prohibited payments to government officials or other persons
to obtain or retain business or gain some other business advantage. We also may participate in collaborations and relationships
with third parties whose actions, if noncompliant, could potentially subject us to liability under the FCPA, Bribery Act or local
anticorruption laws. In addition, we cannot predict the nature, scope or effect of future regulatory requirements to which our
international operations might be subject or the manner in which existing laws might be administered or interpreted.
We are also subject to other laws and regulations
governing our international operations, including regulations administered by the governments of the United States and the United
Kingdom and authorities in the European Union, including applicable import and export control regulations, economic sanctions on
countries and persons, anti-money laundering laws, customs requirements and currency exchange regulations, collectively referred
to as the trade control laws.
We can provide no assurance that we will
be completely effective in ensuring our compliance with all applicable anticorruption laws or other legal requirements, including
trade control laws. If we are not in compliance with applicable anticorruption laws or trade control laws, we may be subject to
criminal and civil penalties, disgorgement and other sanctions and remedial measures, and legal expenses, which could have an adverse
impact on our business, financial condition, results of operations, stock price and prospects. Likewise, any investigation of any
potential violations of these anticorruption laws or trade control laws by U.S., U.K. or other authorities could also have an adverse
impact on our reputation, our business, financial condition, results of operations, stock price and prospects.
If we fail to comply with federal and state healthcare
laws, including fraud and abuse and health and other information privacy and security laws, we could face substantial penalties
and our business, financial condition, results of operations, stock price and prospects will be materially harmed.
We are subject to many federal and state
healthcare laws, such as the federal Anti-Kickback Statute, the federal civil and criminal False Claims Acts, the civil monetary
penalties statute, the Medicaid Drug Rebate statute and other price reporting requirements, the Veterans Health Care Act of 1992,
or VHCA, the federal Health Insurance Portability and Accountability Act of 1996 (as amended by the Health Information Technology
for Economics and Clinical Health Act, or HITECH), or HIPAA, the FCPA, the ACA, and similar state laws. Even though we do not and
will not control referrals of healthcare services or bill directly to Medicare, Medicaid or other third-party payors, certain federal
and state healthcare laws, and regulations pertaining to fraud and abuse, reimbursement programs, government procurement, and patients’
rights are and will be applicable to our business. We would be subject to healthcare fraud and abuse and patient privacy regulation
by both the federal government and the states and foreign jurisdictions in which we conduct our business. In the European Union,
the data privacy laws are generally stricter than those that apply in the United States and include specific requirements for the
collection of personal data of European Union persons or the transfer of personal data outside of the European Union to the United
States to ensure that European Union standards of data privacy will be applied to such data.
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If we or our operations are found to be
in violation of any federal or state healthcare law, or any other governmental laws or regulations that apply to us, we may be
subject to penalties, including civil, criminal, and administrative penalties, damages, fines, disgorgement, suspension and debarment
from government contracts, and refusal of orders under existing government contracts, exclusion from participation in U.S. federal
or state health care programs, corporate integrity agreements, and the curtailment or restructuring of our operations, any of which
could materially adversely affect our ability to operate our business and our financial results. If any of the physicians or other
healthcare providers or entities with whom we expect to do business is found not to be in compliance with applicable laws, it may
be subject to criminal, civil or administrative sanctions, including but not limited to, exclusions from participation in government
healthcare programs, which could also materially affect our business.
Although an effective compliance program
can mitigate the risk of investigation and prosecution for violations of these laws, the risks cannot be entirely eliminated. Moreover,
achieving and sustaining compliance with applicable federal, state and foreign privacy, data protection, security, reimbursement,
and fraud laws may prove costly. Any action against us for violation of these laws, even if we successfully defend against it,
could cause us to incur significant legal expenses and divert our management’s attention from the operation of our business.
If the government or third- party payors fail to provide
adequate coverage, reimbursement and payment rates for our product candidates, or if health maintenance organizations or long-term
care facilities choose to use therapies that are less expensive or considered a better value, our revenue and prospects for profitability
will be limited.
In both domestic and foreign markets,
sales of our products will depend in part upon the availability of coverage and reimbursement from third-party payors. Such
third-party payors include government health programs such as Medicare and Medicaid, managed care providers, private health
insurers, and other organizations. Coverage decisions may depend upon clinical and economic standards that disfavor new
therapeutic products when more established or lower cost therapeutic alternatives are already available or subsequently
become available, even if our products are alone in a class. If reimbursement is not available, or is available only to
limited levels, our product candidates may be competitively disadvantaged, and we may not be able to successfully
commercialize our product candidates. Even if coverage is provided, the approved reimbursement amount may not be high enough
to allow us to establish or maintain a market share sufficient to realize a sufficient return on our or their investments.
Alternatively, securing favorable reimbursement terms may require us to compromise pricing and prevent us from realizing an
adequate margin over cost.
There is significant uncertainty related
to third-party payor coverage and reimbursement of newly approved therapeutics. Marketing approvals, pricing, and reimbursement
for new therapeutic products vary widely from country to country. Current and future legislation may significantly change the approval
requirements in ways that could involve additional costs and cause delays in obtaining approvals. Some countries require approval
of the sale price of a therapeutic before it can be marketed. In many countries, the pricing review period begins after marketing
or product licensing approval is granted. In some foreign markets, prescription biopharmaceutical pricing remains subject to continuing
governmental control even after initial approval is granted. As a result, we might obtain marketing approval for a product in a
particular country, but then be subject to price regulations that delay commercial launch of the product, possibly for lengthy
time periods, which may negatively impact the revenues we are able to generate from the sale of the product in that country. Adverse
pricing limitations may hinder our ability to recoup our investment in one or more product candidates, even if our product candidates
obtain marketing approval. Our ability to commercialize our product candidates will depend in part on the extent to which coverage
and reimbursement for these products and related treatments will be available from government health administration authorities,
private health insurers and other organizations. Regulatory authorities and third-party payors, such as private health insurers,
and health maintenance organizations, decide which medications they will cover and establish reimbursement levels. The healthcare
industry is acutely focused on cost containment, both in the United States and elsewhere. Several third-party payors are requiring
that companies provide them with predetermined discounts from list prices, are using preferred drug lists to leverage greater discounts
in competitive classes, are disregarding therapeutic differentiators within classes, are challenging the prices charged for therapeutics,
and are negotiating price concessions based on performance goals.
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Third-party payors, whether foreign or domestic,
or governmental or commercial, are developing increasingly sophisticated methods of controlling healthcare costs. In addition,
in the United States, no uniform policy of coverage and reimbursement for products exists among third-party payors. Therefore,
coverage and reimbursement for products can differ significantly from payor to payor. Further, we believe that future coverage
and reimbursement will likely be subject to increased restrictions both in the United States and in international markets. Third-party
coverage and reimbursement for our products or product candidates for which we receive regulatory approval may not be available
or adequate in either the United States or international markets, which could have a negative effect on our business, financial
condition, results of operations, stock price and prospects.
