The following discussion and analysis of our financial condition and results of
operations should be read in conjunction with our consolidated financial
statements and related notes appearing elsewhere in this Annual Report. This
discussion and analysis contains forward-looking statements that reflect our
plans, estimates, expectations, assumptions and beliefs and involve risks and
uncertainties. Our actual results and the timing of certain events could differ
materially from those anticipated in these forward-looking statements as a
result of several factors, including those discussed in the section titled "Risk
Factors" included under Part I, Item 1A and elsewhere in this Annual Report on
Form 10-K. See "Special Note Regarding Forward-Looking Statements" in this
Annual Report on Form 10-K.

                            Overview of Our Business

We are a biopharmaceutical company focused on discovering and developing novel
therapeutics based on scientific understanding of key biological pathways
underlying liver and metabolic diseases, retinal diseases and cancer. These
diseases represent a significant burden for patients and healthcare systems and,
in some cases, are leading causes of morbidity and mortality. Our strategy is to
leverage a combination of interrogating human biology and engineering powerful
biologics to discover and develop promising product candidates and seek to move
them rapidly into proof-of-concept studies and late-stage development, with the
goal of delivering impactful first-in-class or best-in-class treatments to
underserved patients suffering from grievous diseases. Since the commencement of
our operations in 2008, we have generated a robust portfolio of product
candidates ranging from early discovery to late-stage development. We aspire to
operate one of the most productive research and development engines in the
biopharmaceutical industry.

Pipeline Programs and Operations Updates



Our discovery engine supports our ability to advance multiple product candidates
across our three key therapeutic areas. In 2020 and 2021 to date, we progressed
the development of our leading product candidates, achieving important
development milestones as described below:

  • Liver and metabolic diseases.


         o  Aldafermin. Aldafermin is an engineered analog of human hormone
            fibroblast growth factor 19, or FGF19, that is administered

through a


            once-daily subcutaneous injection. Aldafermin is wholly-owned 

by us


            and is in Phase 2b development for the treatment of patients 

with


            non-alcoholic steatohepatitis, or NASH, with liver fibrosis 

stage 2, 3


            or 4, or F2, F3 or F4. In 2020 and early 2021, we:


               ?  Presented positive liver histology and biomarker data from the
                  final cohort, Cohort 4, in our adaptive Phase 2 clinical trial
                  of aldafermin in patients with NASH in February 2020. Cohort 4
                  was a 24-week double­blind, randomized,

placebo-controlled Phase


                  2 trial and the data from this cohort demonstrated statistically
                  significant activity on the composite endpoint of both reversing
                  fibrosis and resolving NASH. In the study, aldafermin continued
                  to demonstrate a favorable tolerability profile. The results
                  observed in Cohort 4 were consistent with data from the three
                  previous cohorts.


               ?  Completed enrollment in the Phase 2b ALPINE 2/3 clinical trial
                  of aldafermin in patients with NASH with F2 and F3 liver
                  fibrosis in September 2020.


               ?  Initiated the Phase 2b ALPINE 4 clinical trial of aldafermin in
                  patients with NASH with F4 liver fibrosis and well-compensated
                  cirrhosis in February 2020.


               ?  Looking forward: We expect to report topline results from the
                  ALPINE 2/3 trial in the second quarter of 2021. In the ALPINE 4
                  trial, we are continuing enrollment, with a goal of enrolling
                  approximately 160 patients across 70 sites in the United States,
                  Europe, Hong Kong and Australia. We are leveraging the results
                  of Cohort 4 of our Phase 2 clinical trial, as well as guidance
                  from the U.S. Food and Drug Administration, or FDA, to inform
                  early Phase 3 planning and design. We expect that the ALPINE 2/3
                  trial results will


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                  provide further information to support our design of a pivotal
                  clinical trial program to enable a potential biologics license
                  application, or BLA, submission.


         o  MK-3655 (formerly NGM313). MK-3655 is an agonistic antibody discovered
            by us that selectively activates fibroblast growth factor receptor
            1c-beta-klotho, or FGFR1c/KLB, which regulates insulin

sensitivity,


            blood glucose and liver fat and is administered every four 

weeks


            through a subcutaneous injection. MK-3655 is in Phase 2b

development


            for the treatment of NASH and was optioned by Merck Sharp & Dohme
            Corp., or Merck, under our collaboration with Merck described below.
            In 2020, Merck:


               ?  Initiated a worldwide Phase 2b trial of MK-3655 in patients with
                  NASH with F2 or F3 liver fibrosis in the fourth quarter of 2020
                  and is currently enrolling patients in that trial.


  • Retinal diseases.


         o  NGM621. NGM621 is a humanized Immunoglobulin 1, or IgG1, monoclonal
            antibody administered via intravitreal, or IVT, injection. NGM621 was
            engineered to potently inhibit the activity of complement C3 with the
            treatment goal of reducing disease progression in patients with
            geographic atrophy, or GA. Merck has a one-time option to license
            NGM621 upon completion of a proof-of-concept study in humans. In 2020
            and early 2021, we:


               ?  Completed a Phase 1 clinical trial of NGM621 testing the safety
                  and tolerability of single and multiple IVT injections in
                  patients with GA and, at the American Academy of Ophthalmology
                  2020 Virtual meeting in November 2020, presented safety and
                  pharmacokinetics, or PK, data from the Phase 1 trial
                  demonstrating that NGM621 was well tolerated, with no patients
                  experiencing serious adverse events, or SAEs, drug-related
                  adverse events, or AEs, intraocular inflammation,
                  endophthalmitis or choroidal neovascularization. No dose-related
                  safety patterns or concerns were identified.


               ?  In July 2020, initiated the CATALINA Phase 2 clinical trial of
                  NGM621 in patients with GA to evaluate NGM621's effects on
                  disease progression when given every four weeks or every eight
                  weeks. The CATALINA trial was designed to be a Phase
                  3-supportive or -enabling clinical trial.


  • Oncology.

o NGM120. NGM120, an antagonistic antibody that binds glial cell-derived


            neurotrophic factor receptor alpha-like, or GFRAL, and inhibits growth
            differentiation factor 15, or GDF15, signaling, for the potential
            treatment of cancer and cancer anorexia/cachexia syndrome,

referred to


            as anti-cancer cachexia or CACS. We are currently conducting 

clinical


            trials to assess NGM120's effect on cancer-related cachexia and 

on


            cancer in patients with select advanced solid tumors and

metastatic


            pancreatic cancer. Merck has a one-time option to license

NGM120 upon


            completion of a proof-of-concept study in humans. In 2020 and early
            2021, we:


               ?  Completed enrollment in two cohorts of a Phase 1a/1b
                  dose-finding clinical trial of NGM120 in November 2020: a Phase
                  1a cohort evaluating NGM120 as a monotherapy in patients with
                  select advanced solid tumors and a Phase 1b cohort evaluating
                  NGM120 in combination with gemcitabine and Abraxane® (paclitaxel
                  protein bound) in patients with metastatic pancreatic cancer.
                  This trial is ongoing.


               ?  In January 2021, initiated a placebo-controlled expansion of the
                  Phase 1b portion of the trial testing NGM120 in

combination with


                  gemcitabine and Abraxane as first-line treatment in patients
                  with metastatic pancreatic cancer to assess NGM120's effect on
                  both cancer and cancer-related cachexia, building upon our
                  experiences in the Phase 1a/1b trial.


