ImmunityBio Inc
For the period ended Sep 30, 2024. Filed Nov 12, 2024.
View on SEC.govAbout this filing
A company's report for each of its first three quarters. The financial statements are not audited. It shows how the business has moved since the last annual report, and what management says changed.
Sep 30, 2024 · Filed Nov 12, 2024
What changed in Management’s Discussion and Analysis?
Read the current filingPrevious report: 10-Q
Period ended 2024-06-30; filed 2024-08-12.
0001326110-24-000103
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations—Future Funding RequirementsSubsequent EventsCurrent report: 10-Q
Period ended 2024-09-30; filed 2024-11-12.
0001326110-24-000111
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations—Future Funding RequirementsThe baseline is this issuer’s latest earlier reporting period of the same form that was filed before the current report. A previous 10-Q is a different quarter, not a year-over-year comparison. Amendments are excluded.
Compared 257 previous paragraphs and 248 current paragraphs.
189 unchanged; 47 reworded; 12 added; 20 removed; 1 previous and 0 current paragraphs rearranged.
Tables are not compared: 5 previous and 5 current tables excluded. Dates, whitespace, punctuation and numbering changes are ignored; changes to financial figures remain significant.
A changed paragraph is not evidence that risk increased or decreased. An unchanged paragraph does not establish that risk stayed the same.
Added paragraphs (12)
Current report
•our expectations regarding the results of market access initiatives and coverage under medical reimbursement policies;
Current report
•shelf life of ANKTIVA drug substance and drug product and availability of product supply;
Current report
•effectiveness of the J-code (HCPCS Level II Code) and timing thereof;
Current report
•our global expansion efforts;
Current report
•ANKTIVA received a J-code (HCPCS Level II Code) in October 2024, effective January 1, 2025.
Current report
•ANKTIVA (FDA-approved and commercially available in the U.S. since May 2024) is now widely accessible to patients through commercial and government insurance programs (VA, DoD, Medicare). ImmunityBio has secured coverage for over 200 million medical lives through medical reimbursement policies.
Current report
•ImmunityBio has extended the shelf life of ANKTIVA from two years to three years, with over 125,000 doses, providing ample product for the market and for clinical trials.
Current report
•ImmunityBio submitted to the MHRA an MAA for ANKTIVA in the UK on November 1, 2024.
Current report
•ImmunityBio intends to submit to the EMA an MAA for ANKTIVA in the EU in Q4 2024, covering 30 countries, including 27 in the EU and 3 in the EEA (Iceland, Norway, Liechtenstein).
Current report
•a $2.2 million increase in other research and development costs, primarily due to a credit allocated to a joint venture in the prior period that is not expected to recur, a gain recognized from the termination of a lease used for R&D in the prior period, and higher lab supplies and distribution costs.
Current report
Comparison of the Nine Months Ended September 30, 2024 and 2023
Current report
•a $3.8 million increase in personnel-related costs that was primarily due to an increase in salary and benefits expense from the write off of accrued discretionary bonuses for 2022 not paid and a reduction in headcount during the nine months ended September 30, 2023, partially offset by a decrease in stock-based compensation costs due to decreases in headcount during the nine months ended September 30, 2024;
Removed paragraphs (20)
Previous report
Commercial Update
Previous report
Our approved product became available in May 2024, and we continue making ANKTIVA widely available to patients through both commercial and government insurance programs. Our commercial team continues to execute on key market access initiatives that have resulted in more than 100 million medical lives being covered by medical reimbursement policies that include eligibility for ANKTIVA reimbursement since the therapeutic became available and was added to the National Comprehensive Cancer Network guidelines in May 2024. We anticipate that we will achieve agreements to extend the number of lives covered in the coming months and are currently working with the top insurance plans and academic institutions in the U.S. to increase ANKTIVA accessibility. This availability and reimbursement together have enabled the first patients to begin receiving ANKTIVA within eight weeks of FDA approval and resulted in initial product revenue for the company primarily in the last 30 days of our second quarter.
Previous report
European Regulatory Filing
Previous report
We have begun the filing process for obtaining regulatory approval for ANKTIVA in the EU and United Kingdom. The filing will include 30 countries, including 27 in the EU and three in the European Economic Area. We anticipate completing the initial EMA submission in the fourth quarter of 2024.
Previous report
BCG Naïve Trial Global Expansion
Previous report
We continue to add U.S. sites to the BCG naïve trial (QUILT 2.005) and enroll patients in the study. Further, we have received regulatory approval to begin patient enrollment in QUILT 2.005 in India, and the necessary medicines have been successfully imported into the country for use in the trial. Additionally, we plan to submit an application to the South Africa regulatory authorities in the third quarter of 2024 to initiate the QUILT 2.005 trial in that country.
Previous report
NSCLC FDA Meeting Results
Previous report
On April 25, 2024, we announced positive overall survival results of ANKTIVA combined with checkpoint inhibitors in NSCLC from the completed QUILT 3.055 trial. In that trial, the median overall survival was almost double that of standard-of-care chemotherapy in second- and third-line NSCLC patients whose cancer did not respond to checkpoint inhibitors, with or without chemotherapy. After a meeting with the FDA in June 2024 to discuss a path to a registration filing for ANKTIVA plus checkpoint inhibitors for this indication, we are preparing additional study information responsive to the FDA’s input on a NSCLC pivotal trial. We plan to have a subsequent meeting with the FDA to discuss the study end points for a potential approval on various timelines.
