You should read the following discussion and analysis together with our
condensed consolidated financial statements and related notes included elsewhere
in this Quarterly Report, and our Annual Report on Form 10-K, or our Annual
Report, for the year ended December 31, 2020, filed with the Securities and
Exchange Commission, or the SEC, on February 25, 2021.
Forward-Looking Statements
The information in this discussion contains forward-looking statements and
information within the meaning of Section 27A of the Securities Act of 1933, as
amended, or the Securities Act, and Section 21E of the Securities Exchange Act
of 1934, as amended, or the Exchange Act, which are subject to the "safe harbor"
created by those sections. These forward-looking statements include, but are not
limited to, statements concerning our strategy, clinical and nonclinical data,
future operations, future financial position, future revenues, projected costs,
prospects and plans and objectives of management and the impact of the COVID-19
pandemic on the foregoing. The words "anticipates," "believes," "estimates,"
"expects," "intends," "may," "plans," "projects," "will," "would" and similar
expressions are intended to identify forward-looking statements, although not
all forward-looking statements contain these identifying words. We may not
actually achieve the plans, intentions or expectations disclosed in our
forward-looking statements and you should not place undue reliance on our
forward-looking statements. Actual results or events could differ materially
from the plans, intentions and expectations disclosed in the forward-looking
statements that we make. These forward-looking statements involve risks and
uncertainties that could cause our actual results to differ materially from
those in the forward-looking statements, including, without limitation, the
risks set forth in Part II, Item 1A, "Risk Factors" in this Quarterly Report and
in our other filings with the SEC. The forward-looking statements are applicable
only as of the date on which they are made, and we do not assume any obligation
to update any forward-looking statements.
Overview
We are a biotechnology company focused on the discovery, development and
commercialization of long-acting therapeutics designed to transform the standard
of care for patients facing serious diseases. Our lead product candidate is
rezafungin acetate, an intravenous formulation of a novel echinocandin.
Rezafungin is being developed as a once-weekly, high-exposure therapy for the
first-line treatment and prevention of serious, invasive fungal infections. In
addition, we are using our Cloudbreak® platform to develop a potential new class
of DFCs for the prevention and treatment of serious diseases. Our initial
development programs are targeting influenza and other viral infections,
including RSV, HIV and the SARS-CoV-2 strains causing COVID-19. In addition, we
have expanded the Cloudbreak platform to discover and develop DFCs to treat
cancer.
COVID-19 Update
The COVID-19 pandemic has negatively impacted the global economy, disrupted
global supply chains and created significant volatility and disruption of
financial markets.
We continue to monitor the potential impact of the COVID-19 global pandemic, and
particularly the Delta variant, on our business and maintain our previously
implemented measures designed to protect the health and safety of our workforce,
including a work-from-home policy in line with state and local requirements for
employees who can perform their jobs offsite. We are continuing our essential
research and laboratory activities at our facilities and are taking
precautionary measures to protect our employees working in our facilities in
such capacities, including establishing a written worksite-specific COVID-19
prevention plan and implementing a vaccine mandate.
We are reliant on our information technology systems, infrastructure and data to
conduct our business. Adopting a work-from-home policy during this pandemic has
increased the complexity of our computer systems, making them inherently more
vulnerable to service interruption or destruction, malicious intrusion and
random attack.
While we have not experienced significant disruptions to our manufacturing
supply chain or distribution to date, we are unable to fully assess the
potential impact that an extended duration of this pandemic may have on our
manufacturing or distribution processes in the future.
As we continue to actively advance our rezafungin Phase 3 clinical development
program, we remain in close contact with our principal investigators and
clinical sites and continue to monitor the impact of COVID-19 on our trials,
expected timelines and costs on an ongoing basis. While the ReSPECT Phase 3
clinical trial for prophylaxis remains open for enrollment, we continue to
monitor the near- and long-term impact of COVID-19 on the ability of our
clinical investigators to recruit patients at each of our global clinical trial
sites. In addition, many clinical trial operational activities typically
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require travel, such as site activation, monitoring, investigators' meetings and
quality audits. These activities are still impacted by travel restrictions.
The COVID-19 pandemic continues to affect areas in which we operate, and we
believe the outbreak continues to have a negative impact on our operating
results and financial condition. The extent of the impact of COVID-19 on our
operational and financial performance will depend on certain developments,
including the duration and spread of the outbreak, impact on our clinical
trials, employees and vendors, all of which are uncertain and cannot be
predicted. Given these uncertainties, we remain unable to reasonably estimate
the related impact to our business, operating results and financial condition,
if any. We will continue to evaluate the impact of the COVID-19 pandemic on our
business.
Rezafungin
Rezafungin is a novel molecule in the echinocandin class of antifungals. We are
developing rezafungin for the first-line treatment and prevention of serious,
invasive fungal infections which are associated with high mortality rates.