               ?  Looking forward: We expect to report topline data from the Phase
                  1a/1b trial in the second half of 2021.

o NGM707. NGM707 is a dual antagonist monoclonal antibody that inhibits


            Immunoglobulin-like transcript 2, or ILT2, and 

Immunoglobulin-like


            transcript 4, or ILT4. ILT2 and ILT4 are key myeloid and lymphoid
            checkpoints that may restrict anti-tumor immunity, enable tumors to
            evade


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            immune detection and contribute to T-cell checkpoint 

resistance. Merck


            has a one-time option to license NGM707 upon completion of a
            proof-of-concept study in humans. In 2020 and early 2021, we:


               ?  Completed all preclinical studies of NGM707 to enable an
                  investigational new drug application-, or IND-, submission.


               ?  Looking forward: We expect to commence a first-in-human Phase 1
                  clinical trial of NGM707 in patients with advanced solid tumors
                  in mid-2021.

o NGM438. NGM438 is an antagonistic antibody that is designed to inhibit


            leukocyte-associated immunoglobulin-like receptor 1, or LAIR1, 

and


            promote immune detection and activation against advanced solid 

tumors.


            Merck has a one-time option to license NGM438 upon completion of a
            proof-of-concept study in humans. In 2020 and early 2021, we:


               ?  Advanced preclinical IND-enabling studies of NGM438 and began
                  preparing an IND for a planned submission in the second half of
                  2021.


               ?  Looking forward: We expect to commence a first-in-human Phase 1
                  clinical trial of NGM438 in patients with advanced solid tumors
                  in the fourth quarter of 2021.

We have additional undisclosed programs that are in various stages of development ranging from functional validation to preclinical development.



The success of each of our product candidates may be affected by numerous
factors, including preclinical data, clinical data, competition, manufacturing
capability, sales capability, collaboration partners, regulatory matters,
third-party payor matters and commercial viability. We do not have any products
approved for sale and do not anticipate generating revenue from product sales
for the foreseeable future, if ever.

Partnering has been and is expected to continue to be a key component of our
strategy as we plan to continue to develop a broad portfolio of product
candidates and, if approved, to commercialize the resulting products. Our
existing research collaboration, product development and license agreement with
Merck, or the Collaboration Agreement, which we entered into in 2015, has to
date provided us with substantial financial support from Merck. The
collaboration has also afforded us substantial freedom to pursue development
efforts for our collaboration programs and product candidates. We are currently
in discussions with Merck with respect to modifying certain terms of the
collaboration, as described in more detail below. In addition, for any programs
wholly-owned by us and not subject to the Merck collaboration, such as
aldafermin, we may decide to pursue a strategic partner to progress, in whole or
in part, the program or commercialize any resulting approved product.

In addition, all of our manufacturing activities are outsourced to third-party
contract development and manufacturing organizations or third-party contract
manufacturing organizations, which we refer to collectively as CMOs, who are
generally single source suppliers of the drug product or drug substance they are
manufacturing for us. We also utilize third-party contract research
organizations, or CROs, to carry out many of our clinical development
activities. We expect to be reliant on CMOs and CROs for these activities for
the foreseeable future. Significant portions of our research and development
resources are focused, and will continue to be focused, on activities required
to prepare aldafermin for potential regulatory approval for the treatment of
NASH, including manufacturing of clinical trial materials and preparation for
potential Phase 3 testing. If our CROs fail to satisfy their contractual duties
to us or meet expected deadlines or if our CMOs experience difficulties in
scaling production or experience product loss due to contamination, equipment
failure, improper installation or operation of equipment, vendor or operator
error, turnover of qualified staff or improper storage conditions, our ongoing
and planned aldafermin trials would be delayed, perhaps substantially, which
could materially and adversely affect our business.

We seek to allocate our capital efficiently and strategically and fund our
portfolio based on each program's scientific and other merits. Our discipline
has been demonstrated by the suspension of development activities on multiple
viable product candidates for portfolio management reasons in order to
concentrate our resources on what we consider our most promising product
candidates. For example, in 2020, we suspended development activities related to
multiple metabolic disease product candidates in order to concentrate our
resources on aldafermin and certain other product candidates subject to our
Merck collaboration. Most recently, in December 2020, based on the overall
clinical experience with both NGM386 (a once-daily GDF15 agonist product
candidate we suspended development of earlier in 2020) and NGM395 (a long-acting
GDF15 agonist product

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candidate), we decided to suspend development of our GDF15 agonist program,
including both NGM386 and NGM395, after we complete an ongoing Phase 1 clinical
trial evaluating safety, tolerability and PK of NGM395 in obese but otherwise
healthy adults. We remain interested in the potential applications of a GDF15
agonist, but we believe antagonizing the GDF15 receptor, GFRAL, with NGM120 in
patients with cancer has a stronger near-term rationale for development. In
mid-2020, we also suspended development of NGM217, an antibody binding an
undisclosed target that is designed to restore pancreatic islet function and
increase insulin production in patients with diabetes, after we completed a
Phase 1 clinical trial of NGM217 assessing its safety, tolerability and PK in
adults with autoimmune diabetes. This clinical trial demonstrated that NGM217
was well tolerated; however, we decided to suspend activities related to NGM217
to concentrate our resources on the development of other product candidates.

Merck Collaboration Update



The original research phase of the Collaboration Agreement with Merck was for
five years. In March 2019, Merck exercised its option to extend the research
phase of the collaboration through March 16, 2022. Under the terms of the
collaboration, Merck was required to notify us no later than March 17, 2021 of
its unilateral decision whether to exercise its option to extend the research
phase of the collaboration for an additional two-year term through March 16,
2024. In March 2021, Merck initiated discussions with us with respect to
elements of the ongoing collaboration that might be optimized to better address
the evolving interests and priorities of both NGM and Merck during the remainder
of the current research phase through March 16, 2022 and during any extension of
the current research phase and any tail period after the end of the research
phase. In this regard, the parties are negotiating in good faith certain
modifications to the terms of the collaboration. Such modifications may include,
among other things, focusing NGM's research and development under the
collaboration on therapeutic areas of particular interest to Merck, while
enabling NGM to conduct research and development outside of these therapeutic
areas which would, if mutually agreed to, allow NGM to discover and develop
product candidates on its own or with third parties in other areas of interest.
In order to allow negotiations to proceed, the parties have agreed to extend the
March 17, 2021 deadline for Merck to deliver its extension notification decision
until June 30, 2021. While we cannot predict whether or when Merck will elect to
extend the research phase of the collaboration or on what terms, or whether or
when we will reach agreement with Merck on the terms of a modified collaboration
generally, we expect that any modified collaboration would result in a level of
annual research support from Merck during any extension of the current research
phase after March 16, 2022 that is meaningfully lower than the annual research
support Merck provided during the initial five-year term and is providing during
the current two-year extension of the research phase. In this regard, we expect
that under the terms of a modified collaboration, Merck will not provide
research funding for certain of our product candidates. We also expect that if
we are unable to reach agreement with Merck on modified terms, Merck will not
elect to extend the research phase of the collaboration and will decide not to
proceed with certain of our product candidates after the end of the research
phase. In any event, we expect that our funding obligations with respect to the
development of our current and potential future product candidates will
substantially increase following March 16, 2022, the end of the current two-year
extension of the research phase, regardless of whether we are able to reach
agreement with Merck on modified terms.

Financial Highlights

Since inception, we have funded our operations primarily through:

• fees received from collaboration partners, primarily Merck, which


             since inception through December 31, 2020 includes 

reimbursement of


             research and development expenses of $400.6 million, upfront cash
             licensing fees of $123.0 million, primarily from Merck, and a payment
             of $20.0 million from Merck to license MK-3655 and related compounds;

• proceeds from a private placement of convertible preferred stock


             prior to our initial public offering, or IPO, including

approximately

$106.0 million of our Series E convertible preferred stock purchased
             by Merck;


          •  net proceeds from our IPO in 2019 of approximately $107.8 million,
             together with proceeds from the concurrent private placement of
             shares of common stock to Merck of $65.9 million;


          •  net proceeds of $21.9 million from sales of 809,700 shares of our
             common stock at an average price of $27.94 per share in

December 2020


             under an Open Market Sale AgreementSM, or the Sales Agreement, we
             entered into with Jefferies LLC, or Jefferies, in June 2020; and


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• net proceeds of approximately $134.7 million from the sale of


             5,324,074 shares of our common stock in January 2021 upon 

completion


             of an underwritten public offering of our common stock, or the
             follow-on offering, which included the full exercise by the
             underwriters of their option to purchase additional shares.

