The following Management's Discussion and Analysis of Financial Condition and
Results of Operations ("MD&A") is intended to help the reader understand our
results of operations and financial condition. This MD&A is provided as a
supplement to, and should be read in conjunction with, our unaudited
consolidated financial statements and the accompanying notes thereto and other
disclosures included in this Quarterly Report on Form 10-Q, including the
disclosures under Part II, Item 1A "Risk Factors," and our audited financial
information and the notes thereto included in our Annual Report . Our
unaudited consolidated financial statements have been prepared in accordance
with generally accepted accounting principles in the U.S. ("U.S. GAAP") and
unless otherwise indicated are presented in U.S. dollars.
Overview
We are a leader in the field of gene therapy and seek to deliver to patients
suffering from rare and other devastating diseases single treatments with
potentially curative results. We are advancing a pipeline of innovative gene
therapies, including product candidates for the treatment of Huntington's
disease, hemophilia B, temporal lobe epilepsy and Fabry disease. We believe our
validated technology platform and manufacturing capabilities provide us distinct
competitive advantages, including the potential to reduce development risk,
cost, and time to market. We produce our Adeno-associated virus ("AAV") -based
gene therapies in our own facilities with a proprietary, commercial-scale,
current good manufacturing practices ("cGMP")-compliant, manufacturing process.
We believe our Lexington, Massachusetts-based facility is one of the world's
most versatile gene therapy manufacturing facilities.
Business Developments
Below is a summary of our recent significant business developments:
Huntington's disease program (AMT-130)
AMT-130 is our novel gene therapy candidate for the treatment of Huntington's
disease. AMT-130 utilizes our proprietary, gene-silencing miQURE platform and
incorporates an AAV vector carrying a micro ribonucleic acid ("miRNA")
specifically designed to silence the huntingtin gene and the potentially highly
toxic exon 1 protein fragment. We are currently conducting a Phase I/II clinical
trial for AMT-130 in the U.S. and a Phase Ib/II study in the EU. Together, these
studies are intended to establish safety, proof of concept, and the optimal dose
of AMT-130 to take forward into Phase III development or into a confirmatory
study should an accelerated registration pathway be feasible. AMT-130 has
received Orphan Drug and Fast Track designations from the U.S. Food and Drug
Administration ("FDA") and Orphan Medicinal Product Designation from the
European Medicines Agency ("EMA").
In February 2022, the first two patients were dosed in our European Phase Ib/II
study of AMT-130. The open-label study will enroll a total of 15 patients in two
dose cohorts. The first and second dose cohorts will include 6 patients and 9
patients, respectively.
On March 21, 2022, we announced that we have completed the enrollment of all 26
patients in the first two cohorts of our randomized, double-blinded, Phase I/II
clinical trial of AMT-130 taking place in the U.S. In the study, patients are
randomized to either treatment with AMT-130 or to an imitation surgical
procedure. The first dose cohort includes 10 patients, of which six patients
received treatment with AMT-130 and four patients received imitation surgery.
The second dose cohort includes 16 patients, of which ten patients received
treatment with AMT-130 and six patients received imitation surgery. The Phase
I/II clinical trial consists of a blinded 12-month period followed by unblinded
long-term follow-up for five years. The treated patients have received a single
administration of AMT-130 using MRI-guided, convection-enhanced stereotactic
neurosurgical delivery directly into the striatum (caudate and putamen). The
third cohort, which will include up to 18 additional randomized patients
receiving the higher dose, will explore the use of alternative stereotactic
navigation systems to simplify placement of catheters for infusions of AMT-130.
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CSL Behring collaboration
On June 24, 2020, (the "Signing Date"), uniQure biopharma B.V., a wholly owned
subsidiary of uniQure N.V., entered into a commercialization and license
agreement (the "CSL Behring Agreement") with CSL Behring pursuant to which CSL
Behring received exclusive global rights to etranacogene dezaparvovec, the
investigational gene therapy for patients with hemophilia B (the "Product"). The
transaction became fully effective on May 6, 2021, one day after the waiting
period under the Hart-Scott-Rodino Antitrust Improvements Act of 1976 expired
("Closing").