Previous report
•a $0.1 million decrease in equipment, depreciation, and facility costs, primarily due to reductions in services at non-manufacturing facilities; partially offset by
Previous report
Comparison of the Six Months Ended June 30, 2024 and 2023
Previous report
•a $0.5 million decrease in personnel-related costs that was primarily due to reductions in stock-based compensation expense and shared service costs, partially offset by higher recruiting costs;
Previous report
•an $0.8 million decrease in other research and development costs, primarily attributable to reductions in laboratory and test supplies and material supplies used for internal manufacturing and reduced distribution expenses, partially offset by fewer costs allocated to a joint venture and higher research expenses.
Previous report
Stock Purchase and Option Agreement
Previous report
On July 13, 2024, we entered into a Settlement with HCW and Dr. Hing Wong to resolve the claims asserted in the consolidated arbitration and related matters. Under the terms of the Settlement, in part and for no monetary consideration from ImmunityBio, HCW transferred and assigned to ImmunityBio molecules (along with other related assets, including master cell banks, clinical trial protocols, inventory and FDA documents), controlled by HCW that were generated through the use of a TF Platform related to the human TGF-β receptor and TGF-β traps, including, without limitation, HCW9218, HCW9219, HCW9209 and any derivatives thereof or therefrom, including assignment of all patents, know how and all other intellectual property existing as of the Settlement effective date and thereafter that is necessary or reasonably useful for the exploitation of such TGF-β molecules, with the exception that future reasonably useful intellectual property is the subject of a non-exclusive license to ImmunityBio. For indications outside of oncology, ImmunityBio has agreed to grant an exclusive license back to HCW for the transferred intellectual property for TGF-β products, and a non-exclusive license for neoadjuvant ovarian cancer, subject to certain requirements.
Previous report
In addition, the Settlement provides to ImmunityBio a worldwide, perpetual, irrevocable, fully paid-up, royalty-free, exclusive license to exploit fusion proteins, molecules and/or antibodies created utilizing the TF Platform directed to the receptors of PDL-1, IL-7, IL-12, IL-18, and IL-21, and one additional target to be selected by ImmunityBio within the next six months at its sole discretion, in the oncology field. Furthermore, the Settlement provides additional license terms including, without limitation, a non-exclusive license to ImmunityBio to exploit HCW9201, another fusion protein, and the anti-tissue factor based antibody HCW9101 and the linked resins to manufacture and purify the fusion proteins described above, as well as a right of first refusal for ImmunityBio with respect to any other fusion protein developed by HCW using the TF Platform going forward.
Previous report
Pursuant to the Settlement, the parties have agreed to mutual, full and complete releases, and the company has agreed to dismiss the consolidated arbitration claims and related matters following HCW’s compliance with the terms of the Settlement.
Previous report
The foregoing summary of the Settlement does not purport to be complete and is qualified in its entirety by reference to the full text of the Settlement, a copy of which is intended to be filed with the company’s Quarterly Report on Form 10-Q for the period ending September 30, 2024, subject to any potential redactions thereto as appropriate.
Reworded paragraphs (47)
Previous wording
•the timing or likelihood of regulatory filings or other actions and related regulatory authority responses, including any planned IND, BLA or NDA filings or pursuit of accelerated regulatory approval pathways or orphan drug status and Breakthrough Therapy designations;
Current wording
•the timing or likelihood of regulatory filings or other actions and related regulatory authority responses in the U.S. and jurisdictions outside of the U.S., including any planned IND, BLA, NDA or MAA or similar filings or pursuit of accelerated regulatory approval pathways or orphan drug status and Breakthrough Therapy designations;
Previous wording
As of June 2024, our platforms have generated nine first-in-human therapeutic agents (including one FDA-approved agent) that are currently or planned to be studied in 24 clinical trials across 16 indications in liquid and solid tumors, including bladder, lung and colorectal cancers, and GBM. These indications are among the most frequent and lethal cancer types for which there are high failure rates for existing standards of care or, in some cases, no available effective treatment. We are constantly monitoring and prioritizing clinical development based upon the availability of our resources and the efficacy and market developments of our competitors’ products and product candidates, among other factors.
Current wording
As of September 2024, our platforms have generated nine first-in-human therapeutic agents (including one FDA-approved agent) that are currently or planned to be studied in 24 clinical trials across 17 indications in liquid and solid tumors, including bladder, lung and colorectal cancers, and GBM. These indications are among the most frequent and lethal cancer types for which there are high failure rates for existing standards of care or, in some cases, no available effective treatment. We are constantly monitoring and prioritizing clinical development based upon the availability of our resources and the efficacy and market developments of our competitors’ products and product candidates, among other factors.
Previous wording
We have incurred net losses in each year since our inception and, as of June 30, 2024, we had an accumulated deficit of $3.2 billion. During the six months ended June 30, 2024 and 2023, net losses attributable to ImmunityBio common stockholders were $268.7 million and $254.2 million, respectively. Substantially all of our net losses resulted principally from costs incurred in connection with our ongoing clinical trials and operations, our research and development programs, and from selling, general and administrative costs associated with our operations, including stock-based compensation expense.
Current wording
We have incurred net losses in each year since our inception and, as of September 30, 2024, we had an accumulated deficit of $3.3 billion. During the nine months ended September 30, 2024 and 2023, net losses attributable to ImmunityBio common stockholders were $354.4 million and $349.8 million, respectively. Substantially all of our net losses resulted principally from costs incurred in connection with our ongoing clinical trials and operations, our research and development programs, and from selling, general and administrative costs associated with our operations, including stock-based compensation expense.