At December 31, 2020, we had $295.2 million in cash, cash equivalents and short-term marketable securities, which does not include net proceeds of approximately $134.7 million from our follow-on offering in January 2021.



We have incurred net losses each year since our inception. Our consolidated net
losses were $102.5 million, $42.8 million and $0.5 million for the years ended
December 31, 2020, 2019 and 2018, respectively. As of December 31, 2020, we had
an accumulated deficit of $298.6 million. Substantially all of our net losses
have resulted from costs incurred in connection with our research and
development, or R&D, programs and general and administrative costs associated
with our operations. Our net losses may fluctuate significantly from quarter to
quarter and year to year, depending on the timing of our clinical trials and our
expenses on other R&D activities, and the amount of R&D funding we receive from
collaboration partners, including Merck. For further discussion of our financial
position and future sources of funding, see "Liquidity and Capital Resources"
below.

COVID-19 Business Update

We are continuing to closely monitor the impact of the global COVID-19 pandemic
on our business and have taken and continue to take proactive efforts designed
to protect the health and safety of our patients, study investigators, clinical
research staff and employees, while maintaining business continuity. Following
guidance from federal, state and local authorities, we continue to operate with
a primarily remote work model. Only individuals conducting essential in-person
laboratory work and other essential business functions are working on site and
only for work that cannot be conducted remotely. There have been relatively
minor impacts on productivity overall, but future developments could more
materially and adversely impact our productivity. In addition, in 2020, we
experienced higher-than-normal employee turnover and an increased rate of hiring
new employees. We cannot predict whether these trends will continue or be
exacerbated, when we will be permitted to return to an office-based working
model or whether we will be required to adopt a more restrictive work model.

For patients enrolled in our clinical trials, we continue to work closely with
clinical trial investigators and site staff with the goal of continuing
treatment in a manner designed to uphold trial integrity, while allowing some
flexibility in the manner and timing of patient visits, and to observe
government and institutional guidelines designed to safeguard the health and
safety of patients, clinical trial investigators and site staff. We have
experienced, from time to time, a slower pace of clinical trial site initiation
and clinical trial enrollment than originally anticipated in certain of our
clinical trials, including the ALPINE 4, CATALINA and NGM120 trials, and we have
experienced a higher dropout rate than anticipated in our ALPINE 2/3 trial after
we completed enrollment, due to factors such as the vulnerability of our studied
patient populations, clinical trial site suspensions, reallocation of medical
resources and the challenges of working remotely due to shelter-in-place and
similar government orders, among other factors.

We have been proactively working to mitigate these and other effects of the
COVID-19 pandemic by monitoring site initiations, patient enrollment and patient
study adherence to provide support to patients and trial staff, often on a
case­by­case and/or patient-by-patient basis. For example, we have implemented
additional study policies and procedures designed to help protect trial
participants from exposure to COVID-19 as a result of their trial participation,
which include the use of telemedicine visits, remote monitoring of patients and
clinical trial sites and other measures, as appropriate, designed to ensure that
data from clinical trials that may be disrupted as result of the pandemic are
collected pursuant to the study protocol and consistent with current Good
Clinical Practices, with any material protocol deviation reviewed and approved
by the clinical trial site Institutional Review Boards. Most of our clinical
trial sites, both within and outside of the United States, continue to screen
patients in our clinical trials, and new patients are being enrolled when
appropriate. While the COVID-19 pandemic has not yet resulted in a significant
impact to our disclosed clinical development timelines and we believe the
higher-than-planned enrollment we achieved in our ALPINE 2/3 trial has mitigated
the effects of the increased dropout rate, as the pandemic continues, there may
be continuing negative impacts on our ability to initiate new clinical trial
sites, maintain enrollment of existing patients and enroll new patients, which
may result in increased clinical trial costs and negatively impact our timelines
and our ability to obtain regulatory approvals of our product candidates in a
timely fashion, if at all.

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We also could see an adverse impact on our ability to report clinical trial
results, or interact with regulators, institutional review boards and ethics
committees or other important agencies due to limitations in regulatory
authority employee resources or otherwise. Moreover, we rely on CROs and other
third parties to assist us with clinical development activities, and we cannot
guarantee that they will continue to perform their contractual duties in a
timely and satisfactory manner as a result of the COVID-19 pandemic.

In addition, while we have not experienced any disruption to drug or related
component supply for our ongoing clinical trials, we could experience
disruptions to our supply chain and operations due to the continuing pandemic,
and associated delays in the manufacturing and supply of drug substance and drug
product for our clinical trials, which could adversely affect our ability to
conduct ongoing and future clinical trials of our product candidates. For
example, our aldafermin drug product CMO has advised us that it could be
required under orders of the U.S. government to allocate manufacturing capacity
to the manufacture or distribution of COVID-19 vaccines. If any of our CMOs
become subject to acts or orders of U.S. or foreign government entities to
allocate manufacturing capacity to the manufacture or distribution of COVID-19
vaccines or medical supplies needed to treat COVID-19 patients, this could also
delay our clinical trials, perhaps substantially, particularly our ongoing and
planned aldafermin trials, which could materially and adversely affect our
business.

Finally, we cannot predict how the evolving effects of the COVID-19 pandemic may
influence the future decisions of Merck to license any programs available to it
under the Collaboration Agreement, to exercise its remaining option to extend
the research phase of the collaboration beyond March 16, 2022 or to reach
agreement with us on the terms of a modified collaboration, if any. For
additional information about risks and uncertainties related to the COVID-19
pandemic that may impact our business, financial condition and results of
operations, see the section titled "Risk Factors" in Part I, Item 1A of this
Annual Report on Form 10-K.

                         Financial Operations Overview

Collaboration Revenue

Our revenue to date has been generated primarily from recognition of license fees and R&D service funding pursuant to our Collaboration Agreement with Merck. Merck is also a significant stockholder and, as such, collaboration revenue from Merck is referred to as related party revenue.

Merck Collaboration



In 2015, we entered into the Collaboration Agreement with Merck, covering the
discovery, development and commercialization of novel therapies across a range
of therapeutic areas, including a broad, multi-year drug discovery and early
development program financially supported by Merck, but scientifically directed
by us with input from Merck. Merck generally has a one-time right to exercise
its option to an exclusive, worldwide license for any collaboration product
candidate and related program when a human proof-of-concept trial is completed.
In 2018, Merck exercised its option to license MK-3655, which is a potential
treatment for NASH. Under the current terms of the Collaboration Agreement, for
a program that Merck licenses, we retain an option, when a product candidate has
advanced to Phase 3 clinical trials, to participate in up to 50% of the economic
return from that product candidate if it becomes an approved medicine by
agreeing to share up to 50% of the costs of future development. If we do not
elect this option, we will instead receive milestone and royalty payments and we
will not be required to share in development costs.

The aldafermin program is not included in the Collaboration Agreement and it remains wholly-owned and controlled by us.



The term of the current research phase of the collaboration and a general
description of the funding we have received and may in the future receive under
the collaboration for research and development expenses is included in "Our
Collaboration with Merck" in Part I, Item 1A of this Annual Report on Form 10-K
and "Overview of Our Business -- Merck Collaboration Update" above. Since
inception through December 31, 2020, Merck had paid us $495.8 million under the
Collaboration Agreement. Due to the nature of our agreement with Merck and the
timing of related revenue recognition, our revenue has fluctuated from period to
period in the past and we expect that it will continue to fluctuate in future
periods.