Assuming coverage is approved, the resulting
reimbursement payment rates might not be adequate. If payors subject our product candidates to maximum payment amounts, or impose
limitations that make it difficult to obtain reimbursement, providers may choose to use therapies which are less expensive when
compared to our product candidates. Additionally, if payors require high copayments, beneficiaries may seek alternative therapies.
We may need to conduct post-marketing studies in order to demonstrate the cost effectiveness of any products to the satisfaction
of hospitals, other target customers and their third-party payors. Such studies might require us to commit a significant amount
of management time and financial and other resources. Our products might not ultimately be considered cost effective. Adequate
third-party coverage and reimbursement might not be available to enable us to maintain price levels sufficient to realize an appropriate
return on investment in product development.
In addition, federal programs impose penalties
on manufacturers of therapeutics in the form of mandatory additional rebates and/or discounts if commercial prices increase at
a rate greater than the Consumer Price Index Urban, and these rebates and/or discounts, which can be substantial, may impact our
ability to raise commercial prices. A few states have also passed or are considering legislation intended to prevent significant
price increases. Regulatory authorities and third-party payors have attempted to control costs by limiting coverage and the amount
of reimbursement for particular medications, which could affect our ability to sell our product candidates profitably. These payors
may not view our products, if any, as cost effective, and coverage and reimbursement may not be available to our customers, or
may not be sufficient to allow our products, if any, to be marketed on a competitive basis. Cost control initiatives could cause
us to decrease, discount, or rebate a portion of the price we, or they, might establish for products, which could result in lower
than anticipated product revenues. If the realized prices for our products, if any, decrease or if governmental and other third-party
payors do not provide adequate coverage or reimbursement, our prospects for revenue and profitability will suffer.
There may also be delays in obtaining
coverage and reimbursement for newly approved therapeutics, and coverage may be more limited than the indications for which
the product is approved by the FDA or comparable foreign regulatory authorities. Such delays have made it increasingly common
for manufacturers to provide newly approved drugs to patients experiencing coverage delays or disruption at no cost for a
limited period in order to ensure that patients are able to access the drug. Moreover, eligibility for reimbursement does not
imply that any therapeutic will be paid for in all cases or at a rate that covers our costs, including research, development,
manufacture, sale, and distribution. Interim reimbursement levels for new therapeutics, if applicable, may also not be
sufficient to cover our costs and may only be temporary. Reimbursement rates may vary, by way of example, according to the
use of the product and the clinical setting in which it is used. Reimbursement rates may also be based on reimbursement
levels already set for lower cost products or may be incorporated into existing payments for other services.
In addition, third-party payors are increasingly
requiring higher levels of evidence of the benefits and clinical outcomes of new technologies, benchmarking against other therapies,
seeking performance-based discounts, and challenging the prices charged. We cannot be sure that coverage will be available for
any product candidate that we commercialize and, if available, that the reimbursement rates will be adequate. An inability to promptly
obtain coverage and adequate payment rates from both government-funded and private payors for any of our product candidates for
which we obtain marketing approval could have a material adverse effect on our operating results, our ability to raise capital
needed to commercialize products and our overall financial condition.
We are subject to new legislation, regulatory proposals
and healthcare payor initiatives that may increase our costs of compliance, and adversely affect our ability to market our products,
obtain collaborators, and raise capital.
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In the United States and some foreign jurisdictions,
there have been a number of legislative and regulatory changes and proposed changes regarding the healthcare system that could
prevent or delay marketing approval of our product candidates, restrict or regulate post approval activities and affect our ability
to profitably sell any products for which we obtain marketing approval. We expect that current laws, as well as other healthcare
reform measures that may be adopted in the future, may result in more rigorous coverage criteria and in additional downward pressure
on the price that we may receive for any approved products.
For example, legislative changes have been
proposed and adopted since the ACA was enacted in 2010. These changes include, among other things, aggregate reductions to Medicare
payments to providers of up to 2% per fiscal year, which went effective on April 1, 2013. In addition, the American Taxpayer
Relief Act of 2012, among other things, further reduced Medicare payments to several providers and increased the statute of limitations
period for the government to recover overpayments to providers from three to five years. The Centers for Medicare and Medicaid
Services, or CMS, promulgated regulations governing manufacturers’ obligations and reimbursement under the Medicaid Drug
Rebate Program, and promulgated a regulation that limited Medicare Part B payment to certain hospitals for outpatient drugs
purchased under the 340B program. These new laws may result in additional reductions in Medicare and other healthcare funding,
which could have a material adverse effect on customers for our products, if approved, and, accordingly, on our results of operations.
We expect that the ACA, as well as other
federal and state healthcare reform measures that may be adopted in the future, may result in more rigorous coverage criteria,
increased regulatory burdens and operating costs, decreased net revenue from our biopharmaceutical products, decreased potential
returns from our development efforts, and additional downward pressure on the price that we receive for any approved product. Any
reduction in reimbursement from Medicare or other government healthcare programs may result in a similar reduction in payments
from private payors. The implementation of cost containment measures or other healthcare reforms may prevent us from commercializing
our products and being able to generate revenue, and we could be prevented from or significantly delayed in achieving profitability.
In addition, there have been a number of
other legislative and regulatory proposals aimed at changing the biopharmaceutical industry. For instance, the Drug Quality and
Security Act imposes obligations on manufacturers of biopharmaceutical products related to product tracking and tracing. Among
the requirements of this legislation, manufacturers are required to provide certain information regarding the product to individuals
and entities to which product ownership is transferred, are required to label products with a product identifier, and are required
to keep certain records regarding the product. The transfer of information to subsequent product owners by manufacturers is also
required to be done electronically. Manufacturers are also being required to verify that purchasers of the manufacturers’
products are appropriately licensed. Further, manufactures have product investigation, quarantine, disposition, and FDA, other
comparable foreign regulatory authorities, and trading partner notification responsibilities related to counterfeit, diverted,
stolen, and intentionally adulterated products that would result in serious adverse health consequences of death to humans, as
well as products that are the subject of fraudulent transactions or which are otherwise unfit for distribution such that they would
be reasonably likely to result in serious health consequences or death.
Compliance with the federal track and
trace requirements may increase our operational expenses and impose significant administrative burdens. As a result of these
and other new proposals, we may determine to change our current manner of operation, provide additional benefits or change
our contract arrangements, any of which could have a material adverse effect on our business, financial condition, results of
operations, stock price and prospects.
Our employees, independent contractors, consultants, commercial
partners, principal investigators, CMOs, or CROs may engage in misconduct or other improper activities, including noncompliance
with regulatory standards and requirements, which could have a material adverse effect on our business.
