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BioCryst Pharmaceuticals, Inc.

bcrx · NASDAQ Healthcare
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FY2024 Annual Report · BioCryst Pharmaceuticals, Inc.
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Form 10-K
x    ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the fiscal year ended December 31, 2024
o    TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from _____ to _____
Commission File Number 000-23186
BIOCRYST PHARMACEUTICALS, INC.
(Exact name of registrant as specified in its charter)
Delaware
62-1413174
(State or other jurisdiction

of incorporation or organization)
(I.R.S. Employer

Identification No.)
4505 Emperor Blvd., Suite 200, Durham, North Carolina 27703
(Address of principal executive offices)
(919) 859-1302
(Registrant’s telephone number, including area code)
Securities registered pursuant to Section 12(b) of the Act
Title of each class
Trading Symbol(s)
Name of each exchange on which registered
Common Stock, $0.01 par value
BCRX
Nasdaq Global Select Market
Securities registered pursuant to Section 12(g) of the Act: None.
Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes x No o
Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or 15(d) of the Act. Yes o No x
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or Section 15(d) of the Securities Exchange Act of
1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing
requirements for the past 90 days. Yes x No o
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of
Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).
Yes x No o
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an
emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company” and “emerging growth
company” in Rule 12b-2 of the Exchange Act.
Large accelerated filer
x
Accelerated filer
o
Non-accelerated filer
o
Smaller reporting company
o
Emerging growth company
o
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new
or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. o
Indicate by check mark whether the registrant has filed a report on and attestation to its management’s assessment of the effectiveness of its internal control
over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registered public accounting firm that prepared or
issued its audit report. x
If securities are registered pursuant to Section 12(b) of the Act, indicate by check mark whether the financial statements of the registrant included in the
filing reflect the correction of an error to previously issued financial statements. o

Indicate by check mark whether any of those error corrections are restatements that required a recovery analysis of incentive-based compensation received
by any of the registrant’s executive officers during the relevant recovery period pursuant to §240.10D-1(b). o
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act). Yes o No x
The registrant estimates that the aggregate market value of the Common Stock on June 30, 2024 (based upon the closing price shown on the Nasdaq Global
Select Market on June 30, 2024) held by non-affiliates was $1,264,650,517.
The number of shares of Common Stock, par value $0.01, of the registrant outstanding as of February 20, 2025 was 208,960,020 shares.
DOCUMENTS INCORPORATED BY REFERENCE
Portions of the registrant’s definitive proxy statement to be filed in connection with the solicitation of proxies for its 2025 annual meeting of stockholders
are incorporated by reference into Items 10, 11, 12, 13, and 14 under Part III hereof.

Table of Contents
TABLE OF CONTENTS
Page No.
Cautionary Note Regarding Forward-Looking Statements
1
Risk Factor Summary
2
PART I
ITEM 1. BUSINESS
5
ITEM 1A. RISK FACTORS
28
ITEM 1B. UNRESOLVED STAFF COMMENTS
58
ITEM 1C. CYBERSECURITY
58
ITEM 2. PROPERTIES
60
ITEM 3. LEGAL PROCEEDINGS
60
ITEM 4. MINE SAFETY DISCLOSURES
60
PART II
ITEM 5. MARKET FOR REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER MATTERS, AND ISSUER PURCHASES
OF EQUITY SECURITIES
61
ITEM 6. RESERVED
62
ITEM 7. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
62
ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
75
ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA
77
ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE
116
ITEM 9A. CONTROLS AND PROCEDURES
116
ITEM 9B. OTHER INFORMATION
117
ITEM 9C. DISCLOSURE REGARDING FOREIGN JURISDICTIONS THAT PREVENT INSPECTIONS
117
PART III
ITEM 10. DIRECTORS, EXECUTIVE OFFICERS, AND CORPORATE GOVERNANCE
118
ITEM 11. EXECUTIVE COMPENSATION
118
ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED STOCKHOLDER
MATTERS
118
ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR INDEPENDENCE
118
ITEM 14. PRINCIPAL ACCOUNTANT FEES AND SERVICES
118
PART IV
ITEM 15. EXHIBIT AND FINANCIAL STATEMENT SCHEDULES
119
ITEM 16. FORM 10-K SUMMARY
124
SIGNATURES
125
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When used in this report, unless otherwise indicated, “we,” “our,” “us,” the “Company,” and “BioCryst” refer to BioCryst Pharmaceuticals, Inc.
and, where appropriate, its subsidiaries.
Cautionary Note Regarding Forward-Looking Statements
This Annual Report on Form 10-K (this “report”) includes forward-looking statements within the meaning of Section 21E of the Securities
Exchange Act of 1934, as amended (the “Exchange Act”), which are subject to the “safe harbor” created in Section 21E. In particular, statements about our
expectations, beliefs, plans, objectives or assumptions of future events or performance are contained or incorporated by reference in this report. All
statements other than statements of historical facts contained herein are forward-looking statements. These forward-looking statements can generally be
identified by the use of words such as “may,” “will,” “intends,” “plans,” “believes,” “anticipates,” “expects,” “estimates,” “predicts,” “potential,” the
negative of these words or similar expressions. Statements that describe our future plans, strategies, intentions, expectations, objectives, goals or prospects
are also forward-looking statements. Discussions containing these forward-looking statements are principally contained in the “Business,” “Risk Factors,”
and “Management’s Discussion and Analysis of Financial Condition and Results of Operations” sections of this report, as well as any amendments we
make to those sections in filings with the Securities and Exchange Commission (“SEC”). These forward-looking statements include, but are not limited to,
statements about:
•
the preclinical development, clinical development, commercialization, or post-marketing studies of our products and product candidates, including
ORLADEYO® (berotralstat), BCX17725, avoralstat, and early-stage discovery programs (including our complement inhibitors), and our plans
and anticipated timing regarding the same;
•
our discovery and commercialization of best-in-class and first-in-class medicines;
•
the timing and success of our commercialization of ORLADEYO in the United States and elsewhere and expectations regarding the commercial
market for ORLADEYO;
•
the potential for government stockpiling orders of our products and product candidates, including the timing or likelihood of entering into any U.S.
Government stockpile order, the likelihood of the U.S. Government exercising any options under our current procurement contract, and our ability
to execute any such order;
•
additional regulatory approvals, or milestones, royalties or profit from sales of our products by us or our partners;
•
the implementation of our business model, strategic plans for our business, products, product candidates and technology;
•
our ability to establish and maintain collaborations or out-license rights to our products and product candidates;
•
plans, programs, progress and potential success of our collaborations, including with Torii Pharmaceutical Co., Ltd. (“Torii”) for ORLADEYO in
Japan and Shionogi & Co., Ltd. (“Shionogi”) and Green Cross Corporation (“Green Cross”) for peramivir in their territories;
•
our and our subsidiary guarantors’ ability to satisfy obligations under the Pharmakon Loan Agreement (as defined below) and to comply with the
covenants as set forth in the agreements governing our debt obligations;
•
the scope of protection we are able to establish and maintain for intellectual property rights covering our products, product candidates, and
technology;
•
our ability to operate our business without infringing the intellectual property rights of others;
•
estimates of our revenues, expenses, capital requirements, annual cash utilization, and our needs for additional capital or financing;
•
the timing or likelihood of regulatory filings (including with respect to the ORLADEYO pediatric program) or regulatory agreements, deferrals,
approvals, and other decisions;
•
our ability to manage our liquidity needs to fund our operations or repay our recourse debt obligations;
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•
our financial performance;
•
statements and projections regarding financial goals, including timing for achieving profitability or positive cash flow; and
•
competitive companies, technologies, and our industry.
We have based any forward-looking statements on our current expectations about future events or performance. While we believe these expectations
are reasonable, forward-looking statements are inherently subject to known and unknown risks and uncertainties, many of which are beyond our control.
Actual results may differ materially from those suggested or implied by these forward-looking statements for various reasons, including those discussed in
this report under the heading “Risk Factors” in Part I, Item 1A, some of which are summarized in the “Risk Factor Summary” below. Any forward-looking
statement is subject to these and other risks, uncertainties, and assumptions relating to our operations, results of operations, industry, and future growth.
Given these risks and uncertainties, you are cautioned not to place undue reliance on our forward-looking statements. The forward-looking statements
included in this report are made only as of the date hereof. We do not undertake, and specifically decline, any obligation to update, revise or correct any of
these statements or to publicly announce the results of any such revisions to any forward-looking statements to reflect future events or developments,
except as may be required by U.S. federal securities laws.
Risk Factor Summary
An investment in the Company involves risks. You should carefully read this entire report and consider the uncertainties and risks discussed in the
“Risk Factors” section in Part I, Item 1A of this report, which may adversely affect our business, financial condition, or results of operations, along with the
other information included in our other filings with the SEC, before making an investment decision in the Company. A summary of the principal factors
that make an investment in the Company speculative or risky is set forth below.
•
We have incurred losses since our inception and may never achieve sustained profitability.
•
We may need to raise additional capital in the future. If we are unable to raise capital if and when needed, we may need to adjust our operations.
•
Our success depends upon our ability to manage our product candidate pipeline, advance our product candidates through the various stages of
development, especially through the clinical trial process, and to receive and maintain regulatory approvals for the commercial sale of our product
candidates. The development process and related regulatory processes are complex and uncertain, may be lengthy and expensive, and require,
among other things, an indication that our products and product candidates are safe and effective. For example, applicable regulatory agencies
could refuse to approve, or impose restrictions or warnings on, our product candidates, require us to conduct additional studies or adopt study
designs that differ from our planned development strategies, suspend or terminate our clinical trials, withdraw approval for our products, or take
other actions that could materially impact the cost, timing, and success of our planned development and commercialization strategies.
•
We rely heavily upon third parties, including development partners, contractors, contract research organizations, and third-party suppliers,
manufacturers, and distributors, for many important stages of our product candidate development and in the commercialization of certain of our
products and product candidates. Our failure to establish and maintain these relationships, the failure of any such third party to perform its
obligations under agreements with us, or the failure of such a relationship to meet our expectations could have a material adverse impact on our
business, financial condition, and results of operations.
•
If we fail to obtain additional financing or acceptable partnership arrangements if and when needed, we may be unable to complete the
development and commercialization of our products and product candidates or continue operations.
•
If the U.S. Food and Drug Administration or comparable foreign regulatory authorities approve generic versions of any of our products that
receive marketing approval, the sales of our products could be adversely affected.
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•
The commercial viability of any approved product could be compromised if the product is less effective than expected, causes undesirable side
effects that either were not previously identified or were worse than expected, or fails to achieve market acceptance by physicians, patients, third-
party payors, health authorities, and others.
•
There can be no assurance that our or our partners’ commercialization efforts, methods, and strategies for our products or technologies will
succeed, and our future revenue generation is uncertain.
•
We have expanded, and may continue expanding, our development and regulatory capabilities and are implementing sales, marketing, and
distribution capabilities, and as a result, we may encounter difficulties managing our growth, which could disrupt our operations.
•
We face intense competition, and if we are unable to compete effectively, the demand for our products may be reduced. In addition, developments
by others may render our products, product candidates, or technologies obsolete or noncompetitive.
•
We are subject to various laws and regulations related to our products and product candidates, and if we or our employees, consultants, or partners
do not comply with these laws and regulations, we could face substantial penalties and our reputation could be harmed. In addition, we and our
partners may be subject to new legislation, regulatory proposals, and healthcare payor initiatives that may increase our costs of compliance and
adversely affect our or our partners’ ability to market our products or develop our product candidates.
•
If we fail to adequately protect or enforce our intellectual property rights, the value of those rights would diminish. Legal proceedings to protect or
enforce our patents, the patents of our partners, or our other intellectual property rights could be expensive, time consuming, and unsuccessful. If
we fail to secure the rights to patents of others, this could adversely affect our business.
•
We face an inherent risk of liability in the event that the use or misuse of our products or product candidates results in personal injury or death, and
our product liability insurance coverage may be insufficient.
•
If we fail to reach milestones or to make annual minimum payments or otherwise breach our obligations under our license agreements, our
licensors may terminate our agreements with them and/or seek additional remedies.
•
The Pharmakon Loan Agreement (as defined below) contains conditions and restrictions that limit our flexibility in operating our business. We
may be required to make a prepayment or repay our outstanding indebtedness under the Pharmakon Loan Agreement earlier than we expect if a
prepayment event or an event of default occurs, including, but not limited to, a material adverse change with respect to us, which could have a
material adverse effect on our business.
•
International expansion of our business exposes us to business, legal, regulatory, political, operational, financial, and economic risks. For example,
our actual or perceived failure to comply with European governmental laws and regulations and other obligations related to privacy, data
protection, and information security could harm our business. In addition, the United Kingdom’s withdrawal from the European Union could result
in increased regulatory and legal complexity, which may make it more difficult for us to do business in Europe and impose additional challenges
in securing regulatory approval of our product candidates in Europe.
•
If our facilities, or the facilities of our third-party vendors, incur damage or power is lost for a significant length of time, our operations will be
disrupted, which will adversely affect our business.
•
Cyber incidents and related disruptions in our or our third-party vendors’ information technology systems, as well as challenges with properly
managing artificial intelligence, could adversely affect our business.
•
Our business, operations, clinical development or commercialization plans and timelines, and access to capital could be adversely affected by
unpredictable and unstable market and economic conditions.
•
If we fail to retain our existing key personnel, or fail to attract and retain additional key personnel, the development of our product candidates, the
commercialization of our products, and the related expansion of our business will be delayed or stopped.
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•
Future acquisitions, strategic investments, partnerships, alliances, or divestitures could fail to meet our expectations and/or adversely affect our
operating results and financial condition.
•
Our existing principal stockholders hold a substantial amount of our common stock and may be able to influence significant corporate decisions,
which may conflict with the interests of other stockholders.
•
Our stock price has been, and is likely to continue to be, highly volatile, which could cause the value of an investment in our common stock to
decline significantly.
•
If we fail to maintain effective internal control over financial reporting, we may not be able to produce accurate and timely financial statements,
which may adversely affect investor confidence in us and our financial reporting, adversely affect our business and operating results and may
negatively impact the trading price of our common stock.
•
Natural disasters, epidemic or pandemic disease outbreaks, trade wars, armed conflicts, political unrest, or other events could disrupt our business
or operations, or those of our development partners, manufacturers, regulators, or third parties with whom we conduct business now or in the
future.
•
We are subject to legal proceedings, which could harm our reputation or result in other losses or unexpected expenditure of time and resources.
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PART I
ITEM 1.    BUSINESS
Our Business
We are a global biotechnology company with a deep commitment to improving the lives of people living with hereditary angioedema (“HAE”) and
other rare diseases. We leverage our expertise in structure-guided drug design with the goal of developing first-in-class or best-in-class oral small-molecule
and injectable protein therapeutics to target difficult-to-treat rare diseases. Structure-guided drug design is a drug discovery approach by which we design
synthetic compounds from detailed structural knowledge of the active sites of targets associated with particular diseases. We use X-ray crystallography,
computer modeling of molecular structures and advanced chemistry techniques to focus on the three-dimensional molecular structure and active site
characteristics of the protein targets that control cellular biology. Our goal generally is to design a compound that will fit in the active site of a protein target
and thereby prevent its activity. Once a product candidate has been identified and selected through these discovery efforts, our experienced team aims to
advance such product candidate through the clinical development process to secure the regulatory approvals necessary for commercial sale.
In addition to these discovery and development efforts, our business strategy includes the successful commercialization of these drugs, as well as
self-funding all of these efforts by achieving and increasing profitability. By focusing primarily on rare disease markets, we believe that we can more
effectively control the costs of, and our strategic allocation of financial resources toward, post-approval commercialization. Molecules from our discovery
efforts that are commercially available or that are in active development are summarized in the table below and are discussed in further detail under
“Products and Product Candidates” in this “Part I—Item 1—Business” section of this report.
Drug/Drug
Candidate
Drug Class
Therapeutic Area(s)
Phase
Rights*
ORLADEYO®
(berotralstat)
Oral Serine Protease Inhibitor
Targeting Kallikrein (once-
daily oral capsule treatment)
Hereditary Angioedema
Approved
(United States and multiple
global markets)
BioCryst (worldwide)
Oral Serine Protease Inhibitor
Targeting Kallikrein (once-
daily oral granules treatment
for patients who are 2 to 11
years of age)
Hereditary Angioedema
Phase 3
BioCryst (worldwide)
BCX17725
Protein Therapeutic
Netherton Syndrome
Phase 1
BioCryst (worldwide)
Avoralstat
Ocular Plasma Kallikrein
Inhibitor
Diabetic Macular Edema
Preclinical
BioCryst (worldwide)
RAPIVAB®
(peramivir injection)
Intravenous Neuraminidase
Inhibitor
Acute Uncomplicated Influenza
Approved
(United States, Australia &
Canada)
BioCryst (worldwide, except
Japan, Taiwan, Korea and
Israel)
RAPIACTA®
(peramivir injection)
Intravenous Neuraminidase
Inhibitor
Uncomplicated Seasonal Influenza
Approved
(Japan & Taiwan)
Shionogi & Co., Ltd.
(Japan & Taiwan)
PERAMIFLU®
(peramivir injection)
Intravenous Neuraminidase
Inhibitor
Uncomplicated Seasonal Influenza
Approved
(Korea)
Green Cross Corporation
(Korea)
*     See “Business—Collaborations and In-License Relationships” for a description of our relationships with third parties regarding our products
and product candidates.
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In addition to the molecules referenced in the table above, we are pursuing medicines directed at other targets across the classical, lectin and
alternative pathways of the complement system. See “Business—Products and Product Candidates” below for additional details.