We use the cost-based input method in accordance with Accounting Standards
Codification 606, or ASC 606, to calculate the corresponding amount of revenue
to recognize at each reporting period. In applying the cost-based input measure
of revenue recognition, we measure actual costs incurred relative to budgeted
costs to fulfill

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our performance obligation. We apply considerable judgment when we re-evaluate
the estimate of expected costs to satisfy the performance obligation each
reporting period and make adjustments for any significant changes. A significant
change in the estimate of expected costs for the remainder of the current
two-year extension period could have a material impact on revenue recognized
(including the possible reversal of previously recognized revenue) at each
reporting period.

The sources of our collaboration revenue were as follows (in thousands):



                                                 Year Ended December 31,
                                             2020        2019(1)        2018
           Related party revenue:
           Collaboration service revenue   $ 87,368     $ 103,544     $  69,865
           License revenue                        -             -        20,000
           Recognition of upfront fee             -             -        18,800
           Totals                          $ 87,368     $ 103,544     $ 108,665

(1) We adopted ASU 2014-09, Revenue from Contracts with Customers (Topic 606),

and subsequent amendments, under the modified retrospective approach on

January 1, 2019. Refer to Note 2 to our consolidated financial statements for

more details.

Research and Development Expenses



R&D efforts include drug discovery research activities and development
activities relating to our product candidates, such as manufacturing drug
substance, drug product and other clinical trial materials, conducting
preclinical studies and clinical trials and providing support for these
operations. Our R&D expenses consist of both internal and external costs. Our
internal costs include employee, consultant, facility and other R&D operating
expenses. Our external costs include fees paid to CROs and other service
providers in connection with our clinical trials and preclinical studies,
third-party license fees and CMO costs related to manufacturing drug substance,
drug product and other clinical trial materials.

Our R&D expenses related to the development of aldafermin, MK-3655, NGM621, NGM120, NGM707 and NGM438 (and prior to suspending these programs, NGM386, NGM395 and NGM217) consist primarily of:

• fees paid to our CROs in connection with our clinical trials and other

related clinical trial fees, when applicable;

• costs related to acquiring and manufacturing drug substance, drug product

and clinical trial materials, including continued testing, such as process

validation and stability, of drug substance and drug product;

• costs related to toxicology testing and other research and preclinical


      related studies;


    • salaries and related overhead expenses, which include stock-based
      compensation and benefits, for personnel in R&D functions;


  • fees paid to consultants for R&D activities;

• R&D operating expenses, including facility costs and depreciation expenses;


      and


  • costs related to compliance with regulatory requirements.


Our clinical development efforts are spread across multiple programs, most of
which are subject to the Merck collaboration. For the foreseeable future, we
anticipate the majority of our financial resources, other than those received
from Merck and dedicated to Merck collaboration activities, will be dedicated to
activities required to prepare aldafermin for potential regulatory approval for
the treatment of NASH, including manufacturing of clinical trial materials and
preparation for a potential pivotal program.

In the future, we may devote financial resources to other programs in the event
Merck does not elect to license these programs upon completion of a
proof-of-concept study, in the event Merck elects to terminate its license to
any program it licenses or in the event we opt to co-develop any Merck-licensed
programs, or if Merck no longer funds such programs under modified terms of the
collaboration.

Our R&D efforts under the Merck collaboration are extensive and costly and are currently subject to reimbursement under our Merck collaboration during the current two-year extension up to the funding caps



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provided in our Collaboration Agreement. If our R&D expenses for product
candidates subject to the Merck collaboration, including the clinical
development of product candidates subject to the Merck collaboration through
completion of proof-of-concept studies, exceed the funding caps provided in the
Collaboration Agreement, which happened in the fiscal year ended December 31,
2020 and could happen in the future, we will be required to devote our own
financial resources toward the development of such product candidates or, if we
are unwilling or unable to do so, pause or suspend such development to remain
within the funding caps. In addition, while we cannot predict whether or when
Merck will elect to extend the research phase of the collaboration through March
16, 2024 or on what terms, or whether or when we will reach agreement with Merck
on the terms of a modified collaboration generally, we expect that any modified
collaboration would result in a level of annual research support from Merck
during any extension of the current research phase after March 16, 2022 that is
meaningfully lower than the annual research support Merck provided during the
initial five-year term and is providing during the current two-year extension of
the research phase. In this regard, we expect that under the terms of a modified
collaboration, Merck will not provide research funding for certain of our
product candidates. We also expect that if we are unable to reach agreement with
Merck on modified terms, Merck will not elect to extend the research phase of
the collaboration and will decide not to proceed with certain of our product
candidates after the end of the current research phase. In any event, we expect
that our funding obligations with respect to the development of our current and
potential future product candidates will substantially increase following March
16, 2022, the end of the current two-year extension of the research phase,
regardless of whether we are able to reach agreement with Merck on modified
terms.

The successful development of our product candidates is highly uncertain. At
this time, we cannot reasonably estimate the nature, timing or costs of the
efforts that will be necessary to complete the remainder of the development of
our product candidates. This is due to the numerous risks and uncertainties
associated with developing medicines, including the uncertainty of:

• our ability to hire and retain key R&D personnel;

• manufacturing scale-up challenges, production shortages or other supply

disruptions for clinical trial materials;

• the evolving effects of the COVID-19 pandemic on our employees, patients,

clinical trial sites and our CROs, CMOs and other service providers;

• the timely and quality performance of our CROs, CMOs and other service

providers;

• whether Merck will elect to license, or to terminate its license, to any of

our programs and the timing of such election or termination;

• whether we exceed the current or any future funding caps provided in our

Collaboration Agreement and whether Merck decides not to proceed with

certain of our product candidates after the end of the research phase;

• the effect of products that may compete with our product candidates or other

market developments;

• our ability to expand and enforce our intellectual property portfolio;

• the scope, rate of progress, results and expense of our ongoing, as well as

any future, clinical trials and other R&D-related activities; and

• the impact and timing of any interactions with regulatory authorities.




A change in the outcome of any of the risks and uncertainties associated with
the development of a product candidate could mean a significant change in the
costs and timing associated with the development of that product candidate. For
example, if the FDA or another regulatory authority were to require us to
conduct clinical trials beyond those that we currently anticipate will be
required for the completion of clinical development of a product candidate, or
if we experience significant delays in enrollment in any of our clinical trials,
we could be required to expend significant additional financial resources and
time on the completion of clinical development. For additional discussion of the
risks and uncertainties associated with our R&D efforts, see "Risk Factors-Risks
Related to Our Business and Industry," "-Risks Related to Our Dependence on
Merck and Other Third Parties," and "-Risks Related to Regulatory Approvals" in
Part I, Item 1A of this Annual Report on Form 10-K.

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General and Administrative Expenses



General and administrative expenses consist primarily of salaries and other
related costs, including stock-based compensation and benefits. Other
significant costs include legal fees relating to patent and corporate matters,
facility costs not otherwise included in R&D expenses and fees for accounting
and other consulting services.

We anticipate that our general and administrative expenses will increase in the
future to support our continued R&D activities. These increases will likely
include increased costs related to the hiring of additional personnel, as well
as fees paid to outside consultants, lawyers and accountants, among other
expenses. Additionally, we anticipate continued increased costs associated with
being a public company, including expenses related to services associated with
maintaining compliance with Nasdaq listing rules and related SEC requirements
and costs related to insurance, investor relations and SOX 404 compliance. In
addition, we may incur expenses associated with building a commercial
organization in connection with, and prior to, potential future regulatory
approval of our product candidates.