We are exposed to the risk of employee fraud
or other misconduct. Misconduct by employees, independent contractors, consultants, commercial partners, principal investigators,
CMOs, or CROs could include intentional, reckless, negligent, or unintentional failures to comply with FDA regulations, comply
with applicable fraud and abuse laws, provide accurate information to the FDA, properly calculate pricing information required
by federal programs, report financial information or data accurately or disclose unauthorized activities to us. This misconduct
could also involve the improper use or misrepresentation of information obtained in the course of clinical trials, which could
result in regulatory sanctions and serious harm to our reputation. It is not always possible to identify and deter this type of
misconduct, and the precautions we take to detect and prevent this activity may not be effective in controlling unknown or unmanaged
risks or losses or in protecting us from governmental investigations or other actions or lawsuits stemming from a failure to be
in compliance with such laws or regulations. Moreover, it is possible for a whistleblower to pursue a False Claims Act case against
us even if the government considers the claim unmeritorious and declines to intervene, which could require us to incur costs defending
against such a claim. If any such actions are instituted against us, and we are not successful in defending ourselves or asserting
our rights, those actions could have a significant impact on our business, financial condition, results of operations, stock price
and prospects, including the imposition of significant fines or other sanctions.
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Violations of or liabilities under environmental, health
and safety laws and regulations could subject us to fines, penalties or other costs that could have a material adverse effect on
the success of our business.
We are subject to numerous environmental,
health and safety laws and regulations, including those governing laboratory procedures, the handling, use, storage, treatment
and disposal of hazardous materials and wastes and the cleanup of contaminated sites. Our operations involve the use of hazardous
and flammable materials, including chemicals and biological and radioactive materials. Our operations also produce hazardous waste
products. We would incur substantial costs as a result of violations of or liabilities under environmental requirements in connection
with our operations or property, including fines, penalties and other sanctions, investigation and cleanup costs and third-party
claims. Although we generally contract with third parties for the disposal of hazardous materials and wastes from our operations,
we cannot eliminate the risk of contamination or injury from these materials. In the event of contamination or injury resulting
from our use of hazardous materials, we could be held liable for any resulting damages, and any liability could exceed our resources.
We also could incur significant costs associated with civil or criminal fines and penalties.
Although we maintain workers’ compensation
insurance to cover costs and expenses we may incur due to injuries to our employees resulting from the use of hazardous materials,
this insurance may not provide adequate coverage against potential liabilities. We do not maintain insurance for environmental
liability or toxic tort claims that may be asserted against us in connection with our storage or disposal of biological or hazardous
materials.
Our internal computer systems, or those of our third-party
CROs or other contractors or consultants, may fail or suffer security breaches, which could result in a material disruption of
our development programs.
Our internal computer systems, and those
of our CROs, CMOs, information technology suppliers and other contractors and consultants are vulnerable to damage from computer
viruses, cyber-attacks and other unauthorized access, natural disasters, terrorism, war, and telecommunication and electrical failures.
If such an event were to occur and cause interruptions in our operations, it could result in a material disruption of our development
programs. For example, the loss of clinical trial data from completed, ongoing or planned clinical trials could result in delays
in our regulatory approval efforts and significantly increase our costs to recover or reproduce the data. To the extent that any
disruption or security breach were to result in a loss of or damage to our data or applications, or inappropriate disclosure of
personal, confidential or proprietary information, we could incur liability and the further development of any of our product candidates
could be delayed.
Risks related to our operations
Our financial condition and results
of operations could be adversely affected by the recent novel coronavirus disease-2019, or COVID-19, outbreak.
In December 2019, a novel strain of
coronavirus, now referred to as COVID-19, surfaced in Wuhan, China. The virus continues to spread globally, including the United
States, the United Kingdom and other countries in which we conduct clinical trials, and has been declared a pandemic by the World
Health Organization. The impact of this pandemic has been and will likely continue to be extensive in many aspects of society,
which has resulted in and will likely continue to result in significant disruptions to the global economy, as well as businesses
and capital markets around the world. In an effort to halt the outbreak of COVID-19, many countries, including the United States,
the United Kingdom and certain other countries in which we conduct clinical trials, placed significant restrictions on travel and
business operations or issued shelter-in-place orders. These restrictions and orders continue to remain in effect to varying degrees,
the effect of which required, and in some instances, continue to require, certain of our employees and clinical trial staff to
work remotely and avoid unnecessary travel. While these restrictions and orders have eased in certain geographies in which we operate,
the effect of these restrictions and orders has impacted the pace of enrollment in our clinical trials, and if they continue, may
affect our results and operations.
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The COVID-19 pandemic is affecting the United
States and global economies and has affected and may continue to affect our operations and those of third parties on which we rely,
including by causing disruptions in our raw material and anti-PD-1 supply, the manufacturing of our product candidates, the commercialization
of our product candidates and the conduct of current and future clinical trials. In addition, the COVID-19 pandemic has affected
and may continue to affect the operations of the FDA and comparable foreign regulatory authorities, which could result in delays
of reviews and approvals, including with respect to RP1 and our other product candidates. The evolving COVID-19 pandemic has also
directly or indirectly impacted and is likely to continue to impact the pace of enrollment in our clinical trials as patients may
avoid or may not be able to travel to healthcare facilities and physicians' offices unless due to a health emergency and clinical
trial staff may no longer be able to get to the clinic. Such facilities and offices have and may continue to be required to focus
limited resources on non-clinical trial matters, including treatment of COVID-19 patients, and may not be available, in whole or
in part, for clinical trial services. For example, our clinical trial of RP1 in solid organ transplant patients with CSCC, representing
a highly immunocompromised patient populations, has been slower than expected. In addition, employee disruptions and remote working
environments related to the COVID-19 pandemic and the federal, state and local responses to such virus, could materially impact
the efficiency and pace with which we work and develop our product candidates.
The COVID-19 pandemic and the government
and public health response continues to rapidly evolve. In light of the COVID-19 pandemic, the FDA has issued a number of new guidance
documents. Specifically, as a result of the potential effect of the COVID-19 pandemic on many clinical trial programs in the United
States and globally, the FDA issued guidance concerning potential impacts on clinical trial programs, changes that may be necessary
to such programs if they proceed, considerations regarding trial suspensions and discontinuations, the potential need to consult
with or make submissions to relevant ethics committees, IRBs, and the FDA, the use of alternative drug delivery methods, and
considerations with respect the outbreak's impacts on endpoints, data collection, study procedures, and analysis. Additionally,
in March 2020, the U.S. Congress passed the Coronavirus Aid, Relief, and Economic Security Act, which includes a number of
provisions that are applicable to the pharmaceutical industry, and further acts, laws or regulations may be enacted or implemented
in the future.
While the potential economic impact brought
by, and the duration and severity of, the COVID-19 pandemic are difficult to assess or predict, the impact of the COVID-19 pandemic
on the global financial markets may reduce our ability to access capital, which could negatively impact our short-term and long-term
liquidity. Additionally, the stock market has been unusually volatile during the COVID-19 outbreak and such volatility may continue.
To date, during certain periods of the COVID-19 pandemic, our stock price fluctuated significantly, and such fluctuation may continue
to occur. The ultimate impact of the COVID-19 pandemic on our business will largely depend on future developments, which are highly
uncertain, cannot be predicted with confidence, such as the ultimate geographic spread of the disease, the duration of the pandemic,
travel restrictions and social distancing in the United States and other countries, business closures or business disruptions,
the ultimate impact on financial markets and the global economy, and the effectiveness of actions taken in the United States and
other countries to contain and treat the disease.
We do not yet know the full extent of the
delays or impacts on our business, financing or clinical trial activities, healthcare systems or the global economy as a whole.