Business Strategy
Our business strategy is threefold: to serve patients and to create stockholder value by (i) focusing our discovery and development efforts on
potential first-in-class or best-in-class oral small-molecule and injectable protein therapeutics to target difficult-to-treat rare diseases, (ii) successfully
commercializing these drugs, and (iii) self-funding all of these efforts by achieving and increasing profitability. By focusing primarily on rare disease
markets, we believe that we can more effectively control the costs of, and our strategic allocation of financial resources toward, post-approval
commercialization.
We select disease targets and product candidates in which an orally-administered small-molecule or an injectable protein therapeutic has the
potential to be best-in-class or would be the first to market. We strive to advance our product candidate portfolio from discovery to commercial markets
efficiently by utilizing a small group of talented and highly-skilled employees working in conjunction with strategic outsource partners. We are unique in
our approach to treat difficult-to-treat rare diseases with orally-administered small molecules and with injectable protein therapeutics, each identified by
utilizing crystallography and structure-guided drug design. The principal elements of our strategy are:
•
Focusing on High Value-Added Structure-Guided Drug Design Technologies. We utilize structure-guided drug design in order to most
efficiently develop new therapeutic candidates. Structure-guided drug design is a process by which we design a product candidate through
detailed structural analysis of the protein target, which the product candidate must inhibit in order to stop the progression of the disease or
disorder. We believe that structure-guided drug design is a powerful tool for the efficient development of small-molecule and protein
therapeutic product candidates that have the potential to be safe and effective. Our structure-guided drug design technologies typically allow
us to design and synthesize multiple product candidates that inhibit the same protein target, with the goal of establishing broad intellectual
property protection and formulating compounds with competitive advantages.
•
Selecting Inhibitors that are Promising Product Candidates. We start by selecting disease targets with well-understood biology and
characteristics that fit with our ability to utilize structure-guided drug design capabilities to build potent and specific inhibitors. Next, we
narrow our selection of these product candidates based on product characteristics, such as initial indications of safety and biologic activity on
the target.
•
Developing our Product Candidates Efficiently. An important element of our business strategy is to progress our product candidates
efficiently through the development process. In order to accomplish this, we typically strive for disease targets with a defined clinical and
regulatory pathway for approval or diseases where high unmet needs allow for frequent interactions with regulators. In addition, as we
determine such relationships to be appropriate or desirable, we control certain fixed costs and overhead by outsourcing with strategic partners
and contractors or entering into license agreements with third parties. By outsourcing certain aspects of our operations, we are able to control
overhead costs and focus financial resources directly where they provide the most benefit and reduce our business risk.
•
Commercializing our Product Candidates Globally. A core part of our strategy is to commercialize our rare disease products globally. We
have established commercial teams in the United States and other global markets for the commercialization of ORLADEYO, and we are
continuing to build the structure and expertise to commercialize our products in additional markets where we believe we can do this
efficiently and effectively. We have also established relationships with licensing, distribution and other partners in certain markets, including
Japan, the pan-Latin America region, and parts of Europe and Asia, and will continue to seek such relationships where we determine this to be
an effective approach.
Products and Product Candidates
ORLADEYO (berotralstat)
ORLADEYO is an oral capsule, once-daily therapy discovered and developed by us for the prevention of HAE attacks. HAE is a rare, severely
debilitating and potentially fatal genetic condition with an estimated prevalence of between 1 in 33,000 to 1 in 67,000 people. HAE symptoms include
recurrent episodes of edema in various locations, including the
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hands, feet, face, genitalia and airway. Airway swelling is particularly dangerous and can lead to death by asphyxiation. In addition, patients often have
bouts of severe abdominal pain, nausea and vomiting caused by swelling in the intestinal wall. By inhibiting plasma kallikrein, ORLADEYO suppresses
bradykinin production. Bradykinin is the mediator of acute swelling attacks in HAE patients.
ORLADEYO was approved by the U.S. Food and Drug Administration (“FDA”) in December 2020 for prophylaxis to prevent attacks of HAE in
adults and pediatric patients 12 years and older, and we subsequently received regulatory approvals for ORLADEYO in other global markets. In addition,
the ongoing APeX-P clinical trial, which is complete through the primary endpoint, is continuing to assess an oral granule formulation of ORLADEYO in
pediatric patients who are 2 to 11 years of age. Our specialty pharmacy provider for ORLADEYO in the United States began shipping ORLADEYO to
patients with a prescription in the United States in December 2020. Through EMPOWER Patient Services, administered by our specialty pharmacy
provider, we aim to streamline access to therapy by providing each HAE patient and their healthcare provider with a single point of contact for access to
ORLADEYO. A dedicated care coordinator supports access for each patient with comprehensive financial support tools and reimbursement support.
We have entered into a number of collaborations with commercial partners to help support the global commercialization of ORLADEYO. See
“Collaborations and In-License Relationships” below for a description of our relationships with these partners.
On February 19, 2024, we announced that the Italian Medicines Agency finalized reimbursement and recommended ORLADEYO for the routine
prevention of recurrent attacks of HAE in eligible patients 12 years and older.
On February 23, 2024, we announced new analyses of real-world use of ORLADEYO that showed patients who initiated ORLADEYO experienced
rapid, substantial and sustained reductions in attack rates through 18 months of treatment regardless of the severity of their disease, their history of prior
prophylaxis or their C1-inhibitor level and function.
On April 17, 2024, we announced that the Brazilian Health Regulatory Agency granted approval for ORLADEYO for the prophylaxis of HAE
attacks in adults and pediatric patients 12 years of age or older.
On May 6, 2024, we announced that enrollment is complete in the APeX-P trial evaluating ORLADEYO in pediatric HAE patients who are 2 to 11
years of age. We believe data from the trial will support a regulatory filing in 2025 to expand the ORLADEYO label to enable children as young as two
years of age to receive ORLADEYO.
On May 9, 2024, we announced new real-world evidence on the use of ORLADEYO demonstrating that patients with HAE in the United States
experience significant reductions in healthcare resource utilization after beginning treatment with ORLADEYO.
On May 13, 2024, we announced that the Federal Commission for Protection against Health Risks in Mexico granted approval for ORLADEYO for
the prophylaxis of HAE attacks in adults and pediatric patients 12 years of age or older.
On June 2, 2024, we announced new real-world evidence showing that patients with HAE who have normal C1-inhibitor level and function had a
reduction in monthly attack rates after starting ORLADEYO.
On July 9, 2024, we announced that the General Directorate of Medicines, Supplies and Drugs in Peru granted approval for ORLADEYO for the
prophylaxis of HAE attacks in adults and pediatric patients 12 years of age or older.
On August 5, 2024, we announced that a recent market research study showed that 52 percent of allergist/immunologists are extremely likely to
prescribe ORLADEYO to more patients, up from 29 percent in early 2023.
On August 5, 2024, we also announced that we remain on track to submit a regulatory filing in 2025 to expand the ORLADEYO label to enable
children as young as two years of age to receive an oral granule formulation of ORLADEYO.
On September 6, 2024, we announced the presentation of six posters, including the first interim data from APeX-N, a European multi-center
observational study assessing the safety (primary objective), effectiveness and quality of life (secondary objectives) of berotralstat 150 mg in routine
clinical use. We also presented new data highlighting the value of shared decision making between healthcare providers and their HAE patients to provide
optimal patient outcomes.
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On October 14, 2024, we announced new real-world evidence on the use of ORLADEYO demonstrating that patients with HAE in the United States
experience significant reductions in healthcare resource utilization, including significant reductions in hospitalizations, emergency room visits and use of
on-demand therapies, after beginning treatment with ORLADEYO.
On October 24, 2024, we announced new real-world comparative research on the use of ORLADEYO that found high rates of adherence and
persistence for ORLADEYO, similar to the rates observed with two other long-term prophylactic (“LTP”) therapies for HAE. We also announced new real-
world evidence showing statistically significant and sustained HAE attack rate reductions after initiating ORLADEYO in patients with HAE, regardless of
their C1-inhibitor deficiency status, and new findings from an HAE patient survey confirming patient preference for an oral LTP therapy.
On November 4, 2024, we announced that since launch, approximately half of patients who have started ORLADEYO have switched from another
prophylactic therapy. We have begun the observational Phase 4 APeX-T study, designed to generate real-world data to inform physicians on the best
individual approaches to support transition to ORLADEYO.
On November 18, 2024, we announced that the Health Services Executive in Ireland recommended ORLADEYO for the routine prevention of
recurrent attacks of HAE in eligible patients 12 years and older.
On February 12, 2025, we announced that Infarmed in Portugal has recommended ORLADEYO for the routine prevention of recurrent attacks of
HAE in eligible patients 12 years and older. With this recommendation, ORLADEYO is now reimbursed in all major countries in Western Europe, except
the Netherlands, which is expected in the first half of 2025.
On February 24, 2025, we announced that a new market tracking survey of 60 HAE treaters showed that 97 percent are considering prescribing
ORLADEYO and 59 percent (up from 26 percent 18 months prior) of current prescribers indicate they are extremely likely to prescribe for more of their
patients. In addition, we announced that additional real-world studies with ORLADEYO show statistically significant HAE attack rate reductions
experienced by patients with C1-inhibitor deficiency and normal C1-inhibitor levels and function. Patient-reported outcomes also showed willingness to
change long-term prophylaxis and improved treatment satisfaction across varying levels of attack frequency and severity after ORLADEYO initiation.
On February 24, 2025, we also announced that we are on track to submit a new drug application in 2025 to the U.S. Food and Drug Administration
to expand the ORLADEYO label to children with HAE aged 2 to 11 using an oral granule formulation. Additional regulatory filings are planned in global
territories, including Europe, Japan and Canada. ORLADEYO would be the first targeted oral prophylactic therapy for children with HAE. In addition, we
announced positive results from an interim analysis of the ongoing APeX-P clinical trial evaluating an oral granule formulation of ORLADEYO in
pediatric patients with HAE aged 2 to 11.
On each of December 7, 2020 and November 19, 2021, we entered into a Purchase and Sale Agreement with RPI 2019 Intermediate Finance Trust
(“RPI”), pursuant to which we sold to RPI the right to receive certain royalty payments from us (the “RPI Royalty Purchase Agreements”). On November
19, 2021, we also entered into a Purchase and Sale Agreement (the “OMERS Royalty Purchase Agreement” and, collectively with the RPI Royalty
Purchase Agreements, the “Royalty Purchase Agreements”) with OCM IP Healthcare Holdings Limited, an affiliate of OMERS Capital Markets
(“OMERS”), pursuant to which we sold to OMERS the right to receive certain royalty payments from us. The transactions contemplated under the Royalty
Purchase Agreements are referred to herein as the “Royalty Sales.” See “Note 8—Royalty Financing Obligations—ORLADEYO and Factor D Inhibitors” in
the Notes to Consolidated Financial Statements in Part II, Item 8 of this report for additional information about our obligations under the Royalty Purchase
Agreements.
We have built out our U.S. commercial infrastructure to support the launch and continued commercialization of ORLADEYO in the United States
and are continuing to build our commercial infrastructure to support launches in other markets. Based on proprietary analyses of HAE prevalence and
market research studies with HAE patients, physicians, and payors in the United States and Europe, and four full years of commercialization experience
with ORLADEYO in the United States from 2021 through 2024, we anticipate that the global commercial market for ORLADEYO has the potential to
reach a global peak of $1 billion in annual net ORLADEYO revenues. We expect approximately 80 percent of our revenue at peak to come from the United
States. Based on four full years of commercialization experience with ORLADEYO, we believe there is a seasonal impact to our business in the first
quarter of each year due to typical first
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quarter requirements from payors for prescription reauthorization of specialty products, like ORLADEYO, that can temporarily move patients from paid
drug to free product. These expectations are subject to numerous risks and uncertainties that may cause our actual results, performance, or achievements to
be materially different. There can be no assurance that our commercialization methods and strategies will succeed, or that the market for ORLADEYO will
develop in line with our current expectations. See “Risk Factors—Risks Relating to Our Business—Risks Relating to Drug Development and
Commercialization—There can be no assurance that our or our partners’ commercialization efforts, methods, and strategies for our products or
technologies will succeed, and our future revenue generation is uncertain” in Part I, Item 1A of this report for further discussion of these risks.
BCX17725 (Netherton syndrome)
BCX17725 is a potent and selective investigational protein therapeutic KLK5 inhibitor designed to provide best-in-class, potentially disease-
modifying, treatment for people with Netherton syndrome. Netherton syndrome is a serious, rare, lifelong genetic disorder affecting the skin, hair, and
immune system, caused by lack of normal function of a natural inhibitor of KLK5. People with Netherton syndrome often have red, scaly, inflamed skin,
fragile hair, and are more likely to develop skin infections, severe food allergies, asthma and eczema. Netherton syndrome can be life-threatening,
especially during infancy when patients are vulnerable to dehydration and recurrent infections. Currently, there are no approved treatments for Netherton
syndrome.
On May 6, 2024, we announced that we expected to advance BCX17725 into the clinic by the end of 2024, and we reaffirmed this plan on August 5,
2024.
On October 2, 2024, we announced the enrollment of the first participant in a Phase 1 trial evaluating BCX17725 for people with Netherton
syndrome.
On November 4, 2024, we announced that we expect initial data from the BCX17725 program in 2025, and we reaffirmed this on February 24, 2025.
Avoralstat
We are developing our investigational plasma kallikrein inhibitor, avoralstat, with Clearside Biomedical, Inc.’s SCS Microinjector® to deliver
avoralstat to the back of the eye through the suprachoroidal space to treat patients with diabetic macular edema (“DME”). DME is an important cause of
vision loss in diabetes and is due to leakage of fluid from the blood vessels in the retina. While current treatments focus on vascular endothelial growth
factor (“VEGF”) inhibition, DME can develop from other mechanisms, such as the kallikrein-bradykinin pathway. This is supported by observations that
many DME patients have an incomplete response to intravitreal anti-VEGF therapies that are administered every four to eight weeks. Avoralstat targets the
kallikrein-bradykinin system on the retinal vascular endothelial cells and may result in less vascular leakage and less edema. Avoralstat, delivered to the
suprachoroidal space, is designed to provide high dose levels to the retinal vessels with long-lasting exposure, which could result in less frequent injections
and a reduced burden on patients and the healthcare system. See “Note 15—Collaborative and Other Relationships” in the Notes to Consolidated Financial
Statements in Part II, Item 8 of this report for additional information about our license agreement with Clearside Biomedical, Inc.
On May 6, 2024, we announced our plans to advance avoralstat into a clinical trial of patients with DME in 2025.
On August 5, 2024 and November 4, 2024, we again noted our expected plan to advance avoralstat into a clinical trial of patients with DME in 2025,
and we reaffirmed this on February 24, 2025.
On February 24, 2025, we announced that initial clinical data from the avoralstat program is targeted by the end of 2025.
Complement-Mediated Diseases
The goal of our overall complement program is to advance first-in-class and/or best-in-class compounds across multiple pathways in the
complement system to treat complement-mediated diseases. The complement system is part of the body’s natural immune system and is responsible for
helping the body eliminate microbes (including viral and bacterial infections) and damaged cells. It is comprised of proteins that are primarily produced in
the liver and circulate in the blood. Once activated, the complement system stimulates inflammation, phagocytosis and cell lysis. Excessive or uncontrolled
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activation of the complement system can cause severe, and potentially fatal, immune and inflammatory disorders. The complement system comprises
biological cascades of amplifying enzyme cleavages involving more than 30 proteins and protein fragments, and may be activated through three pathways:
the classical pathway (initiated by antibody-antigen complexes), the lectin pathway (initiated by lectin binding) and the alternative pathway (initiated by
microbial surfaces). The alternative pathway also provides a critical amplification loop for all three pathways, regardless of the initiating mechanism.
Several rare diseases are known to be mediated by dysregulation of the complement system.
Oral C5 Inhibitor
We are developing an oral C5 inhibitor that could be the first targeted oral therapy with competitive efficacy to currently-approved injected and
infused anti-C5 therapies, such as eculizumab and ravulizumab. A drug with this profile could enable patients to switch from infused therapy and address
their disease earlier in the treatment paradigm.
Oral C2 Inhibitor
We are developing a classical and lectin pathway complement inhibitor. An oral C2 inhibitor developed by us could be first-in-class and allow
patients to switch from infused therapy and address their disease earlier in the treatment paradigm.
Bifunctional Complement Inhibitor
We are developing a bifunctional complement inhibitor anti-C2 monoclonal antibody that could be a first-in-class combined inhibitor of the
classical, lectin and alternative pathways of the complement system to treat complex complement-mediated diseases that are influenced by multiple
complement pathways.
BCX10013
BCX10013 is an oral Factor D inhibitor that targets the alternative pathway of complement. On January 5, 2024, we announced that, if our ongoing
proof-of-concept trial produced best-in-class data, we planned to out-license late-stage development and commercialization of BCX10013 to a partner that
can drive the speed and breadth of investment required to accelerate BCX10013 for patients across multiple complement-mediated diseases and maximize
the commercial potential of the program.
On August 5, 2024, we announced that we completed our clinical evaluation of BCX10013. The drug was safe and well tolerated at all doses
studied; however, the level of clinical activity observed was less than other therapies on the market, and potential partners have declined to make the
additional investment required to evaluate higher doses. Consistent with our previously announced plans, we have discontinued development.
Peramivir Injection (RAPIVAB, RAPIACTA, PERAMIFLU)
RAPIVAB (peramivir injection) was developed under a $234.8 million contract from the Biomedical Advanced Research and Development
Authority within the U.S. Department of Health and Human Services (“BARDA/HHS”). In January 2010, our partner, Shionogi, received the first approval
for peramivir injection and launched it in Japan under the commercial name RAPIACTA. It is approved in Japan for the treatment of adults, children, and
infants with uncomplicated seasonal influenza and those patients at high-risk for complications associated with influenza. In August 2010, our partner,
Green Cross, received marketing and manufacturing approval from the Korean Food & Drug Administration under the commercial name PERAMIFLU to
treat patients with influenza A & B viruses, including pandemic H1N1 and avian influenza. See “Collaborations and In-License Relationships” below for a
discussion of these licensing arrangements.