                             Results of Operations

Our results of operations were as follows (in thousands):





                                              Year Ended December 31,                          Change
                                          2020          2019          2018         2020 vs 2019       2019 vs 2018
Related party revenue                  $   87,368     $ 103,544     $ 108,665     $      (16,176 )   $       (5,121 )
Operating expenses:
Research and development                  163,972       129,253        95,714             34,719             33,539
General and administrative                 27,229        23,631        17,265              3,598              6,366
Total operating expenses                  191,201       152,884       112,979             38,317             39,905
Loss from operations                     (103,833 )     (49,340 )      (4,314 )          (54,493 )          (45,026 )
Interest income                             1,939         6,692         3,622             (4,753 )            3,070
Other income (expense), net                  (593 )        (147 )         199               (446 )             (346 )
Net loss                               $ (102,487 )   $ (42,795 )   $    (493 )   $      (59,692 )   $      (42,302 )

Related Party Revenue from Merck



Revenue decreased $16.2 million in the year ended December 31, 2020 compared to
the same period in 2019 primarily due to a decrease of $14.9 million related to
the recognition of a portion of the initial upfront payment received from Merck
that was included within the transaction price and recognized over the initial
five-year term of our Collaboration Agreement using the cost-based input model.
The initial five-year term ended in the first quarter of 2020. Revenue decreased
$5.1 million in the year ended December 31, 2019 compared to the same period in
2018 primarily due to license revenue of $20.0 million received in 2018 due to
Merck's exercise of its option for MK-3655, partially offset by an increase of
$9.7 million in reimbursable costs related to research personnel and R&D
activities and an increase of $5.2 million in revenue associated with the change
in revenue recognition methodology under ASC 606, which was effective January 1,
2019.

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Research and Development Expenses

Our R&D expenses by program were as follows (in thousands):




                                                       Year Ended December 31,
                                                   2020          2019          2018
     External R&D expenses:

     Aldafermin (FGF19 analog)                   $  50,553     $  32,001

$ 15,359


     NGM621 (C3 inhibitor)                          13,126         4,420   

6,791


     NGM120 (GFRAL antagonist)                       5,606         3,414   

3,442

NGM707 (Anti-ILT2/ILT4 dual antagonist) 4,817 2,295

-


     NGM438 (LAIR1 antagonist)                       3,586         1,302   

-


     NGM395 (GDF15 analog)                           2,102           585   

701


     MK-3655 (FGFR1c/KLB agonist)                      624         2,009   

3,544


     Other external R&D expenses                     6,852        10,791   

3,412


     Total external R&D expenses                    87,266        56,817   

33,249


     Personnel-related expenses                     43,811        38,171   

30,908

Internal and unallocated R&D expenses (1) 32,895 34,265


   31,557
     Total R&D expenses                          $ 163,972     $ 129,253     $ 95,714

(1) Internal and unallocated R&D expenses consist primarily of research supplies

and consulting fees, which we deploy across multiple R&D programs.




R&D expenses increased $34.7 million in the year ended December 31, 2020
compared to the same period in 2019 primarily due to a $31.0 million increase in
external expenses driven by our manufacturing activities and ongoing clinical
trials of aldafermin, NGM621, NGM120 and NGM395. The increase in R&D expenses in
2020 also included increases of $5.6 million in personnel-related expenses and
$4.8 million in costs associated with pre-clinical IND-enabling studies for
NGM707 and NGM438. These increases were partially offset by a decrease of $3.9
million in clinical trial materials and $1.4 million in unallocated R&D expenses
related to multiple R&D programs.

R&D expenses increased $33.5 million in the year ended December 31, 2019
compared to the same period in 2018 primarily due to increases of $16.6 million
in external expenses driven by ongoing clinical trials of aldafermin, $7.4
million related to clinical trial materials, $7.3 million in personnel-related
expenses and $2.7 million in unallocated R&D expenses related to early research
testing.

We expect R&D expenses in 2021 will increase compared to 2020 due to our ongoing
activities, particularly as we advance our clinical development of aldafermin.
In addition, we may be required to develop and implement additional clinical
study policies and procedures to mitigate the evolving effects of the COVID-19
pandemic, which could significantly increase our R&D expenses.

General and Administrative Expenses



General and administrative expenses increased $3.6 million in the year ended
December 31, 2020 compared to the same period in 2019 primarily due to an
increase in personnel-related expenses due to increased headcount. General and
administrative expenses increased $6.4 million in the year ended December 31,
2019 compared to the same period in 2018 primarily due to a $3.4 million
increase in personnel-related expenses due to increased headcount and the
implementation of our employee stock purchase plan and a $2.0 million increase
in consulting expenses.

We anticipate general and administrative expenses in 2021 will increase compared
to 2020 due to an increase in compensation-related expenses driven by higher
headcount and other expenses related to the expansion and support of our
business.

Interest Income



Interest income decreased $4.8 million in the year ended December 31, 2020
compared to the same period in 2019 primarily due to the decrease in market
interest rates and a reduction in our cash balance. Interest income increased
$3.1 million in the year ended December 31, 2019 compared to the same period in
2018

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primarily due to an increase in our cash and investments balance subsequent to
the completion of our IPO and concurrent private placement to Merck in April
2019.

                        Liquidity and Capital Resources

Funding Requirements

We have incurred net losses every year since our inception. We have spent, and
expect to continue to spend, significant resources to fund R&D of, and seek
regulatory approvals for, our product candidates, particularly aldafermin. These
activities require us to incur substantial costs related to research,
development, manufacturing, preclinical studies, clinical trial and related
activities, as well as to cover other expenses related to our ongoing
operations. For example, we will require substantial additional capital to
achieve our development and commercialization goals for our aldafermin program
that is being conducted outside of the Merck collaboration or for any other
programs in the event Merck does not elect to license these programs upon
completion of a proof-of-concept study, in the event Merck elects to terminate
its license to any program it licenses or in the event we opt to co-develop any
Merck-licensed programs, or if Merck no longer funds such programs under
modified terms of the collaboration. In addition, while we cannot predict
whether or when Merck will elect to extend the research phase of the
collaboration through March 16, 2024 or on what terms, we expect that any
modified collaboration would result in a level of annual research support from
Merck during any extension of the current research phase after March 16, 2022
that is meaningfully lower than the annual research support Merck provided
during the initial five-year term and is providing during the current two-year
extension of the research phase. See ""Overview of Our Business - Merck
Collaboration Update" above. As a result, we expect to incur significant and
increasing operating losses. We have no products approved for commercial sale,
have not generated any revenue from product sales to date and we are not and may
never be profitable. We have incurred losses in each year since commencing
operations. Our consolidated net losses were $102.5 million, $42.8 million and
$0.5 million for the years ended December 31, 2020, 2019 and 2018, respectively.
As of December 31, 2020, we had an accumulated deficit of $298.6 million and we
expect our accumulated deficit will increase significantly over time. The size
of our future net losses will depend, in part, on the rate of future growth of
our expenses, how much revenue, if any, continues to be generated under the
Merck collaboration and our ability to generate revenue outside of the Merck
collaboration.

In addition, if our R&D expenses for product candidates subject to the Merck
collaboration exceed the funding caps provided in our current Collaboration
Agreement, which happened in the fiscal year ended December 31, 2020 and could
happen in the future, or if Merck no longer funds such programs under modified
terms of the collaboration, we will be required to devote our own financial
resources toward the development of such product candidates or, if we are
unwilling or unable to do so, pause or suspend such development to remain within
the funding caps or to proceed with development of unfunded programs.