In March 2022, CSL Behring submitted certain global regulatory submissions for
etranacogene dezaparvovec. On March 28, 2022, CSL Behring announced that the EMA
accepted one of the global regulatory submissions - the Marketing Authorization
Application ("MAA") - under its accelerated assessment procedure. As of March
31, 2022, we received $20.0 million of the $55.0 million owed to us by CSL
Behring related to the global regulatory submissions. The remaining $35.0
million was received in April 2022.
Preclinical programs
On May 2, 2022 we announced that we will be presenting certain preclinical
findings on our gene therapy candidates for Huntington's disease, refractory
temporal lobe epilepsy, Fabry disease, Parkinson's disease, Amyotrophic lateral
sclerosis, and Alzheimer's disease at the American Society of Gene and Cell
Therapy Hybrid Congress in May 2022.
Covid pandemic
The coronavirus disease ("Covid") caused by the severe acute respiratory
syndrome coronavirus 2 ("Sars-CoV 2 virus") was characterized as a pandemic by
the World Health Organization ("WHO") on March 11, 2020. Since then, various
variants of the Sars-CoV 2 virus causing Covid have been identified.
a) Workplace and employees
Throughout the pandemic, we have been implementing measures to address the
impact of Covid on our business. We have implemented a series of protocols
governing the operations of our Lexington facility to comply with the
requirements of the various orders and guidance from the Commonwealth of
Massachusetts and other related orders, guidance, laws, and regulations. We
continue to monitor local government rules and recommendations and office
protocols will be aligned with these rules and recommendations.
Effective March 1, 2022, we have implemented our base Covid-19 Protocol within
the Lexington facility which requires only unvaccinated employees to wear
facemasks and apply social distancing at the office. All non-essential Lexington
employees are allowed to return to the office as space at the office allows and
there is no longer a limitation on in-person meetings, although meetings
organizers should still provide remote options for employees. This protocol will
remain in place until July 1, 2022, unless extended or otherwise amended.
Effective February 28, 2022, the Amsterdam location is open to all employees and
visitors, in line with the most updated Dutch government measures. We will
continue to comply with additional Dutch measures, which amongst others is
recommended for employers to make agreements with employees that allow working
from home to continue to the extent applicable.
b) Business impact
The broader implications of Covid, including the implications from the various
variants, on our results of
operations and overall financial performance remain uncertain. We have
experienced increased lead times in the delivery of equipment and disposables
that we use to manufacture materials for our various programs. Currently, these
have not materially impacted our development timelines and we continue to adapt
to the current environment to minimize the effect to our business. However, we
may experience more pronounced disruptions in our operations in the future.
Russian-Ukrainian war
Our business is not directly impacted by the war as we do not operate in either
Russia or the Ukraine. However, the war might potentially amplify the disruptive
impact of the Covid pandemic.
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Intellectual Property
On May 11, 2021, Pfizer, Inc. filed three petitions at the USPTO seeking Inter
Partes Review of U.S. Patent Nos. 9,982,248 (the "'248 Patent") and 10,465,180
(the "'180 Patent" and together with the '248 Patent, the "Patents"). The
petitions collectively seek to invalidate all claims of the Patents. In August
2021, we filed our responses asking the USPTO to deny institution of the IPR
proceedings. On November 17, 2021, the PTAB issued decisions granting
institution on all three IPR proceedings. Our response to the petition was filed
on March 3, 2022. Pfizer's reply to our response is due not later than June 17,
2022.
Financial Overview
Key components of our results of operations include the following:
Three months ended March 31,
2022 2021
(in thousands)
Total revenues $ 1,792 $ 454
Research and development expenses (45,003) (32,656)
Selling, general and administrative expenses (10,987) (12,376)
Net loss (46,678) (41,556)
As of March 31, 2022 and December 31, 2021, we had cash and cash equivalents of
$524.9 million and $556.3 million, respectively. We had a net loss of $46.7
million in the three months ended March 31, 2022 compared to a net loss of $41.6
million for the same period in 2021. As of March 31, 2022 and December 31, 2021,
we had accumulated deficits of $501.8 million and $455.1 million, respectively.
