You should read the following discussion and analysis of our financial condition
and results of operations together with our consolidated financial statements
and the related notes and other financial information included elsewhere in this
Annual Report on Form 10-K. Some of the information contained in this discussion
and analysis or set forth elsewhere in this report, including information with
respect to our plans and strategy for our business, includes forward-looking
statements that involve risks and uncertainties. As a result of many factors,
including those factors set forth in the "Risk Factors" section of this Annual
Report on Form 10-K, our actual results could differ materially from the results
described in or implied by the forward-looking statements contained in the
following discussion and analysis. You should carefully read the section titled
"Risk Factors" set forth in Part I, Item 1A of this Annual Report on Form 10-K
to gain an understanding of the important factors that could cause actual
results to differ materially from our forward-looking statements. Please also
see the section titled "Special Note Regarding Forward-Looking Statements." You
should, therefore, not rely on these forward-looking statements as representing
our views as of any date subsequent to the date of this Annual Report on Form
10-K.
Overview
We are a microbiome technology company with a portfolio of intellectual property
and microbiome assets. Our objectives are to realize the value of our
intellectual property estate through licensing our technology to collaboration
partners and enforcing our patent rights against infringing parties and, in
certain cases, to generate additional data on selected product candidates
through academic collaborations. We have a robust intellectual property estate
reflecting our pioneering role in the microbiome therapeutics field, including
more than 70 issued U.S. and foreign patents with relevance for both
donor-derived and donor-independent microbiome therapeutics in a range of
potential indications. Our assets include CP101, an investigational, orally
administered microbiome candidate designed for the prevention of recurrent C.
difficile infection, or CDI, with positive clinical data from a Phase 2
randomized, placebo-controlled trial and a Phase 2 open-label trial, and
pre-clinical assets that are designed to target ulcerative colitis, Crohn's
disease, and autism spectrum disorder. Additionally, we have developed a
significant biorepository of strains and samples. In January 2023, we announced
the decision to discontinue our Phase 3 clinical trial of CP101 in recurrent CDI
and focus on realizing the value of our intellectual property estate and other
assets. We are currently in the process of winding down our development efforts
and significantly scaling back our expenses, including by terminating vendor
contracts and reducing headcount.
Until January 2023, we were a clinical-stage microbiome therapeutics company
using our Human-First Discovery platform to develop a novel class of orally
administered biological drugs. The microbiome consists of trillions of microbes
that live symbiotically in and on every human and are essential to our health.
When key microbes are lost, the resulting microbiome disruption can increase
susceptibility to immune disorders, infections, neurological conditions, cancer
and other serious diseases. We developed our Human-First Discovery platform to
use reverse translation to identify diseases of microbiome disruption and to
design microbiome therapeutics that address them.
We were previously developing CP101 as an orally administered complete
microbiome therapeutic designed for the prevention of recurrent CDI. In June
2020, we reported positive topline data from our Phase 2 placebo-controlled
clinical trial of CP101 for the prevention of recurrent CDI, and in November
2021 we reported positive topline data from our open-label, Phase 2 clinical
trial of CP101 for the prevention of recurrent CDI. On March 1, 2022, we
announced that enrollment in our Phase 3 clinical trial of CP101 for the
prevention of recurrent CDI, or the PRISM4 trial, was paused following receipt
of a clinical hold letter from the U.S. Food and Drug Administration, or the
FDA, in connection with our investigational new drug application for CP101,
requesting additional information regarding our SARS-CoV-2 donor screening
procedures and associated informed consent language. On April 27, 2022, the FDA
removed the clinical hold and in October 2022, we proceeded with patient dosing
in the PRISM4 trial. On January 24, 2023, we announced our decision to
discontinue PRISM4. We believe that CP101 has therapeutic potential in both CDI
and other indications.
We have also used our Human-First Discovery platform to develop FIN-211, an
investigational microbiome candidate designed to address the gastrointestinal
and behavioral symptoms of autism spectrum disorder, or ASD. Following a
strategic review of our pipeline, on November 10, 2022, we announced the
decision to suspend efforts to initiate our planned Phase 1 clinical trial of
FIN-211 in ASD, or the AUSPIRE trial.
In January 2017, we entered into an agreement, which we refer to as the Takeda
Agreement, with Takeda Pharmaceutical Company Limited, or Takeda, pursuant to
which we granted Takeda a worldwide, exclusive license, with the right to grant
sublicenses, under certain of our patents, patent applications and know-how to
develop our microbiome therapeutic candidate, FIN-524, for the prevention,
diagnosis, theragnosis or treatment of diseases in humans. We also partnered
with Takeda on discovery efforts targeting the development of the microbiome
therapeutic candidate FIN-525 for the treatment of Crohn's disease. In August
2022, Takeda elected to terminate the Takeda Agreement. Termination of the
Takeda Agreement
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became effective on November 17, 2022, at which point the license rights granted
to Takeda terminated and we regained full rights to pursue FIN-524 and FIN-525,
and any other microbiome product candidates for inflammatory bowel disease, in
all fields worldwide.