Sources of Liquidity

Merck Collaboration



The revenue we receive under our Collaboration Agreement with Merck is our only
source of revenue. The original research phase of the Collaboration Agreement
was for five years. As described in greater detail in "Overview of Our Business
- Merck Collaboration Update" above, the parties are negotiating in good faith
certain modifications to the terms of the collaboration. While we cannot predict
whether or when Merck will elect to extend the research phase of the
collaboration or on what terms, or whether or when we will reach agreement with
Merck on the terms of a modified collaboration generally, we expect that any
modified collaboration would result in a level of annual research support from
Merck during any extension of the current research phase after March 16, 2022
that is meaningfully lower than the annual research support Merck provided
during the initial five-year term and is providing during the current two-year
extension of the research phase. In this regard, we expect that under the terms
of a modified collaboration, Merck will not provide research funding for certain
of our product candidates. We also expect that if we are unable to reach
agreement with Merck on modified terms, Merck will not elect to extend the
research phase of the collaboration and will decide not to proceed with certain
of our product candidates after the end of the research phase. In any event, we
expect that our funding obligations with respect to the development of our
current and potential future product candidates will substantially increase
following March 16, 2022, the end of the current two-year extension of the
research phase, regardless of whether we are able to reach agreement with Merck
on modified terms. Accordingly, we will require significant additional capital
in order to proceed with development and commercialization of our current and
potential future product candidates,

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including any product candidate that had been subject to the Merck collaboration
but Merck decides not to proceed with under the terms of a modified
collaboration or after the end of the research phase, or we will need to enter
into additional collaboration or license agreements in order to fund such
development and commercialization. Neither may be possible and as a result, we
may be required to delay, scale back or discontinue development of such product
candidates.

Other Sources of Liquidity

In June 2020, we entered into the Sales Agreement with Jefferies relating to the
sale of shares of our common stock. In accordance with the terms of the Sales
Agreement, we may offer and sell shares of our common stock having an aggregate
offering price of up to $150.0 million from time to time through Jefferies,
acting as our sales agent. In December 2020, under the Sales Agreement, we sold
809,700 shares of our common stock at an average price of $27.94 per share for
net proceeds of $21.9 million, after deducting $0.7 million in sales
commissions. As of December 31, 2020, $127.4 million of our common stock
remained available to be sold under the Sales Agreement, subject to certain
conditions as specified in the Sales Agreement.

As of December 31, 2020, we had cash and cash equivalents of $147.0 million, short-term marketable securities of $148.1 million, working capital of $265.8 million and an accumulated deficit of $298.6 million.



In January 2021, we sold 5,324,074 shares of common stock (inclusive of shares
sold pursuant to the full exercise of the option to purchase additional shares
granted to the underwriters in connection with the offering) through an
underwritten public offering at a price of $27.00 per share for aggregate net
proceeds of approximately $134.7 million. We intend to use the net proceeds from
this offering for working capital and other general corporate purposes, which
may include funding our pipeline of development programs, general and
administrative activities and capital expenditures.

We believe that our existing cash, cash equivalents and short-term marketable
securities will be sufficient to fund our operations for at least the next
twelve months. We have based this estimate on assumptions that may prove to be
wrong and we could utilize our available capital resources sooner than we
currently expect. In addition, our forecast of the period of time through which
our financial resources will be adequate to support our operations is a
forward-looking statement that involves risks and uncertainties, and actual
results could vary materially as a result of a number of factors, including the
factors discussed under "Risk Factors" in Part I, Item 1A of this Annual Report
on Form 10-K.

We plan to finance our future cash needs through public or private equity or
debt offerings, including under the Sales Agreement, government or other
third-party funding, product collaborations, strategic alliances, licensing
arrangements or a combination of these. Additional capital may not be available
in sufficient amounts, on reasonable terms or when we need it, if at all, and
our ability to raise additional capital may be adversely impacted by worsening
global economic conditions and the disruptions to, and volatility in, the credit
and financial markets in the United States and worldwide resulting from, among
other things, the evolving effects of the COVID-19 pandemic. If we raise
additional funds by issuing equity securities, our stockholders may experience
dilution. Debt financing, if available, may involve restrictive covenants. Any
debt financing or additional equity that we raise may contain terms that are not
favorable to us or our stockholders. Furthermore, any securities that we may
issue may have rights senior to those of our common stock and could contain
covenants or protective rights that would lead to restrictions on our operations
and potentially impair our competitiveness, such as limitations on our ability
to incur additional debt, limitations on our ability to acquire, sell or license
intellectual property rights and other operating restrictions that could
adversely impact our ability to conduct our business. If we are unable to raise
adequate additional capital, we may be prevented from pursuing development and
commercialization efforts, which will have a material adverse effect on our
business, operating results and prospects.

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Cash Flow Activity

The following table summarizes our cash flow activity (in thousands):




                                                         Year Ended December 31,
                                                    2020           2019           2018

Net cash provided by (used in):


 Operating activities                            $  (83,496 )   $  (41,174 )   $   (7,597 )
 Investing activities                               (50,998 )       48,723         38,729
 Financing activities                                35,538        180,751            198

Net increase (decrease) in cash and cash


 equivalents                                     $  (98,956 )   $  188,300

$ 31,330

Cash Used in Operating Activities



Cash used in operating activities in 2020 was $83.5 million, which consisted of
a net loss of $102.5 million, adjusted for non-cash charges of $22.3 million and
net cash used in operating assets and liabilities of $3.3 million. The non-cash
charges consisted primarily of stock-based compensation expense of $15.7 million
and depreciation expense of $6.6 million. The change in operating assets and
liabilities was mainly driven by increases in accrued expenses of $6.2 million,
prepaid expenses and other current assets of $1.9 million, accounts payable of
$0.9 million and a related party contract asset of $6.1 million. These increases
were offset by a decrease in deferred rent of $2.8 million.

Cash used in operating activities in 2019 was $41.2 million, which consisted of
a net loss of $42.8 million, adjusted for non-cash charges of $19.6 million and
net cash used in operating assets and liabilities of $17.9 million. The non-cash
charges consisted primarily of stock-based compensation expense of $12.9 million
and depreciation expense of $7.6 million. The change in operating assets and
liabilities was mainly driven by increases in the related party receivable of
$1.5 million, prepaid expenses and other current assets of $2.0 million,
accounts payable of $3.6 million and accrued expenses and other current
liabilities of $8.9 million. These increases were offset by decreases in
deferred rent of $2.7 million and contract liabilities of $24.2 million, which
was primarily due to the adoption of ASC 606 and the timing of advance payments
from Merck related to the reimbursement of costs associated with research and
development activities.

Cash used in operating activities in 2018 was $7.6 million, which consisted of a
net loss of $0.5 million, adjusted for non-cash charges of $16.5 million and
cash used in operating assets and liabilities of $23.6 million. The non-cash
charges consisted primarily of stock-based compensation expense of $9.9 million
and depreciation expense of $7.2 million. The change in operating assets and
liabilities was primarily due to increases in the related party receivable of
$3.7 million, prepaid expenses and other current assets of $4.4 million,
accounts payable of $3.5 million and accrued expenses and other current
liabilities of $4.1 million. These increases were offset by decreases in
deferred rent and contract liabilities of $2.0 million and $21.1 million,
respectively. The decrease in contract liabilities is primarily due to the
recognition of upfront fees from Merck and the timing of advance payments from
Merck related to the reimbursement of costs associated with research and
development activities.

Cash Provided by (Used in) Investing Activities



Cash used in investing activities in 2020 was $51.0 million, which consisted of
purchases of marketable securities of $177.7 million and purchases of property
and equipment of $1.9 million partially offset by net proceeds on maturity of
marketable securities of $128.5 million. Cash provided by investing activities
in 2019 was $48.7 million, which consisted of net proceeds on maturity of
marketable securities of $186.5 million partially offset by purchases of
marketable securities of $134.3 million and purchases of property and equipment
of $3.5 million. Cash provided by investing activities in 2018 was
$38.7 million, which consisted of net proceeds on maturity of marketable
securities of $178.2 million partially offset by purchases of marketable
securities of $133.6 million and purchases of property and equipment of
$5.8 million.