However, these effects could have a material impact on our liquidity, capital resources, operations and business and those of the
third parties on which we rely. To the extent to COVID-19 pandemic materially impacts our business and financial results, it may
also have the effect of significantly heightening many of the other risk described in this "Risk Factors" section.
We will need to expand the size of our organization, and
we may experience difficulties in managing this growth, which could disrupt our operations.
As our development and commercialization
plans and strategies develop, we expect to need additional managerial, operational, sales, marketing, financial and other personnel.
Future growth would impose significant added responsibilities on members of management, including:
● identifying, recruiting, integrating, maintaining and motivating additional employees;
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● managing our internal development efforts effectively, including the clinical, FDA and comparable foreign regulatory review
process for our product candidates, while complying with our contractual obligations to contractors and other third parties; and
● strengthening our operational, financial and management controls, reporting systems and procedures.
Our future financial performance and our
ability to commercialize RP1 and our other product candidates will depend, in part, on our ability to effectively manage any future
growth, and our management may also have to divert a disproportionate amount of its attention away from day-to-day activities in
order to devote a substantial amount of time to managing these growth activities.
We currently rely, and for the foreseeable
future will continue to rely, in substantial part on certain independent organizations, advisors and consultants to provide certain
services. The services include substantially all aspects of clinical trial management and manufacturing, as well as support for
our financial reporting and accounting functions. We cannot assure you that the services of independent organizations, advisors
and consultants will continue to be available to us on a timely basis when needed, or that we can find qualified replacements.
In addition, if we are unable to effectively manage our outsourced activities or if the quality or accuracy of the services provided
by consultants is compromised for any reason, our clinical trials may be extended, delayed or terminated, we may not comply with
our financial reporting and accounting obligations on a timely basis and we may not be able to obtain marketing approval of RP1
and our other product candidates or otherwise advance our business. We cannot assure you that we will be able to manage our existing
consultants or find other competent outside contractors and consultants on economically reasonable terms, or at all.
If we are not able to effectively expand
our organization by hiring qualified new employees and expanding our groups of consultants and contractors, we may not be able
to successfully implement the tasks necessary to further develop and commercialize RP1 and our other product candidates and, accordingly,
may not achieve our research, development and commercialization goals.
We are highly dependent on our key personnel, including
Philip Astley-Sparke, our Chief Executive Officer; Robert Coffin, Ph.D., our President and Chief Research & Development
Officer; and Colin Love, Ph.D., our Chief Operating Officer. If we are not successful in attracting, motivating and retaining highly
qualified personnel, we may not be able to successfully implement our business strategy.
Our ability to compete in the highly competitive
biotechnology and pharmaceutical industries depends upon our ability to attract, motivate and retain highly qualified managerial,
scientific and medical personnel. We are highly dependent on our management and particularly on the services of our founders, as
well as our other scientific, manufacturing, quality and medical personnel. Philip Astley-Sparke, our Chief Executive Officer,
Robert Coffin, Ph.D., our President and Chief Research & Development Officer, and Colin Love, Ph.D., our Chief Operating
Officer, were the founder and senior management team of BioVex Group, Inc., or BioVex, where they invented and developed T-Vec,
the only oncolytic immunotherapy to receive FDA approval. BioVex was acquired by Amgen Inc., or Amgen, in 2011. We believe
that their drug discovery and development experience, and overall biopharmaceutical company management experience, would be difficult
to replace. The loss of the services of our key personnel and any of our other executive officers, key employees, and scientific
and medical advisors, and our inability to find suitable replacements, could result in delays in product development and harm our
business. Furthermore, the historical results, past performance and/or acquisitions of companies with which our founders were affiliated,
including BioVex, do not necessarily predict or guarantee similar results for our company.
We conduct our operations at our facilities
near Boston, Massachusetts and near Oxford, England, each of which are in regions that are home to many other biopharmaceutical
companies and many academic and research institutions.
Competition for skilled personnel is intense
and the turnover rate can be high, which may limit our ability to hire and retain highly qualified personnel on acceptable terms
or at all. We expect that we will need to recruit talent from outside of these regions, and doing so may be costly and difficult.
To induce valuable employees to remain at
our company, in addition to salary and cash incentives, we have provided stock option grants that vest over time. The value to
employees of these equity grants that vest over time may be significantly affected by movements in our stock price that are beyond
our control, and may at any time be insufficient to counteract more lucrative offers from other companies. Although we have employment
agreements with our key employees, these employment agreements generally provide for at-will employment, which means that any of
our employees could leave our employment at any time, with or without notice. We do not maintain “key man” insurance
policies on the lives of any of these individuals or the lives of any of our other employees.
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We have identified material weaknesses in our internal
control over financial reporting. If we are unable to remediate these material weaknesses, or if we identify additional material
weaknesses in the future or otherwise fail to maintain an effective system of internal controls, we may not be able to accurately
or timely report our financial condition or results of operations, which may adversely affect our business.
In connection with the audits of our consolidated
financial statements as of and for the years ended March 31, 2020, 2019 or 2018, we identified material weaknesses in our
internal control over financial reporting. However, these material weaknesses did not result in a restatement for the years ended
March 31, 2020, 2019 or 2018. A material weakness is a deficiency, or a combination of deficiencies, in internal control over
financial reporting, such that there is a reasonable possibility that a material misstatement of our annual or interim financial
statements will not be prevented or detected on a timely basis. If we are unable to remediate these material weaknesses, or if
we identify additional material weaknesses in the future or otherwise fail to maintain an effective system of internal controls,
we may not be able to accurately or timely report our financial condition or results of operations, which may adversely affect
investor confidence in us and, as a result, our stock price and ability to access the capital markets in the future.
The material weaknesses we identified were
as follows:
● We did not design or maintain an effective control environment commensurate with our financial reporting requirements. We lacked
a sufficient number of professionals with an appropriate level of accounting knowledge, training and experience to appropriately
analyze, record and disclose accounting matters timely and accurately. Additionally, the limited personnel resulted in our inability
to consistently establish appropriate authorities and responsibilities in pursuit of our financial reporting objectives, as demonstrated
by, among other things, our insufficient segregation of duties in our accounting function. This material weakness further contributed
to the material weakness below.
● We did not design and maintain formal accounting policies, processes and controls to analyze, account for and disclose complex
transactions, including accounting for preferred stock, stock-based compensation, warrant liabilities and leases.
Each of these control deficiencies could
result in a misstatement of our accounts or disclosures that would result in a material misstatement of our annual or interim consolidated
financial statements that would not be prevented or detected, and accordingly, we determined that these control deficiencies constitute
material weaknesses.
These material weaknesses also resulted
in adjustments to preferred stock, stock compensation expense, warrant liability and deferred rent in our consolidated financial
statements as of and for the year ended March 31, 2017, which were recorded prior to their issuance.
Prior to the completion of our IPO, we were
a private company with limited accounting personnel to adequately execute our accounting processes and other supervisory resources
with which to address our internal control over financial reporting. We have implemented, and continue to implement, measures designed
to improve our internal control over financial reporting and remediate the control deficiencies that led to these material weaknesses.