Previous wording
As of June 30, 2024, we had 622 employees. Personnel of related companies who provide corporate, general and administrative, certain research and development, and other support services under our shared services agreement with NantWorks are not included in this number. See Note 12, Related-Party Agreements, of the “Notes to Unaudited Condensed Consolidated Financial Statements” that appears in Item 1. “Financial Statements” of this Quarterly Report for more information. In anticipation of the ongoing commercialization of our approved product, we expect to continue to incur significant expenses and increasing operating expenses for the foreseeable future, which may fluctuate significantly from quarter-to-quarter and year-to-year. See “—Future Funding Requirements” below for a discussion of our anticipated expenditures and sources of capital we expect to access to fund these expenditures.
Current wording
As of September 30, 2024, we had 672 employees. Personnel of related companies who provide corporate, general and administrative, certain research and development, and other support services under our shared services agreement with NantWorks are not included in this number. See Note 12, Related-Party Agreements, of the “Notes to Unaudited Condensed Consolidated Financial Statements” that appears in Item 1. “Financial Statements” of this Quarterly Report for more information. In anticipation of the ongoing commercialization of our approved product, we expect to continue to incur significant expenses and increasing operating expenses for the foreseeable future, which may fluctuate significantly from quarter-to-quarter and year-to-year. See “—Future Funding Requirements” below for a discussion of our anticipated expenditures and sources of capital we expect to access to fund these expenditures.
Previous wording
Our Executive Chairman, Global Chief Scientific and Medical Officer and principal stockholder, founded and has a controlling interest in NantWorks, which is a collection of companies in the healthcare and technology space. We have entered into arrangements with NantWorks, and certain affiliates of NantWorks. Affiliates of NantWorks are also affiliates of the company due to the common control by and/or common ownership interest of our Executive Chairman and Global Chief Scientific and Medical Officer.
Current wording
Our Executive Chairman and Global Chief Scientific and Medical Officer founded and has a controlling interest in NantWorks, which is a collection of companies in the healthcare and technology space. We have entered into arrangements with NantWorks, and certain affiliates of NantWorks. Affiliates of NantWorks are also affiliates of the company due to the common control by and/or common ownership interest of our Founder, Executive Chairman and Global Chief Scientific and Medical Officer.
Previous wording
In 2021, we completed a review of alternative structures that could support our more complex clinical trial requirements and made a decision to explore a potential transition of clinical trials at the Clinic to a new structure (including contracting with a new, non-affiliated professional corporation) to be determined and agreed upon by all parties. While we have not yet finalized the potential transaction, we continue discussions with potential partners around alternative structures. During the six months ended June 30, 2024 and 2023, we incurred $1.4 million inresearch and development expense, on the condensed consolidated statements of operations related to clinical trial and transition services provided by the Clinic.
Current wording
In 2021, we completed a review of alternative structures that could support our more complex clinical trial requirements and made a decision to explore a potential transition of clinical trials at the Clinic to a new structure (including contracting with a new, non-affiliated professional corporation) to be determined and agreed upon by all parties. While we have not yet finalized the potential transaction, we continue discussions with potential partners around alternative structures. During the nine months ended September 30, 2024 and 2023, we incurred $2.1 million and $1.9 million, respectively, inresearch and development expense, on the condensed consolidated statements of operations related to clinical trial and transition services provided by the Clinic.
Previous wording
From inception through June 30, 2024, we have generated minimal revenue from non-exclusive license agreements related to our cell lines, the sale of our bioreactors and related consumables, and grant programs. Until April 2024, we had no clinical products approved for commercial sale and thus had not generated any revenue from therapeutic and vaccine product candidates that are or were under development. Now that we have received FDA approval for ANKTIVA, we have begun to generate revenue although we expect it to take some time to generate significant revenue from our approved product and we can provide no assurances when, or if, this will occur. We began commercial distribution of our approved product in May 2024; however, we can provide no assurance with respect to our future revenues, market acceptance, reimbursement from third-party payors, or the profitability of our approved product or any other product candidate for which we may obtain approval. We do not expect additional revenue from our other product candidates unless and until we obtain regulatory approval of and commercialize any of our other product candidates, and we do not know when, or if, this will occur.
Current wording
Until April 2024, we had no clinical products approved for commercial sale and thus had not generated any revenue from therapeutic and vaccine product candidates that are or were under development. Now that we have received FDA approval for ANKTIVA, we have begun to generate revenue although we expect it to take some time to generate significant revenue from our approved product and we can provide no assurances when, or if, this will occur. We began commercial distribution of our approved product in May 2024; however, we can provide no assurance with respect to our future revenues, market acceptance, reimbursement from third-party payors, or the profitability of our approved product or any other product candidate for which we may obtain approval. We do not expect additional revenue from our other product candidates unless and until we obtain regulatory approval of and commercialize any of our other product candidates, and we do not know when, or if, this will occur.
Previous wording
Cost of product revenue consists primarily of third-party manufacturing costs, distribution, and overhead costs related to ANKTIVA sales. Cost of revenue may also include costs related to excess or obsolete inventory adjustment charges, abnormal costs, unabsorbed manufacturing and overhead costs, and manufacturing variances. Based on our policy to expense costs associated with the manufacture of our products prior to regulatory approval, all of the costs of producing ANKTIVA sold to date were expensed inresearch and development expense, on the condensed consolidated statement of operations prior to the FDA approval of ANKTIVA and therefore are not reflected in the cost of revenue.