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Cash Provided by Financing Activities



Cash provided by financing activities in 2020 was $35.5 million and primarily
related to net proceeds from the Sales Agreement of $21.9 million and proceeds
from employee equity incentive and purchase plans of $14.2 million. Cash
provided by financing activities in 2019 was $180.8 million and primarily
related to net proceeds from our IPO of $110.0 million, proceeds from a
concurrent private placement with Merck of $65.9 million and proceeds from
employee equity incentive and purchase plans of $4.8 million. Cash provided by
financing activities in 2018 was $0.2 million and primarily related to proceeds
from employee equity incentive plans of $2.6 million partially offset by
deferred IPO costs of $2.2 million.

                         Off-Balance Sheet Arrangements

We currently have not entered into and do not have any relationships with
unconsolidated entities or financial collaborations, such as entities often
referred to as structured finance or special purpose entities, which would have
been established for the purpose of facilitating off-balance sheet arrangements
or other contractually narrow or limited purpose.

                            Contractual Obligations

The following table sets out, as of December 31, 2020, our contractual obligations due by period (in thousands):



                                                            Payments due by period
                                  Less than        1 to 3          4 to 5          More than
                                   1 year          years           years            5 years           Total

Contractual obligations: Operating lease obligations(1) $ 5,141 $ 10,749 $ - $

            -     $   15,890

Total contractual obligations $ 5,141 $ 10,749 $ - $

            -     $   15,890

(1) Consists of our corporate headquarters lease encompassing approximately

122,000 square feet of office and laboratory space that expires in December

2023.




We enter into agreements in the normal course of business with CROs, CMOs and
other vendors for preclinical studies and other services and products for
operating purposes that are generally cancelable at any time by us, upon prior
written notice, and may or may not include cancellation fees. Given that the
amount and timing related to such payments are uncertain, they have not been
included in the contractual obligations table above.

We are obligated to make future payments to third parties under in-license
agreements, including sublicense fees, low single-digit royalties and payments
that become due and payable on the achievement of certain development and
commercialization milestones. As the amount and timing of sublicense fees and
the achievement and timing of these milestones are not probable and estimable,
such commitments have not been included on our consolidated balance sheets or in
the contractual obligations table above.

                   Critical Accounting Policies and Estimates

Our management's discussion and analysis of our financial condition and results
of operations is based on our consolidated financial statements, which we have
prepared in accordance with U.S. generally accepted accounting principles, or
U.S. GAAP. The preparation of our consolidated financial statements requires us
to make estimates and assumptions that affect the reported amounts of assets and
liabilities and the disclosure of contingent assets and liabilities at the date
of our consolidated financial statements, as well as revenue and expenses during
the reported periods. We evaluate these estimates and judgments on an ongoing
basis. We base our estimates on historical experience and on various other
factors that we believe are reasonable under the circumstances, the results of
which form the basis for making judgments about the carrying value of assets and
liabilities that are not readily apparent from other sources. Actual results may
differ materially from these estimates under different assumptions or
conditions.

Our significant accounting policies are described in Note 2 to our consolidated financial statements included in Part II, Item 8, "Financial Statements and Supplementary Data," of this Annual Report on Form 10-K.



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We believe that the following accounting policies are the most critical for fully understanding and evaluating our financial condition and results of operations.

Revenue Recognition



On January 1, 2019, we adopted Accounting Standards Update, or ASU, 2014-09,
Revenue from Contracts with Customers (Topic 606), and subsequent amendments,
using the modified retrospective transition method applied to those contracts
that were not completed as of January 1, 2019. ASC 606 supersedes all prior
revenue recognition guidance. Results for operating periods beginning after
January 1, 2019 are presented under ASC 606, while prior period amounts have not
been adjusted and continue to be reported in accordance with previous accounting
rules under ASC 605.

Prior to the adoption of ASC 606, our revenue from collaboration agreements was
recognized when we determined that persuasive evidence of an arrangement
existed, services had been rendered, the price was fixed or determinable and
collectability was reasonably assured. We would record amounts received prior to
satisfying the above revenue recognition criteria as contract liabilities until
all applicable revenue recognition criteria were met. Revenue allocated to
research activities was generally recognized in the period the services were
performed, and revenue allocated to licenses was generally recognized on a
straight-line basis over the contractual term. Allocations to non-contingent
elements were based on the relative selling price of each element using
vendor-specific objective evidence or third-party evidence, where available. In
the absence of either of these measures, we used the best estimate of selling
price for that deliverable.

The most significant change to our policies upon the adoption of ASC 606 was the
estimation of an arrangement's total transaction price, which includes
unconstrained variable consideration, and the recognition of that transaction
price based on a cost-based input method that requires estimates to determine,
at each reporting period, the percentage of completion based on the estimated
total effort required to complete the project and the total transaction price.
Given the differences in revenue recognition policies, the revenue recognized in
years prior to 2019 is not strictly comparable to revenue recorded in the year
ending December 31, 2019 or in future periods (see "Recently Adopted Accounting
Pronouncements" in our consolidated financial statements).

The core principle in ASC 606 requires an entity to recognize revenue upon the
transfer of goods or services to customers in an amount that reflects the
consideration to which the entity expects to be entitled in exchange for those
goods or services. We apply the following five-step revenue recognition model
outlined in ASC 606 to adhere to this core principle: (1) identify the
contract(s) with a customer; (2) identify the performance obligations in the
contract; (3) determine the transaction price; (4) allocate the transaction
price to the performance obligations in the contract; and (5) recognize revenue
when (or as) we satisfy a performance obligation.

All of our revenue to date has been generated from collaboration agreements,
primarily the Collaboration Agreement. The terms of these agreements generally
require us to provide (i) license options for our product candidates, (ii) R&D
services and (iii) non-mandatory services in connection with participation in
research or steering committees. Payments received under these arrangements may
include non-refundable upfront license fees, partial or complete reimbursement
of R&D costs, contingent consideration payments based on the achievement of
defined collaboration objectives and royalties on sales of commercialized
products. In some agreements, the collaboration partner is solely responsible
for meeting defined objectives that trigger contingent or royalty payments.
Often the partner only pursues such objectives subsequent to exercising an
optional license on compounds identified as a result of the R&D services
performed.

We assess whether the promises in our arrangements, including any options
provided to the customer, are considered distinct performance obligations that
should be accounted for separately. Judgment is required to determine whether
the license to a compound is distinct from R&D services or participation in
steering committees, as well as whether options create material rights in the
contract.

The transaction price in each arrangement is generally comprised of a
non-refundable upfront fee and unconstrained variable consideration related to
the performance of R&D services. We typically submit a budget for the R&D
services to the customer in advance of performing the services. The transaction
price is allocated to the identified performance obligations based on the
standalone selling price, or SSP, of each distinct performance obligation.
Judgment is required to determine SSP. In instances where SSP is not directly
observable, such as when a license or service is not sold separately, SSP is
determined using information that may include market conditions and other
observable inputs. We utilize judgment to assess the nature of our performance
obligations

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to determine whether they are satisfied over time or at a point in time and, if
over time, the appropriate method of measuring progress toward completion. We
evaluate the measure of progress each reporting period and, if necessary, adjust
the measure of performance and related revenue recognition.