Peramivir was also approved in the United States in 2014, Taiwan in 2016, Canada in 2017, and Australia in 2018. A Supplemental New Drug
Application was approved in the United States in February 2021, extending RAPIVAB’s availability for the treatment of acute uncomplicated influenza to
pediatric patients six months and older. Prior to this approval, peramivir had been indicated in the United States for pediatric patients two years and older.
In the United States, peramivir is indicated for the treatment of acute uncomplicated influenza in patients who have been symptomatic for no more than two
days. Since the 2009 H1N1 pandemic, RAPIVAB has been an important component of the U.S. Government’s influenza preparedness efforts.
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On September 30, 2024, we announced that the U.S. Department of Health and Human Services (“HHS”) awarded us up to a $69 million contract
for the procurement of up to 95,625 doses over a five-year period of RAPIVAB for the treatment of influenza (the “HHS Contract”). The HHS Contract,
awarded by the HHS Office of the Administration for Strategic Preparedness and Response (“ASPR”), will supply the Center for the Strategic National
Stockpile, the nation’s largest supply of life-saving pharmaceuticals and medical supplies for use in a public health emergency. The HHS Contract is
structured with a 12-month base ordering period and four optional 12-month ordering periods, which the U.S. Government can exercise on an annual basis.
ASPR executed the first ordering period for $13.9 million, and we plan to supply 19,125 doses to fulfill this option by September 29, 2025. We delivered
2,304 doses of RAPIVAB under the HHS Contract in the fourth quarter of 2024.
Collaborations and In-License Relationships
ORLADEYO
Torii Pharmaceutical Co., Ltd. (“Torii”)
On November 5, 2019, we entered into a Commercialization and License Agreement with Torii (the “Original Torii Agreement”), granting Torii the
exclusive right to commercialize ORLADEYO for the prevention of HAE attacks in Japan. Under the Original Torii Agreement, we received an upfront,
non-refundable payment of $22.0 million. We received an additional milestone payment of $15.0 million in the second quarter of 2021 upon receipt from
the Japanese National Health Insurance System (“NHI”) of a reimbursement price approval for ORLADEYO.
On November 30, 2023, we entered into an Amended and Restated Commercialization and License Agreement with Torii (as amended, the “Torii
Agreement”).
Under the Torii Agreement, we are entitled to receive tiered royalty payments, ranging from 20% to 80% of annual net sales of ORLADEYO in
Japan during each calendar year. We are now responsible for all commercial promotion activities to support ORLADEYO sales in Japan, and Torii will be
responsible for HAE disease awareness activities in Japan. We will receive a 20% royalty on annual Japanese sales below a prespecified threshold and an
80% royalty on annual Japanese sales above the prespecified threshold.
Torii’s updated royalty payment obligations commenced on November 30, 2023 and will expire upon the later of (i) the tenth anniversary of the date
of first commercial sale of ORLADEYO in Japan, (ii) the expiration of our patents covering ORLADEYO, and (iii) the expiration of regulatory exclusivity
for ORLADEYO in Japan.
Other Collaborations for ORLADEYO
We have entered into a number of collaborations with commercial partners to help support the global commercialization of ORLADEYO. In 2021,
we entered into supply and distribution agreements with Neopharm Ltd. (“Neopharm”) and NewBridge Pharmaceuticals (“NewBridge”) to support
commercialization efforts in Israel and the United Arab Emirates (“UAE”), respectively. Under the terms of these agreements, Neopharm has the exclusive
rights to commercialize ORLADEYO in Israel and the Palestinian Authority, and NewBridge will support commercialization efforts in the UAE, as well as
the Gulf Cooperation Council and Iraq. On June 9, 2022, we announced that we entered into an exclusive collaboration with Pint Pharma to register and
promote ORLADEYO in the pan-Latin America region. Under the terms of the agreement, Pint Pharma is responsible for obtaining and maintaining all
marketing authorizations and for commercializing ORLADEYO in the region. On January 23, 2023, we announced that we have entered into a
collaboration with Swixx BioPharma AG (“Swixx”) to commercialize ORLADEYO in Central and Eastern Europe (“CEE”). Under the terms of the
agreement, Swixx is responsible for commercializing ORLADEYO in 15 markets within CEE. On July 19, 2023, we announced that we entered into a
collaboration with Er-Kim Pharmaceuticals to commercialize ORLADEYO in Turkey.
Peramivir Injection (RAPIVAB, RAPIACTA, PERAMIFLU)
Shionogi & Co., Ltd. (“Shionogi”)
In February 2007, we entered into a License, Development and Commercialization Agreement (as amended, supplemented or otherwise modified,
the “Shionogi Agreement”), an exclusive license agreement with Shionogi to develop and commercialize peramivir in Japan for the treatment of seasonal
and potentially life-threatening human influenza. In
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October 2008, we and Shionogi amended the Shionogi Agreement to expand the territory covered by the agreement to include Taiwan. The Shionogi
Agreement provided for an upfront payment in exchange for the rights to injectable formulations of peramivir in Japan, development milestone payments
(which have all been paid), commercial milestone payments, and royalty payments on product sales of peramivir, in accordance with the terms of the
Shionogi Agreement.
Generally, all payments under the Shionogi Agreement are non-refundable and non-creditable, but they are subject to audit. Shionogi is responsible
for all development, regulatory, and marketing costs in Japan. The term of the Shionogi Agreement is from February 28, 2007 until terminated. Either party
may terminate the Shionogi Agreement in the event of an uncured breach. Shionogi has the right of termination without cause. In the event of termination,
all license and rights granted to Shionogi shall terminate and shall revert back to us. We developed peramivir under a license from the University of
Alabama Birmingham (“UAB”) and have paid sublicense payments to UAB on the upfront payments and will owe sublicense payments on any future
event payments and/or royalties received by us from Shionogi.
Shionogi Royalty Financing and Non-Recourse Notes Payable
On March 9, 2011, we completed a $30.0 million financing transaction to monetize certain future royalty and milestone payments under the
Shionogi Agreement. Pursuant to the transaction, JPR Royalty Sub LLC, a wholly-owned subsidiary of the Company (“Royalty Sub”), issued $30.0 million
in aggregate principal amount of its PhaRMA Senior Secured 14.0% Notes due 2020 (the “PhaRMA Notes”) in a private placement to institutional
investors. The PhaRMA Notes were issued under an indenture, dated as of March 9, 2011 (the “Indenture”), by and between Royalty Sub and U.S. Bank
National Association, as Trustee. We received net proceeds of $22.7 million from this transaction.
Principal and interest on the PhaRMA Notes are payable from, and are secured by the rights to royalty and milestone payments under the Shionogi
Agreement, which were transferred by us to Royalty Sub in 2011. Royalty Sub’s obligations to pay principal and interest on the PhaRMA Notes are
obligations solely of Royalty Sub and are without recourse to any other person, including the Company, except to the extent of our pledge of our equity
interests in Royalty Sub in support of the PhaRMA Notes.
In September 2014, Royalty Sub was unable to pay the full amount of interest payable in September 2013 by the next succeeding payment date for
the PhaRMA Notes, which was September 1, 2014. This inability constituted an event of default under the terms of the Indenture. As of December 31,
2024, the PhaRMA Notes remained in default. While Royalty Sub continues to pay the holders of the PhaRMA Notes any royalty payments received from
Shionogi, which are immaterial, we wrote off the balance due under the PhaRMA Notes to other income as a debt extinguishment as of December 31,
2021.
Green Cross Corporation (“Green Cross”)
In June 2006, we entered into an agreement with Green Cross to develop and commercialize peramivir in Korea. Under the terms of the agreement,
Green Cross is responsible for all development, regulatory, and commercialization costs in Korea and we are entitled to share in profits resulting from the
sale of peramivir in Korea, including the sale of peramivir to the Korean government for stockpiling purposes. Furthermore, Green Cross will pay us a
premium over its cost to supply peramivir for development and any future marketing of peramivir products in Korea. Both parties have the right to
terminate the agreement in the event of an uncured material breach. In the event of termination, all rights, data, materials, products, and other information
would be transferred to us.
Additional Collaborations
In September 2024, the HHS awarded us up to a $69 million contract for the procurement of up to 95,625 doses over a five-year period of RAPIVAB
for the treatment of influenza under the HHS Contract, as more fully discussed in “Note 15—Collaborative and Other Relationships” in the Notes to
Consolidated Financial Statements in Part II, Item 8 of this report. We delivered 2,304 doses of RAPIVAB under the HHS Contract in the fourth quarter of
2024.
We also have non-material license agreements with certain third parties, such as Albert Einstein College of Medicine of Yeshiva University
(“AECOM”), Industrial Research, Ltd. (“IRL”), and the University of Alabama at Birmingham (“UAB”), which require that we make certain payments
related to development of the product candidates covered by these agreements, net sales on any resulting product made by us, and annual license fees. We
licensed a series of potent inhibitors of purine nucleoside phosphorylase (“PNP”) from AECOM and IRL, as well as an exclusive worldwide license of
galidesivir for any antiviral use, and we have agreements with UAB for influenza neuraminidase and complement
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inhibitors. There is currently no material activity between us and UAB on these agreements, but when we license this technology, such as in the case of the
Shionogi and Green Cross agreements, or commercialize products related to these programs, we owe sublicense fees or royalties on amounts received.
As discussed in “Note 15—Collaborative and Other Relationships” in the Notes to Consolidated Financial Statements in Part II, Item 8 of this
report, we entered into a license agreement with Clearside Biomedical, Inc. to develop our investigational plasma kallikrein inhibitor, avoralstat, with
Clearside’s SCS Microinjector® to deliver avoralstat to the back of the eye through the suprachoroidal space to treat patients with DME.
Patents and Proprietary Information
Our success will depend in part on our ability to obtain and enforce patent protection for our products, methods, processes, and other proprietary
technologies, preserve our trade secrets, and operate without infringing on the proprietary rights of other parties, both in the United States and in other
countries. We own or have rights to certain proprietary information, proprietary technology, issued and allowed patents and patent applications which relate
to compounds we are developing. We actively seek, when appropriate, protection for our products, proprietary technology, and proprietary information by
means of U.S. and foreign patents, trademarks, and contractual arrangements. In addition, we rely upon trade secrets and contractual arrangements to
protect certain of our proprietary information, proprietary technology, and products and product candidates.
The patent positions of companies like ours are generally uncertain and involve complex legal and factual questions. Our ability to maintain and
solidify our proprietary position for our technology will depend on our success in obtaining effective patent claims and enforcing those claims once
granted. We do not know whether any of our patent applications or those patent applications that we license will result in the issuance of any patents. Our
issued patents and those that may issue in the future, or those licensed to us, may be challenged, invalidated, rendered unenforceable or circumvented,
which could limit our ability to stop competitors from marketing related products or the length of term of patent protection that we may have for our
products. In addition, the rights granted under any issued patents may not provide us with competitive advantages against competitors with similar
compounds or technology. Furthermore, our competitors may independently develop similar technologies or duplicate any technology developed by us in a
manner that does not infringe our patents or other intellectual property. Because of the extensive time required for development, testing and regulatory
review of a potential product, it is possible that, before any of our product candidates or those developed by our partners can be commercialized, any
related patent may expire or remain in force for only a short period following commercialization, thereby reducing any advantage of the patent.
As of December 31, 2024, we have been issued approximately 44 U.S. patents that expire between 2027 and 2039 and that relate to our kallikrein
inhibitor compounds, neuraminidase inhibitor compounds, broad-spectrum antiviral (“BSAV”) compounds, PNP inhibitor compounds, and complement-
mediated disease program compounds. We have licensed a number of compounds protected by certain composition of matter patents from AECOM and
IRL, totaling one additional U.S. patent that expires in 2029. Additionally, we have approximately 21 Patent Cooperation Treaty or U.S. patent applications
pending related to kallikrein inhibitor compounds, neuraminidase inhibitor compounds, BSAV compounds, PNP inhibitor compounds, KLK5 program
compounds, and complement-mediated disease program compounds. Our pending applications may not result in issued patents, our patents may not cover
the products of interest or may not be enforceable in all, or any, jurisdictions and our patents may not provide us with sufficient protection against
competitive products or otherwise be commercially viable. After expiration of composition of matter patents for our products and product candidates, we
may rely on data exclusivity, or in some cases, secondary pharmaceutical patents (such as patents covering solid pharmaceutical forms, salt forms, dosing
regimens, and methods of use). The enforceability of these secondary patents varies from jurisdiction to jurisdiction and may not be allowed or enforceable
in some jurisdictions where we may seek approval. We may not have the funds to continue patent prosecution or to defend all of our existing patents in our
current patent estate and may selectively abandon patents or patent families worldwide or in certain territories.
Our success is also dependent upon the skills, knowledge and experience of our scientific and technical personnel, none of which is patentable. To
help protect our rights, we require all employees, consultants, advisors and partners to enter into confidentiality agreements, which prohibit the disclosure
of confidential information to anyone outside of BioCryst and, where possible, require disclosure and assignment to us of their ideas, developments,
discoveries, and inventions. These agreements may not provide adequate protection for our trade secrets, know-how, or other proprietary information in the
event of any unauthorized use or disclosure or the lawful development by others of such information.
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Competition
The pharmaceutical and biotechnology industries are intensely competitive. Many companies, including biotechnology, chemical and pharmaceutical
companies, are actively engaged in activities similar to ours, including research, development, and commercialization of drugs for the treatment of rare
medical conditions. Many of these companies have substantially greater financial and other resources, larger research and development staffs, and more
extensive commercial and manufacturing organizations than we do. In addition, many have considerable experience in preclinical testing, clinical trials,
and other regulatory approval procedures. In addition, there are also academic institutions, governmental agencies and other research organizations who
conduct research in areas in which we are working.
We expect to encounter significant competition for any of the pharmaceutical products we plan to develop. Companies that successfully complete
clinical trials, obtain required regulatory approvals, and commence commercial marketing and sales of their products may achieve a significant competitive
advantage. Our commercial potential could also be reduced or eliminated if our competitors develop and commercialize products that are safer, more
effective, have fewer or less severe side effects, are more convenient or are less expensive than products that we may develop. Any of these competitive
factors may impact our decisions with respect to our products, product candidates and early-stage discovery programs. See “Risk Factors—Risks Relating
to Our Business—Risks Relating to Competing in our Industry” in Part I, Item 1A of this report for further discussion of these risks.
In order to compete successfully, we must develop proprietary positions in patented drugs for therapeutic markets that have not been satisfactorily
addressed by conventional research strategies and, in the process, expand our expertise in structure-based drug design. Our product candidates, even if
successfully tested and developed, may not be adopted by physicians over other products and may not offer economically feasible alternatives to other
therapies.
HAE
HAE is an autosomal dominant disease characterized by painful, unpredictable, recurrent attacks of inflammation affecting the hands, feet, face,
abdomen, urogenital tract, and the larynx. The inflammation can be disfiguring, debilitating, or in the case of laryngeal attacks, life-threatening. Prevalence
for HAE is uncertain but is estimated to be approximately 1 case per 33,000 to 67,000 persons without known differences among ethnic groups and is
caused by deficient (Type I) or dysfunctional (Type II) levels of C1-inhibitor (“C1-INH”), a naturally occurring molecule that is known to inhibit kallikrein,
bradykinin, and other serine proteases in the blood. If left untreated, HAE can result in a mortality rate as high as 50% primarily due to upper airway
obstruction. There are several licensed therapies for HAE, including the following:
•
C1-INH replacement therapy is available as an acute therapy (Berinert®) and as a prophylactic therapy (Haegarda® and Cinryze®). These
therapies are dosed subcutaneously and intravenously. Recombinant C1-INH (Ruconest®) is also available as an acute therapy.
•
Kallikrein Inhibitors — Kalbitor® (ecallantide) is a specific recombinant plasma kallikrein inhibitor that is dosed subcutaneously by
healthcare providers to treat acute HAE attacks. Takhzyro® (lanadelumab-flyo) is a monoclonal antibody approved for prophylaxis of HAE
attacks and can be self-administered as a subcutaneous injection.
•
Bradykinin receptor antagonist — Firazyr® (icatibant) and generic icatibant are indicated for the treatment of acute attacks and are
administered by subcutaneous injection.
•
Other medications — Prophylactic administration of synthetic attenuated androgens (generically available as danazol or stanozolol) has been
utilized to reduce the frequency or severity of attacks. However, long-term use of danazol or stanozolol may result in liver damage,
virilization and arterial hypertension. Six-month liver function tests, annual lipid profiles, and biennial hepatic ultrasound are recommended
for patients on chronic androgen therapy.
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We are aware of a number of HAE therapies in (or have recently completed) clinical development that, if approved, may compete with
ORLADEYO. These include:
Company
Asset
Mechanism of Action
Route of
Administration
Trial Phase
Role in Therapy
KalVista
Sebetralstat
Kallikrein inhibitor
Oral
Filed
Acute
Pharvaris
Deucrictibant
(PHVS416/PHVS719)
B2 receptor antagonist
Oral
III
Acute and Prophylaxis
CSL
Andembry® (garadacimab)
Anti-factor XII mAb
Subcutaneous
Filed (Approved
outside U.S.)