We anticipate that our expenses will increase substantially as we:
? advance the clinical development of AMT-130 for our Huntington's disease gene
therapy program;
? advance multiple research programs related to gene therapy candidates targeting
liver-directed and CNS diseases;
? continue to expand our employee base to support research and development, as
well as general and administrative functions;
? acquire or in-license rights to new therapeutic targets or product candidates;
continue to expand, enhance and optimize our technology platform, including our
? manufacturing capabilities, next-generation viral vectors and promoters, and
other enabling technologies;
? maintain, expand, and protect our intellectual property portfolio, including
in-licensing additional intellectual property rights from third parties; and
? make potential future milestone payments related to the acquisition of
Corlieve, if any.
See "Results of Operations" below for a discussion of the detailed components
and analysis of the amounts above.
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Critical Accounting Policies and Estimates
In preparing our consolidated financial statements in accordance with U.S. GAAP
and pursuant to the rules and regulations promulgated by the SEC we make
assumptions, judgments and estimates that can have a significant impact on our
net loss and affect the reported amounts of certain assets, liabilities, revenue
and expenses, and related disclosures. We base our assumptions, judgments and
estimates on historical experience and various other factors that we believe to
be reasonable under the circumstances, the results of which form the basis for
making judgments about the carrying values of assets and liabilities that are
not clear from other sources. Actual results may differ from these estimates
under different assumptions or conditions. In making estimates and judgments,
management employs critical accounting policies. A summary of our critical
accounting policies as well as a discussion of our critical accounting estimates
are presented in our Annual Report . There were no material changes to our
critical accounting policies during the three months ended March 31, 2022 or
reasonably possible changes of our critical accounting estimates as of March 31,
2022 that could have had a material impact on our results of operations for the
three-month period ended March 31, 2022.
Research and development expenses
We expense research and development ("R&D") expenses as incurred. Our R&D
expenses generally consist of costs incurred for the development of our target
candidates, which include:
? employee-related expenses, including salaries, benefits, travel and share-based
compensation expense;
costs incurred for laboratory research, preclinical and nonclinical studies,
? clinical trials, statistical analysis and report writing, and regulatory
compliance costs incurred with clinical research organizations and other
third-party vendors;
? costs incurred to conduct characterization, consistency and comparability
studies;
? costs incurred for the development and improvement of our manufacturing
processes and methods;
costs associated with research activities for enabling technology platforms,
? such as next-generation vectors, promoters and re-administration of gene
therapies;
? costs associated with the rendering of collaboration services as well as the
continued development of Product between the Signing Date and Closing;
facilities, depreciation, and other expenses, which include direct and
? allocated expenses for rent and maintenance of facilities, insurance, and other
supplies; and
? changes in the fair value of liabilities recorded in relation to our
acquisition of Corlieve.
Our research and development expenses may vary substantially from period to
period based on the timing of our research and development activities, including
manufacturing campaigns, regulatory submissions and enrollment of patients in
clinical trials. The successful development of our product candidates is highly
uncertain. Estimating the nature, timing or cost of the development of any of
our product candidates involves considerable judgement due to numerous risks and
uncertainties associated with developing gene therapies, including the
uncertainty of:
? the scope, rate of progress and expense of our research and development
activities;
? our ability to successfully manufacture and scale-up production;
? clinical trial protocols, speed of enrollment and resulting data;
? the effectiveness and safety of our product candidates;
? the timing of regulatory approvals; and
? our ability to agree to ongoing development budgets with collaborators who
share the costs of our development programs.
A change in the outcome of any of these variables with respect to our product
candidates that we may develop, including as a result of the Covid pandemic,
could mean a significant change in the expenses and timing associated with the
development of such product candidate.
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Selling, general and administrative expenses
Our general and administrative expenses consist principally of employee, office,
consulting, legal and other
professional and administrative expenses. We incurred expenses associated with
operating as a public company, including expenses for personnel, legal,
accounting and audit fees, board of directors' costs, directors' and officers'
liability insurance premiums, Nasdaq listing fees, expenses related to investor
relations and fees related to business development and maintaining our patent
and license portfolio. Our selling costs in the three months ended March 31,
2021 included employee expenses, as well as professional fees related to the
preparation of a commercial launch of etranacogene dezaparvovec.