In December 2019 we hired Jean Franchi, our first Chief Financial Officer, and we continue to hire additional finance and
accounting personnel. We have also engaged a third-party consulting firm to assist us in the design and documentation of appropriate
controls. We are continuing these efforts in order to design and implement our financial control environment, including the establishment
of controls to account for and disclose complex transactions.
We cannot assure you that the measures we
have taken to date, and actions we intend to take in the future, will be sufficient to remediate the control deficiencies that
led to these material weaknesses in our internal control over financial reporting or that they will prevent or avoid potential
future material weaknesses. In addition, our independent registered public accounting firm has not performed an evaluation of our
internal control over financial reporting in accordance with the provisions of the Sarbanes-Oxley Act because no such evaluation
has been required. Had our independent registered public accounting firm performed an evaluation of our internal control over financial
reporting in accordance with the provisions of the Sarbanes-Oxley Act, additional material weaknesses may have been identified.
If we are unable to successfully remediate our existing or any future material weaknesses in our internal control over financial
reporting, or identify any additional material weaknesses, the accuracy and timing of our financial reporting may be adversely
affected, potentially resulting in restatements of our financial statements, we may be unable to maintain compliance with securities
law requirements regarding timely filing of periodic reports and applicable Nasdaq listing requirements, investors may lose confidence
in our financial reporting, and our share price may decline as a result.
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If we fail to establish and maintain proper and effective
internal control over financial reporting our ability to produce accurate and timely financial statements could be impaired.
We are required to maintain internal control
over financial reporting. We must perform system and process design evaluation and testing of the effectiveness of our internal
controls over financial reporting to allow management to report on the effectiveness of our internal controls over financial reporting,
as required by Section 404 of the Sarbanes-Oxley Act. We continue to be engaged in a process to document and evaluate our
internal control over financial reporting, which is both costly and challenging. In this regard, we will need to continue to incur
substantial professional fees and internal costs for our accounting and finance functions, expend significant management efforts,
continue to implement plans developed to address areas that we have identified as requiring improvement, validate through testing
that controls are functioning as documented and implement a continuous reporting and improvement process for internal control over
financial reporting.
If we are not able to comply with the requirements
of Section 404 of the Sarbanes-Oxley Act in a timely manner, or if we are unable to maintain proper and effective internal
controls over financial reporting, we may not be able to produce timely and accurate financial statements. If that were to happen,
our investors could lose confidence in our reported financial information, the market price of our stock could decline and we could
be subject to sanctions or investigations by the SEC, Nasdaq or other regulatory authorities.
We believe that any internal controls and
procedures, no matter how well conceived and operated, can provide only reasonable, not absolute, assurance that the objectives
of the control system are met. We may discover weaknesses in our system of internal financial and accounting controls and procedures
that could result in a material misstatement of our consolidated financial statements. Our internal control over financial reporting
will not prevent or detect all errors and all fraud. Because of the inherent limitations in all control systems, no evaluation
of controls can provide absolute assurance that misstatements due to error or fraud will not occur or that all control issues and
instances of fraud will be detected.
These inherent limitations include the realities
that judgments in decision making can be faulty, and that breakdowns can occur because of simple error or mistake. Additionally,
controls can be circumvented by the individual acts of some persons, by collusion of two or more people or by an unauthorized override
of the controls. Accordingly, because of the inherent limitations in our control system, misstatements due to error or fraud may
occur and not be detected.
Our disclosure controls and procedures were not effective
as of June 30, 2020, and in any event may not prevent or detect all errors or acts of fraud.
We must design our disclosure controls
and procedures to reasonably assure that information we must disclose in reports we file or submit under the Exchange Act is
accumulated and communicated to management, and recorded, processed, summarized and reported within the time periods
specified in the rules and forms of the SEC. Based on the evaluation of our disclosure controls and procedures as of
June 30, 2020, we concluded that, as of June 30, 2020, our disclosure controls and procedures were not
effective at the reasonable assurance level as a result of the material weaknesses discussed above. Notwithstanding these
material weaknesses, our management has concluded that the financial statements included elsewhere in this Quarterly Report
present fairly, in all material respects, our financial position, results of operations and cash flows in conformity with
generally accepted accounting principles. We believe that any disclosure controls and procedures or internal controls and
procedures, no matter how well conceived and operated, can provide only reasonable, not absolute, assurance that the
objectives of the control system are met. These inherent limitations include the realities that judgments in decision making
can be faulty, and that breakdowns can occur because of simple error or mistake. Additionally, controls can be circumvented
by the individual acts of some persons, by collusion of two or more people or by an unauthorized override of the controls.
Accordingly, because of the inherent limitations in our control system, misstatements due to error or fraud may occur and not
be detected.
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If we engage in future acquisitions or strategic partnerships,
this may increase our capital requirements, dilute our stockholders, cause us to incur debt or assume contingent liabilities, and
subject us to other risks.
We may evaluate various acquisitions and
strategic partnerships, including licensing or acquiring complementary products, intellectual property rights, technologies, or
businesses. Any potential acquisition or strategic partnership may entail numerous risks, including:
● increased operating expenses and cash requirements;
● the assumption of additional indebtedness or contingent liabilities;
● the issuance of our equity securities;
● assimilation of operations, intellectual property and products of an acquired company, including difficulties associated with
integrating new personnel;
● the diversion of our management’s attention from our existing product programs and initiatives in pursuing such a strategic
merger or acquisition;
● retention of key employees, the loss of key personnel, and uncertainties in our ability to maintain key business relationships;
● risks and uncertainties associated with the other party to such a transaction, including the prospects of that party, their
regulatory compliance status, and their existing products or product candidates and marketing approvals; and
● our inability to generate revenue from acquired technology and/or products sufficient to meet our objectives in undertaking
the acquisition or even to offset the associated acquisition and maintenance costs.
In addition, if we undertake acquisitions,
we may issue dilutive securities, assume or incur debt obligations, incur large onetime expenses and acquire intangible assets
that could result in significant future amortization expense or intangible asset impairment charges. Moreover, we may not be able
to locate suitable acquisition opportunities and this inability could impair our ability to grow or obtain access to technology
or products that may be important to the development of our business. Any of the foregoing may materially harm our business, financial
condition, results of operations, stock price and prospects.
Unfavorable market and economic conditions may have serious
adverse consequences on our business, financial condition, results of operations, stock price and prospects.
Our results of operations could be adversely
affected by general conditions in the global economy and in the global financial markets. The most recent global financial crisis
caused extreme volatility and disruptions in the capital and credit markets. A severe or prolonged economic downturn could result
in a variety of risks to our business, including a reduced ability to raise additional capital when needed on acceptable terms,
if at all. A weak or declining economy could also strain our suppliers, possibly resulting in supply disruption. Any of the foregoing
could harm our business and we cannot anticipate all of the ways in which the economic climate and financial market conditions
could adversely impact our business.