Prophylaxis
Ionis
Donidalorsen
Prekallikrein Antisense
Subcutaneous
Filed
Prophylaxis
Astria
Navenibart
Kallikrein inhibitor
Subcutaneous
II/III
Prophylaxis
ADARx
ADX-324
siRNA
Subcutaneous
I
Prophylaxis
Intellia
NTLA-2002
Gene Editing
Intravenous
III
One-time Prophylaxis
Poseida
Therapeutics
P-KLKB1-101
Gene Editing
Intravenous
Preclinical
One-time Prophylaxis
Netherton Syndrome
Netherton syndrome is a serious, rare, lifelong genetic disorder affecting the skin, hair, and immune system, caused by lack of normal function of a
natural inhibitor of KLK5. While there are currently no approved treatments for Netherton syndrome, we are aware of a number of therapies in
development for treatment that, if approved, may compete with BCX17725. For example, Quoin Pharmaceuticals Ltd.’s QRX-003 in Phase III, Boehringer
Ingelheim’s Spevigo® in Phase II/III, and Daiichi Sankyo Co., Ltd.’s (“Daiichi”) DS-2325a in Phase I/II are in clinical trials for the treatment of Netherton
syndrome.
Diabetic Macular Edema
We are developing our investigational plasma kallikrein inhibitor, avoralstat, with Clearside Biomedical, Inc.’s SCS Microinjector® to deliver
avoralstat to the back of the eye through the suprachoroidal space to treat patients with DME. There are several approved anti-VEGF therapies available for
the treatment of DME, including F. Hoffmann-La Roche Ltd.’s (“Roche”) VABYSMO® (faricimab-svoa) and Regeneron Pharmaceuticals, Inc.’s EYLEA®
(aflibercept). In addition, we are aware of a number of products in development that would offer alternatives to anti-VEGF therapies, which could affect the
competitive environment for our products, including Rezolute Inc.’s RZ402, Merck & Co. Inc.’s Restoret™ (MK-3000, formerly EYE103), and EyePoint
Pharmaceutical Inc.’s DURAVYU™ (formerly EYP-1901).
Complement-Mediated Diseases
We are developing several complement inhibitors including a C5 inhibitor, a C2 inhibitor, and a bifunctional complement inhibitor for the treatment
of complement mediated diseases. There are several C5 inhibitors approved for the treatment of complement mediated diseases, including, but not limited
to, Alexion’s (part of AstraZeneca Rare Disease) Soliris® (eculizumab) and Ultomiris® (ravulizumab), UCB’s Zilbrysq® (zilucoplan), and Regeneron’s
Vepoz® (pozelimab-bbfg). Additionally, we are aware of complement inhibitors in development, including, but not limited to, Argenx’s C2 inhibitor,
empasiprubart, which is in clinical trials for various complement mediated diseases. These therapies, if approved, may compete with our products.
Certain diseases that are mediated by defects of the complement system may also have pathology that is mediated by other mechanisms. Products
that are not inhibitors of the complement system may change the treatment landscape and future competitive environment for our products.
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Antivirals
The pharmaceutical market for products that prevent or treat influenza is very competitive. Key competitive factors for RAPIVAB (peramivir
injection) include, among others, efficacy, ease of use, safety, price and cost-effectiveness, storage and handling requirements, and reimbursement. A
number of products are currently available in the United States and/or other countries, including Japan, for the prevention or treatment of influenza,
including seasonal flu vaccines, Roche’s TAMIFLU® (oseltamivir), generic oseltamivir, GlaxoSmithKline plc’s RELENZA®, Genentech and Shionogi’s
XOFLUZA® and Daiichi’s INAVIR®. In addition, FUJIFILM Corporation’s favipiravir, a polymerase inhibitor, is approved in Japan.
Various government entities throughout the world are offering incentives, grants, and contracts to encourage additional investment into preventative
and therapeutic agents against influenza, which may have the effect of further increasing the number of our competitors and/or providing advantages to
certain competitors.
Research and Development
We initiated our research and development activities in 1986. We have assembled a scientific research staff with expertise in a broad base of
advanced research technologies, including protein biochemistry, X-ray crystallography, chemistry, and pharmacology. Our research facilities, located in
Birmingham, Alabama, include protein biochemistry and organic synthesis laboratories, testing facilities, X-ray crystallography, computer and graphics
equipment and facilities to make product candidates on a small scale for early-stage clinical trials.
Government Regulation
Our business is subject to extensive regulation by the FDA and foreign governments. These regulations include, among other things, regulations for
the development, testing, manufacture, safety, efficacy, record-keeping, labeling, storage, approval, advertising, promotion, sale and distribution of
pharmaceutical products. The regulatory review and approval process is lengthy, expensive, and uncertain. Before obtaining regulatory approvals for the
commercial sale of any products, we or our partners must demonstrate that our product candidates are safe and effective for use in humans. The approval
process takes many years, substantial expenses may be incurred, and significant time may be devoted to clinical development. Further, the duration of the
approval process may be exacerbated by global health concerns or other considerations that could prevent regulatory authorities from conducting their
inspections, reviews, or other regulatory activities that could significantly impact the ability of such authorities to timely review and process our regulatory
submissions.
Even if the FDA or foreign regulatory authorities approve a product candidate, the approval may limit the indicated uses for the product candidate,
impose other restrictions on the product candidate, and/or may require post-approval studies that could impair the commercial viability of the product
candidate. Even upon any approval to market our potential products, whether in the United States or internationally, we will continue to be subject to
extensive regulatory requirements. These requirements are wide ranging and govern, among other things:
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adverse drug experience reporting regulations;
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product promotion;
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product manufacturing, including good manufacturing practice requirements; and
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product changes or modifications.
These government regulations are a significant factor in the production and marketing of any pharmaceutical products that we develop. Failure to
comply with applicable FDA and other regulatory requirements at any stage during the regulatory process may subject us to sanctions, including:
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delays;
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warning or untitled letters;
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fines;
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product recalls or seizures;
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injunctions;
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penalties;
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refusal of the FDA or any foreign regulatory authority to review pending market approval applications or supplements to approval
applications;
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•
total or partial suspension of production;
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civil penalties;
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withdrawals of previously approved marketing applications; and
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criminal prosecutions.
The policies of the FDA and foreign regulatory authorities may change, and additional government regulations may be enacted that could prevent or
delay regulatory approval of our product candidates or approval of new indications for our existing products. We cannot predict the likelihood, nature, or
extent of adverse governmental regulation that might arise from future legislative or administrative action, either in the United States or abroad.
FDA Regulation
Before testing potential product candidates in humans, we carry out laboratory and animal studies to determine safety and biological activity. After
completing preclinical trials, we must file an investigational new drug application (“IND”), including a proposal to begin clinical trials, with the FDA.
Thirty days after filing an IND, a phase 1 human clinical trial can start, unless the FDA places a hold on the trial.
Clinical trials to support a new drug application (“NDA”) are typically conducted in three sequential phases, but the phases may overlap.
Phase 1 — During phase 1, which involves the initial introduction of the drug into healthy volunteers, the drug is tested to assess metabolism,
pharmacokinetic, and pharmacological actions and safety, including side effects associated with increasing doses.
Phase 2 — Phase 2 usually involves trials in a limited patient population to: (1) assess the efficacy of the drug in specific, targeted indications; (2)
assess dosage tolerance and optimal dosage; and (3) identify possible adverse effects and safety risks.
Phase 3 — If a compound is found to be potentially effective and to have an acceptable safety profile in phase 2 evaluations, phase 3 clinical trials,
also sometimes called pivotal studies, major studies, or advanced clinical trials, are typically undertaken to further demonstrate clinical efficacy and to
further test for safety within an expanded patient population at geographically dispersed clinical trial sites.
Initiation and completion of the clinical trial phases are dependent upon many factors, including things that are beyond our control. For example, the
clinical trials cannot begin at a particular site until that site receives approval from its Institutional Review Board (“IRB”), which reviews the protocol and
related documents. This approval process can take several weeks to several months to complete. In addition, clinical trials are dependent on patient
enrollment, but the rate at which patients enroll in a study depends on:
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willingness of investigators to participate in a study;
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ability of clinical sites to obtain approval from their IRB;
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the availability of existing or other experimental drugs for the disease we intend to treat;
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the willingness of patients to participate; and
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the availability of patients meeting the eligibility criteria.
Delays in planned patient enrollment may result in increased expense and longer development timelines. A sponsor may choose, but is not required,
to conduct a foreign clinical study under an IND. When a foreign clinical study is conducted under an IND, all IND requirements must be met unless
waived. When the foreign clinical study is not conducted under an IND, the sponsor must ensure that the study complies with certain FDA regulatory
requirements in order to use the study as support for an IND or application for marketing approval or licensure. Good clinical practice standards are
required for clinical studies regardless of the location of the study.
In general, the FDA requires that at least two adequate and well-controlled clinical trials be conducted. After successful completion of the required
clinical testing, generally an NDA is submitted. Upon receipt of the NDA, the FDA will review the application for completeness. Within 60 days, the FDA
will determine if the application is sufficiently complete to warrant full review and will consider the application “filed” at that time. Also upon receipt of
the application, the FDA will assign a review priority to the application. Priority review applications are usually reviewed within 6 months; standard review
applications are usually reviewed within 10 months. The FDA may refer NDAs for new molecular entities
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to an appropriate advisory committee for review and evaluation in regard to providing a recommendation as to whether the application should be approved.
The FDA is not bound to follow the recommendation of an advisory committee.
Following the review of the application, which may include requests for additional information from the sponsor and results from inspections of
manufacturing and clinical sites, the FDA will issue an “action letter” on the application. The action letter will either be an “approval letter,” in which case
the product may be lawfully marketed in the United States, or a “complete response letter.” A complete response letter will state that the FDA cannot
approve the NDA in its present form and, usually, will describe all of the specific deficiencies that the FDA has identified in the application. The complete
response letter, when possible, will include the FDA’s recommended actions to place the application in a condition for approval. Deficiencies can be minor
(e.g., labeling changes) or major (e.g., requiring additional clinical trials). A complete response letter may also be issued before the FDA conducts the
required facility inspection and/or reviews labeling, leaving the possibility that additional deficiencies in the original NDA could be subsequently cited. An
applicant receiving a complete response letter is permitted to resubmit the NDA addressing the identified deficiencies (in which case a new two- or six-
month review cycle will begin), or withdraw the NDA. The FDA may consider a failure to take action within one year of a complete response letter to be a
request to withdraw, unless the applicant has requested an extension of time in which to resubmit the NDA. If the FDA approves an NDA, the marketing of
the product will be limited to the particular disease states and conditions of use that are described in the product label. The FDA strictly regulates
marketing, labeling, advertising, and promotion of products that are placed on the market. The FDA and other agencies actively enforce the laws and
regulations prohibiting the promotion of off-label uses, and a company that is found to have improperly promoted off-label uses may be subject to
significant liability, including liability under applicable state and federal laws.
Post-Approval
Approved drugs that are manufactured or distributed in the United States pursuant to FDA approvals are subject to pervasive and continuing
regulation by the FDA, including, among other things, requirements relating to recordkeeping, periodic reporting, product sampling and distribution,
advertising and promotion, and reporting of adverse experiences with the product. For example, advertising and promotion are subject to stringent FDA
rules and oversight, and as an NDA holder, we may be held responsible for any advertising and promotion that is not in compliance with the rules and
regulations. In particular, the claims in all promotional materials and activities must be consistent with the FDA approvals for approved products and must
be appropriately substantiated and fairly balanced with information on the safety risks and limitations of the products. We also may engage in appropriate
truthful, non-misleading, and non-promotional scientific exchange concerning our products.
After approval, most changes to the approved product, such as adding new indications or other labeling claims and some manufacturing and supplier
changes, are subject to prior FDA review and approval. The FDA may impose a number of post-approval requirements as a condition of approval of an
NDA. For example, the FDA may require post-marketing testing, including phase 4 clinical trials, and surveillance programs to further assess and monitor
the product’s safety and effectiveness after commercialization.
We and all of our contract manufacturers are also required to comply with the applicable FDA current Good Manufacturing Practice (“cGMP”)
regulations during clinical development and to ensure that the product can be consistently manufactured to meet the specifications submitted in an NDA.
The cGMP regulations include requirements relating to product quality, investigation and remediation of issues through corrective and preventative actions,
as well as the corresponding maintenance of records and documentation. Manufacturing facilities must be approved by the FDA before they can be used to
manufacture our products. Based on an inspection, the FDA determines whether manufacturing facilities are in compliance with applicable regulations.
Manufacturing facilities in non-United States countries that are utilized to manufacture drugs for distribution into the United States are also subject to
inspection by the FDA. Additionally, failure to comply with local regulatory requirements could affect production and availability of product in relevant
markets.
Orphan Drugs
Under the Orphan Drug Act, the FDA may grant orphan drug designation to drugs intended to treat a rare disease or condition, which is generally a
disease or condition that affects fewer than 200,000 individuals in the United States. Orphan drug designation, if sought, must be requested before
submitting an NDA. After the FDA grants orphan drug designation, the generic identity of the drug and its potential orphan use are disclosed publicly by
the FDA. Orphan drug designation does not convey any advantage in, or shorten the duration of, the regulatory review and approval process. The first
NDA applicant with FDA orphan drug designation for a particular active ingredient to receive FDA approval of the designated drug for the disease
indication for which it has such designation is entitled to a seven-year exclusive marketing period
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(“orphan drug exclusivity”) in the United States for that product, for that indication. During the seven-year period, the FDA may not finally approve any
other applications to market the same drug for the same disease, except in limited circumstances, such as a showing of clinical superiority to the product
with orphan drug exclusivity or if the license holder cannot supply sufficient quantities of the product. Orphan drug exclusivity does not prevent the FDA
from approving a different drug for the same disease or condition, or the same drug for a different disease or condition, provided that the sponsor has
conducted appropriate clinical trials required for approval. Among the other benefits of orphan drug designation are tax credits for certain research and a
waiver of the NDA application user fee for the orphan indication.
The FDA’s interpretation of the scope of orphan drug exclusivity may change. In light of recent litigation and FDA announcements, the scope of
orphan drug exclusivity and other issues relating to the FDA’s implementation of the Orphan Drug Act with respect to both previously approved and future
products continues to evolve and may be the subject of further litigation or legislative action.
Fast Track Designation
Under the Fast Track program, the sponsor of an IND may request the FDA to designate the drug candidate as a Fast Track drug if it is intended to
treat a serious or life-threatening condition and data demonstrate its potential to fulfill an unmet medical need. The FDA must determine if the drug
candidate qualifies for Fast Track designation within 60 days of receipt of the sponsor’s request. Once the FDA designates a drug as a Fast Track candidate,
it is required to facilitate the development and expedite the review of that drug by providing more frequent communication with, and guidance to, the
sponsor. The key benefits of Fast Track Designation are the eligibility for priority review, rolling review (submission of portions of an application before
the complete marketing application is submitted), and accelerated approval, if relevant criteria are met.
In addition to other benefits, such as greater interactions with the FDA, the FDA may initiate review of sections of a Fast Track drug’s NDA before
the application is complete. This rolling review is available if the applicant provides, and the FDA approves, a schedule for the submission of the remaining
information and the applicant pays applicable user fees. However, the FDA’s review period as specified under the Prescription Drug User Fee Act for filing
and reviewing an application does not begin until the last section of the NDA has been submitted. Additionally, the Fast Track designation may be
withdrawn by the FDA if the FDA believes that the designation is no longer supported by data emerging in the clinical trial process.
Breakthrough Therapy Designation
In addition, the Food and Drug Administration Safety and Innovation Act of 2012 (“FDASIA”) established the Breakthrough Therapy designation.
A sponsor may seek FDA designation of its product candidate as a breakthrough therapy if the drug is intended, alone or in combination with one or more
other drugs, to treat a serious or life-threatening disease or condition and preliminary clinical evidence indicates that the drug may demonstrate substantial
improvement over existing therapies on one or more clinically significant endpoints, such as substantial treatment effects observed early in clinical
development. If a drug is designated as breakthrough therapy, the FDA will provide more intensive guidance on the drug development program and
expedite its review.
Abbreviated New Drug Applications for Generic Drugs
In 1984, with passage of the Drug Price Competition and Patent Term Restoration Act of 1984 (commonly referred to as the “Hatch-Waxman
Amendments”) amending the Federal Food, Drug, and Cosmetic Act (“FDCA”), Congress authorized the FDA to approve generic drugs that are the same
as drugs previously approved by the FDA under the NDA provisions of the statute. To obtain approval of a generic drug, an applicant must submit an
abbreviated new drug application (“ANDA”) to the agency. Upon approval of an ANDA, the FDA indicates that the generic product is “therapeutically
equivalent” to the drug product previously approved under an NDA, known as the reference listed drug (“RLD”), and it assigns a therapeutic equivalence
rating to the approved generic drug in its publication “Approved Drug Products with Therapeutic Equivalence Evaluations,” also referred to as the “Orange
Book”. Physicians and pharmacists consider the therapeutic equivalence rating to mean that a generic drug is fully substitutable for the RLD. In addition,
by operation of certain state laws and numerous health insurance programs, the FDA’s designation of a therapeutic equivalence rating often results in
substitution of the generic drug without the knowledge or consent of either the prescribing physician or patient.
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Under the Hatch-Waxman Amendments, the FDA may not approve an ANDA until any applicable period of nonpatent exclusivity for the RLD has
expired. The FDCA provides a period of five years of data exclusivity for NDAs containing a new chemical entity. In cases where such exclusivity has
been granted, an ANDA may not be filed with the FDA until the expiration of five years unless the submission is accompanied by a Paragraph IV
certification (discussed further below), in which case the applicant may submit its application four years following the original product approval (referred
to as the “NCE-1 date”). The FDCA also provides for a period of three years of exclusivity if the NDA includes reports of one or more new clinical
investigations, other than bioavailability or bioequivalence studies, that were conducted by or for the applicant and are essential to the approval of the
application. This three-year exclusivity period often protects changes to a previously approved drug product, such as a new dosage form, route of
administration, combination or indication.