Other items, net
Our other income primarily consists of income from the subleasing of our
Amsterdam facility.
Our other expense primarily consists of expenses we incur in relation to our
subleasing income.
Results of Operations
Comparison of the three months ended March 31, 2022 and 2021
The following table presents a comparison of our results of operations for the
three months ended March 31, 2022 and 2021.
Three months ended March 31,
2022 2021 2022 vs 2021
(in thousands)
Total revenues $ 1,792 $ 454 $ 1,338
Operating expenses:
Research and development expenses (45,003) (32,656) (12,347)
Selling, general and administrative expenses (10,987) (12,375) 1,388
Total operating expenses (55,990) (45,031) (10,959)
Other income 311 352 (41)
Other expense (193) (233) 40
Loss from operations (54,080) (44,458) (9,622)
Other non-operating items, net 6,786 3,115 3,671
Net loss before income tax income / (expense) $ (47,294) $ (41,343) $ (5,951)
Income tax income / (expense)
616 (213) 829
Net loss $ (46,678) $ (41,556) $ (5,122)
Revenue
Our collaboration revenue for the three months ended March 31, 2022 and 2021 was
as follows:
Three months ended March 31,
2022 2021 2022 vs 2021
(in thousands)
Collaboration revenue CSL Behring $ 1,436 $ - $ 1,436
Collaboration revenue BMS 356 454 (98)
Total revenues $ 1,792 $ 454 $ 1,338
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Research and development expenses
Research and development expenses for the three months ended March 31, 2022 were
$45.0 million, compared to $32.7 million for the same period in 2021. Other
research and development expenses are separately classified in the table below.
These other expenses are not allocated as they are deployed across multiple
projects under development.
Three months ended March 31,
2022 2021 2022 vs 2021
(in thousands)
Huntington's disease (AMT-130) $ 5,217 $ 1,971 $ 3,246
Programs in preclinical development and platform
related expenses 4,552 2,289 2,263
Etranacogene dezaparvovec (AMT-060/061) 418 3,647 (3,229)
Total direct research and development expenses $ 10,187 $ 7,907 $ 2,280
Employee and contractor-related expenses 16,164 11,595 4,569
Facility expenses 5,299 4,624 675
Disposables 4,533 3,344 1,189
Share-based compensation expense 4,054 2,679 1,375
Other expenses 2,562 2,507 55
Fair value changes related to contingent
consideration 2,204 - 2,204
Total other research and development expenses $ 34,816 $ 24,749 $ 10,067
Total research and development expenses $ 45,003 $ 32,656 $ 12,347
Direct research and development expenses
Huntington disease (AMT-130)
In the three months ended March 31, 2022, and March 31, 2021, our external costs
for the development of AMT-130 were primarily related to the execution of our
Phase I/II clinical trial in the United States. The costs incurred for the three
months ended March 31, 2022 also included costs related to our Phase I/IIb
clinical trial in Europe.
Preclinical programs & platform development
In the three months ended March 31, 2022, we incurred $4.6 million of costs
primarily related to our preclinical activities associated with product
candidates for the treatment of Fabry disease (AMT-191) and temporal lobe
epilepsy (AMT-260), as well as various other research programs and technology
innovation projects.
In the three months ended March 31, 2021, we incurred $2.3 million of costs
primarily related to our preclinical activities primarily associated with
product candidates for the treatment of SCA3 (AMT-150) and Fabry disease
(AMT-190), as well as various other research programs and technology innovation
projects.
Hemophilia B (AMT-060/061)
In the three months ended March 31, 2022 and March 31, 2021, the external costs
for our hemophilia B program were primarily related to the execution of our
Phase III clinical trial. Up to the Closing of the CSL Behring Agreement in May
2021 we also incurred costs related to the preparation of the global regulatory
submissions and for commercialization of the Product. We also incurred costs for
Manufacturing Development. After the Closing, CSL Behring is responsible for the
clinical and regulatory development and commercialization of the Product, with
the Company managing the existing trials on behalf of CSL Behring. Direct
research and development expenses related to clinical development incurred in
the three months ended March 31, 2022 are presented net of reimbursements due
from CSL Behring.