Phase 3 clinical trials
Our Phase 3 clinical development plans for rezafungin are as follows:
•Phase 3 ReSTORE Treatment Trial: A single, global, randomized, double-blind,
controlled Phase 3 pivotal clinical trial in patients with candidemia and/or
invasive candidiasis. The ReSTORE clinical trial protocol is modeled after our
Phase 2 STRIVE clinical trial. Rezafungin, dosed at 400 mg for the first week
followed by 200 mg once weekly for up to four weeks in total, is being compared
to caspofungin, dosed daily, with an optional step down to oral fluconazole, in
a 1:1 randomization regime. The primary efficacy outcome for the U.S. Food and
Drug Administration, or FDA, is all-cause mortality at day 30, and the primary
efficacy outcome for the European Medical Agency, or EMA, is global response
(clinical, radiological, and mycological response) at day 14. Enrollment in the
ReSTORE clinical trial was completed in August 2021 and included 184 evaluable
patients diagnosed with candidemia and/or invasive candidiasis. We expect to
announce top-line data from the ReSTORE trial by the end of 2021 and anticipate
filing a New Drug Application, or NDA, for rezafungin in the United States and
similar regulatory filings outside the United States in the middle of 2022.
•Phase 3 ReSPECT Prophylaxis (Prevention) Trial: A single, global, randomized,
double-blind, controlled Phase 3 pivotal clinical trial in patients undergoing
allogeneic blood and marrow transplant to assess rezafungin in a 90-day
prophylaxis regimen to prevent infections due to Candida, Aspergillus and
Pneumocystis. Rezafungin, dosed at 400 mg for the first week followed by 200 mg
once weekly doses out to 90 days, is being compared to a regimen containing two
drugs (an azole and Bactrim) dosed once daily for 90 days. The primary efficacy
outcome for the FDA and EMA is fungal-free survival at day 90. We expect this
trial to enroll approximately 462 patients. While the ReSPECT trial has been
impacted by the ongoing effects of the COVID-19 global pandemic, enrollment
continues and we are progressing with regulatory and clinical activities so that
we may continue activating additional trial sites.
Mundipharma Collaboration Agreement
On September 3, 2019, we announced a strategic partnership with Mundipharma to
develop and commercialize rezafungin in an intravenous formulation for the
treatment and prevention of invasive fungal infections. Under the terms of the
Mundipharma Collaboration Agreement, we granted Mundipharma an exclusive,
royalty-bearing license to develop, register and commercialize rezafungin
outside the U.S. and Japan. The total potential transaction value is
$568.0 million, including an equity investment, an up-front payment, global
development funding, and certain development, regulatory, and commercial
milestones. To date, we have received $9.0 million from the sale of our equity
to Mundipharma, $30.0 million in up-front payments and $41.5 million in global
development funding, which includes an $11.1 million milestone payment we
received in January 2021. We expect to receive an additional $0.8 million in
global development funding as we continue to conduct our rezafungin Phase 3
clinical development program.
Cloudbreak platform
We believe our Cloudbreak DFC platform has the potential to offer a
fundamentally new approach to prevent and treat life-threatening serious
diseases, by developing product candidates designed to provide potent disease
targeting activity and immune system engagement in a single long-acting
molecule. The Cloudbreak DFC platform recognizes that serious disease often
results when a pathogen or cancer cell evades or overcomes the host immune
system. Our Cloudbreak DFC candidates are designed to counter diseases in two
ways: prevention of disease proliferation by direct targeting and by focusing
the immune system on a pathogen or cancer cell. We believe this is a potentially
transformative approach,
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distinct from current therapies, monoclonal antibodies and vaccines. In
addition, DFCs are designed to have several advantages including:
•multivalent binding which has the potential to increase potency;
•ability to engage different targets on the same pathogen or, in the case of a
cancerous cell, can serve as a "drug cocktail" in a single molecule, which may
improve spectrum and decrease resistance;
•potential to target multiple viral pathogens with a single DFC; and
•potential for universal coverage against all viral variants and all people
irrespective of immune status. In contrast to monoclonal antibodies, our DFCs
are smaller and are designed to target multiple sites, and, unlike small
molecules, we believe DFC optimization can be focused primarily on potency.
Our lead Cloudbreak candidates are DFCs for the prevention and treatment of
influenza, or influenza DFCs. In September 2020, we nominated CD388, our
influenza DFC, as a development candidate. CD388 is similar to our previous
development candidate, CD377, but provides the potential for longer-lasting
protection from influenza. We expect to file investigational new drug
application, or IND, for CD388 by the end of 2021 and expect to dose our first
subject in a Phase 1 clinical trial in the first half of 2022.