Hatch-Waxman Patent Certification and the 30 Month Stay
Upon approval of an NDA or a supplement thereto, NDA sponsors are required to list with the FDA each patent with claims that cover the
applicant’s product or a method of using the product. When an ANDA applicant files its application with the FDA, the applicant is required to certify to the
FDA concerning any patents listed for the reference product in the Orange Book, except for patents covering methods of use for which the ANDA
applicant is not seeking approval.
A certification that the new product will not infringe the already approved product’s listed patents or that such patents are invalid or unenforceable is
called a Paragraph IV certification. If the applicant does not challenge the listed patents or indicate that it is not seeking approval of a patented method of
use, the ANDA application will not be approved until all the listed patents claiming the referenced product have expired. If the ANDA applicant has
provided a Paragraph IV certification to the FDA, the applicant must also send notice of the Paragraph IV certification to the NDA and patent holders once
the ANDA has been accepted for filing by the FDA. The NDA and patent holders may then initiate a patent infringement lawsuit in response to the notice
of the Paragraph IV certification. The filing of a patent infringement lawsuit within 45 days after the receipt of a Paragraph IV certification automatically
prevents the FDA from approving the ANDA until the earlier of 30 months, expiration of the patent, settlement of the lawsuit or a decision in the
infringement case that is favorable to the ANDA applicant.
505(b)(2) New Drug Applications
As an alternative path to FDA approval for modifications to formulations or uses of products previously approved by the FDA pursuant to an NDA,
an applicant may submit an NDA under Section 505(b)(2) of the FDCA. Section 505(b)(2) was enacted as part of the Hatch-Waxman Amendments and
permits the filing of an NDA where at least some of the information required for approval comes from studies not conducted by, or for, the applicant, and
for which the applicant has not obtained a right of reference. If the 505(b)(2) applicant can establish that reliance on the FDA’s previous findings of safety
and effectiveness is scientifically and legally appropriate, it may eliminate the need to conduct certain preclinical studies or clinical trials of the new
product. The FDA may also require companies to perform additional bridging studies or measurements, including clinical trials, to support the change from
the previously approved reference drug. The FDA may then approve the new drug candidate for all, or some, of the label indications for which the
reference drug has been approved, as well as for any new indication sought by the 505(b)(2) applicant.
To the extent that a Section 505(b)(2) applicant is relying on studies conducted for an already approved product, the applicant is required to certify to
the FDA concerning any patents listed for the approved product in the Orange Book to the same extent that an ANDA applicant would. As a result,
approval of a 505(b)(2) NDA can be stalled until all the listed patents claiming the referenced product have expired, until any non-patent exclusivity, such
as exclusivity for obtaining approval of a new chemical entity, listed in the Orange Book for the referenced product has expired, and, in the case of a
Paragraph IV certification and subsequent patent infringement suit, until the earlier of 30 months, settlement of the lawsuit or a decision in the infringement
case that is favorable to the Section 505(b)(2) applicant.
Pediatric Studies and Exclusivity
Under the Pediatric Research Equity Act of 2003, an NDA or supplement thereto must contain data that are adequate to assess the safety and
effectiveness of the drug product for the claimed indications in all relevant pediatric subpopulations, and to support dosing and administration for each
pediatric subpopulation for which the product is safe and effective. With the enactment of FDASIA, sponsors must also submit pediatric study plans prior
to the assessment data. Those plans must contain an outline of the proposed pediatric study or studies the applicant plans to conduct, including
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study objectives and design, any deferral or waiver requests, and other information required by regulation. The applicant, the FDA, and the FDA’s internal
review committee must then review the information submitted, consult with each other, and agree upon a final plan. The FDA or the applicant may request
an amendment to the plan at any time.
The FDA may, on its own initiative or at the request of the applicant, grant deferrals for submission of some or all pediatric data until after approval
of the product for use in adults, or full or partial waivers from the pediatric data requirements. Additional requirements and procedures relating to deferral
requests and requests for extension of deferrals are contained in FDASIA. Unless otherwise required by regulation, the pediatric data requirements do not
apply to products with orphan designation.
Pediatric exclusivity is another type of non-patent marketing exclusivity in the United States and, if granted, provides for the attachment of an
additional six months of marketing protection to the term of any existing regulatory exclusivity, including the non-patent and orphan exclusivity. This six-
month exclusivity may be granted if an NDA sponsor submits pediatric data that fairly respond to a written request from the FDA for such data. The data
do not need to show the product to be effective in the pediatric population studied; rather, if the clinical trial is deemed to fairly respond to the FDA’s
request, the additional protection is granted. If reports of requested pediatric studies are submitted to and accepted by the FDA within the statutory time
limits, whatever statutory or regulatory periods of exclusivity or patent protection cover the product are extended by six months. This is not a patent term
extension, but it effectively extends the regulatory period during which the FDA cannot accept or approve another application.
Patent Term Restoration and Extension
A patent claiming a new drug product may be eligible for a limited patent term extension under the Hatch-Waxman Amendments. Those
Amendments permit a patent restoration of up to five years for patent term lost during product development and the FDA regulatory review. The restoration
period granted is typically one-half the time between the effective date of an IND and the submission date of an NDA, plus the time between the
submission date of an NDA and ultimate approval. Patent term restoration cannot be used to extend the remaining term of a patent past a total of 14 years
from the product’s approval date. Only one patent applicable to an approved drug product is eligible for the extension, and the application for the extension
must be submitted prior to the expiration of the patent in question. The U.S. Patent and Trademark Office reviews and approves the application for any
patent term extension or restoration in consultation with the FDA.
Foreign Regulation
In addition to regulations in the United States, we are subject to a variety of foreign regulatory requirements governing human clinical trials and
marketing approval, commercial sales, and distribution of drugs. Foreign regulatory approval processes include all of the risks associated with FDA
approval set forth above, as well as additional country-specific regulations. Whether or not we obtain FDA approval for a product, we must obtain approval
of a product by the comparable regulatory authorities of foreign countries before we can commence clinical trials or marketing of the product in those
countries. The approval process varies from country to country, and the time may be longer or shorter than that required for FDA approval. Some countries,
such as certain countries in Latin America and in the Middle East, have review processes and data requirements similar to those of the European Union,
and, in some cases, can rely on prior marketing approval from U.S. or EU regulatory authorities. The regulatory process in these countries may include
manufacturing/testing facility inspections, testing of drug product upon importation and other domestic requirements. Certain Asian countries may require
local clinical-trial data for bridging purposes as part of the drug registration process in addition to global clinical trials, which can add to overall drug
development and registration timelines. In most of the Asian markets, registration timelines depend on marketing approval in the United States or the
European Union.
The requirements governing the conduct of clinical trials, product licensing, pricing, and reimbursement vary greatly from country to country, some
of which are discussed below, and may also include post-approval commitments.
European Union
The various phases of preclinical and clinical research in the European Union are subject to significant regulatory controls. Pursuant to the Clinical
Trials Directive 2001/20/EC, as amended (the “Clinical Trials Directive”), a system for the approval of clinical trials in the European Union has been
implemented through national legislation of the member states. Under this system, approval must be obtained from the national competent authority of each
EU member state in which a clinical trial is planned to be conducted. A clinical trial application (“CTA”) is submitted, which must be supported
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by an investigational medicinal product dossier and further supporting information prescribed by the Clinical Trials Directive and other applicable guidance
documents, including, but not limited to, the clinical trial protocol. Further, a clinical trial may only be started after an independent ethics committee has
issued a favorable opinion on the CTA in that country.
In April 2014, the European Union adopted a new Clinical Trials Regulation (EU) No 536/2014 (the “Regulation”), which replaced the Clinical
Trials Directive. The Regulation came into effect on January 31, 2022 with a three-year transition period in which clinical trial sponsors were able to
choose among different submission pathways. The Regulation, which is directly applicable in all EU member states, aims to simplify and streamline the
approval of clinical trials in the European Union. For instance, the Regulation provides for a streamlined application procedure via a single entry point and
strictly defined deadlines for the assessment of clinical trial applications.
Manufacturing and import into the European Union of investigational medicinal products for use in clinical trials is subject to the holding of
appropriate authorizations and must be carried out in accordance with cGMP.
Under EU regulatory systems, we may submit marketing authorizations either under a centralized or decentralized procedure. The centralized
procedure provides for the grant of a single marketing authorization that is valid for all EU member states. It is compulsory for specific pharmaceutical
products, including for medicines developed by means of certain biotechnological processes, products designated as orphan pharmaceutical products,
advanced therapy pharmaceutical products and pharmaceutical products with a new active substance indicated for the treatment of certain diseases. Under
the centralized procedure, a single marketing authorization application is submitted to the Committee for Medicinal Products for Human Use of the
European Medicines Agency (“EMA”), which then makes a recommendation to the European Commission (“EC”). The EC makes the final determination
on whether to approve the application. The decentralized procedure provides for mutual recognition of national approval decisions, and the holder of a
national marketing authorization may submit an application to the remaining member states. The decentralized procedure is only available for
pharmaceutical products not falling within the mandatory scope of the centralized procedure.
United Kingdom
The United Kingdom formally left the European Union on January 31, 2020 (“Brexit”), and EU laws now only apply to the United Kingdom in
respect of Northern Ireland as laid out in the Protocol on Ireland and Northern Ireland. The European Union and the United Kingdom have agreed on a
trade and cooperation agreement (“TCA”) which includes provisions affecting the life sciences sector (including on customs and tariffs). There are some
specific provisions concerning pharmaceuticals, including the mutual recognition of GMP and issued GMP documents. The TCA does not, however,
contain wholesale mutual recognition of U.K. and EU pharmaceutical regulations and product standards.
The government of the United Kingdom has enacted the Medicines and Medical Devices Act 2021. The purpose of the act is to enable the existing
regulatory frameworks in relation to human medicines and clinical trials of human medicines, among others, to be updated. The powers under the act may
only be exercised in relation to specified matters and must safeguard public health. The Medicines and Medical Devices Act 2021 supplements the United
Kingdom Medical Devices Regulations 2002, which are based on the EU Medical Devices Directive as amended to reflect the United Kingdom’s post-
Brexit regulatory regime. Core aspects of the new regime are planned to come into force on July 1, 2025, with strengthened post-market surveillance
proposals to be introduced in advance of such time.
Japan
Under the Japanese regulatory system administered by the Japanese Pharmaceuticals and Medical Devices Agency (“PMDA”), pre-marketing
approval and clinical studies are required for all pharmaceutical products. To obtain manufacturing/marketing approval, we must submit an application for
approval to the Ministry of Health, Labor and Welfare (“MHLW”) with results of nonclinical and clinical studies to show the quality, efficacy, and safety of
a new drug. A data compliance review, good Clinical Practices on-site inspection, cGMP audit, and detailed data review are undertaken by the PMDA. The
application is then discussed by the committees of the Pharmaceutical Affairs and Food Sanitation Council (“PAFSC”). Based on the results of these
reviews, the final decision on approval is made by the MHLW. In Japan, the National Health Insurance system maintains a Drug Price List specifying
which pharmaceutical products are eligible for reimbursement, and the MHLW sets the prices of the products on this list. The price will be determined
within 60 to 90 days following approval unless the applicant disagrees, which may result in extended pricing negotiations. The government generally
introduces price cut rounds every other year and also mandates price decreases for specific products. New products judged innovative or useful, that are
indicated for pediatric use, or that target orphan or small population diseases,
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however, may be eligible for a pricing premium. The Japanese government has also promoted the use of generics, where available.
Fraud and Abuse and Related Regulatory Laws
We are subject to various federal and state laws pertaining to healthcare “fraud and abuse,” including both federal and state anti-kickback and false
claims laws. Outside of the United States, we may be subject to analogous foreign laws and regulations in the various jurisdictions in which we operate.
These laws and regulations apply to our or our partners’ operations, sales and marketing practices, price reporting, and relationships with physicians and
other customers and third-party payors. Anti-kickback laws generally prohibit a manufacturer from soliciting, offering, receiving, or paying any
remuneration to generate business, including the purchase or prescription of a particular drug. Although the specific provisions of these laws vary, their
scope is generally broad and there may be no regulations, guidance or court decisions that clarify how the laws apply to particular industry practices. False
claims laws prohibit anyone from knowingly presenting, or causing to be presented, for payment to third party payors (including Medicare and Medicaid)
claims for reimbursement or services that are false or fraudulent, claims for items or services not provided as claimed, or claims for medically unnecessary
items or services.
In addition, we are subject to the federal Physician Sunshine Act and certain similar physician payment and drug pricing transparency legislation in
various states. The transparency-focused provisions apply to manufacturers with products reimbursed under certain government programs and require those
manufacturers to disclose annually to the federal government certain payments made to covered recipients (defined to include doctors, dentists,
optometrists, podiatrists, and chiropractors, as well as other healthcare personnel including physician assistants and nurse practitioners) and teaching
hospitals, as well as ownership and investment interests held by physicians (as defined above) and their immediate family members. State laws also may
require disclosure of pharmaceutical pricing information and marketing expenditures.
Violations of the federal Physician Sunshine Act and similar legislation or the fraud and abuse laws may be punishable by civil or criminal sanctions,
including fines and civil monetary penalties, and future exclusion from participation in government healthcare programs.
Reimbursement and Healthcare Reform
In both the United States and other countries, sales and reimbursement of any approved products will depend, in part, on the extent to which the
costs of such products will be covered by third-party payors, such as government health programs, commercial insurance and managed healthcare
organizations. These third-party payors are increasingly challenging the prices charged for medical products and services and imposing controls to manage
costs. The containment of healthcare costs has become a priority of federal and state governments, and the prices of drugs have been a focus in this effort.
Governments have shown significant interest in implementing cost-containment programs, including price controls, restrictions on reimbursement, and
requirements for substitution of generic products. Adoption of price controls and cost-containment measures, and adoption of more restrictive policies in
jurisdictions with existing controls and measures, could limit our net revenue and results. In addition, there is significant uncertainty regarding the
reimbursement status of newly approved healthcare products.
Adequate coverage and reimbursement in the United States and other countries is critical to the commercial success of approved products. Recently
in the United States, there has been heightened governmental scrutiny over the manner in which manufacturers set prices for their marketed products,
which has resulted in several Congressional inquiries and proposed bills designed, among other things, to reform government program reimbursement
methodologies. In addition, individual states in the United States have been increasingly active in passing legislation and implementing regulations
designed to control pharmaceutical product pricing, including price or patient reimbursement constraints, discounts, restrictions on certain product access
and marketing cost disclosure and transparency measures, and, in some cases, designed to encourage importation from other countries and bulk purchasing.
Regional healthcare authorities and individual hospitals are increasingly using bidding procedures to determine what pharmaceutical products and which
suppliers will be included in their prescription drug and other healthcare programs. Third-party payors are increasingly challenging the prices charged for
medical products and services and, in some cases, imposing restrictions on the coverage of particular drugs. Many third-party payors negotiate the price of
medical services and products and develop formularies that establish pricing and reimbursement levels. Exclusion of a product from a formulary can lead to
its sharply reduced usage in the third-party payor’s patient population. The process for obtaining coverage can be lengthy and costly, and it could take
several months before a particular payor initially reviews a product and makes a decision with respect to
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coverage. For example, third-party payors may require cost-benefit analysis data in order to demonstrate the cost-effectiveness of a particular product.
Outside the United States, ensuring adequate coverage and payment for drug products can have challenges. Pricing of prescription pharmaceuticals
is subject to governmental control in many countries. Pricing negotiations with governmental authorities can extend well beyond the receipt of regulatory
marketing approval for a product and may require us to conduct an active comparator clinical trial to demonstrate the relative effectiveness of our
therapeutic candidates or products to other available therapies to support our pricing, which could be expensive and result in delays in our
commercialization efforts. Third-party payors are challenging the prices charged for medical products and services, and many third-party payors limit
reimbursement for newly-approved healthcare products. Recent budgetary pressures in many EU countries are also causing governments to consider or
implement various cost-containment measures, including reference price grouping, price freezes, increased price cuts, and rebates. If budget pressures
continue, governments may implement additional cost-containment measures. Cost-control initiatives could decrease the price we might establish for
products that we may develop or sell, which would result in lower product revenues or royalties payable to us. There can be no assurance that any country
that has price controls or reimbursement limitations for pharmaceutical products will allow favorable reimbursement and pricing arrangements for any of
our products.
The Patient Protection and Affordable Care Act (“PPACA”) made extensive changes to the delivery of healthcare in the United States. The PPACA
included numerous provisions that affect pharmaceutical companies, some of which became effective immediately and others of which have taken effect
over the past several years. For example, the PPACA expanded healthcare coverage to the uninsured through private health insurance reforms and an
expansion of Medicaid. The PPACA also imposed substantial costs on pharmaceutical manufacturers, such as an increase in liability for rebates paid to
Medicaid, new drug discounts that must be offered to certain enrollees in the Medicare prescription drug benefit, an annual fee imposed on all
manufacturers of brand prescription drugs in the United States, and an expansion of an existing program requiring pharmaceutical discounts to certain types
of hospitals and federally subsidized clinics. The PPACA also contains cost containment measures that could reduce reimbursement levels for healthcare
items and services generally, including pharmaceuticals. It also required reporting and public disclosure of payments and other transfers of value provided
by pharmaceutical companies to physicians and teaching hospitals.