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In the same period in 2021, we also incurred costs related to the long-term
follow-up of patients in our Phase I/II clinical trial of AMT-060 and our Phase
IIb clinical trial of etranacogene dezaparvovec. Our Phase IIb dose-confirmation
study was initiated in January 2018 and dosing occurred in July and August 2018.
Patients were dosed as part of our Phase I/II clinical trial of AMT-060 in 2015
and 2016.
Other research & development expenses
We incurred $16.2 million in personnel and contractor related expenses in the
? three months ended March 31, 2022, compared to $11.6 million for the same
period in 2021. The increase was primarily a result of the recruitment of
personnel to support the development of our product candidates;
We incurred $5.3 million in operating expenses and depreciation expenses
? related to our rented facilities in the three months ended March 31, 2022,
compared to $4.6 million in the same period in 2021;
? We incurred $4.5 million in disposable costs compared to $3.3 million for the
same period in 2021;
We incurred $4.1 million in share-based compensation expenses in the three
? months ended March 31, 2022, compared to $2.7 million for the same period in
2021. The increase was primarily a result of an increase in awards granted,
including those to newly recruited personnel;
? We incurred $2.6 million of other expenses for the three months ended March 31,
2022, compared to $2.5 million for the same period in 2021; and
We incurred $2.2 million of expenses in the three months ended March 31, 2022
? related to an increase in the fair value of contingent consideration associated
with the acquisition of Corlieve Therapeutics SAS ("Corlieve"), compared to nil
for the same period in 2021.
Selling, general and administrative expenses
Selling, general and administrative expenses for the three months ended March
31, 2022 were $11.0 million, compared to $12.4 million for the same period in
2021.
We incurred $4.4 million in personnel and contractor related expenses in the
? three months ended March 31, 2022, compared to $3.9 million in the same period
in 2021. The increase in the three months ended March 31, 2022, relates to the
recruitment of personnel;
We incurred $2.8 million in share-based compensation expenses in the three
? months ended March 31, 2022, compared to $3.1 million in the same period in
2021; and
We incurred $1.1 million in professional fees in the three months ended March
31, 2022, compared to $2.9 million in the same period in 2021. We regularly
? incur accounting, audit and legal fees associated with operating as a public
company. The decrease from the prior period is primarily related to a decrease
in professional fees related to the licensing transaction with CSL Behring.
Other items, net
Other items, net for the periods presented primarily relate to income from the
subleasing of our Amsterdam facility and expenses we incur in relation to the
subleasing facility.
Other non-operating items, net
Our other non-operating items, net, for the three months ended March 31, 2022
and 2021 were as follows:
Three months ended March 31,
2022 2021 2022 vs 2021
(in thousands)
Interest income $ 42 $ 40 $ 2
Interest expense - Hercules long-term debt (2,515) (1,551) (964)
Foreign currency gains, net 8,567 4,626 3,941
Other non-operating gains 692 - 692
Total other non-operating income, net $ 6,786 $ 3,115 $ 3,671
We recognize interest income associated with our cash and cash equivalents.
We hold monetary items and enter into transactions in foreign currencies,
predominantly in euros and U.S. dollars. We recognize foreign exchange results
related to changes in these foreign currencies.
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We recognize fair value changes related to the derivative financial liability
related to a contingent payment due to BMS upon the consummation of a change of
control transaction ("CoC-payment") as described elsewhere in this Quarterly
Report on Form 10-Q.
We recognized a net foreign currency gain, related to our borrowings from
Hercules and our cash and cash equivalents as well as loans between entities
within the uniQure group, of $8.6 million during the three months ended March
31, 2022, compared to a net gain of $4.6 million during the same period in 2021.
Income tax benefit / (expense)
We recognized $0.6 million of deferred tax benefit in the three months ended
March 31, 2022, and $0.2 million of deferred tax expense for the same period in
2021.