Current wording
Cost of product revenue consists primarily of third-party manufacturing costs, distribution, and overhead costs related to ANKTIVA sales. Cost of product revenue may also include costs related to excess or obsolete inventory adjustment charges, abnormal costs, unabsorbed manufacturing and overhead costs, and manufacturing variances. All costs associated with the production of ANKTIVA prior to receiving regulatory approval were expensed inresearch and development expense, on the condensed consolidated statement of operations in the period incurred and therefore are not reflected in cost of product revenue.
Previous wording
We expect our research and development expenses to increase significantly for the foreseeable future as we continue to invest in research and development activities related to expanding our product into new indications and developing our other product candidates and conducting our ongoing and planned clinical trials.
Current wording
We expect our research and development expenses to increase significantly for the foreseeable future as we continue to invest in research and development activities related to expanding our product into new indications and markets, developing our other product candidates, and conducting our ongoing and planned clinical trials.
Previous wording
We have only one approved product, ANKTIVA, for which we received approval from the FDA on April 22, 2024. We began commercial distribution of our approved product in May 2024. There can be no assurance that our other product candidates will be approved for commercial sale by the FDA in the near term, if ever. We do not expect any of our other product candidates to be commercially available for the foreseeable future, if ever.
Current wording
We have only one approved product, ANKTIVA, for which we received approval from the FDA on April 22, 2024. We began commercial distribution of our approved product in May 2024. There can be no assurance that our other product candidates will be approved for commercial sale by the FDA in the near term, if ever. We do not expect any of our other product candidates to be commercially available in the foreseeable future, if ever.
Previous wording
Product revenue, net increased $1.0 million during the three months ended June 30, 2024, as compared to the three months ended June 30, 2023, due to sales of ANKTIVA, which was approved during the quarter.
Current wording
Product revenue, net increased $6.0 million during the three months ended September 30, 2024, as compared to the three months ended September 30, 2023, due to sales of ANKTIVA, which was approved in April 2024.
Previous wording
Other revenues increased nominally during the three months ended June 30, 2024, as compared to the three months ended June 30, 2023, driven by higher consumable sales over the prior period.
Current wording
Other revenues increased $0.1 million during the three months ended September 30, 2024, as compared to the three months ended September 30, 2023, driven by higher bioreactor and related consumable product sales over the prior period.
Previous wording
We did not report cost of revenue during the three months ended June 30, 2024. Cost of revenue consists primarily of third-party manufacturing, distribution and overhead costs. All costs of producing ANKTIVA sold to date was expensed as a component of research and development expense prior to the FDA approval of ANKTIVA and therefore it is not reflected in the cost of revenue. As a result, our initial product gross margin is higher as our pre-launch inventory costs are not included in cost of revenue. We expect the cost of revenue for ANKTIVA to increase in relation to product revenues as we deplete these inventories.
Current wording
We did not report cost of product revenue during the three months ended September 30, 2024. Cost of product revenue consists primarily of third-party manufacturing, distribution and overhead costs. All costs associated with the production of ANKTIVA prior to receiving regulatory approval were expensed inresearch and development expense, on the condensed consolidated statement of operations in the period incurred and therefore are not reflected in cost of product revenue. As a result, our initial product gross margin is higher as our pre-launch inventory costs are not included in the cost of product revenue. We expect the cost of product revenue for ANKTIVA to increase in relation to product revenues as we deplete these inventories.
Previous wording
Research and development expense decreased $2.0 million during the three months ended June 30, 2024, as compared to the three months ended June 30, 2023. The following table summarizes our research and development expenses during the three months ended June 30, 2024 and 2023, together with the changes in those items (in thousands):
Current wording
Research and development expense increased $2.0 million during the three months ended September 30, 2024, as compared to the three months ended September 30, 2023. The following table summarizes our research and development expenses during the three months ended September 30, 2024 and 2023, together with the changes in those items (in thousands):
Previous wording
Research and development expense decreased $2.0 million primarily attributable to the following:
Current wording
Research and development expense increased $2.0 million primarily attributable to the following:
Previous wording
•a $2.0 million decrease in external research and development expenses, primarily due to a reduction in CMO fees and drug materials purchased and used in manufacturing, partially offset by higher regulatory costs associated with the BLA submission of our approved product, as well as higher clinical trial activities;
Current wording
•a $4.5 million decrease in external research and development expenses, primarily due to a reduction in outside services, lower CMO fees and fewer drug materials purchased and used in manufacturing, partially offset by higher clinical trial activities; offset by
Previous wording
•a $0.1 million decrease in personnel-related costs, primarily due to reductions in stock-based compensation expense and shared service costs, partially offset by higher recruiting and employee training costs; and
Current wording
•a $4.3 million increase in personnel-related costs, primarily due to an increase in bonus and termination benefits, partially offset by lower stock-based compensation expense and shared service costs compared to the prior period; and
Previous wording
Selling, general and administrative expense increased $17.2 million during the three months ended June 30, 2024, as compared to the three months ended June 30, 2023. The increase in selling, general and administrative expense was primarily driven by a$12.9 million increase in legal expenses due to higher defense costs and increased general legal services, an increase of$4.2 million in consulting costs, primarily associated with commercial readiness activities, an increase of$0.8 million in marketing and conference costs, and an increase of$0.3 million in license fees, partially offset by a$1.0 million decrease in stock-based compensation expense.
