The following discussion of the financial condition and results of operations of
Axcella Health Inc. should be read in conjunction with the condensed
consolidated financial statements and the related notes thereto included
elsewhere in this Quarterly Report, and the audited financial statements and
notes included in our Annual Report on Form 10-K, filed with the SEC on March
17, 2021. In addition to historical information, this discussion and analysis
contains forward-looking statements that involve risks, uncertainties and
assumptions. 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 developments in our business and the industry
in which we operate, may differ materially from the results discussed or
projected in the forward-looking statements contained in this Quarterly Report.
We discuss risks and other factors that we believe could cause or contribute to
these potential differences elsewhere in this Quarterly Report, including under
Part II, Item 1A. "Risk Factors" and under "Special Note Regarding
Forward-Looking Statements." In addition, even if our results of operations,
financial condition and liquidity, and the developments in our business and the
industry in which we operate are consistent with the forward-looking statements
contained in this Quarterly Report, they may not be predictive of results or
developments in future periods. We caution readers not to place undue reliance
on any forward-looking statements made by us, which speak only as of the date
they are made. 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
We are a clinical-stage biotechnology company focused on pioneering a new
approach to treat complex diseases and improve health using endogenous metabolic
modulator, or EMM, compositions. Our product candidates are comprised of
multiple EMMs that are engineered in distinct combinations and ratios with the
goal of simultaneously impacting multiple biological pathways. Our pipeline
includes lead therapeutic candidates for the reduction in risk of recurrent
overt hepatic encephalopathy, or OHE, the treatment of non-alcoholic
steatohepatitis, or NASH, and the treatment of Long COVID (also known as Post
COVID-19 Condition and Post-Acute Sequelae of COVID-19, or "PASC").
Using our development platform, we have efficiently developed a pipeline of
product candidates that are comprised of amino acids and their derivatives,
which have a general history of safe use. These orally administered compositions
have shown the potential to generate multifactorial effects in initial Clinical
Studies.
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Table of Contents An overview of our current therapeutic product candidates and their planned next development steps is illustrated below:


                    [[Image Removed: axla-20210930_g1.jpg]]
AXA1665 for the Reduction in Risk of Recurrent OHE
We have conducted two prior Clinical Studies of AXA1665 in subjects with mild
(Child Pugh A) and moderate (Child Pugh B) hepatic insufficiency. AXA1665 was
generally well tolerated in both of these studies, with multifactorial effects
seen in subjects. The findings from our most recent Clinical Study, AXA1665-002,
which were recently presented at the Digestive Disease Week 2021 Annual Meeting,
replicated those seen on amino acid metabolism from our previous short-term
Clinical Study. We also noted dose dependent, directionally consistent
improvement across all three psychometric tests that were utilized in
AXA1665-002.
In January 2021, we received U.S. Food and Drug Administration (FDA) clearance
of an Investigational New Drug (IND) application for AXA1665, and we initiated
our EMMPOWER Phase 2 Clinical Trial for this candidate in the second quarter of
2021. This randomized, double-blind, placebo-controlled, multi-center
investigation is evaluating the efficacy and safety of AXA1665 in patients who
have experienced at least one prior OHE event and have neurocognitive
dysfunction at screening. Approximately 150 patients on lactulose ± rifaximin
(stratified by rifaximin use) will be randomized 1:1 to receive either 53.8
grams per day of AXA1665 or a matched placebo in three divided doses for 24
weeks, with a four-week safety follow-up period.
The Clinical Trial's primary endpoint will assess the proportion of patients
with a ?2 point increase in the psychometric hepatic encephalopathy score (PHES)
after the 24-week treatment period. Key secondary endpoints will focus on the
proportion of patients experiencing an OHE breakthrough event and time to first
OHE breakthrough event, including time to hospitalization. Other secondary
endpoints include changes in physical function and patient-reported outcomes.
AXA1125 for the Treatment of NASH
We have conducted two prior Clinical Studies of AXA1125 in subjects with
presumed NASH. AXA1125 was generally well tolerated in both of these studies
with meaningful and sustained reductions shown in key measures of hepatic fat,
insulin resistance, inflammation and fibrosis. In our most recent Clinical
Study, AXA1125-003, reductions in these measures were even greater among
subjects with type 2 diabetes. Notably, the forementioned results were seen
without an impact on mean body weight or serum lipids. In August 2021, results
from the AXA1125-003 Clinical Study were published in the American Journal of
Gastroenterology.
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In April 2021, we received U.S. Food and Drug Administration (FDA) clearance of
an Investigational New Drug (IND) application for AXA1125, and we initiated our
EMMPACT Phase 2b Clinical Trial for this candidate in the second quarter of
2021. This randomized, double-blind, placebo-controlled, multi-center Clinical
Trial is evaluating the efficacy, safety and tolerability of AXA1125 in adult
patients with biopsy-confirmed F2/F3 NASH. Approximately 270 patients will be
enrolled and randomized 1:1:1 to receive either 45.2 or 67.8 grams per day of
AXA1125 or a matched placebo in two divided doses for 48 weeks, with a four-week
safety follow-up period. Patients will be stratified based on the presence or
absence of type 2 diabetes.
The Clinical Trial's primary endpoint will assess the proportion of patients
with a biopsy-confirmed ?2 point improvement in their non-alcoholic fatty liver
disease, or NAFLD, Activity Score (NAS) after the 48-week treatment period.
Secondary endpoints will include the proportion of patients achieving
biopsy-confirmed resolution of NASH without worsening of fibrosis and the
proportion of patients achieving a ?1 stage improvement in fibrosis without
worsening of NASH.
AXA1125 for the Treatment of Long COVID
We recently participated in a successful meeting with the United Kingdom's
Medicines and Healthcare products Regulatory Agency (MHRA) during which
alignment on a Phase 2a clinical trial design was achieved. A clinical trial
authorization (CTA) for this trial was subsequently accepted by MHRA. We plan to
conduct this trial at Oxford Centre for Clinical Magnetic Resonance Research,
University of Oxford.
The Phase 2a trial will be a randomized, double-blind, placebo-controlled
investigation to evaluate the efficacy and safety of AXA1125 in patients with
exertional fatigue related to Long COVID. Approximately 40 patients will be
enrolled and randomized evenly to receive either 67.8 grams per day of AXA1125
or a matched placebo in two divided doses for 28 days, with a one-week safety
follow-up period.
The trial's primary endpoint will assess the improvement of mitochondrial