We will also continue to explore opportunities to realize the value of our
intellectual property and microbiome assets through strategic partnerships and
academic collaborations. These include our licensing relationship with the
University of Minnesota, or UMN, pursuant to which UMN is conducting multiple
investigator-sponsored clinical trials using a microbiome product candidate
comprised of compositions to which we hold an exclusive license. In addition to
our clinical and pre-clinical assets, we have developed a biorepository of
samples and strains that can be used in a variety of research applications and
may form the basis for future collaborations.
On each of April 19, 2022, September 1, 2022, and January 24, 2023, we announced
the implementation of certain expense reduction measures, including reductions
in our workforce. On January 24, 2023, we announced a decision to re-orient our
business strategy to close our Phase 3 study of CP101 in CDI and focus on
realizing the value of the Company's intellectual property and other assets.
This decision came after an assessment by our management team and board of
directors of multiple factors, including our outlook for identifying a
commercial partner, slower than anticipated enrollment in the PRISM4 trial, the
harmful impact of what we believe is the ongoing unauthorized use of our
intellectual property, and broader sector trends in the biotechnology industry.
Our recent business initiatives have been focused primarily on organizing and
staffing our company and establishing and protecting our intellectual property
portfolio. Until January 2023, we also focused on developing and progressing our
product candidates through clinical development, and research and development
activities. We do not currently expect to be able to progress any product
candidate through clinical trials or commercial approval and we do not currently
expect to generate any revenue from product sales. Since our inception, we have
funded our operations primarily with proceeds from the IPO, the sale of
convertible preferred stock, our loan agreement with Hercules Capital and from
collaboration revenue.
Since our inception, we have incurred significant operating losses. Our net
losses were $114.6 million and $58.2 million for the years ended December 31,
2022 and 2021, respectively. As of December 31, 2022, we had an accumulated
deficit of $275.6 million. We expect to continue to generate operating losses
and negative operating cash flows for the foreseeable future as we attempt to
realize the value of our intellectual property estate and other assets.
Although we believe strongly in the value of our pioneering intellectual
property portfolio and the merits of our current litigation activities relating
to those assets, we may never succeed in realizing the value of our intellectual
property estate and other assets and, even if we do, we may never generate
revenue that is significant or large enough to achieve profitability.
As a result, we may need additional funding to support our operating activities
as we seek to realize value from our intellectual property estate and other
assets. Until such time, if ever, that we can generate substantial revenue, we
expect to finance our cash needs through equity offerings, debt financings or
other capital sources, including collaborations, licenses or similar
arrangements. However, we may be unable to raise additional funds or enter into
such other arrangements when needed or on favorable terms, if at all. If we are
unable to obtain funding as needed, we may decide to pursue a dissolution and
liquidation.
Components of Our Results of Operations
Revenue
We have no products approved for commercial sale. We have not generated any
revenue from product sales and do not expect to generate any revenue from the
sale of licensed products for the foreseeable future. Our revenue to date has
been generated primarily through collaboration and license agreements. We
recognize revenue over our expected performance period under each agreement. We
expect that our revenue for the next several years, if any, will be derived from
enforcement and out-licensing of our intellectual property estate. Additionally,
we will continue to earn royalties under our Asset Purchase Agreement, dated as
of November 19, 2020, or the OpenBiome Agreement, with Microbiome Health
Research Institute, Inc., doing business as OpenBiome, or OpenBiome, based on
sales of fecal microbiota transplantation, or FMT, materials, which we receive
as reimbursement for the payment of third-party license fees.
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Collaboration and License Agreement with Takeda
In January 2017, we entered into a research collaboration and exclusive license
agreement, or as amended and restated, the Takeda Agreement, with Takeda,
pursuant to which we granted Takeda a worldwide, exclusive license, with the
right to grant sublicenses, under our rights in certain patents, patent
applications and know-how to develop, have developed, manufacture, have
manufactured, make, have made, use, have used, offer for sale, sell, have sold,
commercialize, have commercialized and import our microbiome therapeutic
candidate FIN-524, for the prevention, diagnosis, theragnosis or treatment of
diseases in humans. We subsequently amended and restated the Takeda Agreement in
October 2019 to provide a similar worldwide, exclusive license to a second
microbiome therapeutic candidate, FIN-525. We amended the Takeda Agreement in
August 2021 to transition primary responsibility for further development and
manufacturing activities with respect to FIN-524 from us to Takeda in accordance
with a transition plan, with Takeda to assume sole responsibility for regulatory
matters with respect to FIN-524. In November 2021, we amended the Takeda
Agreement to enable us to carry out certain FIN-525 preliminary evaluation
activities.
In August 2022, we received written notice from Takeda that, following a review
of its pipeline, Takeda had elected to exercise its right to terminate the
Takeda Agreement. In accordance with the terms of the Takeda Agreement, the
termination became effective on November 17, 2022, or the Termination Effective
Date. Pursuant to a further amendment to the Takeda Agreement, dated October 19,
2022, we are in the process of winding down and transitioning activities under
the Takeda Agreement. As of the Termination Effective Date, the license rights
granted to Takeda terminated and Takeda ceased to accrue any financial
obligations to us. Revenue earned to date under the Takeda Agreement is
recognized as our research and development services are provided and is recorded
as collaboration revenue on our consolidated statement of operations.
In connection with entry into the Takeda Agreement, we received a one-time,
upfront payment from Takeda in the amount of $10.0 million. Additionally, we
received an aggregate of $4.0 million in additional payments upon the
achievement of certain development milestones for FIN-524 therapeutic products.