Current wording
Selling, general and administrative expense increased $4.1 million during the three months ended September 30, 2024, as compared to the three months ended September 30, 2023. The increase in selling, general and administrative expense was primarily driven by a$5.3 million increase in salary and benefits expenses, primarily due to the reversal of accrued discretionary bonuses for 2022 not paid and a reduction in headcount during the three months ended September 30, 2023, an increase of$4.9 million in consulting costs, primarily associated with commercial activities, an increase of $0.6 million in equipment, depreciation and facility costs, an increase of $0.5 million in recruiting fees, an increase of$0.4 million in travel expenses, and an increase of$0.3 million in license fees. The increase in selling, general and administrative expense was partially offset by a$4.3 million decrease in legal expenses and a$3.6 million decrease in stock-based compensation expense.
Previous wording
Other expense, net decreased $17.8 million during the three months ended June 30, 2024, as compared to the three months ended June 30, 2023. Thedecrease in other expense, net was primarily driven by adecrease of$21.2 million due to the change in fair value of derivative liabilities, adecrease of$10.7 million due to the change in fair value of a related-party convertible note and loss on equity method investment recorded during the prior period, adecrease of$2.4 million in interest expense, and a$2.0 million increase in interest and investment income primarily resulting from accretion income on our marketable debt securities. The decrease in other expense, net was partially offset by anincrease of$9.3 million due to the change in fair value of warrant liabilities and anincrease of$9.2 million from interest expense related to the revenue interest liability.
Current wording
Other expense, net decreased $10.0 million during the three months ended September 30, 2024, as compared to the three months ended September 30, 2023. Thedecrease in other expense, net was primarily driven by adecrease of$17.1 million due to the change in fair value of warrant liabilities, adecrease of$5.7 million in interest expense, a$1.8 million increase in interest and investment income primarily resulting from accretion income on our marketable debt securities, adecrease of$1.6 million due to the change in fair value of derivative liabilities, and a$1.0 million decrease in other expenses, net. The decrease in other expense, net was partially offset by anincrease of$10.9 million from interest expense related to the revenue interest liability, and anincrease of$6.3 million due to the change in fair value of a related-party convertible note and a loss in an equity method investment recorded during the prior period.
Previous wording
Product revenue, net increased $1.0 million during the six months ended June 30, 2024, as compared to the six months ended June 30, 2023. The increase was driven by sales of ANKTIVA after FDA approval in April.
Current wording
Product revenue, net increased $6.9 million during the nine months ended September 30, 2024, as compared to the nine months ended September 30, 2023. The increase was driven by sales of ANKTIVA after FDA approval in April 2024.
Previous wording
Other revenues decreased $0.3 million during the six months ended June 30, 2024, as compared to the six months ended June 30, 2023 as a result of a decline in grant revenue.
Current wording
Other revenues decreased $0.2 million during the nine months ended September 30, 2024, as compared to the nine months ended September 30, 2023 as a result of a decline in grant revenue.
Previous wording
We did not report cost of revenue during the six months ended June 30, 2024. Cost of revenue consists primarily of third-party manufacturing, distribution and overhead costs. All costs of producing ANKTIVA sold to date was expensed as a component of research and development expense prior to the FDA approval of ANKTIVA and therefore it is not reflected in the cost of revenue. As a result, our initial product gross margin is higher as our pre-launch inventory costs are not included in cost of revenue. We expect the cost of revenue for ANKTIVA to increase in relation to product revenues as we deplete these inventories.
Current wording
We did not report cost of product revenue during the nine months ended September 30, 2024. Cost of product revenue consists primarily of third-party manufacturing, distribution and overhead costs. All costs associated with the production of ANKTIVA prior to receiving regulatory approval were expensed inresearch and development expense, on the condensed consolidated statement of operations in the period incurred and therefore are not reflected in cost of product revenue. As a result, our initial product gross margin is higher as our pre-launch inventory costs are not included in the cost of product revenue. We expect the cost of product revenue for ANKTIVA to increase in relation to product revenues as we deplete these inventories.
Previous wording
Research and development expense decreased $28.0 million during the six months ended June 30, 2024, as compared to the six months ended June 30, 2023. The following table summarizes our research and development expenses during the six months ended June 30, 2024 and 2023, together with the changes in those items (in thousands):
Current wording
Research and development expense decreased $25.9 million during the nine months ended September 30, 2024, as compared to the nine months ended September 30, 2023. The following table summarizes our research and development expenses during the nine months ended September 30, 2024 and 2023, together with the changes in those items (in thousands):
Previous wording
Research and development expense decreased $28.0 million primarily attributable to the following:
Current wording
Research and development expense decreased $25.9 million primarily attributable to the following:
Previous wording
•a $26.4 million decrease in external research and development expenses that was primarily due to a reduction in CMO fees and drug materials purchased and used in manufacturing, a reduction in clinical trial costs, and a reduction in outside services costs;
Current wording
•a $30.8 million decrease in external research and development expenses that was primarily due to a reduction in CMO fees and drug materials purchased and used in manufacturing, a reduction in clinical trial costs, and a reduction in outside services costs; partially offset by
Previous wording
•a $0.3 million decrease in equipment, depreciation, and facility costs that was primarily due to a decrease in depreciation expense due to fully depreciated assets, partially offset by increased equipment qualification and repairs expense; and
Current wording
•a $0.3 million decrease in equipment, depreciation, and facility costs that was primarily due to a decrease in lease expense due to the termination of a lease used for R&D in the prior period and a decrease in depreciation expense due to fully depreciated assets, partially offset by increased facility costs; and partially offset by
Previous wording
•a $0.2 million increase in other research and development costs, primarily due to fewer R&D activities and costs allocated to a joint venture, partially offset by reductions in laboratory and test supplies and material supplies used for internal manufacturing.