function within the skeletal muscle as measured by changes in phosphocreatine
(PCr) recovery time, as measured by 31-phosphorus magnetic resonance
spectroscopy (MRS), from baseline to Day 28. PCr recovery time is a
well-established and highly sensitive measure that has been strongly correlated
with a registrational endpoint (i.e., 6-minute walk test) in a number of other
diseases in which fatigue and muscle weakness play a central role, including
amyotrophic lateral sclerosis (ALS), Duchenne muscular dystrophy, and chronic
kidney disease. Key secondary endpoints include lactate levels, a 6-minute walk
test, fatigue scores, and safety and tolerability.
Effects of COVID-19 Pandemic
The extent to which COVID-19 impacts our business, operations or financial
results will depend on future developments, which are highly uncertain and
cannot be predicted with confidence, such as the duration of the pandemic, new
information that may emerge concerning the severity of COVID-19 or the nature or
effectiveness of actions to contain COVID-19 or treat its impact, among others.
We cannot presently predict the scope and severity of any potential business
shutdowns or disruptions. However, if we or any of the third parties with whom
we engage were to experience shutdowns or other business disruptions, our
ability to conduct our business in the manner and on the timelines presently
planned could be materially and negatively affected, which could have a material
adverse impact on our business, results of operations and financial condition.
Components of our Condensed Consolidated Results of Operations
Revenue
To date, we have not generated any revenue from product sales and do not expect
to generate any revenue from the sale of products in the near future. If our
development efforts for our product candidates are successful and result in
regulatory approval or we execute license or collaboration agreements with third
parties, we may generate revenue in the future from product sales, payments from
collaborations or license agreements that we may enter into with third parties,
or any combination thereof.
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Research and Development Expenses
Our research and development expenses consist primarily of costs incurred in
connection with our research activities, including our drug discovery efforts,
and the development of our product candidates, which include:
•direct external research and development expenses, including fees, reimbursed
materials and other costs paid to consultants, contractors, contract
manufacturing organizations, or CMOs, and clinical research organizations, or
CROs, in connection with our clinical and preclinical development and
manufacturing activities;
•employee-related expenses, including salaries, related benefits and stock-based
compensation expense for employees engaged in research and development
functions;
•expenses incurred in connection with the preclinical and clinical development
of our product candidates, including any planned and ongoing Clinical Studies,
Clinical Trials and other research programs, including under agreements with
third parties, such as consultants, contractors and CROs;
•the cost of developing and scaling our manufacturing process and manufacturing
products for use in our preclinical studies, Clinical Studies and Clinical
Trials, including under agreements with third parties, such as consultants,
contractors and CMOs;
•patent-related costs incurred in connection with filing and prosecuting patent
applications; and
•facilities, depreciation and other expenses, which include direct and allocated
expenses for rent and maintenance of facilities and insurance.
We expense research and development costs as incurred. We often contract with
CROs and CMOs to facilitate, coordinate and perform agreed-upon research,
design, development, and manufacturing of our product candidates. To ensure that
research and development costs are expensed as incurred, we record monthly
accruals for Clinical Studies, Clinical Trials and manufacturing costs based on
the work performed under the contract.
These CRO and CMO contracts typically call for the payment of fees for services
at the initiation of the contract and/or upon the achievement of certain
clinical or manufacturing milestones. In the event that we prepay CRO or CMO
fees, we record the prepayment as a prepaid asset and amortize the asset into
research and development expense over the period of time the contracted research
and development or manufacturing services are performed. Most professional fees,
including project and clinical management, data management, monitoring and
manufacturing fees are incurred throughout the contract period. These
professional fees are expensed based on their estimated percentage of completion