Since the Termination Effective Date, we are no longer eligible to receive
future milestones under the Takeda Agreement.
Agreements with OpenBiome
We have historically collaborated with OpenBiome under several agreements
related to, among other things, the license of various technology and
intellectual property rights, and the supply of certain materials, as further
described below.
On November 19, 2020, we entered into the LMIC License Agreement, or the LMIC
Agreement, with OpenBiome, pursuant to which we granted OpenBiome a
non-exclusive royalty-bearing license, with the right to grant sublicenses,
under certain patents, patent applications, and know-how that are reasonably
necessary or useful for the exploitation of products manufactured directly from
stool from a stool donor source without the use of culturing or replication, or
certain natural products. The license granted to OpenBiome excludes a license
under our intellectual property to exploit a lyophilized natural product (such
as CP101) where processed stool is lyophilized. The only consideration provided
to us under the LMIC Agreement is in the form of future royalties on net sales
of these products, which are not currently commercially viable. We are entitled
to receive tiered royalties on net sales of certain products, ranging from
mid-single digit to low second decile digits on a product-by-product and
country-by-country basis. We did not recognize any revenue related to the LMIC
Agreement for the years ended December 31, 2022 and 2021, as there are currently
no products available for sale.
Also on November 19, 2020, we entered into an asset purchase agreement, or the
OpenBiome Agreement, with Microbiome Health Research Institute, Inc., or
OpenBiome. The OpenBiome Agreement effectively terminated certain existing
agreements with OpenBiome and internalized certain functions for which we
previously relied on OpenBiome. Pursuant to the OpenBiome Agreement, we acquired
certain biological samples and obtained a license to certain OpenBiome
technology, and, upon closing of the transaction, which occurred on March 1,
2021, we acquired certain additional assets, including biological samples, a
commercial lease, intellectual property, capital equipment and contracts. As of
December 31, 2022, we have made payments of $5.0 million to OpenBiome related to
the OpenBiome Agreement, which is the full amount agreed upon. We are also
required to pay certain milestones up to $26.0 million upon the occurrence of
certain research and development events, regulatory approvals, and commercial
sales, and low single digit royalties on net sales of products on a
product-by-product and country-by-country basis, as well as a mid-single digit
royalties on sublicensing revenue related to such products. We will continue to
earn royalties under the OpenBiome Agreement, which serve as reimbursement for
third party license fees, based on sales of fecal microbiota transplantation, or
FMT, materials.
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Operating Expenses
Research and Development Expenses
Research and development expenses consist primarily of costs incurred for
research activities, including discovery and development efforts. We expense
research and development costs as incurred, which include:
•
salaries, benefits and other related costs, including stock-based compensation
expense, for personnel engaged in research and development functions;
•
upfront, milestone and maintenance fees incurred under license, acquisition and
other third-party agreements;
•
costs of laboratory supplies and acquiring, developing and manufacturing study
materials;
•
facility-related expenses, which include direct depreciation costs and allocated
expenses for rent and maintenance of facilities and other operating costs; and
•
costs of outside consultants engaged in research and development functions,
including their fees and related travel expenses
Costs for external development activities are recognized based on an evaluation
of the progress to completion of specific tasks using information provided to us
by our vendors. Payments for these activities are based on the terms of the
individual agreements, which may differ from the pattern of costs incurred, and
are reflected in our consolidated financial statements as prepaid or accrued
research and development expenses. Nonrefundable advance payments for goods or
services to be received in the future for use in research and development
activities are recorded as prepaid expenses and expensed as the related goods
are delivered or the services are performed. We do not allocate certain
employee-related costs, external costs directly related to our Human First
Discovery platform, and other indirect costs to specific research and
development programs because these costs are deployed across multiple product
programs and, as such, are classified as costs of our platform research.
Until January 2023, research and development activities were central to our
business model. We expect that our research and development expenses will
decrease in the foreseeable future due to our reduced headcount and our
decisions to discontinue our Phase 3 clinical trial of CP101 and to focus on
realizing the value of our intellectual property estate and other assets. This
decision came after an assessment by our management team and board of directors
of multiple factors, including our outlook for identifying a commercial partner,
slower than anticipated enrollment in the PRISM4 trial, the harmful impact of
what we believe is the ongoing unauthorized use of our intellectual property,
and broader sector trends in the biotechnology industry. Our research and
development expenses have been primarily focused on supporting clinical trials
for CP101.
General and Administrative Expenses
General and administrative expenses consist primarily of salaries and other
related costs, including stock-based compensation, for personnel in our
executive, finance, corporate and business development and administrative
functions. General and administrative expenses also include professional fees
for legal, patent, accounting, auditing, tax and consulting services, travel
expenses and facility-related expenses, which include direct depreciation costs
and allocated expenses for rent and maintenance of facilities and other
operating costs.
We expect that our general and administrative expenses will decrease in the
foreseeable future due to our reduced headcount. We expect to continue to incur
expenses associated with being a public company, including costs of accounting,
audit, legal, regulatory and tax compliance services, director and officer
insurance costs, and investor and public relations costs.