Financial Position, Liquidity and Capital Resources
As of March 31, 2022, we had cash, cash equivalents and restricted cash of
$528.1 million. Until such time, if ever, as we can generate substantial cash
flows from successfully commercializing our proprietary product candidates, we
expect to finance our cash needs through a combination of equity offerings, debt
financings, collaborations, strategic alliances and marketing, distribution, and
licensing arrangements. We believe that our cash and cash equivalents will fund
our operations into the first half of 2025 assuming the achievement of $175.0
million of first commercial sales milestones under the CSL Behring Agreement.
Our material cash requirements include the following contractual and other
obligations:
Debt
As of March 31, 2022, we had an outstanding loan amount owed to Hercules
Capital, Inc. ("Hercules") for an aggregate principal amount of $100.0 million,
with $8.3 million payable within 12 months. Future interest payments and
financing fees associated with the loan total $34.5 million, with $8.3 million
payable within 12 months. We are contractually required to repay the $100.0
million in equal installments between December 2024 and December 2025 or in full
in December 2025 if, prior to June 30, 2024, either (a) the Biologics License
Application ("BLA") for AMT-061 is approved by the FDA or (b) AMT-130 is
advanced into a pivotal trial.
Leases
We entered into lease arrangements for facilities, including corporate,
manufacturing and office space. As of March 31, 2022, we had fixed lease payment
obligations of $63.3 million, with $7.0 million payable within 12 months. The
fixed lease payment obligations include payments owed under signed lease
arrangements that are expected to commence in 2022.
Commitments related to Corlieve acquisition (nominal amounts)
In relation to the Corlieve acquisition, we entered into commitments to make
payments to the former shareholders upon the achievement of certain contractual
milestones. The commitments include payments related to post-acquisition
services that we agreed to as part of the Stock Purchase Agreement between the
Company and Corlieve ("SPA"). As of March 31, 2022, our commitment amount is
$223.7 million. The timing of achieving these milestones and consequently the
timing of payments, as well as whether the milestone will be achieved at all, is
generally uncertain with the exception of a payment we made in February 2022 to
acquire the remaining outstanding shares as well as certain payments for
post-acquisition services in 2022. These payments are owed in Euro and have been
translated at the foreign exchange rate as of March 31, 2022, of $1.11/€1.00. As
of March 31, 2022, we expect these obligations will become payable between 2022
and 2031. If and when due, up to 25% of the milestone payments can be settled
with our ordinary shares.
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Commitments related to licensors and financial advisors
We have obligations to make future payments to third parties that become due and
payable on the achievement of certain development, regulatory and commercial
milestones (such as the start of a clinical trial, filing of a BLA, approval by
the FDA or product launch) or as a result of collecting payments related to our
License Sale to CSL Behring. We also owe payments to a financial advisor related
to any payments we will collect under the CSL Behring Agreement.
The table below summarizes our consolidated cash flow data for the three months
ended:
Three months ended March 31,
2022 2021
(in thousands)
Cash, cash equivalents and restricted cash at the
beginning of the period $ 559,353 $ 247,680
Net cash used in operating activities (25,711) (41,273)
Net cash used in investing activities (4,880) (3,876)
Net cash generated from financing activities 485 62,618
Foreign exchange impact (1,168) (1,620)
Cash, cash equivalents and restricted cash at the end of
period
$ 528,079 $ 263,529
We had previously incurred losses and cumulative negative cash flows from
operations since our business was founded by our predecessor entity AMT
Therapeutics ("AMT") Holding N.V. in 1998, with the exception of generating
income in 2021 after receiving the upfront payment upon Closing of the CSL
Behring Agreement. We continue to incur losses in the current period. We
recorded a net loss of $46.7 million in the three months ended March 31, 2022,
compared to a net loss of $41.6 million during the same periods in 2021. As of
March 31, 2022, we had an accumulated deficit of $501.8 million.