at a particular date. Our CRO and CMO contracts generally include pass through
fees. Pass through fees include, but are not limited to, regulatory expenses,
investigator fees, travel costs and other miscellaneous costs and raw materials.
We expense the costs of pass through fees under our CRO and CMO contracts as
they are incurred, based on the best information available to us at the time.
A significant portion of our research and development costs are not tracked by
project as they benefit multiple projects or our technology platform, and, as
such, are not separately classified.
Research and development expenses may fluctuate from period to period depending
upon the stage of certain projects and the stage of preclinical and clinical
activities and development. Many factors can affect the cost and timing of our
planned and ongoing Clinical Studies and Clinical Trials, including, without
limitation, slow patient enrollment and the availability of supplies, including
as a result of the COVID-19 pandemic, and real or perceived lack of effect on
biology or safety of our product candidates. In addition, the development of all
of our product candidates may be subject to extensive governmental regulation.
These factors make it difficult for us to predict the timing and costs of the
further development of our product candidates.
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See "Risk Factors" for further discussion of these and additional risks and
uncertainties associated with product development and commercialization that may
significantly affect the timing and cost of our research and development
expenses and our ability to obtain regulatory approval for and successfully
commercialize our product candidates. We expect research and development
expenses to increase as we advance existing product candidates into additional
Clinical Trials and Clinical Studies and develop new product candidates.
General and Administrative Expenses
General and administrative expenses consist primarily of salaries, benefits,
travel and stock-based compensation expense for personnel in executive, finance
and administrative functions. General and administrative expenses also include
professional fees for legal, consulting, accounting and audit services.
We anticipate that our general and administrative expenses will increase in the
future as we increase our headcount to support our continued research and
development of our product candidates. We also anticipate that we will incur
increased finance, accounting, audit, legal, compliance, director and officer
insurance costs as well as investor and public relations expenses associated
with operating as a public company. Additionally, if and when we believe a
regulatory approval of a product candidate appears likely, we anticipate an
increase in payroll and expense as a result of our preparation for commercial
operations, especially as it relates to the sales and marketing of our product
candidate.
Other Income (Expense), Net
Other income (expense), net primarily consists of interest income and interest
expense. Interest income consists of interest earned on our investments in cash
equivalents, money market funds, and high-quality fixed income securities.
Interest expense consists of interest on outstanding borrowings under our loan
and security agreement, the amortization expense of the debt discount and debt
issuance costs, and interest paid for leased capital equipment.
Income Taxes
Since our inception, we have not recorded any income tax benefits for the net
losses we have incurred in each year or for our research and development tax
credits, as we believe, based upon the weight of available evidence, that it is
more likely than not that all of our net operating loss, or NOLs, carryforwards
and tax credits will not be realized.
Results of Operations
Comparison of the Three Months Ended September 30, 2021 and 2020
The following table summarizes our results of operations for the three months
ended September 30, 2021 and 2020 (in thousands):
                                         Three Months Ended
                                           September 30,
                                        2021           2020          Change
Operating expenses:
Research and development             $  10,130      $   7,541      $  2,589
General and administrative               4,773          4,184           589
Total operating expenses                14,903         11,725         3,178
Loss from operations                   (14,903)       (11,725)       (3,178)
Other income (expense):
Other income (expense), net               (710)          (712)            2
Total other income (expense), net         (710)          (712)            2
Net loss                             $ (15,613)     $ (12,437)     $ (3,176)