Impairment of Goodwill
Goodwill and Acquired In Process Research and Development, or IPR&D, are
evaluated for impairment annually on October 1, or more frequently if events or
changes in circumstances indicate that the asset might be impaired. Factors we
consider important, on an overall company basis, that could trigger an
impairment review include significant underperformance relative to historical or
projected future operating results, significant changes in our use of an
acquired asset or the strategy for our overall business, significant negative
industry or economic trends, a significant decline in the Company's stock price
for a sustained period, or a reduction of our market capitalization relative to
net book value.
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To conduct impairment tests of goodwill, the fair value of the Company's single
reporting unit is compared to its carrying value. If the reporting unit's
carrying value exceeds its fair value, the Company records an impairment loss to
the extent that the carrying value of goodwill exceeds its fair value.
Restructuring Expense
Restructuring expense consists of costs directly incurred as a result of
restructuring initiatives, and includes one-time severance payments, healthcare
coverage, outplacement services and related expenses.
Total Other Income (Expense), Net
Other Income (Expense), Net
Other income (expense), net consists of sublease income as well as realized
gains and losses on foreign exchange.
Interest Income (Expense)
Interest income primarily consists of interest earned on our cash and cash
equivalents. Interest expense consists primarily of interest on borrowings under
our Loan and Security Agreement, dated as of May 11, 2022, with Hercules
Capital, Inc., or the Loan Agreement.
(Loss) Gain on Disposal of Fixed Assets
(Loss) Gain on disposal of fixed assets relates to the gain we realized when we
sold certain lab equipment during the years ended December 31, 2022 and 2021.
Results of Operations
Comparison of the Years Ended December 31, 2022 and 2021
The following table summarizes our results of operations for the years ended
December 31, 2022 and 2021 (in thousands):
YEAR ENDED
DECEMBER 31,
2022 2021
REVENUE:
Collaboration revenue $ 861 $ 18,532
Total revenue 861 18,532
OPERATING EXPENSES:
Research and development (57,893 ) (57,279 )
General and administrative (38,088 ) (21,238 )
Impairment of goodwill (18,057 ) -
Restructuring expense (2,416 ) -
Total operating expenses (116,454 ) (78,517 )
Net operating loss (115,593 ) (59,985 )
OTHER INCOME (EXPENSE), NET:
Gain on extinguishment of PPP Loan - 1,827
Interest (expense) income, net 252 22
(Loss) gain on disposal of fixed assets, net (7 ) 28
Other income (expense), net 702 (52 )
Total other income, net 947 1,825
Net loss $ (114,646 ) $ (58,160 )
Revenue
Revenue of $0.9 million and $18.5 million for the years ended December 31, 2022
and 2021, respectively, primarily consisted of collaboration revenue earned
under the Takeda Agreement. Our collaboration revenue decreased by $17.7 million
due to the November 2021 amendment to the Takeda Agreement, pursuant to which we
transitioned primary responsibilities with respect to FIN-524 to Takeda in the
third quarter of 2021, resulting in a decrease in collaboration
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revenue in 2022, in addition to Takeda's election in August 2022 to terminate
the agreement, which terminated in November 2022.
Research and Development Expenses
The following table summarizes our research and development expenses for the
years ended December 31, 2022 and 2021 (in thousands):
YEAR ENDED DECEMBER 31,
Increase
2022 2021 (Decrease)
CDI $ 16,524 $ 16,779 $ (255 )
Inflammatory Bowel Diseases (IBD) 1,157 6,328 (5,171 )
Autism Spectrum Disorder (ASD) 5,038 6,842 (1,804 )
Hepatitis B (HBV) 260 3,172 (2,912 )
Platform 25,490 21,593 3,897
Unallocated 9,424 2,565 6,859
$ 57,893 $ 57,279 $ 614
Research and development expenses for the year ended December 31, 2022, were
$57.9 million, as compared to $57.3 million for the year ended December 31,
2021. The increase of $0.6 million reflected a $6.9 million increase in
unallocated costs, driven by a $5.0 million charge in the fourth quarter of 2022
for the partial impairment of the right-of-use asset associated with the Hood
Lease and a $1.7 million increase in stock-based compensation expense, in
addition to an increase of $3.9 million in platform-related expenses. These
increases were partially offset by a $5.2 million decrease in IBD program
expenses due to the termination of our collaboration with Takeda, which was
completed in the fourth quarter of 2022. Additionally, program expenses related
to HBV decreased by $2.9 million, while costs related to our ASD program
decreased by $1.8 million in connection with our decision to suspend our HBV
program, announced on March 31, 2022, and our subsequent decision, announced on
September 1, 2022, to suspend our Phase 1 clinical trial in ASD. Additionally,
there was a $0.3 million decrease in costs related to our CDI program, primarily
due to a decrease in external clinical research organization costs.