Sources of liquidity
From our first institutional venture capital financing in 2006 through May 2021,
we funded our operations primarily through private and public placements of
equity securities and convertible and other debt securities as well as payments
from our collaboration partners. In May 2021, we received a $462.4 million cash
payment due from CSL Behring upon Closing. We have collected $55.0 million
related to CSL Behring's global regulatory submissions for etranacogene
dezaparvovec in March and April 2022 and are eligible to receive additional
milestone payments, as well as royalties on net sales from CSL Behring.
On March 1, 2021, we entered into a Sales Agreement with SVB Leerink LLC ("SVB
Leerink") with respect to an at the market ("ATM") offering program, under which
we may, from time to time in our sole discretion, offer and sell through SVB
Leerink, acting as agent, our ordinary shares, up to an aggregate offering price
of $200.0 million. We will pay SVB Leerink a commission equal to 3% of the gross
proceeds of the sales price of all ordinary shares sold through it as a sales
agent under the Sales Agreement. In the year ended December 30, 2021, we
received net proceeds of $29.6 million from the issuance of 921,730 ordinary
shares that took place during March and April of last year.
On January 29, 2021, we drew down $35 million under our 2021 amendment ("2021
Amended Facility") with Hercules. We drew down a further $30 million under our
December 2021 amendment ("2021 Restated Facility") with Hercules in December
2021.
We are subject to certain covenants under our 2021 Restated Facility and may
become subject to covenants under any future indebtedness that could limit our
ability to take specific actions, such as incurring additional debt, making
capital expenditures, or declaring dividends, which could adversely impact our
ability to conduct our business. In addition, our pledge of assets as collateral
to secure our obligations under the 2021 Restated Facility may limit our ability
to obtain debt financing. The 2021 Restated Facility permits us to issue up to
$500.0 million of convertible debt as well as to enter into a transaction to
sell the royalties under the CSL Behring agreement subject to certain
conditions.
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To the extent we need to finance our cash needs through equity offerings or debt
financings, such financing may be subject to unfavorable terms including without
limitation, the negotiation and execution of definitive documentation, as well
as credit and debt market conditions, and we may not be able to obtain such
financing on terms acceptable to us or at all. If financing is not available
when needed, including through debt or equity financings, or is available only
on unfavorable terms, we may be unable to meet our cash needs. If we raise
additional funds through collaborations, strategic alliances or marketing,
distribution, or licensing arrangements with third parties, we may have to
relinquish valuable rights to our technologies, future revenue streams or
product candidates or grant licenses on terms that may not be favorable to us.
If we are unable to raise additional funds through equity or debt financings
when needed, we may be required to delay, limit, reduce or terminate our product
development or future commercialization efforts or grant rights to develop and
market product candidates that we would otherwise prefer to develop and market
ourselves, which could have a material adverse effect on our business, financial
conditions, results of operations and cash flows.
Net Cash used in operating activities
Net cash used in operating activities was $25.7 million for the three months
ended March 31, 2022 and consisted of net loss of $46.7 million adjusted for
non-cash items, including depreciation and amortization expense of $2.1 million,
share-based compensation expense of $6.9 million, changes in the fair value of
contingent consideration and the derivative financial liability of $1.5 million,
unrealized foreign exchange gains of $7.4 million and a change in deferred taxes
of $0.6 million. Net cash generated from operating activities also included
favorable changes in operating assets and liabilities of $18.4 million. There
was a net decrease in accounts receivable and contract asset, prepaid expenses,
and other current assets and receivables of $17.2 million, primarily related to
the collection of $20.0 million of the contract asset related to CSL milestones
of $55.0 million in March 2022. These changes also relate to a net increase in
accounts payable, accrued expenses, other liabilities, and operating leases of
$1.2 million.
Net cash used in operating activities was $41.3 million for the three months
ended March 31, 2021 and consisted of a net loss of $41.6 million adjusted for
non-cash items, including depreciation and amortization expense of $1.9 million,
share-based compensation expense of $5.8 million, unrealized foreign exchange
gains of $5.3 million and deferred tax expense of $0.2 million. Net cash used in
operating activities also included unfavorable changes in operating assets and
liabilities of $2.2 million. These changes primarily related to a net increase
in accounts receivable, prepaid expenses, and other current assets and
receivables of $8.0 million primarily related to the increase in a contract
asset and receivable recorded for CSL expenses to be reimbursed as well as an
increase in various prepayments for the year and a net increase in accounts
payable, accrued expenses, other liabilities, and operating leases of $5.8
million primarily related to an increase in contract liability for CSL expenses
to be reimbursed and an increase in accruals for services provided by vendors
not yet billed offset by the pay-out of employee bonuses.