Global financial markets have been experiencing
extreme disruption in recent months, including, among other things, extreme volatility in securities prices. We are unable to predict
the likely duration and severity of the current disruptions in financial markets and adverse economic conditions throughout the
world. These economic developments affect businesses such as ours and those of third parties on which we rely in a number of ways
that could result in unfavorable consequences to us. Current economic conditions or a deepening economic downturn in the United
States and elsewhere may reduce our ability to access capital, which could negatively impact our short-term and long-term liquidity.
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At June 30, 2020, we had $261.8 million
of cash and cash equivalents and short-term investments. Although we are not aware of any downgrades, material losses, or other
significant deterioration in the fair value of our cash equivalents or short-term investments since that date, we cannot assure
you that deterioration of the global credit and financial markets would not negatively impact our current portfolio of cash equivalents
or short-term investments, or our ability to meet our financing objectives. Furthermore, our stock price may decline due, in part,
to the volatility of the stock market and general economic downturns.
Exchange rate fluctuations may materially affect our results
of operations and financial conditions.
Owing to the international scope of our
operations, fluctuations in exchange rates, particularly between the U.S. dollar and the British pound and the euro, may adversely
affect us. Although we are based in the United States, we have significant research and development operations in the United Kingdom,
and source third-party manufacturing, consulting and other services in the United Kingdom and the European Union. As a result,
our business and the price of our common stock may be affected by fluctuations in foreign exchange rates, which may have a significant
impact on our results of operations and cash flows from period to period. Currently, we do not have any exchange rate hedging arrangements
in place.
Risks related to our common stock
An active trading market for our common stock may not
be sustained.
Our common stock began trading on the Nasdaq
Global Select Market on July 20, 2018. Given the limited trading history of our common stock, there is a risk that an active
trading market for shares of our common stock may not be sustained. In the absence of an active trading market for shares of our
common stock, our stockholders may not be able to sell their common stock at or above the price at which such stockholder acquired
our common stock or at the time that they would like to sell.
The price of our common stock may be volatile and fluctuate
substantially, which could result in substantial losses for purchasers of our common stock.
Our stock price has been and is likely to
be volatile. The stock market in general and the market for biopharmaceutical companies in particular have experienced extreme
volatility that has often been unrelated to the operating performance of particular companies. As a result of this volatility,
you may not be able to sell your common stock at or above the price at which it was acquired. The market price for our common stock
may be influenced by many factors, including:
● the success of competitive products or technologies;
● results of clinical trials of RP1 and our other product candidates or those of our competitors;
● regulatory or legal developments in the United States and other countries;
● developments or disputes concerning patent applications, issued patents or other proprietary rights;
● the recruitment or departure of key personnel;
● the level of expenses related to the development of RP1 and our other product candidates or clinical development programs;
● the results of our efforts to discover, develop, acquire or in-license additional product candidates or drugs;
● actual or anticipated changes in estimates as to financial results, development timelines or recommendations by securities
analysts;
● variations in our financial results or those of companies that are perceived to be similar to us;
● changes in the structure of healthcare payment systems;
● market conditions in the pharmaceutical and biotechnology sectors;
● general economic, industry and market conditions;
● political and economic instability, including the impact of COVID-19, the possibility of an economic recession, international
hostilities, acts of terrorism and governmental restrictions, inflation, trade relationships and military and political alliances;
and
● the other factors described in this “Risk factors” section.
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Our operating results may fluctuate significantly, which
makes our future operating results difficult to predict and could cause our operating results to fall below expectations or our
guidance.
Our quarterly and annual operating results
may fluctuate significantly in the future, which makes it difficult for us to predict our future operating results. From time to
time, we may enter into license or collaboration agreements with other companies that include development funding and significant
upfront and milestone payments and/or royalties, which may become an important source of our revenue. Accordingly, our revenue
may depend on development funding and the achievement of development and clinical milestones under current and any potential future
license and collaboration agreements and sales of our products, if approved. These upfront and milestone payments may vary significantly
from period to period and any such variance could cause a significant fluctuation in our operating results from one period to the
next.
In addition, we measure compensation cost
for stock-based awards made to employees at the grant date of the award, based on the fair value of the award as determined by
our board of directors, and recognize the cost as an expense over the employee’s requisite service period. As the variables
that we use as a basis for valuing these awards change over time, including, our underlying stock price and stock price volatility,
the magnitude of the expense that we must recognize may vary significantly.
Furthermore, our operating results may fluctuate
due to a variety of other factors, many of which are outside of our control and may be difficult to predict, including the following:
● timing and cost of, and level of investment in, research and development activities relating to our current and any future
product candidates, which will change from time to time;
● the total expenses we incur in connection with equipping and operating our manufacturing facility;
● our ability to enroll patients in clinical trials and the timing of enrollment;
● the cost of manufacturing our current and any future product candidates, which may vary depending on the FDA’s and comparable
foreign regulatory authorities’ guidelines and requirements, the quantity of production and the terms of any agreements with
manufacturers;
● expenditures that we will or may incur to acquire or develop additional product candidates and technologies;
● the timing and outcomes of clinical and preclinical studies for RP1 and our other product candidates or competing product candidates;
● competition from existing and potential future products that compete with RP1 and our other product candidates, and changes
in the competitive landscape of our industry, including consolidation among our competitors or partners;
● any delays in regulatory review or approval of RP1 or our other product candidates;
● the level of demand for RP1 and our other product candidates, if approved, which may fluctuate significantly and be difficult
to predict;
● the risk/benefit profile, cost and reimbursement policies with respect to our product candidates, if approved, and existing
and potential future products that compete with RP1 and our other product candidates;
● our ability to commercialize RP1 and our other product candidates, if approved, inside and outside of the United States, either
independently or working with third parties;
● the success of and our ability to establish and maintain collaborations, licensing or other arrangements;
● our ability to adequately support future growth;
● potential unforeseen business disruptions that increase our costs or expenses;
● political and economic instability, including the impact of the COVID-19 coronavirus, the possibility of an economic recession,
international hostilities, acts of terrorism and governmental restrictions, inflation, trade relationships and military and political
alliances;
● future accounting pronouncements or changes in our accounting policies; and
● the changing and volatile global economic environment.
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These factors could result in large fluctuations
and unpredictability in our quarterly and annual operating results. As a result, comparing our operating results on a period-to-period
basis may not be meaningful. Investors should not rely on our past results as an indication of our future performance.
This variability and unpredictability could
also result in our failing to meet the expectations of industry or financial analysts or investors for any period. If our revenue
or operating results fall below the expectations of analysts or investors or below any forecasts we may provide to the market,
or if the forecasts we provide to the market are below the expectations of analysts or investors, the price of our common stock
could decline substantially. Such a stock price decline could occur even when we have met any previously publicly stated revenue
and/or earnings guidance we may provide.
We have broad discretion in how we use our cash, cash
equivalents and investments, and may not use these resources effectively, which could affect our results of operations and cause
our stock price to decline.
Our management has considerable discretion
in the application of our cash, cash equivalents and investments. We intend to use our resources to fund our preclinical and clinical
development programs as well as for general corporate purposes, including working capital requirements and other operating expenses.