In August 2022, the Inflation Reduction Act (“IRA”) was enacted and includes provisions requiring that (1) beginning in 2026, mandatory price
setting be introduced in Medicare for certain drugs paid for under Parts B and D, whereby manufacturers must accept a price established by the government
or face penalties on all U.S. sales (starting with 10 drugs in 2026, adding 15 in 2027 and 2028, and adding 20 in 2029 and subsequent years, such that by
2031 approximately 100 drugs could be subject to such set prices); (2) starting in 2024, Medicare Part D be redesigned to cap beneficiary out-of-pocket
costs and, beginning January 1, 2025, federal reinsurance be reduced in the catastrophic phase (resulting in a shift and increase of such costs to Part D plans
and manufacturers, including by requiring manufacturer discounts on certain drugs); and (3) beginning October 1, 2022, manufacturers owe rebates on
drugs reimbursed under Medicare Part D if price increases outpace inflation, and beginning January 1, 2023, manufacturers owe rebates on drugs
reimbursed under Medicare Part B if price increases outpace inflation. Although the IRA has passed, and the Centers for Medicare & Medicaid Services
has finalized policies implementing many aspects of the IRA, the environment remains dynamic, and the presidential administration and Congress are
continuing to consider drug pricing reforms. Other potential policies cover a wide range of areas, including allowing the importation of drugs from other
countries; increasing transparency in drug pricing; and using third-party value assessments to determine drug prices.
The continuing efforts of the government, insurance companies, managed care organizations and other payors of healthcare services to contain or
reduce costs of healthcare could result in decreased net revenues from our pharmaceutical products and decreased potential returns from our development
efforts. In addition, pharmaceutical and device manufacturers are also required to report and disclose certain payments and transfers of value to, and
investment interests held by, physicians and their immediate family members during the preceding calendar year. Failure to submit required information
may result in civil monetary penalties for payments, transfers of value, or ownership or investment interests not reported in an annual submission.
Compliance with the federal and state laws is difficult and time consuming, and companies that do not comply with these laws can face severe civil
penalties.
In addition, there have been a number of other legislative and regulatory proposals aimed at changing the pharmaceutical industry. For example,
legislation has been enacted in certain states and at a federal level that requires development of an electronic pedigree to track and trace each prescription
drug at the saleable unit level through the distribution system. Compliance with these electronic pedigree requirements may increase our operational
expenses and impose significant administrative burdens.
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Data Privacy and Security Laws
Pharmaceutical companies may be subject to U.S. federal and state health information privacy, security, data breach notification, and consumer
protection laws (e.g., Section 5 of the Federal Trade Commission Act) which may govern the collection, use, disclosure, and protection of health-related
and other personal data. State laws may be more stringent, broader in scope, or offer greater individual rights with respect to protected health information
(“PHI”), than the federal Health Insurance Portability and Accountability Act of 1996, as amended, and its implementing regulations, which are
collectively referred to as HIPAA, and state laws may differ from each other, which may complicate compliance efforts. Entities that are found to be in
violation of HIPAA or that enter into a resolution agreement with the HHS to settle actual or potential allegations of HIPAA noncompliance may be subject
to significant civil, criminal, and administrative fines and penalties and/or additional reporting and oversight obligations.
Many state laws govern the privacy of personal data in specified circumstances. For example, in California the California Consumer Privacy Act of
2018, as amended by the California Privacy Rights Act of 2020 (together, “CCPA”) establishes a privacy framework for covered businesses by creating an
expanded definition of personal data, establishing data privacy rights for consumers in the State of California, imposing special rules on the collection of
consumer data from minors, and creating a potentially severe statutory damages framework for violations of the CCPA and for businesses that fail to
implement reasonable security procedures and practices to prevent data breaches. While clinical trial data and information governed by HIPAA are
currently exempt from the CCPA, other personal data may be covered. Several other states, such as Virginia, Colorado and Utah, have also enacted
comprehensive privacy laws, and it is possible that additional states will follow suit.
Outside the United States, an increasing number of laws and regulations may govern data privacy and security. For example, EU member states, the
United Kingdom, Switzerland, and other jurisdictions have adopted data protection laws and regulations, which impose significant compliance obligations.
In the European Economic Area (“EEA”), the collection and use of personal data, including clinical trial data, is governed by the provisions of the General
Data Protection Regulation (“GDPR”). The GDPR, together with national legislation, regulations, and guidelines of the states in the EEA, the United
Kingdom, and Switzerland governing the processing of personal data, impose strict obligations and restrictions on the ability to collect, analyze, and
transfer personal data, including health data from clinical trials and adverse event reporting. The GDPR also imposes additional special protections for
“special category data,” which includes health, biometric and genetic information of data subjects located in the EEA. Further, the GDPR provides a broad
right for EU member states to create supplemental national laws, for example, relating to the processing of health, genetic and biometric data, which could
further limit our ability to use and share such data or could cause our costs to increase and harm our business and financial condition. The GDPR and
similar national legislation grant individuals the opportunity to object to the processing of their personal data, allow them to request deletion of personal
data in certain circumstances, and provide the individual with an express right to seek legal remedies in the event the individual believes his or her rights
have been violated.
Further, the GDPR and similar legislation, such as the United Kingdom GDPR and Switzerland’s Federal Data Protection Act, impose strict rules on
the transfer of personal data out of the EEA, the United Kingdom, Switzerland, and other countries to the United States or other regions that have not been
deemed to offer “adequate” privacy protections. These obligations and regulations also concern security breach notifications, security and confidentiality of
the personal data, and imposition of substantial potential fines for breaches of the data protection obligations. Local data protection authorities may
interpret the GDPR and national laws differently and impose additional requirements, which add to the complexity of processing personal data in or from
the EEA, the United Kingdom, or Switzerland. Guidance on implementation and compliance practices are often updated or otherwise revised.
Similarly, the increasing use of artificial intelligence (“AI”) and machine learning technology in the biopharmaceutical industry presents new risks
and challenges, as the disclosure and use of personal data in AI technologies is subject to various privacy laws and other privacy obligations. Governments
have passed and are likely to pass additional laws regulating AI, including the EU Artificial Intelligence Act.
The EU Clinical Trials Regulation also imposes new obligations to make publicly available certain information generated from clinical trials. Only
very limited information is exempted from disclosure, i.e. commercially confidential information (which is construed increasingly narrowly) and protected
personal data. It may be possible for others to use this data (for example, competitors who may use this data in their own research and development
programs) once this data is in the public domain.
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We are also subject to the supervision of local data protection authorities in those jurisdictions where we undertake clinical trials. We depend on a
number of third parties in relation to the provision of our services, a number of which process personal data of EU individuals on our behalf. With each
such provider we are required to enter into contractual arrangements under which they are contractually obligated to only process personal data according
to our instructions, and conduct diligence to ensure that they have sufficient technical and organizational security measures in place.
We are also subject to evolving European privacy laws on electronic marketing and cookies. For example, the European Union is in the process of
replacing the e-Privacy Directive (2002/58/EC) with a new set of rules taking the form of a regulation that will be directly implemented in the laws of each
EU member state. While this e-Privacy Regulation was originally intended to be adopted on May 25, 2018, it is still going through the European legislative
process and the timing of its adoption remains unclear.
Anti-Corruption Laws
We are also subject to the U.S. Foreign Corrupt Practices Act (“FCPA”), which prohibits corporations and individuals from engaging in certain
activities to obtain or retain business or to influence a person working in an official capacity. It is illegal to pay, offer to pay or authorize the payment of
anything of value to any foreign government official, government staff member, political party, or political candidate in an attempt to obtain or retain
business or to otherwise influence a person working in an official capacity. Similar laws exist in other countries, such as the United Kingdom or in EU
member states, that restrict improper payments to public and private parties. Many countries have laws prohibiting these types of payments within the
respective country. In addition to these anti-corruption laws, we are subject to import and export control laws, tariffs, trade barriers, economic sanctions,
and regulatory limitations on our ability to operate in certain foreign markets.
Corporate Compliance
In order to ensure compliance with applicable laws and regulations, our Chief Financial Officer, Chief Legal Officer, and Chief People Officer
oversee compliance training, education, auditing, and monitoring; enforce disciplinary guidelines for any infractions of our corporate polices; implement
new policies and procedures; respond to any detected issues; and undertake corrective action procedures. Our controls address compliance with laws and
regulations that govern public pharmaceutical companies, including, but not limited to, the following: federal and state law, such as the Sarbanes-Oxley Act
of 2002 and the FCPA; Nasdaq listing requirements; the regulations of the Financial Industry Regulatory Authority, the SEC, the FDA, and HHS; and
applicable laws and regulations administered by foreign regulatory authorities, including those of the European Union, the United Kingdom, and Japan.
Our standard operating procedures are designed to provide a framework for corporate governance in accordance with ethical standards and best legal
practices.
Human Capital Resources
As of December 31, 2024, we had approximately 580 employees, of whom approximately 191 employees were engaged in the research and
development function of our operations, which we define to include any employee included in research and development expenses for financial reporting
purposes. Our research and development staff, many of whom hold Ph.D. or M.D. degrees, have diversified experience in biochemistry, pharmacology, X-
ray crystallography, synthetic organic chemistry, computational chemistry, medicinal chemistry, clinical development, quality assurance, and regulatory
affairs.
We believe that our ability to successfully execute on our strategic initiatives is highly dependent upon our ability to recruit, retain, and reward our
employees. We engage in targeted recruitment strategies to fill highly skilled positions. Our employees enjoy competitive salaries and benefits, as well as
equity participation. Our compensation philosophy is designed to provide an appealing, competitive, and rewarding compensation program that encourages
retention, high personal and company performance, strong cultural and ethical behavior, and incentives aligned with stockholder interests.
We are committed to providing a workplace that protects the health and well-being of our employees. All employees are required to abide by our
Code of Conduct and Ethics (“Code of Conduct”) and health and safety parameters and to contribute to a positive, inclusive, and friendly company culture.
Where we believe such arrangements can be effective, we have implemented flexible working arrangements, including work from home arrangements, for
our employees. We consider our relations with our employees to be satisfactory.
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Corporate Information
We are a Delaware corporation originally founded in 1986. Our corporate headquarters is located at 4505 Emperor Blvd., Suite 200, Durham, North
Carolina 27703, and our corporate telephone number is (919) 859-1302. For more information about us, please visit our website at www.biocryst.com. The
information on our website is not incorporated into this report.
Financial Information
For information related to our revenues, profits, net loss and total assets, in addition to other financial information, please refer to the Consolidated
Financial Statements and Notes to Consolidated Financial Statements contained in Part II, Item 8 of this report. Financial information about revenues
derived from countries outside the United States is included in Note 2 to the Consolidated Financial Statements contained in this report.
Available Information
Our website address is www.biocryst.com. We make available, free of charge, on our website our Annual Reports on Form 10-K, Quarterly Reports
on Form 10-Q, Current Reports on Form 8-K, and amendments to those reports filed or furnished pursuant to Section 13(a) or 15(d) of the Exchange Act as
soon as reasonably practicable after we electronically file such material with, or furnish it to, the SEC. We also make available at our website copies of our
audit committee charter, compensation committee charter, corporate governance and nominating committee charter and our Code of Conduct, which
applies to all our employees as well as the members of our Board of Directors. Any amendment to, or waiver from, our Code of Conduct will be posted on
our website.
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ITEM 1A.    RISK FACTORS
An investment in our stock involves risks. You should carefully read this entire report and consider the following uncertainties and risks, which may
adversely affect our business, financial condition or results of operations, along with all of the other information included in our other filings with the SEC,
before making an investment decision regarding our common stock. Additionally, while some of the factors, events and contingencies described herein may
have occurred in the past, the disclosures herein are not representations as to whether or not they have occurred and are instead provided because future
occurrences thereof could adversely affect the Company.
Risks Relating to Our Business
Financial and Liquidity Risks
We have incurred losses since our inception and may never achieve sustained profitability.
Since our inception, we have not achieved sustained profitability. Our expectations as to when we may achieve sustained profitability may change
based upon our ability to execute our commercialization goals and operational initiatives and whether or not the assumptions underlying our projected
revenues and expenses are correct. Our beliefs and projections regarding the attainment of our financial goals may differ from actual results based on
market factors like competition, patient and physician acceptance of our products, reimbursement levels, or on our ability to execute our operational and
budget plans, including management’s ability to properly forecast our capital allocation needs. To achieve and maintain profitability, we, or our
collaborative partners, must successfully manufacture and develop products and product candidates, receive regulatory approvals, and successfully
commercialize our products and/or enter into profitable commercialization arrangements with other parties. Even if we are able to successfully
commercialize our existing products, or to develop or otherwise acquire new commercially viable products, certain obligations we have to third parties,
including, without limitation, our obligation to pay RPI and OMERS, as applicable, royalties on certain revenues from ORLADEYO under the Royalty
Purchase Agreements (as defined in “Note 8—Royalty Financing Obligations—ORLADEYO and Factor D Inhibitors” in the Notes to Consolidated
Financial Statements in Part II, Item 8 of this report), may reduce the profitability of such products.
Because of the numerous risks and uncertainties associated with developing our product candidates, launching new products, and their potential for
commercialization, we are unable to predict the extent of any future losses. Even if we do achieve profitability, we may not be able to sustain or increase
profitability on a quarterly or annual basis. If we are unable to achieve and sustain profitability on our anticipated timeline, or at all, the market value of our
common stock will likely decline.
We may need to raise additional capital in the future. If we are unable to raise capital if and when needed, we may need to adjust our operations.
We have sustained operating losses for the majority of our corporate history and expect to continue to incur operating losses and negative cash flows
unless and until revenues reach a level sufficient to support ongoing operations.
Even if we are able to achieve profitability, in order to continue future operations, progress our drug discovery and development programs, and
commercialize our current products and product candidates, we may be required to raise additional capital in the future. In addition to seeking strategic
partnerships and transactions, we may access the equity or debt markets, incur additional borrowings, pursue royalty or other monetization transactions, or
seek other sources of funding to meet liquidity needs at any time, including to take advantage of attractive opportunities in the capital markets. Additional
funding, whether through additional sales of securities, additional borrowings, royalty or other monetization transactions, collaborative arrangements with
partners, or from other sources, may not be available if or when needed or in a form or on terms acceptable to us. The issuance of preferred or common
stock or convertible securities, with terms and prices significantly more favorable than those of our currently outstanding common stock, could have the
effect of diluting or adversely affecting the holdings or rights of our existing stockholders. Additional borrowings may subject us to more restrictive
covenants than are currently applicable to us under the Pharmakon Loan Agreement (as defined below). In addition, collaborative arrangements may
require us to transfer certain material rights to our corporate partners. Insufficient funds or lack of an acceptable partnership may require us to delay, scale-
back or eliminate certain of our research and development programs. See “Risks Relating to Our Business—Risks Relating to Drug Development and
Commercialization—If we fail to obtain additional financing or acceptable partnership arrangements if and when needed, we may be unable
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to complete the development and commercialization of our products and product candidates or continue operations” in this section for further discussion of
the capital requirements for our development and commercialization efforts.
Our liquidity needs will largely be determined by the success of operations in regard to the commercialization of our products, particularly
ORLADEYO, the progression of our product candidates in the future, and our ability to execute our budget plans. Our current plans for managing our
liquidity needs primarily include controlling the timing and spending on our research and development programs and commercializing our approved
products. See “Management’s Discussion and Analysis of Financial Condition and Results of Operations—Liquidity and Capital Resources” in Part II, Item
7 of this report for additional information about our liquidity needs, capital requirements, potential funding alternatives, and adequacy of available funds.
There can be no assurance that any of our plans will be successful or that additional capital will be available to us on reasonable terms, or at all, if
needed. If we are unable to obtain sufficient additional capital if and when needed, we may be forced to adjust or curtail our operations; delay, reduce, or
stop ongoing clinical trials or commercialization efforts; cease operations altogether; or file for bankruptcy.
Risks Relating to Drug Development and Commercialization
Our success depends upon our ability to manage our product candidate pipeline, advance our product candidates through the various stages of
development, especially through the clinical trial process, and to receive regulatory approvals for the commercial sale of our product candidates.
The success of our business depends upon our ability to manage our product candidate pipeline, including through expanding the pipeline, as
appropriate, through our internal identification and discovery of product candidates or otherwise in-licensing or acquiring products or product candidates
and integrating them into our business effectively and efficiently; advancing our product candidates through the various stages of development; and
receiving regulatory approvals for the commercial sale of our product candidates. Identifying, selecting, and in-licensing or acquiring products or product
candidates requires substantial expense and technical and financial expertise, and if we are unable to effectively manage our pipeline or integrate viable
products or product candidates into our business on acceptable terms, or at all, our business and drug development efforts could suffer.
To receive the regulatory approvals necessary for the commercial sale of our product candidates, we or our partners must demonstrate through
preclinical studies and clinical trials that each product candidate is safe and effective. The development process and related regulatory process are complex
and uncertain. The preclinical and clinical development of our product candidates is susceptible to the risk of failure inherent at any stage of drug
development, including failure to demonstrate efficacy and safety, failure to demonstrate adequate benefit-risk balance, failure to achieve a commercially
attractive and competitive product label, failure to achieve approval in commercially attractive indications, the occurrence of adverse events that are severe
or medically or commercially unacceptable, our or our partners’ failure to comply with trial protocols, applicable regulatory requirements, or industry
standards, or a determination by the FDA or any comparable foreign regulatory authority that a product candidate may not continue development or be
approved in accordance with our development plans or at all. The outcome of preclinical testing and early clinical trials may not be predictive of the
success of later clinical trials, and interim results of a clinical trial do not necessarily predict final results. For example, any successful results of our
preclinical and early clinical work for avoralstat, BCX17725 and our early-stage discovery programs do not guarantee the success of later clinical trials.
Moreover, preclinical and clinical data are often susceptible to varying interpretations and analyses, and for some product candidates, there may not be an
ideal model for preclinical testing. We also cannot guarantee that any preclinical studies and clinical trials will be conducted as planned or completed on
schedule, if at all, or that the results of such trials will be sufficient to support regulatory approval for our product candidates.