General and Administrative Expenses
The following table summarizes our general and administrative expenses for the
years ended December 31, 2022 and 2021 (in thousands):
YEAR ENDED DECEMBER 31,
2022 2021 Increase
Personnel expenses (including stock-based
compensation) $ 11,969 $ 11,729 $ 240
Facilities and supplies 3,946 327 3,619
Professional fees 13,517 5,459 8,058
Other expenses 8,656 3,723 4,933
$ 38,088 $ 21,238 $ 16,850
General and administrative expenses were $38.1 million for the year ended
December 31, 2022, as compared to $21.2 million for the year ended December 31,
2021. The increase of $16.9 million for fiscal year 2022 was due to a $8.1
million increase in professional fees, a $3.6 million increase in facilities and
supplies, driven by the addition of $3.7 million in rent expense under the Hood
Lease, which was entered into in 2022, a $4.9 million increase in other
expenses, and a $0.2 million increase in personnel expenses. The increase in
professional fees was primarily related to $9.5 million increase in legal
expenses, partially offset by a $0.8 million decrease in audit and tax services
and a $0.6 million decrease in consulting expenses. The increase in other
expenses was primarily related to a $1.9 million charge in the fourth quarter of
2022 for the partial impairment of the right-of-use asset associated with the
Hood Lease, an increase of $1.6 million in state excise taxes, and an increase
of $1.1 million in business insurance costs.
Other Income, Net
Total other income, net was $0.9 million for the year ended December 31, 2022,
compared to $1.8 million for the year ended December 31, 2021. The increase of
$0.9 million was primarily due to the forgiveness of the loan we received under
the
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Paycheck Protection Program of the CARES Act, or the PPP Loan, in full in the
amount of $1.8 million in 2021, offset by sublease income of $0.7 million earned
during the year ended December 31, 2022.
Impairment of Goodwill
For the year ended December 31, 2022, we recognized a goodwill impairment charge
of $18.1 million, as the fair value of the Company's reporting unit was
determined to be less than its carrying value, primarily due to a sustained
decline in market conditions that drove our market capitalization below our net
book value. We also performed a valuation of our CP101 IPR&D asset, which
resulted in no impairment, as the fair value of the asset exceeded the carrying
value as of December 31, 2022. No impairment charge to goodwill or IPR&D was
recognized for the year ended December 31, 2021.
Restructuring Expense
Restructuring expense for the year ended December 31, 2022 was $2.4 million,
compared to zero for the year ended December 31, 2021. The increase is due to
the costs associated with the implementation of certain expense reduction
measures in both April and September 2022. Refer to Note 8 within the
consolidated financial statements for further information.
Liquidity and Capital Resources
Sources of Liquidity
Since our inception, we have not recognized any product revenue and have
incurred operating losses and negative cash flows from our operations. We do not
currently expect to progress any product candidate through clinical trials or
commercial approval and we do not currently expect to generate any revenue from
product sales. We expect that our revenue for the next several years, if any,
will be derived from enforcement and out-licensing of our intellectual property
estate. We have funded our operations primarily through equity financings, the
Loan Agreement, and from collaboration revenue. We have raised an aggregate of
approximately $177.0 million from the sale of convertible preferred stock and
$14.0 million in collaboration revenue from the upfront payment and milestone
payments received under our collaboration agreement with Takeda which was
terminated in 2022. In May 2022, we borrowed $15.0 million under the Loan
Agreement, and subsequently, in January 2023, we voluntarily paid off all
outstanding amounts under the Loan Agreement. In March 2021, we completed our
initial public offering ("IPO") whereby we sold an aggregate of 7,500,000 shares
of our common stock. In April 2021, we sold an additional 192,877 shares of our
common stock, pursuant to the underwriters' partial exercise of their
overallotment option, at a public offering price of $17.00 per share, for
aggregate gross proceeds of $3.3 million. In aggregate, we received
approximately $118.8 million in net proceeds related to our IPO after deducting
$9.2 million of underwriting discounts and commissions and $2.9 million of
offering expenses.
Cash Flows
The following table summarizes our cash flows for the years ended December 31,
2022 and 2021 (in thousands):
YEAR ENDED
DECEMBER 31,
2022 2021
Net cash used in operating activities $ (74,851 ) $ (67,133 )
Net cash used in investing activities (2,182 ) (15,921 )
Net cash provided by financing activities 14,873 119,110
Net (decrease) increase in cash and cash equivalents,
and restricted cash $ (62,160 ) $ 36,056
Operating Activities
During the year ended December 31, 2022, cash used in operating activities was
$74.9 million, which was primarily related to our net loss of $114.6 million.
The cash outflow included an $18.1 million charge for goodwill impairment, $7.8
million in stock-based compensation expense, a $6.9 million charge for the
partial impairment of the right-of-use asset associated with the Hood Lease, and
$5.5 million in non-cash depreciation and amortization. The outflow was also
impacted by a net decrease in our operating assets and liabilities of $1.6
million. The change in operating assets and liabilities includes a $2.5 million
decrease in prepaid expenses and other current assets and a $2.3 million
decrease in accounts payable. This was offset by a $1.9 million increase in
operating lease liabilities, a $0.7 million increase in other non-current
assets, a $0.4 million increase in accounts receivable, and a $0.2 million
increase in accrued expenses and other current liabilities.
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During the year ended December 31, 2021, cash used in operating activities was
$67.1 million, which was primarily related to our net loss of $58.2 million. The
cash outflow included $4.2 million in stock-based compensation expense, $2.3
million in non-cash depreciation and amortization, and a $1.8 million gain on
extinguishment of the PPP Loan. The outflow was also impacted by a net decrease
in our operating assets and liabilities of $14.5 million. The change in
operating assets and liabilities includes a $13.6 million decrease in deferred
revenue, a $4.7 million decrease in other non-current assets, and a $3.2 million
decrease in prepaid expenses and other current assets. This was offset by a $5.4
million increase in accrued expenses and other current liabilities, a $2.3
million increase in accounts payable, and a $0.5 million increase in accounts
receivable.