The Cloudbreak platform has also enabled us to expand the development of DFCs to
target other life-threatening viruses, including RSV and HIV. In response to the
global pandemic, we are also leveraging our Cloudbreak platform to identify new
DFCs against Coronavirus, or CoV, including the strain causing COVID-19. In
addition, we have expanded the Cloudbreak platform, in order to discover and
develop highly potent DFCs that can target multiple pathways with a single DFC
for oncologic diseases.
Janssen Collaboration Agreement
On March 31, 2021, we entered into the Janssen Collaboration Agreement with
Janssen to develop and commercialize one or more DFCs (previously called
Antiviral Drug Conjugates, or AVCs), based on our Cloudbreak platform for the
prevention and treatment of influenza. The effectiveness of the Janssen
Collaboration Agreement was subject to the expiration or earlier termination of
all applicable waiting periods under the Hart-Scott-Rodino Antitrust
Improvements Act. On May 12, 2021, the waiting period under the
Hart-Scott-Rodino Antitrust Improvements Act for the Janssen Collaboration
Agreement expired and the Janssen Collaboration Agreement became effective.
Accordingly, revenue began for the Janssen Collaboration Agreement during the
three months ended June 30, 2021.
Under the terms of the Janssen Collaboration Agreement, we will collaborate in
the research, preclinical and early clinical development of CD388, or another
mutually-agreed influenza DFC development candidate, under a mutually-agreed
research plan with the objective of advancing development through Phase 1
clinical trials and the first Phase 2 clinical trial. We will be responsible for
performing all IND-enabling studies and clinical trials under the research plan.
Both parties will be responsible for conducting certain specified chemistry,
manufacturing and controls development activities under the research plan.
Janssen will be solely responsible, and reimburse us for internal personnel and
out-of-pocket costs incurred in performing the research plan activities in
accordance with an agreed budget. After completion of the research plan and upon
its election to proceed with development, Janssen will be solely responsible for
late-stage development, manufacturing, registration and commercialization. Upon
the effectiveness of the Janssen Collaboration Agreement, Janssen paid us an
upfront payment of $27.0 million. As of the execution of the Janssen
Collaboration Agreement, we are entitled to reimbursement by Janssen of up to
$58.0 million in research and development costs incurred in conducting Research
Plan activities. We will also be entitled to receive up to an additional
$695.0 million in development, regulatory and commercial milestone payments, as
well as royalties on tiers of annual net sales of Products developed under the
collaboration at rates from the mid-single digits to the high-single digits. We
also have the option to co-detail the first product under the collaboration to
receive marketing approval in the U.S. To date, we have received $27.0 million
in up-front payments and $3.1 million in research and development costs.
Liquidity Overview
Since our inception, we have devoted substantially all of our financial
resources and efforts to research and development and have incurred significant
operating losses. As of September 30, 2021, we had an accumulated deficit of
$360.4 million. We expect to continue to incur significant expenses and
increasing operating losses for the foreseeable future.
In connection with the preparation of our financial statements for the three and
nine month period ended September 30, 2021, we performed an analysis of our
ability to continue as a going concern. We believe, based on our current
business plan, that our existing cash and cash equivalents will not be
sufficient to fund our obligations for twelve months from the issuance of these
financial statements. Our ability to execute our current business plan depends
on our ability to obtain additional funding through equity offerings, debt
financings or potential licensing and collaboration arrangements. We may
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not be able to raise additional funding on terms acceptable to us, or at all,
and any failure to raise funds as and when needed will compromise our ability to
execute on our business plan.
FINANCIAL OPERATIONS OVERVIEW
Revenues
To date, we have generated all of our revenues from our strategic partnerships
with Mundipharma and Janssen. In the future, we may generate revenue from a
combination of license fees and other upfront payments, other funded research
and development agreements, milestone payments, product sales, government and
other third-party funding and royalties in connection with strategic alliances.
We expect that any revenue we generate will fluctuate from quarter-to-quarter as
a result of the timing of our achievement of nonclinical, clinical, regulatory
and commercialization milestones, the timing and amount of payments relating to
such milestones and the extent to which any of our products are approved and
successfully commercialized. If we are unable to fund our development costs or
we are unable to develop product candidates in a timely manner or obtain
regulatory approval for them, our ability to generate future revenues and our
results of operations and financial position would be adversely affected.
Research and development expenses
To date, our research and development expenses have related primarily to
nonclinical development of our rezafungin acetate and our Cloudbreak platform,
as well as clinical development of rezafungin acetate. Research and development
expenses consist of wages, benefits and stock-based compensation for research
and development employees, as well as the cost of scientific consultants,
facilities and overhead expenses, laboratory supplies, manufacturing expenses
and nonclinical and clinical trial costs. We accrue clinical trial expenses
based on work performed, which relies on estimates of total costs incurred based
on patient enrollment, completion of studies or other activities within studies
and other events.
Research and development costs are expensed as incurred and costs incurred by
third parties are expensed as the contracted work is performed. We accrue for
costs incurred as the services are being provided by monitoring the status of
the study or project and the invoices received from our external service
providers. We adjust our accruals as actual costs become known.