As a result, investors will be relying upon management’s judgment with only limited information about our specific intentions
for the use of our resources. We may use our resources for purposes that do not yield a significant return or any return at all
for our stockholders. In addition, pending their use, we may invest our cash, cash equivalents and investments in a manner that
does not produce income or that loses value.
We do not intend to pay dividends on our common stock
so any returns will be limited to the value of our stock.
We currently anticipate that we will retain
future earnings for the development, operation and expansion of our business and do not anticipate declaring or paying any cash
dividends for the foreseeable future. Any return to stockholders will therefore be limited to the appreciation of their stock,
which may never occur, as the only way to realize any return on their investment.
Our executive officers, directors, and stockholders and
their affiliates who beneficially own more than 5% of our common stock exercise significant influence over our company, which limits
your ability to influence corporate matters and could delay or prevent a change in corporate control.
Based on the number of shares outstanding
as of June 30, 2020, our executive officers, directors, holders of 5% or more of our capital stock and their respective affiliates
beneficially owned a significant portion of our voting stock and, accordingly, these stockholders will continue to have significant
influence over matters requiring stockholder approval. For example, these stockholders will continue to significantly influence
elections of directors, amendments of our organizational documents, or approval of any merger, sale of assets, or other major corporate
transaction. This may prevent or discourage unsolicited acquisition proposals or offers for our common stock that you may feel
are in your best interest as one of our stockholders.
Conflicts of interest may arise because some members of
our board of directors are representatives of our principal stockholders.
Certain of our principal stockholders or
their affiliates are venture capital funds or other investment vehicles that could invest in entities that directly or indirectly
compete with us. As a result of these relationships, when conflicts arise between the interests of the principal stockholders or
their affiliates and the interests of other stockholders, members of our board of directors that are representatives of the principal
stockholders may not be disinterested. Neither the principal stockholders nor the representatives of the principal stockholders
on our board of directors, by the terms of our amended and restated certificate of incorporation, are required to offer us any
transaction opportunity of which they become aware and could take any such opportunity for themselves or offer it to their other
affiliates, unless such opportunity is expressly offered to them solely in their capacity as members of our board of directors.
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Sales of a substantial number of shares of our common
stock in the public market could cause our stock price to fall.
If our existing stockholders sell, or indicate
an intention to sell, substantial amounts of our common stock in the public market after the expiration of contractual or legal
restrictions on resale lapse, the market price of our common stock could decline. These sales may make it more difficult for us
to sell equity or equity related securities in the future at a time and price that we deem appropriate, or to use equity as consideration
for future acquisition.
In addition, approximately 13.7 million
shares of common stock that are either subject to outstanding options, reserved for future issuance under our equity incentive
plans or subject to outstanding warrants are eligible for sale in the public market to the extent permitted by the provisions of
various vesting schedules and Rule 144 and Rule 701 under the Securities Act. If these additional shares of common stock
are sold, or if it is perceived that they will be sold, in the public market, the market price of our common stock could decline.
Certain holders of shares of our common
stock, or their permitted transferees, are entitled to rights with respect to the registration under the Securities Act of shares
of our common stock pursuant to the amended and restated investors' rights agreement by and among us and certain of our stockholders.
Registration of these shares under the Securities Act would result in the shares becoming freely tradable without restriction under
the Securities Act, except for shares purchased by affiliates. Any sales of securities by these stockholders could have a material
adverse effect on the market price of our common stock.
We may sell up to $30.0 million of shares
of our common stock in “at-the-market” offerings pursuant to the sales agreement entered into with SVB Leerink LLC
on August 8, 2019 and as amended on June 8, 2020. The sale of a substantial number of shares of our common stock pursuant
to the sales agreement, or anticipation of such sales, could cause the trading price of our common stock to decline or make it
more difficult for us to sell equity or equity-related securities in the future at a time and at a price that we might otherwise
desire. In addition, issuances of any shares of our common stock sold pursuant to the sales agreement will have a dilutive effect
on our existing stockholders.
We incur significant costs as a result of operating as
a public company, and our management is required to devote substantial time to compliance initiatives.
As a public company, we incur significant
legal, accounting and other expenses. We are subject to the reporting requirements of the Exchange Act, which requires, among other
things, that we file with the SEC annual, quarterly and current reports with respect to our business and financial condition. In
addition, the Sarbanes-Oxley Act and related SEC and Nasdaq rules impose significant requirements on public companies, including
requiring establishment and maintenance of effective disclosure and financial controls and changes in corporate governance practices.
Further, in July 2010, the Dodd-Frank Wall Street Reform and Consumer Protection Act, or the Dodd-Frank Act, was enacted.
There are significant corporate governance and executive compensation-related provisions in the Dodd-Frank Act that require the
SEC to adopt additional rules and regulations in these areas such as “say on pay” and proxy access. Emerging growth
companies are permitted to implement many of these requirements over a longer period and up to five years from the pricing of our
IPO. We intend to take advantage of certain exemptions from various reporting requirements that are applicable to other public
companies that are not emerging growth companies, but cannot guarantee that we will not be required to implement these requirements
sooner than budgeted or planned and thereby incur unexpected expenses. Stockholder activism, the current political environment
and the current high level of government intervention and regulatory reform may lead to substantial new regulations and disclosure
obligations, which may lead to additional compliance costs and impact the manner in which we operate our business in ways we cannot
currently anticipate.
The rules and regulations applicable
to public companies have substantially increased our legal and financial compliance costs and have made some activities more time
consuming and costly. If these requirements divert the attention of our management and personnel from other business concerns,
they could have a material adverse effect on our business, financial condition, results of operations, stock price and prospects.
The increased costs will decrease our net income or increase our net loss and may require us to reduce costs in other areas of
our business. For example, these rules and regulations have made it more difficult and more expensive for us to obtain director
and officer liability insurance and we may be required to incur substantial costs to maintain the same or similar coverage. The
impact of these requirements could also make it more difficult for us to attract and retain qualified persons to serve on our board
of directors, our board committees or as executive officers.
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If securities analysts do not publish research or reports
about our business or if they publish negative evaluations of our stock, the price of our stock could decline.
The trading market for our common stock
relies, in part, on the research and reports that industry or financial analysts publish about us or our business. If one or more
of the analysts covering our business downgrade their evaluations of our stock, the price of our stock could decline. If one or
more of these analysts cease to cover our stock, we could lose visibility in the market for our stock, which, in turn, could cause
our stock price to decline.
Antitakeover provisions in our charter documents and under
Delaware law could make an acquisition of our company, which may be beneficial to our stockholders, more difficult and may prevent
attempts by our stockholders to replace or remove our current management.
Provisions in our amended and restated certificate
of incorporation and amended and restated bylaws may delay or prevent an acquisition of our company or a change in our management.
These provisions include a classified board of directors and the ability of our board of directors to issue preferred stock without
stockholder approval. In addition, because we are incorporated in Delaware, we are governed by the provisions of Section 203
of the Delaware General Corporation Law, or DGCL, which limits the ability of stockholders owning in excess of 15% of our outstanding
voting stock to merge or combine with our company. Although we believe these provisions collectively provide for an opportunity
to obtain greater value for stockholders by requiring potential acquirers to negotiate with our board of directors, they would
apply even if an offer rejected by our board of directors were considered beneficial by some stockholders. In addition, these provisions
may frustrate or prevent any attempts by our stockholders to replace or remove our current management by making it more difficult
for our stockholders to replace members of our board of directors, which is responsible for appointing the members of our management.