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Research and Development Expenses
The following table summarizes our research and development expenses incurred
during the three months ended September 30, 2021 and 2020 (in thousands):
                                              Three Months Ended
                                                September 30,
                                              2021           2020        Change
Salary and benefits-related               $     3,345      $ 3,707      $  (362)

Clinical research and outside services 5,578 2,766 2,812 Facility-related and other

                      1,207        1,068          139

Total research and development expenses $ 10,130 $ 7,541 $ 2,589




Salary and benefits-related costs decreased by $0.4 million due to lower
headcount. Clinical research and outside services costs increased by $2.8
million due to expenses incurred for our AXA1665 EMMPOWER Phase 2 Clinical Trial
and AXA1125 EMMPACT Phase 2b Clinical Trial, and expenses incurred to support
the planned initiation of our AXA1125 Phase 2a Clinical Trial to treat Long
COVID.
General and Administrative Expenses
The following table summarizes our general and administrative expenses incurred
during the three months ended September 30, 2021 and 2020 (in thousands):
                                                  Three Months Ended
                                                     September 30,
                                                   2021            2020        Change
Salary and benefits-related                  $    2,957          $ 2,430      $  527
Other contract services and outside costs         1,554            1,370         184
Facility-related and other                          262              384        (122)

Total general and administrative expenses $ 4,773 $ 4,184 $ 589




Salary and benefits-related costs increased by $0.5 million due to higher equity
compensation related to additional grants issued and recruiting costs related to
the hiring of new employees. Other contract services and outside costs increased
by $0.2 million due to corporate legal fees related to our New Loan and Security
Agreement with SLR Investment Corp.
Other Income (Expense), Net
Other income (expense), net was $0.7 million for the three months ended
September 30, 2021 and September 30, 2020, respectively. There were no material
changes in Other income (expense), net as interest income and interest expense
were comparable within each period.
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Table of Contents Comparison of the Nine Months Ended September 30, 2021 and 2020 The following table summarizes our results of operations for the nine months ended September 30, 2021 and 2020 (in thousands):


                                         Nine Months Ended
                                           September 30,
                                        2021           2020          Change
Operating expenses:
Research and development             $  30,668      $  26,441      $  4,227
General and administrative              13,975         12,928         1,047
Total operating expenses                44,643         39,369         5,274
Loss from operations                   (44,643)       (39,369)       (5,274)
Other income (expense):
Other income (expense), net             (2,094)        (1,969)         (125)