Investing Activities
During the years ended December 31, 2022 and 2021, we used $2.2 million and
$15.9 million, respectively, of cash in investing activities. The $2.2 million
used during the year ended December 31, 2022 and the $15.9 million used during
the year ended December 31, 2021 was related to the purchases of property and
equipment.
Financing Activities
During the year ended December 31, 2022, net cash provided by financing
activities of $14.9 million was due to proceeds from borrowings under the Loan
Agreement and the exercise of company stock options and was partially offset by
principal payments on finance lease obligations and payments of debt issuance
costs.
During the year ended December 31, 2021, net cash provided by financing
activities was $119.1 million, primarily related to $118.6 million of proceeds
received from the IPO, net of underwriting discounts and commissions and $3.0
million of proceeds from the underwriters' exercise of their overallotment
option, net of underwriting discounts and commissions. The proceeds are
partially offset by $2.7 million of payments of issuance costs related to the
IPO.
Funding Requirements
As of December 31, 2022, our cash and cash equivalents were $71.0 million. We
believe that our existing cash on hand will enable us to fund our operating
expenses and capital expenditure requirements into 2025. We have based this
estimate on assumptions that may prove to be wrong, and we could expend our
capital resources sooner than we expect. We expect to continue to incur
significant losses for the foreseeable future as we attempt to realize the value
of our intellectual property estate and other assets.
Material Cash Requirements
The following table summarizes our contractual obligations as of December 31,
2022, and the effects such obligations are expected to have on our liquidity and
cash flow in future periods (in thousands):
Payments Due by Period
Less than 1 1 to 3 4 to 5 More than
Total Year Years Years 5 Years
Lease commitments $ 52,582 $ 6,109 $ 12,682 $ 11,401 $ 22,390
Loan payable
15,000 - 15,000 - -
License agreements 565 25 140 135 265
Total $ 68,147 $ 6,134 $ 27,822 $ 11,536 $ 22,655
The commitment amounts in the table above are associated with contracts that are
enforceable and legally binding and that specify all significant terms,
including fixed or minimum services to be used, fixed, minimum or variable price
provisions, and the approximate timing of the actions under the contracts.
Lease Commitments
We have entered into operating leases for rental space in Somerville, Cambridge,
and Charlestown Massachusetts (see Note 5 to our annual consolidated financial
statements appearing elsewhere in this Annual Report). The table above includes
future minimum lease payments under the non-cancelable lease arrangements. The
table above also includes payments due under our capital lease obligation, as
related to leased equipment.
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Loan Payable
In May 2022, we entered into the Loan Agreement, under which we previously
borrowed $15.0 million. In January 2023, we voluntarily paid off all outstanding
principal, accrued and unpaid interest, fees, costs and expenses under the Loan
Agreement.
License Agreements
We have also entered into license agreements under which we are obligated to
make milestone and royalty payments and incur annual maintenance fees. We owe an
annual maintenance fee of $5,000 under our agreement with the University of
Minnesota, as well as escalating minimum royalty amounts. We also are required
to pay minimum royalties under the agreement with Arizona State University of
$5,000 annually through 2023, which increases to $20,000 in 2024. Future minimum
payments through 2031 have been included in the table above, but our minimum
payments continue in perpetuity for University of Minnesota until the agreement
is terminated. We are also obligated to make regulatory milestone payments to
OpenBiome aggregating up to $6.0 million upon the achievement of regulatory
approvals, and sales-based milestone payments of up to $20.0 million upon the
achievement of certain net sales criteria. We were also obligated to pay
OpenBiome $1.25 million upon the closing of the OpenBiome Agreement, included as
a portion of the closing fees of $3.9 million, as related to milestones
previously achieved. We are obligated to pay to OpenBiome a low single digit
royalty on net sales of licensed natural products by us and our affiliates and a
high single digit percentage of certain sublicensing revenue (including
royalties) received in connection with licensed natural products. These
royalties are calculated on a product-by-product and country-by-country basis.
See the sections titled "Business-Our Collaborations and License Agreements" and
"Business-Agreements with OpenBiome" elsewhere in this Annual Report as well as
Note 11 to our annual consolidated financial statements appearing elsewhere in
this Annual Report for a description of our license agreements.
Purchase and Other Obligations
We have entered into contracts in the normal course of business with CROs and
other third parties for preclinical studies, clinical trials and testing and
manufacturing services. These contracts generally do not contain minimum
purchase commitments and are cancelable by us upon prior written notice.
Payments due upon cancellation generally consist of payments for services
provided or expenses incurred, including non-cancelable obligations of our
service providers up to one year after the date of cancellation. These payments
are not included in the table above as the amount and timing and such payments
are not known.