We have received potential research and development funding through a grant from
CARB-X and a partnership grant from the National Institute of Allergy and
Infectious Diseases. We have evaluated the terms of the grants to assess our
obligations and the classification of funding received. Amounts received for
funded research and development are recognized in the statement of operations as
a reduction to research and development expense over the grant period as the
related costs are incurred to meet our obligations.
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 development, primarily due to
the increased size and duration of later-stage clinical trials. We expect our
research and development expenses to increase over the next several years as we
continue to conduct nonclinical and clinical studies, expand our research and
development pipeline and progress our product candidates through clinical
trials. However, it is difficult to determine with certainty the duration, costs
and timing to complete our current or future nonclinical programs and clinical
trials of our product candidates.
The duration, costs and timing of clinical trials and development of our product
candidates will depend on a variety of factors that include, but are not limited
to, the following:
•the impact of the COVID-19 pandemic and other similar health crises;
•per patient trial costs;
•the number of patients that participate in the trials;
•the number of sites included in the trials;
•the countries in which the trials are conducted;
•the length of time required to enroll eligible patients;
•the number of doses that patients receive;
•the drop-out or discontinuation rates of patients;
•potential additional safety monitoring or other studies requested by regulatory
authorities;
•the duration of patient follow-up;
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•the phase of development of the product candidate; and
•the efficacy and safety profile of the product candidates.
Research and development expenses by major program or category were as follows
(in thousands):
                                              Three Months Ended            Nine Months Ended
                                                September 30,                 September 30,
                                              2021           2020          2021           2020
Rezafungin                                $   12,440      $  9,011      $  31,596      $ 27,864

Cloudbreak platform                            3,296         2,922          8,283         5,923
Personnel costs                                4,231         3,626         12,586        11,235
Other research and development expenses          538           699          1,609         1,866

Total research and development expenses $ 20,505 $ 16,258 $ 54,074 $ 46,888




We typically deploy our employees, consultants and infrastructure resources
across our programs. Thus, some of our research and development expenses are not
attributable to an individual program but are included in other research and
development expenses as shown above.
In addition, the probability of success for each product candidate will depend
on numerous factors, including competition, manufacturing capability and
commercial viability. We will determine which programs to pursue and how much to
fund each program in response to the scientific and clinical success of each
product candidate, as well as an assessment of each product candidate's
commercial potential.
General and administrative expenses
General and administrative expenses consist primarily of salaries and related
benefits, including stock-based compensation, related to our executive, finance,
legal, business development, commercial planning, and support functions. Other
general and administrative expenses include facility and overhead costs not
otherwise included in research and development expenses, consultant expenses,
travel expenses and professional fees for auditing, tax, legal, and other
services. We expect that general and administrative expenses will increase in
the future as we expand our operating activities and incur additional costs
associated with operating as a publicly traded company. These increases will
likely include legal fees, accounting fees, directors' and officers' liability
insurance premiums and costs associated with investor relations.
Other expense, net
Other expense consists primarily of interest income and expense, and various
income or expense items of a non-recurring nature.
We earn interest income from interest-bearing accounts and money market funds
for cash and cash equivalents. Interest expense represents interest payable
related to term loans and the amortization of debt issuance costs.
Beneficial conversion feature
In February 2020, we completed a rights offering, pursuant to which we sold
6,639,307 shares of common stock and 531,288 shares of Series X Convertible
Preferred Stock for gross proceeds of $30.0 million. Because the effective
conversion price of the Series X Convertible Preferred Stock on the commitment
date was below the fair value of the common stock at the date of issuance, a
beneficial conversion feature with a calculated fair value of $2.8
million existed at the issuance date. As the Series X Convertible Preferred
Stock was fully convertible at issuance, the full $2.8 million was recorded at
issuance as a one-time deemed dividend on February 12, 2020. This one-time,
non-cash deemed dividend impacted accumulated deficit and additional paid in
capital at September 30, 2020 and net loss attributable to common stockholders
and net loss attributable to common stockholders per share for the nine months
ended September 30, 2020.
CRITICAL ACCOUNTING POLICIES AND ESTIMATES
The preparation of our unaudited financial statements requires us to make
estimates and assumptions that affect the reported amounts of assets and
liabilities and disclosure of contingent assets and liabilities as of the date
of the financial statements, and the revenues and expenses incurred during the
reported periods. We believe that the estimates, assumptions and judgments
involved in the accounting policies described in Management's Discussion and
Analysis of Financial Condition and Results of Operations and under Note 2 to
our financial statements contained in our Annual Report have the greatest
potential impact on our financial statements, so we consider them to be our
critical accounting
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policies and estimates. There were no material changes to our critical
accounting policies and estimates during the three and nine months ended
September 30, 2021.