Progression of our product candidates through the clinical development process is dependent upon our trials indicating that our product candidates
have adequate safety and efficacy in the patients being treated by achieving predetermined safety and efficacy endpoints according to the clinical trial
protocols, as well as an adequate benefit-risk profile. Failure to achieve any of these endpoints or to show adequate benefit-risk profile in any of our
programs (including the therapies in our pipeline described in “Management’s Discussion and Analysis of Financial Condition and Results of Operations—
Overview—Products and Product Candidates” in Part II, Item 7 of this report) could result in delays in, modifications to, or discontinuations of our trials or
require the performance of additional unplanned trials. For example, dose-related observations in a BCX10013 nonclinical study reported in 2023 delayed
the clinical program. If any of our product candidates is associated with adverse events or undesirable side effects or has properties that are unexpected, we
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may need to abandon development or limit development of that product candidate to certain uses or subpopulations in which the undesirable side effects or
other characteristics are less prevalent, less severe or more acceptable from a benefit-risk perspective. Product candidates that initially show promise in
clinical or preclinical testing could later be found to be associated with or to cause undesirable or unexpected side effects that could result in substantial
modifications or delays in the development plans for our product candidates, significant unexpected costs, or the termination of programs.
In addition, the development plans for our product candidates, including our clinical trials, may not be adequately designed or executed, which could
negatively affect the outcome and analysis of study results. Because of the cost and duration of clinical trials, we have decided in the past, and may in the
future decide, to discontinue development of product candidates for various reasons, including, but not limited to, that they are unlikely to show favorable
results in clinical trials, unlikely to help advance a product to the point of a meaningful collaboration, or unlikely to have reasonable commercial potential.
For example, following the completion of our clinical evaluation of BCX10013, we announced on August 5, 2024 that we planned to discontinue
development.
Undesirable or inconclusive data in our preclinical studies and clinical trials or side effects in humans could result in the FDA or foreign regulatory
authorities (including, e.g., the EMA, the MHLW, or the United Kingdom’s Medicines and Healthcare products Regulatory Agency (“MHRA”)) refusing to
approve a product candidate for any targeted indications or imposing restrictions or warnings that could impact development or the ultimate commercial
viability of a product candidate. In addition, the FDA or foreign regulatory authorities may determine that study data from our product candidates
necessitates additional studies or study designs which differ from our planned development strategy, and such regulatory authorities may also require
patient monitoring and testing or may implement restrictions or other conditions on our development activities, any of which could materially impact the
cost and timing of our planned development strategy. We, our partners, the FDA, or foreign regulatory authorities have previously, and may again in the
future, pause enrollment in, suspend, or terminate clinical trials at any time if we or they believe the trial participants face unacceptable health risks.
Our ability to complete the clinical development process successfully is dependent upon many factors, including, but not limited to:
•
our or our partners’ ability to secure suitable clinical sites and investigators and to enroll and maintain an adequate number of patients on a
timely basis or at all;
•
patients that enroll in a clinical trial may not comply with the clinical trial protocols or maintain contact with investigators to provide
complete data during and after treatment;
•
our product candidates may not prove to be either safe or effective for our targeted indications, or at all, or may produce unfavorable or
inconclusive results;
•
we or our partners may decide, or be required by regulatory authorities, to pause enrollment in, suspend, or terminate clinical research for
various reasons, including a finding that the participants are being exposed to unacceptable health risks, undesirable side effects or other
unexpected characteristics of the product candidate, noncompliance with regulatory requirements or their standards of conduct or evolving
guidance, or findings of undesirable effects caused by a chemically or mechanistically similar product or product candidate;
•
regulatory authorities may disagree with our or our partners’ clinical trial protocols or our or their interpretation of data from preclinical
studies and clinical trials;
•
clinical protocols or study procedures may not be adequately designed or followed by the investigators;
•
formulation improvements may not work as expected, which could negatively impact commercial demand for our product candidates;
•
regulatory authorities may fail to approve or subsequently find fault with the manufacturing processes or facilities of third-party
manufacturers with which we or our partners enter into agreements for clinical and commercial supplies;
•
the supply or quantity of raw materials or manufactured product candidates or other materials necessary to conduct development activities
may be insufficient, inadequate, or unavailable at an acceptable cost, and we or our partners may experience interruptions in supply;
•
our or our partners’ development plans may be delayed or changed as a result of changes in development strategy, the impact of new or
different regulations, requirements, and guidelines, or other unexpected events or conditions;
•
the cost of preclinical studies and clinical trials may be greater than we anticipate;
•
we or our third-party contractors, including those manufacturing our product candidates or components or ingredients thereof, or conducting
clinical trials or laboratory testing on our or our partners’ behalf, may fail
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to comply with regulatory requirements and industry standards or meet contractual obligations in a timely manner or at all; and
•
the impact of any global health pandemic, such as COVID-19, on one or more of the foregoing factors.
Clinical trials are lengthy and expensive. Many of the factors listed above could result in increased clinical development costs or longer clinical
development times for any of our programs. We and our partners incur substantial expense for, and devote significant time to, preclinical testing and
clinical trials, yet we cannot be certain that the tests and trials will ever result in the commercial sale of a product. Even if we or our partners successfully
complete clinical trials for our product candidates, we or our partners might not file the required regulatory submissions in a timely manner or may not
receive regulatory approval for the product candidates, which in either case would adversely impact or preclude our ability to generate any revenues from
product sales or licensing arrangements. In addition, any product candidate, if approved, may be subject to restrictions on labeling, marketing, distribution,
prescribing, and use, which could adversely impact the sales of such product.
If our development collaborations with third parties, such as our development partners, contractors and contract research organizations, fail, the
development of our product candidates will be delayed or stopped.
We rely heavily upon third parties for many important stages of our product candidate development, including, but not limited to:
•
discovery of natural proteins that cause or enable biological reactions necessary for the progression of the disease or disorder;
•
execution of certain pharmacology preclinical studies and late-stage development for our compounds and product candidates;
•
management of our phase 1, 2 and 3 clinical trials, including medical monitoring, laboratory testing, and data management;
•
execution of toxicology studies that may be required to obtain approval for our product candidates;
•
formulation improvement strategies and methods;
•
manufacturing the starting materials and drug substance required to formulate our products and the product candidates to be used in our
clinical trials, toxicology studies and any potential commercial product; and
•
management of certain regulatory interactions outside of the United States.
Our failure to engage in successful collaborations at any one of these stages would greatly impact our business. If we do not license protein targets or
inhibitors from academic institutions or from other biotechnology companies on acceptable terms, or at all, our drug development efforts could suffer.
Similarly, if the contract research organizations or third-party contractors that conduct our initial or late-stage clinical trials, conduct our toxicology or other
studies, manufacture our starting materials, drug substance and product candidates, provide laboratory testing or other services (including clinical operation
services) in connection with our clinical trials, provide medical writing services, or assist with our regulatory function breach their obligations to us,
perform their services inconsistent with industry standards, or fail to comply with regulatory requirements, this would delay or prevent both the
development of our product candidates and the availability of any potential commercial product.
If we lose our relationship with any one or more of these parties, we could experience a significant delay in both identifying another comparable
provider and then contracting for its services. We may be unable to retain an alternative provider on reasonable terms, if at all. Even if we locate an
alternative provider, it is likely that this provider may need additional time to respond to our needs and may not provide the same type or level of service as
the original provider. In addition, any provider that we retain will be subject to applicable FDA current Good Laboratory Practices, cGMP, and current
Good Clinical Practices, and comparable foreign standards. We do not have control over compliance with these regulations by these providers.
Consequently, if these practices and standards are not adhered to by these providers, the development and commercialization of our product candidates
could be delayed. If any of the foregoing risks is realized, our business, financial condition and results of operations could be materially adversely affected.
If we fail to obtain additional financing or acceptable partnership arrangements if and when needed, we may be unable to complete the development
and commercialization of our products and product candidates or continue operations.
As our programs advance, our costs could increase. Our current and planned discovery, development, approval, and commercialization efforts may
require significant capital. Our expenses, revenues and cash utilization rate could vary significantly depending on many factors, including: our ability to
effectively manage our product candidate pipeline; our
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ability to obtain regulatory approvals for our product candidates; our ability to maintain regulatory approvals for, successfully commercialize, and achieve
sustained market acceptance of our products, including ORLADEYO; our ability to raise additional capital if needed; our ability to secure partnerships with
third parties for our product candidates when deemed advisable; the amount of funding we receive from partnerships with third parties for the development
and commercialization of our products and product candidates; the commercial success of our products achieved by our partners; the progress and results of
our current and proposed clinical trials for our product candidates; and the progress made in the manufacture of our lead products and the progression of
our other programs.
In order to continue future operations, progress our drug discovery and development programs, and commercialize our current products and product
candidates, we may be required to raise additional capital. Our ability to raise additional capital if and when needed may be limited and may greatly depend
upon our sustained success in commercializing and achieving market acceptance of ORLADEYO and the success of our current drug development
programs, including the progress, timeline and ultimate outcome of the development programs (including, but not limited to, formulation progress, long-
term human safety studies, clinical trial investigations, and carcinogenicity, drug-drug interaction, toxicity, or other required studies) described in
“Management’s Discussion and Analysis of Financial Condition and Results of Operations—Overview—Products and Product Candidates” in Part II, Item
7 of this report, as well as any post-approval studies for our products. In addition, constriction and volatility in the equity and debt markets, including as a
result of the impacts of inflation, increased interest rates, disruption or instability in the banking industry, geopolitical instability, or public health
emergencies such as the COVID-19 pandemic, may restrict our future flexibility to raise capital if and when such needs arise. See “Risks Relating to Our
Business—Financial and Liquidity Risks—We may need to raise additional capital in the future. If we are unable to raise capital if and when needed, we
may need to adjust our operations” in this section and “Management’s Discussion and Analysis of Financial Condition and Results of Operations—
Liquidity and Capital Resources” in Part II, Item 7 of this report for additional information about our liquidity risks and capital requirements.
Furthermore, we have exposure to many different industries, financing partners and counterparties, including commercial banks, investment banks
and partners (which include investors, licensing partners, distribution partners, and others), which may be unstable or may become unstable in the current
economic and political environment, including as a result of the impacts of inflation, increased interest rates, disruption or instability in the banking
industry, potential U.S. Government shutdowns, changes in presidential administration in the United States, geopolitical instability, actual or threatened
public health emergencies, outbreaks of disease, epidemics or pandemics (such as the COVID-19 pandemic). Any such instability may impact these
parties’ ability to fulfill contractual obligations to us, or it might limit or place burdensome conditions upon future transactions with us. Also, it is possible
that suppliers may be negatively impacted. Any such unfavorable outcomes in our current programs or unfavorable economic conditions have in the past
and could again place severe downward pressure on the price of our common stock and may decrease opportunities to raise capital in the capital or credit
markets, and further could reduce the return available on invested corporate cash, which, if severe and sustained, could have a material and adverse impact
on our results of operations and cash flows and limit our ability to continue development and commercialization of our products and product candidates.
If we or our partners do not obtain regulatory approvals for our product candidates or maintain regulatory approvals for our products, we or our
partners will not be able to commercialize and sell these products and potential products, which would significantly harm our business because we will
receive no revenue.
We or our partners must obtain regulatory approvals before marketing or selling our products. If the FDA or a comparable foreign regulatory
authority delays or denies regulatory approval of one of our product candidates, or revokes approval of a previously approved product, we would be unable
to market or sell the product in the applicable jurisdiction and would not receive revenue from sales or licensing arrangements related thereto, which could
have a material and adverse impact on our business.
The process of preparing for and obtaining regulatory approval in any jurisdiction may be lengthy and expensive, and approval is never certain.
Because of the risks and uncertainties inherent to the development process, our product candidates could take a significantly longer time to gain regulatory
approval than we expect or may never gain approval. As discussed under “Risk Factors—Risks Relating to Our Business—Risks Relating to Drug
Development and Commercialization—Our success depends upon our ability to manage our product candidate pipeline, advance our product candidates
through the various stages of development, especially through the clinical trial process, and to receive regulatory approvals for the commercial sale of our
product candidates,” we and our partners have experienced, and may again in the future experience, any number of unfavorable outcomes during or as a
result of preclinical studies and clinical trials that could delay or prevent regulatory approval of our product candidates, or negatively impact our
management’s credibility, our value and our operating results.
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Even if the FDA or foreign regulatory authorities approve a product candidate, the approval may limit the indicated uses for a product candidate,
impose other restrictions on the product candidate, and/or may require post-approval studies that could impair the commercial viability of a product
candidate. Even upon any approval to market our potential products, whether in the United States or internationally, we will continue to be subject to
extensive regulatory requirements, as discussed under “Risk Factors—Risks Relating to Our Business—Legal and Regulatory Risks—We are subject to
various laws and regulations related to our products and product candidates, and if we or our partners do not comply with these laws and regulations, we
could face substantial penalties.”
Our failure to comply with existing or future regulatory requirements for regulatory approval, or our loss of, or changes to, previously obtained
approvals, could impair our ability to generate any revenues from product sales or licensing arrangements, which could have a material adverse effect on
our business, financial condition, and results of operations.
We focus primarily on rare diseases, which may create additional risks and challenges, including that the target patient populations of our products
and product candidates may be small.
Because we focus primarily on developing drugs as treatments for rare diseases, we may seek orphan drug, breakthrough therapy or fast track
designations for our product candidates in the United States or the equivalent designations elsewhere in the world. Often, regulatory authorities have broad
discretion in determining whether or not to grant such designations. We cannot guarantee that our product candidates will receive orphan drug status from
the FDA or equivalent designations from other regulatory authorities. Even with an orphan drug designation for our current and potential future product
candidates, we may not be the first to obtain marketing approval for any particular orphan indication due to the uncertainties associated with developing
pharmaceutical products. Further, even if we obtain orphan drug exclusivity for an existing or future product candidate, that exclusivity may not effectively
protect the product from competition. See “Business—Government Regulation—FDA Regulation—Orphan Drugs” in Part I, Item 1 of this report.
We also cannot guarantee that we will receive breakthrough therapy, fast track, or equivalent designations, which provide certain potential benefits
such as more frequent meetings with the applicable regulatory authorities to discuss development plans, intensive guidance on efficient drug development
programs, and potential eligibility for rolling review or priority review. Even if we are successful in obtaining any such designations for our product
candidates, such designations may not lead to faster development or regulatory review or approval and do not increase the likelihood that our product
candidates will receive marketing approval. We may not be able to obtain or maintain these designations for our product candidates that receive them, and
our competitors may obtain these designations for their product candidates, which could impact our ability to develop and commercialize our products and
product candidates or compete with such competitors, which may adversely impact our business, financial condition or results of operations.
Given the small number of patients who have the diseases that we are targeting, it is important to our ability to grow and become profitable that we
continue to successfully identify patients with these rare diseases. Our projections of both the number of people who have these diseases, as well as the
subset of people with these diseases who have the potential to benefit from treatment with our products and product candidates, are based on our beliefs and
estimates. These estimates have been derived from a variety of sources, including the scientific literature, surveys of clinics, patient foundations, or market
research, and may prove to be incorrect. Further, new studies may change the estimated incidence or prevalence of these diseases. The number of patients
may turn out to be lower than expected. Additionally, the potentially addressable patient population for each of our products and product candidates may be
limited or may not be amenable to treatment with our products and product candidates, and new patients may become increasingly difficult to identify or
access. Further, even if we obtain significant market share for our products and product candidates, because the potential target populations are small, we
may never become or remain profitable nor generate sufficient revenue growth to sustain our business.
If the FDA or comparable foreign regulatory authorities approve generic versions of any of our products that receive marketing approval, or such
authorities do not grant our products appropriate periods of data or market exclusivity before approving generic versions of our products, the sales of
our products could be adversely affected.
Once an NDA is approved, the drug covered thereby becomes a “reference-listed drug” in the FDA’s publication, “Approved Drug Products with
Therapeutic Equivalence Evaluations.” Manufacturers may seek marketing approval of generic versions of reference-listed drugs through submission of
abbreviated new drug applications, or ANDAs, in the United States, as described in “Business—Government Regulation—FDA Regulation—Abbreviated
New Drug Applications for Generic Drugs” in Part I, Item 1 of this report. Generic drugs may be significantly less costly to bring to market than the
reference-listed drug and companies that produce generic drugs are generally able to offer them at lower prices. Thus,
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following the introduction of a generic drug, a significant percentage of the sales of any branded product or reference-listed drug is typically lost to the
generic drug.
The FDA may not approve an ANDA for a generic drug until any applicable period of non-patent exclusivity for the reference-listed drug has
expired, as described in “Business—Government Regulation—FDA Regulation—Abbreviated New Drug Applications for Generic Drugs” in Part I, Item 1
of this report, but such exclusivity will not delay the submission or approval of a full NDA. However, an applicant submitting a full NDA would be
required to conduct or obtain a right of reference to all of the nonclinical studies and adequate and well-controlled clinical trials necessary to demonstrate
safety and effectiveness. Manufacturers may seek to launch generic drugs following the expiration of the marketing exclusivity period, even if we still have
patent protection for such drugs. Competition that our products or product candidates may face from generic drugs could materially and adversely impact
our future revenue, profitability and cash flows and substantially limit our ability to obtain a return on the investments we have made in those product
candidates. Our future revenues, profitability and cash flows could also be materially and adversely affected and our ability to obtain a return on the
investments we have made in those product candidates may be substantially limited if our products or, if and when approved, product candidates, are not
afforded the appropriate periods of non-patent exclusivity.
The commercial viability of any approved product could be compromised if the product is less effective than expected, causes undesirable side effects
that either were not previously identified or were worse than expected, or fails to achieve market acceptance within the medical community.