Our collaboration agreements may include contingent payments related to
specified development and regulatory milestones or contingent payments for
royalties based on sales of a commercialized product. Milestones can be achieved
for such activities in connection with progress in clinical trials, regulatory
filings in various geographical markets and marketing approvals from regulatory
authorities. Sales-based royalties are generally related to the volume of annual
sales of a commercialized product. At the inception of each agreement that
includes such payments, we evaluate whether the milestones are considered
probable of being achieved and estimate the amount to be included in the
transaction price by using the most likely amount method. 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 our customer's control, such as those related to regulatory approvals, are
not considered probable of being achieved until those approvals are received.
The transaction price is then allocated to each performance obligation based on
a relative SSP basis. At the end of each subsequent reporting period, we
re-evaluate the probability of achievement of each such milestone and any
related constraint and, if necessary, adjust our estimate of the overall
transaction price. Pursuant to the guidance in ASC 606, sales-based royalties
are not included in the transaction price. Instead, royalties are recognized at
the later of when the performance obligation is satisfied or partially
satisfied, or when the sale that gives rise to the royalty occurs.

Accrued Research and Development Expenses

As part of the process of preparing these consolidated financial statements, we are required to estimate and accrue expenses, the largest of which are R&D expenses. This process involves:

• identifying services that have been performed on our behalf by third-party

vendors and estimating the level of service performed and the associated


      cost incurred for the service when we have not yet been invoiced or
      otherwise notified of actual cost;

• estimating and accruing expenses in our consolidated financial statements as

of each balance sheet date based on facts and circumstances known to us at

the time; and

• periodically confirming the accuracy of our estimates with selected service

providers and making adjustments, if necessary.

Examples of estimated R&D expenses that we accrue include:

• fees paid to CROs in connection with preclinical studies and clinical trials;




  • fees paid to investigative sites in connection with clinical trials;

• fees paid to CMOs in connection with the production of clinical trial

materials and to procure raw materials and components for manufacture; and

• professional service fees for consulting and other services.




We base our expense accruals related to clinical trials on our estimates of the
services received and efforts expended pursuant to contracts with multiple
research institutions and CROs that conduct and manage clinical trials on our
behalf. The financial terms of these agreements vary from contract to contract
and may result in uneven payment flows. Payments under some of these contracts
depend on factors such as the successful enrollment of patients and the
completion of clinical study milestones. Our service providers generally invoice
us monthly in arrears for services performed. In accruing service fees, we
estimate the time period over which services will be performed and the level of
effort to be expended in each period. If we do not identify costs that we have
begun to incur or if we underestimate or overestimate the level of services
performed or the costs of these services, our actual expenses could differ from
our estimates.

All of our clinical trials have been executed with support from CROs and other
vendors. We accrue costs for clinical trial activities performed by CROs based
upon the estimated amount of work completed on each trial. For clinical trial
expenses, the significant factors used in estimating accruals include the number
of patients enrolled, the activities to be performed for each patient, the
number of active clinical sites and the duration for which the patients will be
enrolled in the trial. We monitor patient enrollment levels and related
activities to the

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extent possible through internal reviews, correspondence with CROs and review of
contractual terms. We base our estimates on the best information available at
the time.

To date, we have not experienced significant changes in our estimates of accrued
R&D expenses after a reporting period. However, due to the nature of estimates,
we cannot assure that we will not make changes to our estimates in the future as
we become aware of additional information about the status or conduct of our
clinical trials and other research activities.

Stock-Based Compensation



Stock-based compensation expense represents the grant-date fair value of
employee stock option granted under our 2008 Equity Incentive Plan and our 2018
Equity Incentive Plan and rights to acquire stock granted under our 2019
Employee Stock Purchase Plan recognized over the requisite service period of the
awards (usually the vesting period) on a straight-line basis, net of estimated
forfeitures.

On January 1, 2019, we adopted ASU 2018-07, Compensation - Stock Compensation
(Topic 718): Improvements to Non-Employee Share-Based Payment Accounting.
Subsequent to the adoption of ASU 2018-07, stock-based compensation expense for
non-employee stock-based awards is also measured based on the fair value on
grant date with its estimated fair value recorded over the requisite service
period of the awards (usually the vesting period) on a straight-line basis, net
of estimated forfeitures.

We calculate the fair value of stock-based compensation awards using the
Black-Scholes option-pricing model. The Black-Scholes option-pricing model
requires the use of subjective assumptions, including stock price volatility,
the expected life of stock options, risk-free interest rate and the fair value
of the underlying common stock on the date of grant.

The expected volatility is based on the historical volatility of the stock of
similar entities within our industry over periods commensurate with our expected
term assumption. The expected term of stock option grants represents the
weighted-average period the options are expected to remain outstanding and is
based on the "simplified" method where the expected term is the midpoint between
the vesting date and the end of the contractual term for each option. We base
the risk-free interest rate on the interest rate payable on U.S. Treasury
securities in effect at the time of grant for a period that is commensurate with
the assumed expected option term. In reference to the expected dividend yield
assumption, we have not historically paid and do not expect for the foreseeable
future to pay, a dividend.

We recorded stock-based compensation expense related to employees, directors and
nonemployees of $15.7 million, $12.9 million and $9.9 million for the years
ended December 31, 2020, 2019 and 2018, respectively. As of December 31, 2020,
we had unrecognized stock-based compensation cost related to options granted to
employees and directors of $29.6 million, net of forfeitures, which is expected
to be recognized as expense over a period of approximately 2.75 years.

Prior to the closing of our IPO, the fair value of the common stock underlying
our share-based awards was estimated on each grant date by our board of
directors. In order to determine the fair value of our common stock underlying
option grants, our board of directors considered, among other things, timely
valuations of our common stock prepared by an unrelated third-party valuation
firm in accordance with the guidance provided by the American Institute of
Certified Public Accountants, or AICPA, Practice Guide, Valuation of
Privately-Held-Company Equity Securities Issued as Compensation. Given the
absence of a public trading market for our common stock historically, our board
of directors exercised reasonable judgment and considered a number of objective
and subjective factors to determine the best estimate of the fair value of our
common stock, including our stage of development; progress of our research and
development efforts; the rights, preferences and privileges of our convertible
preferred stock relative to those of our common stock; equity market conditions
affecting comparable public companies; and the lack of marketability of our
common stock.

After our IPO, the fair market value of each share of underlying common stock is
determined based on the closing price of our common stock as reported by the
Nasdaq Global Select Market on the date of grant.

                          JOBS Act Accounting Election

We are an "emerging growth company," as defined in the Jumpstart Our Business
Startups Act of 2012, as amended, the JOBS Act. Under the JOBS Act, emerging
growth companies may delay the adoption of new or

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revised accounting standards issued subsequent to the enactment of the JOBS Act until such time as those standards would otherwise apply to private companies.



The JOBS Act permits an "emerging growth company" such as us to take advantage
of an extended transition time to comply with new or revised accounting
standards as applicable to public companies. We have elected the extended
transition period for complying with new or revised accounting standards
pursuant to Section 107(b) of the JOBS Act until the earlier of the date we
(i) are no longer an emerging growth company or (ii) affirmatively and
irrevocably opt out of the extended transition period provided in the JOBS Act.
As a result, our financial statements may not be comparable to companies that
comply with new or revised accounting pronouncements as of public company
effective dates.

We will remain an emerging growth company until the earlier to occur of (1)
(a) December 31, 2024, (b) the last day of the fiscal year in which our annual
gross revenue is $1.07 billion or more or (c) the date on which we are deemed to
be a "large-accelerated filer," under the rules of the SEC, which means the
market value of our equity securities that is held by non-affiliates exceeds
$700 million as of the prior June 30th, and (2) the date on which we have issued
more than $1.0 billion in non-convertible debt during the prior three-year
period.

                        Recent Accounting Pronouncements

See Note 2 to our consolidated financial statements included in Part II, Item 8,
"Financial Statements and Supplementary Data," of this Annual Report on Form
10-K for a description of recent accounting pronouncements applicable to our
business.

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