Cash, Cash Equivalents and Restricted Cash
We consider all short-term investments purchased with a maturity of three months
or less when acquired to be cash equivalents.
Restricted cash represents cash that we are required to maintain on hand in
order to maintain compliance with an operating covenant in the Third Amendment
to our Loan Agreement with Pacific Western Bank. See Note 4 to the financial
statement for additional information.
Accounts Receivable
Accounts receivable are recorded at their net invoice value and are not interest
bearing. We reserve specific receivables when collectability is no longer
probable. These reserves are re-evaluated on a regular basis and are adjusted,
as needed. Once a receivable is deemed to be uncollectible, such balance is
recorded as an allowance for credit losses. No such allowance existed at
September 30, 2021 or December 31, 2020.
Property and Equipment
We record property and equipment at cost, which consists of lab equipment,
computer equipment and software, office equipment, furniture and fixtures and
leasehold improvements. Property and equipment is depreciated using the
straight-line method over the estimated useful lives (generally three to seven
years). Leasehold improvements are amortized over the lesser of their useful
life or the remaining lease term, including any renewal periods that are deemed
to be reasonably assured. Repair and maintenance costs are expensed as incurred.
Income Taxes
We follow the Financial Accounting Standards Board, or FASB, Accounting
Standards Codification, or ASC, 740, Income Taxes, or ASC 740, in reporting
deferred income taxes. ASC 740 requires that we recognize deferred tax assets
and liabilities for expected future income tax consequences of events that have
been recognized in our consolidated financial statements. Under this method,
deferred tax assets and liabilities are determined based on temporary
differences between financial statement carrying amounts and the tax basis of
assets and liabilities using enacted tax rates in the years in which the
temporary differences are expected to reverse. Valuation allowances are provided
if, based on the weight of available evidence, it is more likely than not that
some or all of the deferred tax assets will not be realized.
We account for uncertain tax positions pursuant to ASC 740, which prescribes a
recognition threshold and measurement process for financial statement
recognition of uncertain tax positions taken or expected to be taken in a tax
return. If the tax position meets this threshold, the benefit to be recognized
is measured as the tax benefit having the highest likelihood of being realized
upon ultimate settlement with the taxing authority. We recognize interest
accrued related to unrecognized tax benefits and penalties in the provision for
income taxes.
Revenue Recognition
We recognize revenue in accordance with ASC Topic 606, Revenue from Contracts
with Customers, or Topic 606, which applies to all contracts with customers,
except for contracts that are within the scope of other standards, such as
leases, insurance, collaboration arrangements and financial instruments. Under
Topic 606, an entity recognizes revenue when its customer obtains control of
promised goods or services, in an amount that reflects the consideration that
the entity expects to receive in exchange for those goods or services. To
determine revenue recognition for arrangements that an entity determines are
within the scope of Topic 606, the entity performs the following five steps: (i)
identify the contract(s) with a customer; (ii) identify the performance
obligations in the contract; (iii) determine the transaction price; (iv)
allocate the transaction price to the performance obligations in the contract;
and (v) recognize revenue when (or as) the entity satisfies a performance
obligation. We only apply the five-step model to contracts when it is probable
that we will collect the consideration we are entitled to in exchange for the
goods or services we transfers to a customer. At contract inception, once the
contract is determined to be within the scope of Topic 606, we assess the goods
or services promised within each contract and determines those that are
performance obligations, and assess whether each promised good or service is
distinct. We then recognize as revenue the amount of the transaction price that
is allocated to the respective performance obligation when (or as) the
performance obligation is satisfied.
In a contract with multiple performance obligations, we must develop estimates
and assumptions that require judgment to determine the underlying stand-alone
selling price for each performance obligation, which determines how the
transaction
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price is allocated among the performance obligations. The estimation of the
stand-alone selling price(s) may include estimates regarding forecasted revenues
or costs, development timelines, discount rates, and probabilities of technical
and regulatory success. We evaluate each performance obligation to determine if
it can be satisfied at a point in time or over time. Any change made to
estimated progress towards completion of a performance obligation and,
therefore, revenue recognized will be recorded as a change in estimate. In
addition, variable consideration must be evaluated to determine if it is
constrained and, therefore, excluded from the transaction price.
If a license to our intellectual property is determined to be distinct from the
other performance obligations identified in a contract, we recognize revenues
from the transaction price allocated to the license when the license is
transferred to the licensee and the licensee is able to use and benefit from the
license. For licenses that are bundled with other promises, we utilize judgment
to assess the nature of the combined performance obligation to determine whether
the combined performance obligation is satisfied over time or at a point in time
and, if over time, the appropriate method of measuring progress for purposes of
recognizing revenue from the allocated transaction price. We evaluate the
measure of progress at each reporting period and, if necessary, adjust the
measure of performance and related revenue or expense recognition as a change in
estimate.