We are an emerging growth company and a smaller reporting
company, and we cannot be certain if the reduced reporting requirements applicable to emerging growth companies or smaller reporting
companies will make our common stock less attractive to investors.
We are an emerging growth company. For as
long as we continue to be an emerging growth company, we may take advantage of exemptions from various reporting requirements applicable
to other public companies that are not emerging growth companies, including not being required to comply with the auditor attestation
requirements of Section 404 of the Sarbanes-Oxley Act and critical audit matters reporting, reduced disclosure obligations
regarding executive compensation in our periodic reports and proxy statements and exemptions from the requirements of holding nonbinding
advisory votes on executive compensation and stockholder approval of any golden parachute payments not previously approved. We
could be an emerging growth company for up to five years following the year in which we completed our IPO, although circumstances
could cause us to lose that status earlier. We will remain an emerging growth company until the earlier of (1) March 31,
2024, (2) the last day of the fiscal year (a) in which we have total annual gross revenue of at least $1.07 billion,
or (b) in which we are deemed to be a large accelerated filer, which means the market value of our common stock that is held
by non-affiliates exceeds $700 million as of the prior September 30th, and (3) the date on which we have issued
more than $1.0 billion in non-convertible debt during the prior three year period.
Additionally, we are also a "smaller
reporting company," as defined in Regulation S-K. We will remain a smaller reporting company if we have (1) less
than $250 million in market value of our shares held by non-affiliates as of the last business day of our second fiscal quarter
or (2) less than $100 million of annual revenues in our most recent fiscal year completed before the last business day
of our second fiscal quarter and less than $700 million in market value of our shares held by non-affiliates as of the last
business day of our second fiscal quarter. If we are a smaller reporting company at the time we cease to be an emerging growth
company, we may continue to rely on exemptions from certain disclosure requirements that are available to smaller reporting companies.
Specifically, as a smaller reporting company we may choose to present only the two most recent fiscal years of audited financial
statements in our Annual Report on Form 10-K and, similar to emerging growth companies, smaller reporting companies have
reduced disclosure obligations regarding executive compensation. We cannot predict if investors will find our common stock less
attractive because we may rely on these exemptions. If some investors find our common stock less attractive as a result, there
may be a less active trading market for our common stock and our stock price may be more volatile.
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Under the Jumpstart Our Business Startups
Act of 2012, emerging growth companies can also delay adopting new or revised accounting standards until such time as those standards
apply to private companies. We have irrevocably elected not to avail ourselves of this exemption from new or revised accounting
standards and, therefore, will be subject to the same new or revised accounting standards as other public companies that are not
emerging growth companies. As a result, changes in rules of U.S. generally accepted accounting principles or their interpretation,
the adoption of new guidance or the application of existing guidance to changes in our business could significantly affect our
financial position and results of operations.
Our amended and restated certificate of incorporation
provides that the Court of Chancery of the State of Delaware will be the exclusive forum for substantially all disputes between
us and our stockholders, which could limit our stockholders’ ability to obtain a favorable judicial forum for disputes with
us or our directors, officers, or employees.
Our amended and restated certificate of
incorporation provides that the Court of Chancery of the State of Delaware is the exclusive forum for:
● any derivative action or proceeding brought on our behalf;
● any action asserting a breach of fiduciary duty;
● any action asserting a claim against us arising under the DGCL, our amended and restated certificate of incorporation, or our
amended and restated bylaws; and
● any action asserting a claim against us that is governed by the internal affairs doctrine.
This exclusive forum provision may limit
a stockholder’s ability to bring a claim in a judicial forum that it finds favorable for corporate disputes with us or our
directors, officers, or other employees, which may discourage lawsuits against us and our directors, officers, and other employees.
If a court were to find this exclusive forum provision in our amended and restated certificate of incorporation to be inapplicable
or unenforceable in an action, we may incur additional costs associated with resolving the dispute in other jurisdictions, which
could seriously harm our business.
Item 2. Unregistered Sales of Equity Securities and
Use of Proceeds.
None.
Item 3. Defaults Upon Senior Securities
Not applicable.
Item 4. Mine Safety Disclosure
Not applicable.
Item 5. Other Information
None.
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Item 6. Exhibits
Exhibit
Incorporated by Reference
Number
Exhibit Description
Form
Date
Number
4.1
Form of Pre-Funded Warrant.
8-K
June 8,
2020
4.1
10.1*#
Employment Agreement, dated May 25, 2020, by and between Replimune
Inc. and Andrea Pirzkall.
10.2
First Amendment to Loan and Security Agreement by and among Replimune
Group, Inc., Replimune, Inc., Replimune Limited and Hercules Capital, Inc., dated June 1, 2020.
10-K
June 3, 2020
10.21
10.3*
Deed of Variation, dated June 29, 2020, by and among MEPC
Milton Park No. 1 Limited and MEPC Milton Park No. 2 Limited, and Replimune Limited.
31.1*
Certification of the Chief Executive Officer, as required by Section 302
of the Sarbanes-Oxley Act of 2002 (18 U.S.C. 1350).
31.2*
Certification of the Chief Financial Officer, as required by Section 302
of the Sarbanes-Oxley Act of 2002 (18 U.S.C. 1350).
32.1*
Certification of the Chief Executive Officer, as required by Section 906
of the Sarbanes-Oxley Act of 2002 (18 U.S.C. 1350).
32.2*
Certification of the Chief Financial Officer, as required by Section 906
of the Sarbanes-Oxley Act of 2002 (18 U.S.C. 1350).
101.INS*
XBRL Instance Document.
101.SCH*
XBRL Taxonomy Extension Schema Document.
101.CAL*
XBRL Taxonomy Extension Calculation Linkbase Document.
101.DEF*
XBRL Taxonomy Extension Definition Linkbase Document.
101.LAB*
XBRL Taxonomy Extension Label Linkbase Document.
101.PRE*
XBRL Taxonomy Extension Presentation Linkbase Document.
* Filed or furnished herewith. The certifications furnished
in Exhibit 32.1 and Exhibit 32.2 hereto are deemed to accompany this Quarterly Report on Form 10-Q and will not
be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, except to the
extent that the registrant specifically incorporates it by reference.
# Indicates management contract or compensatory plan.
87
SIGNATURES
Pursuant to the requirements of the Securities
Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
REPLIMUNE GROUP, INC.
Dated:
August 7, 2020
By:
/s/ Philip Astley-Sparke
Name: Philip Astley-Sparke
Title: Chief Executive Officer and Director
(Principal Executive Officer)
Dated: August 7 ,
2020
By:
/s/ Jean Franchi
Name: Jean Franchi
Title: Chief Financial Officer
(Principal Financial Officer)
88
Text extracted from the filing as submitted to EDGAR. Formatting, tables and exhibits are simplified for reading; the original document is authoritative for anything you rely on.