Critical Accounting Estimates
Our management's discussion and analysis of financial condition and results of
operations is based on our consolidated financial statements, which have been
prepared in accordance with generally accepted accounting principles in the
United States. The preparation of our consolidated financial statements and
related disclosures requires us to make estimates and assumptions that affect
the reported amounts of assets and liabilities, costs and expenses and the
disclosure of contingent assets and liabilities in our financial statements. We
base our estimates on historical experience, known trends and events and various
other factors that we believe are 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 readily apparent from other sources. We
evaluate our estimates and assumptions on an ongoing basis. Our actual results
may differ from these estimates under different assumptions or conditions.
While our significant accounting policies are described in greater detail in
Note 2 to our consolidated financial statements appearing in this Annual Report,
we believe that the following accounting policies are those most critical to the
judgments and estimates used in the preparation of our consolidated financial
statements.
Revenue Recognition
To date, our revenues have consisted of payments received related to our
licensing agreement with Takeda, which was terminated in 2022. We apply the
revenue recognition guidance in accordance with Financial Accounting Standards
Board, Accounting Standards Codification, or ASC, Subtopic 606, Revenue from
Contracts with Customers, which was adopted January 1, 2017 using the full
retrospective method. Under ASC 606, we recognize revenue when our customers
obtain control of promised goods or services, in an amount that reflects the
consideration which we expect to receive in exchange for those goods or
services.
To determine the appropriate amount of revenue to be recognized for arrangements
determined to be within the scope of ASC 606, we perform the following five
steps: (i) identification of the promised goods or services in the contract;
(ii) determination of whether the promised goods or services are performance
obligations including whether they are distinct in
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the context of the contract; (iii) measurement of the transaction price,
including the constraint on variable consideration; (iv) allocation of the
transaction price to the performance obligations; and (v) recognition of revenue
when (or as) we satisfy each performance obligation. We only apply the five-step
model to contracts when it is probable that we will collect consideration we are
entitled to in exchange for the goods or services we transfer to our customer.
All variable consideration, including milestones and royalties, are constrained
until the cumulative revenue related to the consideration is no longer probable
of reversal.
The consideration allocated to each performance obligation is recognized as
revenue when control is transferred for the related goods or services. For
performance obligations which consist of licenses and other promises, we utilize
judgment to assess the nature of the combined performance obligation to
determine whether the combined performance obligation is satisfied over time or
at a point in time and, if over time, the appropriate method of measuring
progress. We evaluate the measure of progress each reporting period and, if
necessary, adjust the measure of performance and related revenue recognition. We
currently measure progress according to the expenditure of research and
development efforts, based on costs incurred, as this is the best indicator of
performance. Upfront payments and fees are recorded as deferred revenue upon
receipt or when due until we satisfy our obligations under these arrangements.
Amounts are recorded as accounts receivable when our right to consideration is
unconditional.
Goodwill and Acquired In-Process Research and Development
Goodwill is the amount by which the purchase price of acquired net assets in a
business combination exceeded the fair values of net identifiable assets on the
date of acquisition. Acquired In-Process Research and Development, or IPR&D,
represents the fair value assigned to research and development assets that we
acquire that have not been completed at the date of acquisition or are pending
regulatory approval in certain jurisdictions. The value assigned to the acquired
IPR&D is determined by estimating the costs to develop the acquired technology
into commercially viable products, estimating the resulting revenue from the
projects, and discounting the net cash flows to present value. Our IPR&D is
considered an intangible asset with an indefinite life.
Goodwill and IPR&D are evaluated for impairment annually on October 1, or more
frequently if events or changes in circumstances indicate that the asset might
be impaired. Factors we consider important, on an overall company basis, that
could trigger an impairment review include significant underperformance relative
to historical or projected future operating results, significant changes in our
use of the acquired assets or the strategy for our overall business, significant
negative industry or economic trends, a significant decline in our stock price
for a sustained period, or a reduction of our market capitalization relative to
net book value.
To conduct impairment tests of goodwill, the fair value of the reporting unit is
compared to its carrying value. If the reporting unit's carrying value exceeds
its fair value, we record an impairment loss to the extent that the carrying
value of goodwill exceeds its implied fair value.
In connection with the preparation of the financial statements for the third
quarter of 2022, management identified factors that could trigger impairment
including a sustained decline in the Company's stock price throughout the third
quarter of 2022, resulting in a reduction of the Company's market capitalization
below net book value. As a result of the triggering event identified, management
concluded that this impairment indicator required the Company to perform an
interim impairment test of goodwill and IPR&D as of September 30, 2022.
Management's assessment for the impairment of goodwill indicated that the fair
value of the Company's reporting unit was less than its carrying value at
September 30, 2022, resulting in a full goodwill impairment charge of $18.1
million. Management's assessment for the impairment of IPR&D indicated that the
fair value of the Company's IPR&D asset at September 30, 2022 exceeded its
carrying value, resulting in no impairment to IPR&D as of September 30, 2022.
In connection with its preparation of the financial statements for the year
ended December 31, 2022, management identified factors that could trigger
impairment, including the Company's decision to discontinue its Phase 3 clinical
trial of CP101 in recurrent CDI, which was announced in January 2023. As a
result of the triggering event identified, management concluded that this
impairment indicator required the Company to perform an interim impairment test
of IPR&D as of December 31, 2022. Management's assessment for the impairment of
IPR&D indicated that the fair value of the Company's IPR&D asset at December 31,
2022 exceeded its carrying value, resulting in no impairment to IPR&D as of
December 31, 2022.