At the inception of each arrangement that includes milestone payments, we
evaluate whether the milestones are considered probable of being reached. If it
is probable that a significant revenue reversal would not occur, the associated
milestone value is included in the transaction price. Milestone payments that
are not within our or a collaboration partner's control, such as regulatory
approvals, are generally not considered probable of being achieved until those
approvals are received. At the end of each reporting period, we re-evaluate the
probability of achievement of milestones that are within our or a collaboration
partner's control, such as operational developmental milestones and any related
constraint, and, if necessary, adjust our estimate of the overall transaction
price. Any such adjustments are recorded on a cumulative catch-up basis, which
will affect collaboration revenues and earnings in the period of adjustment.
Revisions to our estimate of the transaction price may also result in negative
collaboration revenues and earnings in the period of adjustment.
For arrangements that include sales-based royalties, including commercial
milestone payments based on the level of sales, and a license is deemed to be
the predominant item to which the royalties relate, we will recognize revenue at
the later of (i) when the related sales occur, or (ii) when the performance
obligation to which some or all of the royalty has been allocated has been
satisfied, or partially satisfied. To date, we have not recognized any royalty
revenue from collaborative arrangements.
In September 2019, the we entered into the Mundipharma Collaboration Agreement
with Mundipharma. We concluded that there were three significant performance
obligations under the Mundipharma Collaboration Agreement: the license, the
research and development services, and the clinical supply services, and that
the obligations are distinct from each other. Revenue associated with the
license was recognized upon delivery in September 2019.
In March 2021, we entered into the Janssen Collaboration Agreement with Janssen.
We concluded that there were three significant performance obligations under the
Janssen Collaboration Agreement: the license, the research and development
services, and the clinical supply services, and that the obligations are
distinct from each other. Revenue associated with the license was recognized
upon delivery in May 2021.
We concluded that progress towards completion of the research and development
and clinical supply performance obligations related to the Mundipharma
Collaboration Agreement is best measured in an amount proportional to the
collaboration expenses incurred and the total estimated collaboration expenses.
We periodically review and update the estimated collaboration expenses, when
appropriate, which may adjust revenue recognized for the period. While such
changes to our estimates have no impact on our reported cash flows, the amount
of revenue recorded in the period could be materially impacted. Revenue for the
Janssen Collaboration Agreement is recognized based on actual amounts billed as
the underlying services are provided and billed at market rates. The transaction
prices to be recognized as revenue under both the Mundipharma Collaboration
Agreement and the Janssen Collaboration Agreement consist of upfront payments
and estimated reimbursable research and development and clinical supply costs.
Potential future payments for variable consideration, such as clinical,
regulatory or commercial milestones, will be recognized when it is probable
that, if recorded, a significant reversal will not take place. Potential future
royalty payments will be recorded as revenue when the associated sales occur.
See Note 7 to the financial statements for additional information.
Research and Development Costs
Research and development expenses consist of wages, benefits and stock-based
compensation charges for research and development employees, scientific
consultant fees, facilities and overhead expenses, laboratory supplies,
manufacturing expenses, and nonclinical and clinical trial costs. We accrue
nonclinical and clinical trial expenses based on work performed, which relies on
estimates of total costs incurred based on patient enrollment, completion of
studies, and other events.
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Costs incurred in purchasing technology assets and intellectual property are
charged to research and development expense if the technology has not been
conclusively proven to be feasible and has no alternative future use.
Preclinical and Clinical Trial Accruals
We make estimates of our accrued expenses as of each balance sheet date in our
financial statements based on the facts and circumstances known to us at that
time. Our accrued expenses for preclinical studies and clinical trials are based
on estimates of costs incurred and fees that may be associated with services
provided by contract research organizations, or CROs, clinical trial
investigational sites and other clinical trial-related activities. Payments
under certain contracts with such parties depend on factors such as successful
enrollment of patients, site initiation and the completion of clinical trial
milestones. In accruing for these services, we estimate the time period over
which services will be performed and the level of effort to be expended in each
period. If possible, we obtain information regarding unbilled services directly
from these service providers. However, we may be required to estimate these
services based on other information available to us. If we underestimate or
overestimate the activities or fees associated with a study or service at a
given point in time, adjustments to research and development expenses may be
necessary in future periods. Historically, our estimated accrued liabilities
have approximated actual expense incurred. Subsequent changes in estimates may
result in a material change in our accruals.
Stock-Based Compensation
We account for stock-based compensation expense related to stock options, RSUs,
PRSUs, and ESPP rights by estimating the fair value on the date of grant using
the Black-Scholes option pricing model. For awards subject to time-based vesting
conditions, including those with a graded vesting schedule, stock-based
compensation expense is recognized using the straight-line method. For
performance-based awards to employees, (i) the fair value of the award is
determined on the grant date, (ii) we assess the probability of the individual
performance milestones under the award being achieved and (iii) the fair value
of the shares subject to the milestone is expensed over the implicit service
period commencing once management believes the performance criteria is probable
of being met. We recognize forfeitures related to stock-based compensation as
they occur and any compensation cost previously recognized for awards for which
the requisite service has not been completed is reversed in the period that the
award is forfeited.