Net cash used in investing activities
In the three months ended March 31, 2022, we used $4.9 million in our investing
activities compared to $3.9 million for the same period in 2021.
Three months ended March 31,
2022 2021
(in thousands)
Build out of Amsterdam site $ (3,740) (2,416)
Build out of Lexington site (318) (1,460)
Acquisition of remaining outstanding ordinary shares
related to Corlieve acquisition
(822) -
Total investments $ (4,880) $ (3,876)
The build out of the Amsterdam site consumed $3.7 million cash during the three
months ended March 31, 2022, compared to $2.4 million for the same period in
2021. The increase is a result of additional investments to support the
expansions of our research and development activities.
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Net cash generated from financing activities
In the three months ended March 31, 2022, we generated $0.5 million in our
financing activities compared to $62.6 million for the same period in 2021.
Three months ended March 31,
2022 2021
(in thousands)
Cash flows from financing activities
Proceeds from issuance of shares related to employee
stock option and purchase plans
$ 485 $ 442
Proceeds from loan increment, net of debt issuance costs - 34,603
Proceeds from issuance of ordinary shares, net of
issuance costs - 27,573
Net cash generated from financing activities $ 485 $ 62,618
During the three months ended March 31, 2022, we received $0.5 million from the
exercise of options to purchase ordinary shares in relation to our share
incentive plans compared to $0.4 million for the same period in 2021.
In January 2021, we received $34.6 million net proceeds from the Hercules 2021
Amended Facility (nil for same period in 2022).
We received net proceeds of $27.6 million associated with our ATM offering in
March 2021 (nil for same period in 2022).
Funding requirements
Our future capital requirements will depend on many factors, including but not
limited to:
achieving the first commercial sales milestones and royalties as defined within
the CSL Behring Agreement. Achieving the first commercial sales milestones
? amongst others are subject to CSL Behring obtaining required regulatory
approvals, including MAA approval from the EMA, BLA approval from the FDA, and
approval of a diagnostic test for neutralizing antibodies from the FDA;
? the payment of milestone payments that we might owe to former shareholders of
Corlieve;
the repayments of the principal amount of our venture debt loan with Hercules,
which following the December 15, 2021 amendment will be due in equal
? installments between December 2024 and December 2025 or in full in December
2025 if, prior to June 30, 2024, either (a) the BLA for AMT-061 is approved by
the FDA or (b) AMT-130 is advanced into a pivotal trial;
? the scope, timing, results, and costs of our current and planned clinical
trials, including those for AMT-130 in Huntington's disease;
? the extent to which we acquire or in-license other businesses, products,
product candidates or technologies;
the amount and timing of revenue, if any, we receive from commercial sales of
? any product candidates for which we, or our collaboration partner, receives
marketing approval in the future;
? the amount and timing of revenue, if any, we receive from manufacturing
products for CSL Behring;
? the scope, timing, results and costs of preclinical development and laboratory
testing of our additional product candidates;
? the need for additional resources and related recruitment costs to support the
preclinical and clinical development of our product candidates;
the need for any additional tests, studies, or trials beyond those originally
? anticipated to confirm the safety or efficacy of our product candidates and
technologies;
? the cost, timing and outcome of regulatory reviews associated with our product
candidates;
? our ability to enter into collaboration arrangements in the future;
the costs and timing of preparing, filing, expanding, acquiring, licensing,
? maintaining, enforcing, and prosecuting patents and patent applications, as
well as defending any intellectual property-related claims;
the costs associated with maintaining quality compliance and optimizing our
? manufacturing processes, including the operating costs associated with our
Lexington, Massachusetts manufacturing facility; and
? the costs associated with increasing the scale and capacity of our
manufacturing capabilities.
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