Current wording
•a $1.4 million increase in other research and development costs, primarily attributable to no costs allocated to a joint venture and higher research agreements cost due to new agreements, partially offset by lower manufacturing cost due to decreased production activities.
Previous wording
Selling, general and administrative expense increased $26.4 million during the six months ended June 30, 2024, as compared to the six months ended June 30, 2023. The increase in selling, general and administrative expense was primarily driven by an increase of$21.2 million in legal expenses, driven by higher defense costs and increased general legal services, an increase of$7.2 million in consulting costs, primarily associated with commercial readiness activities, a$1.1 million increase in salary and benefits expenses, and a $0.6 million increase in license fees, partially offset by a$3.7 million reduction in stock-based compensation expense.
Current wording
Selling, general and administrative expense increased $30.5 million during the nine months ended September 30, 2024, as compared to the nine months ended September 30, 2023. The increase in selling, general and administrative expense was primarily driven by an increase of$16.9 million in legal expenses, driven by higher defense costs and increased general legal services, an increase of$12.2 million in consulting costs, primarily associated with commercial readiness activities, a$7.0 million increase in salary and benefits expenses primarily due to the reversal of accrued discretionary bonuses for 2022 not paid and a reduction in headcount during the nine months ended September 30, 2023, a $0.9 million increase in license fees, and a $0.7 million increase in marketing expenses, partially offset by a$7.2 million reduction in stock-based compensation expense.
Previous wording
Other expense, net increased $16.1 million during the six months ended June 30, 2024, as compared to the six months ended June 30, 2023. The increase in other expense, net was primarily driven by an increase in expense of $38.6 million due to the change in the fair value of warrant liabilities and an increase of $17.2 million from interest expense related to the revenue interest liability. These increases were partially offset by a decrease of$18.4 million due to the change in fair value of the derivative liabilities, a decrease of$13.1 million due to the change in fair value of related-party convertible notes and loss on equity method investments recorded during the prior period,$4.4 million increase in interest and investment income, net, a decrease of$2.8 million in interest expense (including amounts with related parties), and a decrease of$1.0 million in other expense, net (including amounts with related parties).
Current wording
Other expense, net increased $6.1 million during the nine months ended September 30, 2024, as compared to the nine months ended September 30, 2023. The increase in other expense, net was primarily driven by an increase of $28.2 million of interest expense related to the revenue interest liability, an increase of $21.6 million due to the change in fair value of warrant liabilities, and a $0.7 million decrease from a gainin the fair value of a related-party convertible note recorded during the prior period. These increases were partially offset by a decrease of$20.1 million due to the change in fair value of derivative liabilities, a decrease of$8.5 million in interest expense (including amounts with related parties), a decrease of $7.5 million due to loss on equity method investments recorded during the prior period, an increase of$6.1 million in interest and investment income, net, and a decrease of$2.2 million in other expense, net (including amounts with related parties).
Previous wording
As of June 30, 2024, we had cash and cash equivalents, and marketable securities of $218.0 million compared to $267.4 million as of December 31, 2023. We have typically invested our cash in a variety of financial instruments and classified these investments as available-for-sale. However, after our entry into the RIPA we can no longer invest our excess funds in corporate or European bonds. Certain of our investments are subject to credit, liquidity, market, and interest-rate risks. The general condition of the financial markets and the economy may increase those risks and may affect the value and liquidity of investments and restrict our ability to access the capital markets.
Current wording
As of September 30, 2024, we had cash and cash equivalents, and marketable securities of $130.4 million compared to $267.4 million as of December 31, 2023. We have typically invested our cash in a variety of financial instruments and classified these investments as available-for-sale. However, after our entry into the RIPA we can no longer invest our excess funds in corporate or European bonds. Certain of our investments are subject to credit, liquidity, market, and interest-rate risks. The general condition of the financial markets and the economy may increase those risks and may affect the value and liquidity of investments and restrict our ability to access the capital markets.
Previous wording
During April 2024, we filed a shelf registration statement with the SEC on Form S-3 pursuant to which we may, from time to time, sell an indeterminate amount of our common stock, preferred stock, debt securities, depositary shares, warrants, subscription rights, purchase contracts, or units. On May 2, 2024, the registration statement was declared effective by the SEC.
Current wording
During April 2024, we filed a shelf registration statement with the SEC on Form S-3 pursuant to which we may, from time to time, sell an indeterminate amount of our common stock, preferred stock, debt securities, depositary shares, warrants, subscription rights, purchase contracts, or units, and an associated prospectus related to the ATM.
Previous wording
During the six months ended June 30, 2024, 17,502,491 of the February and July 2023 Warrants were exercised from which we received proceeds of $57.7 million. As of June 30, 2024, a total of 20,230,329 warrants remained outstanding at exercise prices ranging from $3.2946 per share to $6.60 per share.
Current wording
During the nine months ended September 30, 2024, 22,242,740 of the February and July 2023 Warrants were exercised from which we received proceeds of $73.3 million. As of September 30, 2024, a total of 15,490,080 warrants remained outstanding at exercise prices ranging from $3.2946 per share to $6.60 per share.