The highly subjective assumptions included in the Black-Scholes option pricing
model includes (a) the risk-free interest rate, (b) the historical volatility of
our stock, (c) the expected term of the award, and (d) the expected dividend
yield. In January 2021, we began to compute the historical volatility data using
the daily close prices for our common stock during the equivalent period of the
calculated expected term of our stock-based awards. We estimated the expected
life of employee stock options using the "simplified" method, whereby the
expected life equals the average of the vesting term and the original
contractual term of the option. The risk-free interest rates for periods within
the expected life of the option are based on the yields of zero-coupon U.S.
treasury securities. The expected dividend yield of zero reflects that we have
not paid cash dividends since inception and do not intend to pay cash dividends
in the foreseeable future.
Net Loss Per Share
Basic and dilutive net loss per share is calculated by dividing the net loss
allocable to common shares by the weighted-average number of common shares
outstanding for the period, without consideration for potentially dilutive
securities. Dilutive common stock equivalents are comprised of warrants, Series
X Convertible Preferred Stock, RSUs, PRSUs and options outstanding under our
stock option plans. In loss periods, basic and diluted net loss per share are
identical because the otherwise dilutive potential common shares become
anti-dilutive and are therefore excluded.
Fair Value of Financial Instruments
We follow ASC 820-10 issued by the FASB with respect to fair value reporting for
financial assets and liabilities. The guidance defines fair value, provides
guidance for measuring fair value and requires certain disclosures. The guidance
does not apply to measurements related to share-based payments. The guidance
discusses valuation techniques such as the market approach (comparable market
prices), the income approach (present value of future income or cash flow), and
the cost approach (cost to replace the service capacity of an asset or
replacement cost). The guidance establishes a fair value hierarchy that
prioritizes the inputs to valuation techniques used to measure fair value into
three broad levels.
Our financial instruments consist of cash and cash equivalents, restricted cash,
accounts receivable, accounts payable, accrued liabilities, lease liability, and
a term loan. Fair value estimates of these instruments are made at each
reporting period end based on relevant market information. These estimates may
be subjective in nature and involve uncertainties and matters of significant
judgment and therefore cannot be determined with precision. The carrying amount
of cash and cash equivalents, restricted cash, accounts receivable, accounts
payable, and accrued liabilities are generally considered
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to be representative of their respective fair values because of the short-term
nature of those instruments. We believe that the fair value of our term loan
approximates its carrying value.
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
Collaboration revenue                $    7,076          $ 2,416      $ 4,660
Research and development expense               20,505       16,258      4,247
General and administrative expense              4,607        3,687        920
Other expense, net                          (47)            (103)          56


Collaboration revenue
Collaboration revenue was $7.1 million for the three months ended September 30,
2021 and $2.4 million for the three months ended September 30, 2020. Revenue for
the three months ended September 30, 2021 relates to ongoing research and
development and clinical supply services provided to Mundipharma and Janssen of
$3.3 million and $3.8 million, respectively. Revenue for the three months ended
September 30, 2020 relates to ongoing research and development and clinical
supply services provided to Mundipharma.
Research and development expenses
Research and development expenses were $20.5 million for the three months ended
September 30, 2021 and $16.3 million for the three months ended September 30,
2020. The increase in research and development expenses is primarily due to
higher clinical expenses associated with the rezafungin clinical trials and drug
manufacturing costs, increased expense associated with our Cloudbreak platform,
and higher personnel costs.
General and administrative expenses
General and administrative expenses were $4.6 million for the three months ended
September 30, 2021 and $3.7 million for the three months ended September 30,
2020. The increase in general and administrative expenses is primarily due to
higher consulting, legal, and personnel costs.
Other expense, net
Other expense, net during the three months ended September 30, 2021 and
September 30, 2020 related primarily to interest expense in connection with our
loan from Pacific Western Bank, offset by interest income generated from cash
held in interest-bearing investments.
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
Collaboration revenue                $   42,347      $ 8,338      $ 34,009
Research and development expense           54,074       46,888       7,186

General and administrative expense 13,758 11,751 2,007 Other expense, net

                         (179)        (176)           (3)


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Collaboration revenue
Collaboration revenue was $42.3 million for the nine months ended September 30,
2021 and $8.3 million for the nine months ended September 30, 2020. Revenue for
the nine months ended September 30, 2021 included $27.0 million of revenue
recognized upon transfer of an intellectual property license to Janssen in May
2021. The remaining revenue for the nine months ended September 30, 2021 relates
to ongoing research and development and clinical supply services provided to
Mundipharma and Janssen of $8.4 million and $6.9 million, respectively. Revenue
for the nine months ended September 30, 2020 relates to ongoing research and
development and clinical supply services provided to Mundipharma.