Total other income (expense), net (2,094) (1,969) (125) Net loss

$ (46,737)     $ (41,338)     $ (5,399)

Research and Development Expenses The following table summarizes our research and development expenses incurred during the nine months ended September 30, 2021 and 2020 (in thousands):


                                              Nine Months Ended
                                                September 30,
                                             2021           2020         Change
Salary and benefits-related               $  10,134      $ 12,498      $ (2,364)

Clinical research and outside services 16,727 10,647 6,080 Facility-related and other

                    3,807         3,296           511

Total research and development expenses $ 30,668 $ 26,441 $ 4,227

Salary and benefits-related costs decreased by $2.4 million due to lower headcount. Clinical research and outside services costs increased by $6.1 million due to expenses incurred for our AXA1665 EMMPOWER Phase 2 Clinical Trial and AXA1125 EMMPACT Phase 2b Clinical Trial, and expenses incurred to support the planned initiation of our AXA1125 Phase 2a Clinical Trial to treat Long COVID. Facility-related and other costs increased $0.5 million due to higher rent for our leased office space at 840 Memorial Drive and additional maintenance expenses incurred.


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General and Administrative Expenses
The following table summarizes our general and administrative expenses incurred
during the nine months ended September 30, 2021 and 2020 (in thousands):
                                                 Nine Months Ended
                                                   September 30,
                                                2021           2020        Change
Salary and benefits-related                  $   8,815      $  7,795      $ 1,020

Other contract services and outside costs 4,311 4,033 278 Facility-related and other

                         849         1,100         (251)

Total general and administrative expenses $ 13,975 $ 12,928 $ 1,047




Salary and benefits-related costs increased by $1.0 million due to higher equity
compensation related to additional grants issued and recruiting costs related to
the hiring of new employees. Other contract services and outside costs increased
by $0.3 million due to higher business insurance, audit and tax fees, and
corporate legal fees. Facility-related and other costs decreased by $0.3 million
due to a reduction in corporate travel and franchise tax expenses.
Other Income (Expense), Net
Other income (expense), net was $2.1 million for the nine months ended
September 30, 2021, compared to $2.0 million for the nine months ended
September 30, 2020. The increase was primarily driven by lower interest income
as a result of declines in interest rates.
Liquidity and Capital Resources
Sources of Liquidity
Since our inception, we have not generated any revenue and have incurred
significant operating losses and negative cash flows from our operations. Our
net losses were $15.6 million and $12.4 million for the three months ended and
$46.7 million and $41.3 million for the nine months ended September 30, 2021 and
2020, respectively. As of September 30, 2021, we had an accumulated deficit of
$319.4 million. We expect to incur net losses as we continue to develop our
product candidates, and our ability to generate product revenue sufficient to
achieve profitability will depend heavily on the successful development and
eventual commercialization of one or more of our current or future product
candidates.
To date, we have primarily financed our operations with proceeds from the sale
of preferred and common stock and borrowing of debt, including the following
recent significant transactions:
•On May 18, 2020, we completed a follow-on public offering pursuant to which we
issued an aggregate of 12,650,000 shares of our common stock for net proceeds of
approximately $55.9 million after deducting the underwriting discounts and
commissions and other offering expenses.
•On June 5, 2020, we entered into a sales agreement with SVB Leerink LLC ("SVB
Leerink") pursuant to which we may offer and sell shares of our common stock
having an aggregate offering price of up to $35.0 million from time to time
through SVB Leerink, acting as our agent (the "ATM Offering"). As of
September 30, 2021, we have sold an aggregate of 2,168,943 shares of common
stock under the ATM Offering for net cash proceeds of $11.3 million after
deducting commissions and expenses of $0.6 million. During the three months
ended September 30, 2021, we issued 321,149 shares of our common stock in a
series of sales under the ATM Offering for aggregate net proceeds of $1.4
million after deducting commissions and expenses of $0.1 million.
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As of September 30, 2021, we had cash, cash equivalents and marketable
securities of $66.1 million. Our cash equivalents and marketable securities as
of September 30, 2021 consisted of bank deposits, money market funds that invest
in U.S. treasury securities, and corporate obligations, which enables us to
achieve our liquidity and capital needs.
Cash Flows
The following table summarizes our sources and uses of cash for each of the
periods presented (in thousands):
                                                             Nine Months Ended
                                                               September 30,
                                                            2021           2020
Cash used in operating activities                        $ (40,584)     $ (39,708)
Cash used in investing activities                           (5,183)        (3,255)
Cash provided by financing activities                          268         64,973