Previous wording
Subsequent to June 30, 2024, institutional holders exercised a total of 4,740,249 warrants pursuant to the February 2023 Warrant agreement at an exercise price of $3.2946 per share resulting in the issuance of 4,740,249 shares of the company’s common stock for proceeds totaling $15.6 million. As of August 12, 2024, a total of 2,814,523 warrants remain outstanding under the February 2023 Warrant agreement.
Current wording
During the three months ended September 30, 2024, institutional holders exercised a total of 4,740,249 warrants pursuant to the February 2023 Warrant agreement at an exercise price of $3.2946 per share resulting in the issuance of 4,740,249 shares of the company’s common stock for proceeds totaling $15.6 million.
Previous wording
As consideration for the aforementioned payments, Oberland has the right to receive quarterly Revenue Interest Payments from us based on, among other things, a certain percentage of our net sales during such quarter, which are tiered payments initially ranging from 3.00% to 7.00% (now after funding of the Second Payment, 4.50% to 10.00%) of the company’s worldwide net sales, excluding those in China. See Note 10, Revenue Interest Purchase Agreement, of the “Notes to Unaudited Condensed Consolidated Financial Statements” that appears in Item 1. “Financial Statements” of this Quarterly Report for more information.
Current wording
As consideration for the aforementioned payments, Oberland has the right to receive quarterly Revenue Interest Payments from us based on, among other things, a certain percentage of our net sales during such quarter, which are tiered payments ranging from 4.5% to 10.0% (before funding of the Second Payment, 3.0% to 7.0%) of the company’s worldwide net sales, excluding those in China. See Note 10, Revenue Interest Purchase Agreement, of the “Notes to Unaudited Condensed Consolidated Financial Statements” that appears in Item 1. “Financial Statements” of this Quarterly Report for more information.
Previous wording
•On December 29, 2023, we entered into the RIPA with Infinity and Oberland. Oberland has the right to receive quarterly Revenue Interest Payments from us based on, among other things, our worldwide net sales, excluding those in China, which are tiered payments initially ranging from 3.00% to 7.00% (now after funding of the Second Payment,4.50% to 10.00%), subject to increase or decrease, following December 31, 2029 (the Test Date)depending onwhether our aggregate payments made to Oberland as of the Test Date have met or exceeded the Cumulative Purchaser Payments. In addition, if our aggregate payments made as of the Test Date to Oberland do not equal or exceed the amount of the Cumulative Purchaser Payments as of such date, then we are obligated to make a one-time True-Up Payment to Oberland in an amount equal to 100% of the Cumulative Purchaser Payments as of the Test Date, less the aggregate amount of our previous payments to Oberland as of the Test Date. See Note 10, Revenue Interest Purchase Agreement, of the “Notes to Unaudited Condensed Consolidated Financial Statements”that appears in Item 1. “Financial Statements” of this Quarterly Report for more information regarding the RIPA.
Current wording
•On December 29, 2023, we entered into the RIPA with Infinity and Oberland. Oberland has the right to receive quarterly Revenue Interest Payments from us based on, among other things, our worldwide net sales, excluding those in China, which are tiered payments ranging from 4.5% to 10.0% (before funding of the Second Payment, 3.0% to 7.0%), subject to increase or decrease, following December 31, 2029 (the Test Date)depending onwhether our aggregate payments made to Oberland as of the Test Date have met or exceeded the Cumulative Purchaser Payments. In addition, if our aggregate payments made as of the Test Date to Oberland do not equal or exceed the amount of the Cumulative Purchaser Payments as of such date, then we are obligated to make a one-time True-Up Payment to Oberland in an amount equal to 100% of the Cumulative Purchaser Payments as of the Test Date, less the aggregate amount of our previous payments to Oberland as of the Test Date. See Note 10, Revenue Interest Purchase Agreement, of the “Notes to Unaudited Condensed Consolidated Financial Statements”that appears in Item 1. “Financial Statements” of this Quarterly Report for more information regarding the RIPA.
Previous wording
•In connection with our acquisition of VivaBioCell, we are obligated to pay the former owners approximately $2.1 million of contingent consideration upon the achievement of a regulatory milestone relating to the GMP-in-a-Box technology.
Current wording
•In connection with our acquisition of VivaBioCell, we are obligated to pay the former owners approximately $2.2 million of contingent consideration upon the achievement of a regulatory milestone relating to the GMP-in-a-Box technology.
Previous wording
During the six months ended June 30, 2024, net cash used in operating activities of $207.3 million consisted of a net loss of $268.7 million, partially offset by $59.9 million in adjustments for non-cash items and $1.5 million of cash provided by net working capital. Adjustments for non-cash items primarily consisted of a $21.1 million change in the fair value of warrant liabilities, $17.9 million in stock-based compensation expense, $17.1 million in non-cash interest primarily related to the revenue interest liability and related-party promissory notes, $11.4 million in amortization of related-party note discounts, $9.0 million in depreciation and amortization expense, $2.7 million in non-cash lease expense related to operating lease right‑of‑use assets, and $0.1 million in other non-cash items, reduced by an $18.5 million change in fair value of derivative liabilities and $0.9 million of accretion of discounts on marketable debt securities. The changes in net working capital consisted primarily of an increase of $9.0 million in accounts payable, a decrease of $3.1 million in prepaid and other current assets and a decrease of $0.2 million in other assets, partially offset by decreases of $5.6 million in accrued expenses and other liabilities and $2.4 million in operating lease liabilities, an increase of $1.8 million in inventories and an increase of $1.0 million in accounts receivable, net.