Research and development expenses
Research and development expenses were $54.1 million for the nine months ended
September 30, 2021 and $46.9 million for the nine months ended September 30,
2020. The increase in research and development expenses is primarily due to
higher clinical expenses associated with the rezafungin clinical trials and drug
manufacturing costs, increased expense associated with our Cloudbreak platform,
and higher personnel costs.
General and administrative expenses
General and administrative expenses were $13.8 million for the nine months ended
September 30, 2021 and $11.8 million for the nine months ended September 30,
2020. The increase in general and administrative expenses is primarily due to
higher consulting, legal, and personnel costs.
Other expense, net
Other expense, net during the nine months ended September 30, 2021 and
September 30, 2020 related primarily to interest expense in connection with our
loan from Pacific Western Bank, offset by interest income generated from cash
held in interest-bearing investments.
LIQUIDITY AND CAPITAL RESOURCES
We have incurred significant losses and negative cash flows from operations
since our inception. As of September 30, 2021, we had an accumulated deficit of
$360.4 million and we expect to continue to incur significant losses for the
foreseeable future. We expect our research and development and general and
administrative expenses to continue to be substantial for the foreseeable future
and, as a result, we will need additional capital to fund our operations, which
we may obtain through equity, debt or other financing structures, or through
collaborations, strategic alliances or licensing arrangements with third
parties, or through receiving government and/or charitable grants or contracts.
As of September 30, 2021, we had $40.3 million in cash, cash equivalents and
restricted cash. The following table shows a summary of our cash flows for the
nine months ended September 30, 2021 and 2020 (in thousands):
                                                                    Nine Months Ended
                                                                      September 30,
                                                                   2021           2020

Net cash provided by (used in):


 Operating activities                                           $ (10,325)     $ (43,283)
 Investing activities                                                 (41)          (186)
 Financing activities                                               7,722         36,869

Net decrease in cash, cash equivalents, and restricted cash $ (2,644) $ (6,600)




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Operating activities
Net cash used in operating activities was $10.3 million for the nine months
ended September 30, 2021, compared to net cash used in operating activities of
$43.3 million for the nine months ended September 30, 2020. Cash used in
operating activities for the nine months ended September 30, 2021 was primarily
attributable to a net loss of $25.7 million and included $11.1 million for a
milestone achieved in November 2020 under the Mundipharma Collaboration
Agreement, which was received in January 2021. Cash used in operating activities
for the nine months ended September 30, 2020 was primarily attributable to a net
loss of $50.5 million. For all periods presented, the primary use of cash was to
fund research and development activities for our product candidates, which
activities and uses of cash we expect to continue to increase for the
foreseeable future.
Investing activities
Our investing activities during the nine months ended September 30, 2021 and
2020 consisted of purchases of property and equipment.
Financing activities
Net cash provided by financing activities during the nine months ended
September 30, 2021 primarily consisted of net proceeds of $11.0 million from the
sale of 4,577,115 shares of common stock under the Sales Agreement, after
deducting placement agent fees, offset by principal payments of $3.3 million
made in connection with our loan from Pacific Western Bank. Net cash provided by
financing activities during the nine months ended September 30, 2020 primarily
consisted of (i) net proceeds of $29.2 million from the sale of 6,639,307 shares
of common stock and 531,288 shares of Series X Convertible Preferred Stock
pursuant to the exercise of subscription rights issued in our rights offering
and (ii) net proceeds of $9.5 million from the sale of 2,722,817 shares of
common stock under the Sales Agreement, after deducting placement agent fees,
offset by principal payments of $1.9 million made in connection with our loan
from Pacific Western Bank.
Operating Capital Requirements
We performed an analysis of our ability to continue as a going concern. We
believe, based on our current business plan, that our existing cash and cash
equivalents will not be sufficient to fund our obligations for the next twelve
months. Our ability to execute our operating plan depends on our ability to
obtain additional funding through equity offerings, debt financings or potential
licensing and collaboration arrangements. We plan to continue to fund our losses
from operations through cash and cash equivalents on hand, as well as through
future equity offerings, debt financings, other third party funding, and
potential licensing or collaboration arrangements. There can be no assurance
that additional funds will be available when needed from any source or, if
available, will be available on terms that are acceptable to us. Even if we
raise additional capital, we may also be required to modify, delay or abandon
some of our plans which could have a material adverse effect on our business,
operating results and financial condition and our ability to achieve our
intended business objectives. Any of these actions could materially harm our
business, results of operations and future prospects.
OFF-BALANCE SHEET ARRANGEMENTS
As of September 30, 2021, we did not have any off-balance sheet arrangements.

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