Net (decrease) increase in cash and cash equivalents $ (45,499) $ 22,010




Operating Activities
During the nine months ended September 30, 2021, operating activities used $40.6
million of cash, primarily resulting from a net loss of $46.7 million, partially
offset by non-cash charges of $6.1 million, including $4.8 million of
stock-based compensation.
During the nine months ended September 30, 2020, operating activities used $39.7
million of cash, primarily resulting from a net loss of $41.3 million and
changes in our operating assets and liabilities of $4.0 million, both partially
offset by non-cash charges of $5.6 million, including $4.9 million of
stock-based compensation.
Investing Activities
During the nine months ended September 30, 2021, net cash used in investing
activities consisted of purchases of marketable securities and capital
equipment, which were partially offset by maturities of marketable securities.
During the nine months ended September 30, 2020, net cash used in investing
activities consisted of purchases of marketable securities and capital
equipment.
Financing Activities
During the nine months ended September 30, 2021, net cash provided by financing
activities consisted of net proceeds from the issuance of common stock, which
were partially offset by payments for leased capital equipment and a terminal
fee obligation and debt issuance costs.
During the nine months ended September 30, 2020, net cash provided by financing
activities consisted of net proceeds from the issuance of common stock.
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Loan and Security Agreement
On September 2, 2021, we entered into a loan and security agreement (the "New
Loan and Security Agreement") with SLR Investment Corp., formerly known as Solar
Capital Ltd., for term loans in an aggregate principal amount of $26.0 million.
The New Loan and Security Agreement replaced the loan and security agreement
between us and SLR Investment Corp., dated as of January 9, 2018 and further
amended on October 5, 2018, November 30, 2018 and August 28, 2020 (as amended,
the "Prior Loan and Security Agreement"). The term loans under the New Loan and
Security Agreement will accrue interest at an annual rate equal to 8.60% plus
the greater of (a) the thirty (30) day U.S. Dollar LIBOR rate and (b) 0.10%,
payable monthly in arrears. The monthly principal payments of $0.6 million will
be paid over a period of 45 months beginning in January 2023 through the final
maturity date of September 1, 2026. Per the New Loan and Security Agreement, the
date on which repayment of principal commences can be further extended to July
2023 and January 2024, provided we satisfy certain equity related conditions.
The term loans are also subject to a prepayment fee of 3.00% if prepayment
occurs within the first year subsequent to September 2, 2021, 2.00% in the
second year and 1.00% in the third year through final maturity. The New Loan and
Security Agreement also contains certain financial covenants, including an
unrestricted minimum cash level until certain clinical trial study data
conditions are met, and non-financial covenants. As security for our obligations
under the New Loan and Security Agreement, we granted the lender a first
priority perfected security interest in all of our existing and after-acquired
assets, including intellectual property.
In conjunction with the execution of the New Loan and Security Agreement, we
also agreed to a new terminal fee obligation totaling $1.7 million, which is due
and payable on the earliest to occur of (i) the maturity of the New Loan and
Security Agreement, (ii) the acceleration of the term loans, and (iii) the
prepayment, refinancing, substitution or replacement of the term loans. The
obligation is equal to 6.45% of the aggregate principal amount of $26.0 million.
Funding Requirements
We expect our expenses to increase substantially in connection with our ongoing
activities, particularly as we advance existing product candidates and develop
new clinical and pre-clinical programs. Our cash requirements depend on numerous
factors, including, without limitation, expenditures in connection with our
research and development programs, including with respect to the timing and
progress of Clinical Trials, Clinical Studies and preclinical development
activities; payments to CROs, CMOs and other third-party providers; the cost of
filing, prosecuting, defending and enforcing patent claims and other
intellectual property rights; our ability to raise additional equity or debt
financing; potential repayments of our long-term debt; and our ability to enter
into collaboration or license agreements and our receipt of any upfront,
milestone or other payments thereunder. Changes in our research and development
plans or other changes affecting our operating expenses may result in changes in
the timing and amount of expenditures of our capital resources. See "Risk
Factors" for further discussion of these and additional risks and uncertainties
that may significantly affect the timing and amount of expenditures of our
capital resources.
Based on our current operating plan, we believe we do not have sufficient cash,
cash equivalents, and marketable securities to support current operations
through a full 12 months from the issuance date of this Quarterly Report on Form
10-Q. 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 re-financings,
collaboration agreements, strategic alliances and 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, including as a result of
market volatility following the COVID-19 pandemic. 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 or delay our pursuit of potential in-licenses or
acquisitions. We also intend to continue to evaluate options to refinance our
outstanding long-term debt. The amounts involved in any such transactions,
individually or in the aggregate, may be material. These factors individually
and collectively raise substantial doubt about our ability to continue as a
going concern.
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Critical Accounting Policies and Use of Estimates
Our management's discussion and analysis of our financial condition and results
of operations are based on our financial statements, which have been prepared in
accordance with U.S. generally accepted accounting principles. The preparation
of these financial statements requires us to make judgments and estimates that
affect the reported amounts of assets, liabilities, revenues, and expenses and
the disclosure of contingent assets and liabilities in our financial statements.
We base our estimates on historical experience, known trends and events, and
various other factors that are believed to be reasonable under the
circumstances. Actual results may differ from these estimates under different
assumptions or conditions. On an ongoing basis, we evaluate our judgments and
estimates in light of changes in circumstances, facts and experience. The
effects of material revisions in estimates, if any, will be reflected in the
financial statements prospectively from the date of change in estimates. There
have been no material changes to our critical accounting policies as reported in
our Annual Report on Form 10-K for the year ended December 31, 2020, which was
filed with the SEC on March 17, 2021.
Off-Balance Sheet Arrangements
We did not have during the periods presented, and we do not have, any
off-balance sheet arrangements, as defined under applicable SEC rules and
regulations.
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 condensed consolidated financial statements appearing elsewhere in this
Quarterly Report.
Emerging Growth Company Status
We are an "emerging growth company," as defined in the Jumpstart Our Business
Startups Act of 2012, or the JOBS Act, and we may take advantage of certain
exemptions from various reporting requirements that are applicable to other
public companies that are not emerging growth companies. We may take advantage
of these exemptions until we are no longer an emerging growth company. Section
107 of the JOBS Act provides that an emerging growth company can take advantage
of the extended transition period afforded by the JOBS Act for the
implementation of new or revised accounting standards. We have elected to use
the extended transition period for complying with new or revised accounting
standards and, as a result of this election, our financial statements may not be
comparable to companies that comply with public company effective dates. We may
take advantage of these exemptions up until the last day of the fiscal year
following the fifth anniversary of our IPO or such earlier time that we are no
longer an emerging growth company. We would cease to be an emerging growth
company if we have more than $1.07 billion in annual revenue, we have more than
$700.0 million in market value of our stock held by non-affiliates (and we have
been a public company for at least 12 months and have filed one annual report on
Form 10-K) or we issue more than $1.0 billion of non-convertible debt securities
over a three-year period.
Item 3. Quantitative and Qualitative Disclosure About Market Risk
We are a smaller reporting company as defined by Rule 12b-2 of the Securities
Exchange Act of 1934 and are not required to provide the information under this
item.
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