Current wording
During the nine months ended September 30, 2024, net cash used in operating activities of $306.1 million consisted of a net loss of $354.5 million and $8.5 million of cash used in net working capital, partially offset by $56.9 million in adjustments for non-cash items. The changes in net working capital consisted primarily of an increase of $4.2 million in accounts receivable, net, a decrease of $3.9 million in operating lease liabilities, an increase of $2.0 million in inventories and an increase of $0.1 million in other assets, partially offset by an increase of $0.7 million in accounts payable and accrued expenses and other liabilities, an increase of $0.6 million with related parties, and a decrease of $0.4 million in prepaid expenses and other current assets. Adjustments for non-cash items primarily consisted of $27.7 million of non-cash interest expense related to the revenue interest liability, $25.4 million in stock-based compensation expense, $17.6 million in amortization of related-party note discounts, $13.4 million in depreciation and amortization expense, $4.1 million in non-cash lease expense related to operating lease right‑of‑use assets, and $0.5 million in unrealized losses on equity securities driven by a decrease in the value of our investments, reduced by a $20.1 million change in the fair value of derivative liabilities, a $10.2 million change in the fair value of warrant liabilities, and $1.5 million of accretion of discounts on marketable debt securities.
Previous wording
During the six months ended June 30, 2023, net cash used in operating activities of $164.1 million consisted of a net loss of $254.8 million, partially offset by $54.0 million in adjustments for non-cash items and $36.7 million of cash provided by net working capital. Adjustments for non-cash items primarily consisted of $23.8 million in amortization of related-party note discounts, $21.9 million in stock-based compensation expense, $9.4 million in depreciation and amortization expense, a $6.8 million change in the fair value of a related-party convertible note, $5.0 million in non-cash interest and debt discount amortization primarily related to related-party promissory notes, $3.2 million in non-cash lease expense related to operating lease right‑of‑use assets, $1.0 million in transaction costs allocable to warrant liabilities, $0.3 million in unrealized losses on equity securities driven by a decrease in the value of our investments, and $0.1 million of other, reduced by a $17.5 million change in the fair value of warrant liabilities. The changes in net working capital consisted primarily of an increase of $27.9 million in accrued expenses and other liabilities, a decrease of $11.2 million in prepaid and other current assets, and a decrease of $1.0 million in other assets, partially offset by decreases of $1.3 million in operating lease liabilities, $1.2 million with related parties, and $0.9 million in accounts payable.
Current wording
During the nine months ended September 30, 2023, net cash used in operating activities of $251.5 million consisted of a net loss of $350.4 million, partially offset by $69.2 million in adjustments for non-cash items and $29.7 million of cash provided by net working capital. Adjustments for non-cash items primarily consisted of $36.4 million in stock-based compensation expense, $35.3 million in amortization of related-party note discounts, $13.9 million in depreciation and amortization expense, $9.0 million in non-cash interest primarily related to related-party promissory notes, $4.8 million in non-cash lease expense related to operating lease right‑of‑use assets, $2.0 million in transaction costs allocable to warrant liabilities, and $0.9 million in unrealized losses on equity securities driven by a decrease in the value of our investments, reduced by a $31.8 million change in the fair value of warrant liabilities, a $0.7 million change in the fair value of a related-party convertible note, and $0.6 million in other non-cash items. The changes in net working capital consisted primarily of an increase of $26.2 million in accrued expenses and other liabilities, a decrease of $9.5 million in prepaid and other current assets, and a decrease of $1.3 million in other assets, partially offset by decreases of $3.6 million in accounts payable, $2.4 million in operating lease liabilities, and $1.3 million with related parties.
Previous wording
During the six months ended June 30, 2023, net cash used in investing activities was $17.1 million, which included cash outflows of $17.0 million of purchases of property, plant and equipment, and $0.2 million of purchases of marketable debt securities, partially offset by $0.1 million from sales of marketable debt securities.
Current wording
During the nine months ended September 30, 2024, net cash used in investing activities was $22.1 million, which included cash outflows of $134.1 million of purchases of marketable debt securities, $4.8 million of purchases of property, plant and equipment, $1.0 million used for the acquisition of a business, net of transaction costs, and $0.7 million cash paid for other investments, partially offset by proceeds of $118.5 million from maturities and sales of marketable debt securities.
Previous wording
During the six months ended June 30, 2024, net cash used in investing activities was $87.1 million, which included cash outflows of $134.1 million of purchases of marketable debt securities, and $2.0 million of purchases of property, plant and equipment, partially offset by proceeds of $49.0 million from maturities and sales of marketable debt securities.
Current wording
During the nine months ended September 30, 2023, net cash used in investing activities was $32.7 million, which included cash outflows of $22.6 million of purchases of property, plant and equipment, and $10.2 million of purchases of marketable debt securities, partially offset by proceeds of $0.1 million from maturities and sales of marketable debt and equity securities.
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Previous report — wording carried elsewhere
Subsequent to June 30, 2024, institutional holders exercised a total of 4,740,249 warrants pursuant to the February 2023 Warrant agreement at an exercise price of $3.2946 per share resulting in the issuance of 4,740,249 shares of the company’s common stock for proceeds totaling $15.6 million. As of August 12, 2024, a total of 2,814,523 warrants remain outstanding under the February 2023 Warrant agreement. See“Subsequent Events” below for more information.