To conduct impairment tests of IPR&D, the fair value of the IPR&D asset is
compared to its carrying value. If the carrying value exceeds its fair value, we
record an impairment loss to the extent that the carrying value of the IPR&D
asset exceeds its fair value. We estimate the fair value for our IPR&D asset
using discounted cash flow valuation models, which require the
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use of significant estimates and assumptions, including, but not limited to,
estimating the timing of and expected costs to complete the in-process projects,
projecting regulatory approvals, estimating future cash flows from product sales
resulting from completed projects and in-process projects, and developing
appropriate discount rates. Our triggering event assessment as of December 31,
2022, and annual impairment assessment as of October 1, 2021, respectively,
indicated that the fair value of our IPR&D asset exceeded its carrying value,
resulting in no impairment.
We expect given management's decision to discontinue our Phase 3 clinical trial
of CP101 in recurrent CDI and focus on realizing the value of our intellectual
property estate and other assets, that the value of our IPR&D asset will be
impaired in the first quarter of 2023, as the value of the asset is derived from
the estimated future cash flows associated with CP101.
The assumptions related to the development of fair value for IPR&D could deviate
materially from actual results and forecasts used to support the asset's
carrying value and may change in the future, which could result in impairment
charges that would adversely affect financial results of operations. There can
be no assurance that, at the time future impairment tests are completed, a
material impairment charge to IPR&D will not be recorded.
Accrued Research and Development Expenses
As part of the process of preparing our consolidated financial statements, we
are required to estimate our accrued research and development expenses. We make
estimates of our accrued expenses as of each balance sheet date in the
consolidated financial statements based on facts and circumstances known to us
at that time. There may be instances in which payments made to our vendors will
exceed the level of services provided and result in a prepayment of the expense.
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 the
actual timing of the performance of services or the level of effort varies from
the estimate, we adjust the accrual or the amount of prepaid expenses
accordingly. Although we do not expect our estimates to be materially different
from amounts actually incurred, our understanding of the status and timing of
services performed relative to the actual status and timing of services
performed may vary and may result in reporting amounts that are too high or too
low in any particular period. To date, there have not been any material
adjustments to our prior estimates of accrued research and development expenses.
Recently Issued Accounting Pronouncements
See Note 2 to our annual consolidated financial statements within this Annual
Report for a description of recent accounting pronouncements applicable to our
financial statements.
Emerging Growth Company Status and Smaller Reporting Company Status
We are an "emerging growth company," or EGC, under the Jumpstart Our Business
Startups Act of 2012, or the JOBS Act. Section 107 of the JOBS Act provides that
an EGC can take advantage of the extended transition period provided in Section
7(a)(2)(B) of the Securities Act of 1933, as amended, for complying with new or
revised accounting standards. Thus, an EGC can delay the adoption of certain
accounting standards until those standards would otherwise apply to private
companies. We have elected to avail ourselves of delayed adoption of new or
revised accounting standards and, therefore, we will be subject to the same
requirements to adopt new or revised accounting standards as private entities.
As an EGC, we may take advantage of certain exemptions and reduced reporting
requirements under the JOBS Act. Subject to certain conditions, as an EGC:
•
we may present only two years of audited financial statements and only two years
of related Management's Discussion and Analysis of Financial Condition and
Results of Operations;
•
we may avail ourselves of the exemption from providing an auditor's attestation
report on our system of internal controls over financial reporting pursuant to
Section 404(b) of the Sarbanes-Oxley Act;
•
we may avail ourselves of the exemption from complying with any requirement that
may be adopted by the Public Company Accounting Oversight Board regarding
mandatory audit firm rotation or a supplement to the auditor's report providing
additional information about the audit and the financial statements, known as
the auditor discussion and analysis;
•
we may provide reduced disclosure about our executive compensation arrangements;
and
•
we may not require nonbinding advisory votes on executive compensation or
stockholder approval of any golden parachute payments.
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We will remain an emerging growth company until December 31, 2026 or, if
earlier, (i) the last day of our first fiscal year in which we have total annual
gross revenues of at least $1.235 billion, (ii) the date on which we are deemed
to be a large accelerated filer, which means the market value of our common
stock that is held by non-affiliates exceeds $700.0 million as of the prior June
30th or (iii) the date on which we have issued more than $1.0 billion in
non-convertible debt securities during the prior three-year period.
We are also a ''smaller reporting company,'' meaning that the market value of
our stock held by non-affiliates is less than $700.0 million and our annual
revenue was less than $100.0 million during the most recently completed fiscal
year. We may continue to be a smaller reporting company if either (i) the market
value of our common stock held by non-affiliates is less than $250.0 million or
(ii) our annual revenue is less than $100.0 million during the most recently
completed fiscal year and the market value of our stock held by non-affiliates
is less than $700.0 million.
If we are a smaller reporting company at the time we cease to be an EGC, we may
continue to rely on exemptions from certain disclosure requirements that are
available to smaller reporting companies. Specifically, as a smaller reporting
company we may choose to present only the two most recent fiscal years of
audited financial statements in our Annual Report on Form 10-K and, similar to
EGCs, smaller reporting companies have reduced disclosure obligations regarding
executive compensation.
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