If, after obtaining regulatory approval of a product, we or others discover that the product is less effective than previously believed or causes
undesirable side effects that either were not previously identified or were worse than expected, any of the following adverse events could occur:
•
regulatory authorities may withdraw their approval of, or impose marketing or manufacturing restrictions on, the product, or require us or our
partners to create a medication guide outlining the risks of unidentified side effects for distribution to patients;
•
we or our partners may be required to recall the product, change the way the product is administered, conduct additional clinical trials, or be
subject to civil or criminal penalties; and
•
the product may become less competitive and our reputation may suffer.
Even after receiving regulatory approval, any product could fail to gain sufficient, or any, market acceptance by physicians, patients, third-party
payors, health authorities and others in the medical community. For example, physicians are often reluctant to switch their patients from existing therapies
even when new and potentially more effective or convenient treatments enter the market. Further, patients often acclimate to the therapy that they are
currently taking and do not want to switch unless their physicians recommend switching products or they are required to switch therapies due to lack of
reimbursement for existing therapies. If an approved product does not achieve an adequate level of market acceptance, it may not generate significant
revenues. The occurrence of any of the foregoing could have a material and adverse impact on our business.
If we fail to successfully commercialize or establish collaborative relationships to commercialize certain of our products and product candidates, or if
any partner terminates or fails to perform its obligations under agreements with us, potential revenues from commercialization of our products and
product candidates could be reduced, delayed or eliminated.
Our business strategy includes increasing the asset value of our product and product candidate portfolio. We believe this is best achieved by retaining
full product rights or through collaborative arrangements with third parties as appropriate. As needed, potential third-party relationships could relate to
preclinical development, clinical development, regulatory approval, marketing, sales, and distribution of our products and product candidates.
Currently, we have established collaborative relationships, including with Torii for the commercialization of ORLADEYO in Japan, with third-party
distributors for ORLADEYO in certain other markets, and with each of Shionogi and Green Cross for the development and commercialization of
peramivir. The process of establishing and implementing collaborative relationships is difficult, time-consuming and involves significant uncertainty,
including:
•
we or our partners may seek to renegotiate or terminate our relationships due to unsatisfactory commercial, regulatory or clinical results,
including post-approval clinical commitments, a change in business strategy, a change of control or other reasons;
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•
our contracts for collaborative arrangements may expire;
•
the possibility that expiration or termination of collaborative relationships, such as those with certain of our distribution partners, may trigger
repurchase obligations of the Company for unsold product held by our partners;
•
our partners may choose to pursue alternative technologies, including those of our competitors;
•
we have had in the past, and in the future may have, disputes with a partner that could lead to litigation or arbitration, which could result in
substantial costs and divert the attention of our management;
•
we do not have day-to-day control over the activities of our partners and have limited control over their decisions;
•
our ability to generate future event payments and royalties from our partners depends upon their abilities to establish the safety and efficacy of
our product candidates, obtain regulatory approvals and achieve market acceptance of products developed from our product candidates;
•
we or our partners may fail to properly initiate, maintain or defend our intellectual property rights, where applicable, or a party may utilize our
proprietary information in such a way as to invite litigation that could jeopardize or potentially invalidate our proprietary information or
expose us to potential liability;
•
we or our partners may not devote sufficient capital or resources toward our products and product candidates; and
•
we or our partners may not comply with applicable government regulatory requirements.
If we or our partners fail to fulfill our responsibilities in a timely manner, or at all, our development and commercialization efforts related to that
collaboration could be reduced, delayed or terminated, or it may be necessary for us to assume responsibility for activities that would otherwise have been
the responsibility of our partner. If we are unable to establish and maintain collaborative relationships on acceptable terms, we may have to delay or
discontinue further development or commercialization of one or more of our products or product candidates, undertake commercialization activities at our
own expense or find alternative sources of funding. Any delay in the development or commercialization of our products and product candidates would
severely affect our business, because if our product candidates do not progress through the development process or reach the market in a timely manner, or
at all, or if our products do not achieve market success, we may not receive any revenues from product sales or licensing arrangements.
The results of our partnership with Torii may not meet our current expectations.
We have a partnership agreement with Torii for ORLADEYO in Japan. Under the Torii Agreement, we are responsible for all field promotional
activities with respect to ORLADEYO in Japan, which we conduct through our Japanese subsidiary, BioCryst Japan K.K. Furthermore, we remain
responsible for regulatory activities with respect to ORLADEYO in Japan, and we use third parties to satisfy those regulatory responsibilities and certain
other obligations in Japan. If any party fails to meet its obligations, the commercial success of ORLADEYO in Japan and the economic benefit expected
could be negatively impacted.
There can be no assurance that our or our partners’ commercialization efforts, methods, and strategies for our products or technologies will succeed,
and our future revenue generation is uncertain.
There can be no assurance that our or our partners’ commercialization efforts, methods and strategies will succeed. We may be unable to establish or
sufficiently increase our sales, marketing and distribution capabilities for products we currently, or plan to, commercialize. Our ability to receive revenue
from products we or our partners commercialize is subject to several risks, including:
•
we or our partners may fail to complete clinical trials successfully, or satisfy post-marketing commitments, sufficient to obtain and maintain
regulatory agency marketing approval;
•
many competitors are more experienced and have significantly more resources, and their products could reach the market faster, be more cost
effective or have a better efficacy or tolerability profile than our products and product candidates;
•
we may fail to employ a comprehensive and effective intellectual property strategy, which could result in decreased commercial value of our
Company, our products and product candidates, or royalties associated with such products (e.g., the loss of the peramivir patent in Korea,
which may result in a reduced royalty from Green Cross);
•
we may fail to employ a comprehensive and effective regulatory strategy, which could result in a delay or failure in commercialization of our
products;
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•
our and our partners’ ability to successfully commercialize our products is affected by the competitive landscape, which cannot be fully
known at this time;
•
revenue from product sales depends on our ability to obtain and maintain favorable pricing;
•
reimbursement is constantly changing, which could greatly affect usage of our products;
•
future revenue from product sales will depend on our ability to successfully complete clinical studies, obtain regulatory approvals, and
manufacture, market, distribute and commercialize our approved drugs; and
•
the impact of public health emergencies or the outbreak of disease, such as the COVID-19 pandemic, on us or our partners.
In addition, future revenue from sales of ORLADEYO is subject to uncertainties and will depend on several factors, including the success of our and
our partners’ commercialization efforts in the United States and elsewhere, the number of new patients switching to ORLADEYO, patient retention and
demand, the number of physicians prescribing ORLADEYO, the rate of monthly prescriptions, reimbursement from third-party and government payors, the
number of patients receiving free product, the conversion of patients from our clinical trials and early access programs to commercial customers, our
pricing strategy, and market trends.
Even if we are able to successfully commercialize our existing products, or to develop new commercially viable products, certain obligations we
have to third parties, including, without limitation, our obligations to pay royalties on certain revenues from ORLADEYO under the Royalty Purchase
Agreements, may reduce the profitability of such products.
We have expanded, and may continue expanding, our development and regulatory capabilities and are implementing sales, marketing and distribution
capabilities, and as a result, we may encounter difficulties in managing our growth, which could disrupt our operations.
We have experienced, and may continue to experience, significant growth in the number of our employees and the scope of our operations in the
United States and internationally, particularly in the areas of drug development, regulatory affairs, sales, marketing, and distribution. To manage our
growth, we must continue to implement and improve our managerial, operational and financial systems and processes, expand our facilities and continue to
recruit and train qualified personnel. Due to our limited financial resources and the limited experience of our management team in managing a company
with such growth, we may not be able to effectively manage the expansion of our operations, implement appropriate systems and processes in a timely
manner or at all, or recruit, train, and retain qualified personnel. The expansion of our operations may lead to significant costs and may divert our
management and business development resources. In addition, if a commercial launch for any product or product candidate for which we recruit a
commercial team and establish marketing capabilities in any region is delayed or does not occur for any reason, we would have prematurely or
unnecessarily incurred these commercialization expenses. Any inability to manage growth could delay the execution of our business plans or disrupt our
operations.
We depend on third-party vendors in the manufacture and distribution of our products, product candidates and the materials for our products and
product candidates. If we cannot rely on existing third-party vendors, we will be required to incur significant costs and potential delays in finding new
third-party vendors, which could adversely impact the development and commercialization timeframes for our products and product candidates.
We depend on third-party vendors, including third-party manufacturers, distributors, and specialty pharmacies, in the manufacture and distribution of
our products, product candidates, and the materials for our products and product candidates. Often, especially in the early development and
commercialization process, we have only one or limited sources for a particular product or service, such as manufacturing and/or distribution. We depend
on these third-party vendors to perform their obligations in a timely manner and in accordance with applicable governmental regulations. Our third-party
vendors, particularly our third-party manufacturers and distributors, each of which may be the only vendor we have engaged for a particular product,
product candidate, or service or in a particular region, may encounter difficulties with meeting our requirements, including, but not limited to, problems
involving, as applicable:
•
insufficient resources being devoted in the manner necessary to satisfy our requirements within expected timeframes;
•
inconsistent production yields;
•
product liability claims or recalls of commercial product;
•
difficulties in scaling production to commercial and validation sizes;
•
interruption of the delivery of materials required for the manufacturing process;
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•
failure to distribute commercial supplies of our products to commercial vendors or end users in a timely manner;
•
scheduling of plant time with other vendors or unexpected equipment failure;
•
potential catastrophes that could strike their facilities or have an effect on infrastructure;
•
potential impurities in our drug substance or products that could affect availability of product for our clinical trials or future
commercialization;
•
poor quality control and assurance or inadequate process controls;
•
failure to provide us with accurate or timely information regarding inventory, the number of patients who are using our products, or serious
adverse events and/or product complaints regarding our products;
•
inability of third parties to satisfy their financial obligations to us or to others;
•
potential breach of the manufacturing or distribution agreement by the third party;
•
possible termination or non-renewal of a material agreement by the third party at a time that is costly or inconvenient to us; and
•
lack of compliance or cooperation with regulations and specifications or requests set forth by the FDA or other foreign regulatory agencies or
local customs.
Many additional factors could cause production or distribution interruptions with the manufacture and distribution of any of our products and
product candidates, including human error, natural disasters, pandemics, labor disputes or shortages, acts of terrorism or war, equipment malfunctions, raw
material shortages or supply chain issues. If our commercial distribution partners are not able to satisfy our requirements within the expected timeframe, or
are unable to provide us with accurate or timely information and data, including with respect to inventory and sales, serious adverse events, and/or product
complaints, our business, including our commercialization efforts for and sales of ORLADEYO, may be at risk. In addition, if specialty pharmacy services,
including our third-party call center services, which provide patient support and financial services, prescription intake and distribution, reimbursement
adjudication, and ongoing compliance support, are not effectively managed, the continuance of our commercialization efforts for and sales of ORLADEYO
may be delayed or compromised.
In addition, our contract manufacturers may not be able to manufacture the materials required for our products or product candidates at a cost or in
quantities necessary to make them commercially viable. Our raw materials, drug substances, products, and product candidates are manufactured by a
limited group of suppliers, including some at a single facility. If any of these suppliers were unable to produce these items, this could significantly impact
our supply of products and product candidate material for further preclinical testing and clinical trials. Our third-party manufacturers also may not meet our
manufacturing requirements. Furthermore, changes in the manufacturing process or procedures, including a change in the location where the drug is
manufactured or a change of a third-party manufacturer, may require prior review and approval in accordance with the FDA’s cGMP and comparable
foreign requirements. This review may be costly and time-consuming and could delay or prevent the launch of a product. The FDA or foreign regulatory
authorities may at any time implement new standards, or change their interpretation and enforcement of existing standards, for manufacture, packaging or
testing of products. If we or our contract manufacturers are unable to comply, we or they may be subject to regulatory action, civil actions or penalties, any
of which could be costly to us and could result in a delay or shortage of product.
We currently contract with a foreign CMO in China for the manufacturing of one of our product candidates. Foreign CMOs may be subject to U.S.
legislation, including the proposed BIOSECURE Act, sanctions, trade restrictions and other foreign regulatory requirements, which could increase the cost
or reduce the supply of material available to us or delay the procurement or supply of such material.
If we are unable to maintain current third-party relationships, or enter into new agreements with additional third parties on commercially reasonable
terms, or at all, or if there is poor manufacturing or distribution performance or failure to comply with any regulatory agency on the part of any of our third-
party vendors, we may not be able to complete development of, obtain timely approval of, or commercialize our products and product candidates.
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Commercialization of our products by us and our partners is subject to the potential commercialization risks described herein and numerous additional
risks. Any potential revenue benefits to us, including in the form of milestone payments, royalties or other consideration, are highly speculative.
Commercial success of our products is uncertain and is subject to all the risks and uncertainties disclosed in our other risk factors relating to drug
development and commercialization. In addition, commercialization of our products is subject to further risks and may be negatively impacted by a number
of factors, including, but not limited to, the following:
•
our products may not prove to be adequately safe and effective for market approval in markets other than the markets in which they are
currently approved;
•
necessary funding for post-marketing commitments and further development of our products may not be available timely, at all, or in
sufficient amounts;
•
advances in competing products could substantially replace potential demand for our products;
•
government and third-party payors may not provide sufficient coverage or reimbursement, which would negatively impact the demand for our
products;
•
we may not be able to supply commercial material to our partners and our partners may not be able to maintain or establish sufficient and
acceptable commercial manufacturing, either directly or through third-party manufacturers;
•
the commercial demand for and acceptance of our products by healthcare providers and by patients may not be sufficient to result in
substantial product revenues to us or to our partners and may result in little to no revenue, milestone payments, or royalties to us;
•
effectiveness of marketing and commercialization efforts for our products by us or our partners;
•
market satisfaction with existing alternative therapies;
•
perceived efficacy relative to other available therapies;
•
disease prevalence;
•
cost of treatment;
•
our pricing and reimbursement strategy may not be effective;
•
new legislative or regulatory proposals may influence our pricing and reimbursement strategy, which could impact product revenues;
•
pricing and availability of imports or alternative products;
•
marketing and sales activities of competitors;
•
shifts in the medical community to new treatment paradigms or standards of care; and
•
relative convenience and ease of administration.
Risks Relating to Competing in Our Industry
We face intense competition, and if we are unable to compete effectively, the demand for our products may be reduced.
The biotechnology and pharmaceutical industries are highly competitive and subject to rapid and substantial technological change. There are many
companies seeking to develop products for the same indications that we currently target. Our competitors in the United States and elsewhere are numerous
and include, among others, major multinational pharmaceutical and chemical companies and specialized biotechnology firms. Most of these competitors
have greater resources than we do, including greater financial resources, larger research and development staffs and more experienced manufacturing,
marketing, and sales organizations. In addition, most of our competitors have greater experience than we do in conducting clinical trials and obtaining FDA
and other regulatory approvals. Accordingly, our competitors may succeed in obtaining FDA or other regulatory approvals of product candidates more
rapidly than we do for products that compete with our products. Companies that complete clinical trials, obtain required regulatory approvals, and
commence commercial sale of their drugs before we do may achieve a significant competitive advantage, including patent and FDA exclusivity rights that
would delay our ability to market products. We face, and will continue to face, competition in the commercialization of our products, licensing of potential
product candidates for desirable disease targets, licensing of desirable product candidates, and development and marketing of our product candidates from
academic institutions, government agencies, research institutions and biotechnology and pharmaceutical companies. Competition may also arise from,
among other things:
•
other drug development technologies;
•
methods of preventing or reducing the incidence of disease, including vaccines; and
•
new small molecule or other classes of therapeutic agents.
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Developments by others may render our products, product candidates, or technologies obsolete or noncompetitive.
We received FDA approval of ORLADEYO, an oral, once-daily therapy for the prevention of HAE attacks in adults and pediatric patients aged 12
years and older, in December 2020, and subsequently received regulatory approvals for ORLADEYO in other global markets. In addition, the ongoing
APeX-P clinical trial, which is complete through the primary endpoint, is continuing to assess an oral granule formulation of ORLADEYO in pediatric
patients who are 2 to 11 years of age. We are also performing research on or developing products for the treatment of several other rare or difficult-to-treat
diseases, including Netherton syndrome, DME, and diseases of the complement system. We expect to encounter significant competition for our
pharmaceutical products and product candidates. Companies that complete clinical trials, obtain required funding or government support, obtain required
regulatory approvals and commence commercial sales or stockpiling orders of their products before their competitors may achieve a significant competitive
advantage. In addition, various government entities throughout the world may offer incentives, grants and contracts to encourage additional investment into
certain preventative and therapeutic agents, which may have the effect of further increasing the number of our competitors and/or providing advantages to
certain competitors. See “Business—Competition” in Part I, Item 1 of this report for further discussion of our competitors, competitive products or
programs, and the competitive conditions in these and other therapeutic areas.
If one or more of our competitors’ products or programs, including potential competitors not currently identified, are successful, the market for our
products may be reduced or eliminated.
Compared to us, many of our competitors and potential competitors have substantially greater:
•
capital resources;
•
research and development resources, including personnel and technology;
•
regulatory experience;
•
preclinical study and clinical testing experience;
•
manufacturing, marketing, and sales experience; and
•
production facilities.
Any of these competitive factors could impede our funding efforts, render our products, product candidates, or technologies noncompetitive or
eliminate or reduce demand for our products and product candidates.
Legal and Regulatory Risks
We are subject to various laws and regulations related to our products and product candidates, and if we or our partners do not comply with these laws
and regulations, we could face substantial penalties.
Our and our partners’ activities related to approved products or, following their regulatory approval (if applicable), any of our product candidates
under development, are subject to regulatory and law enforcement authorities in the United States (including the FDA, the Federal Trade Commission, the
Department of Justice (“DOJ”), and state and local governments) and their foreign equivalents (including the EMA, MHLW, MHRA, and others).
We are responsible for reporting adverse drug experiences, have responsibility for certain post-approval studies, and may have responsibilities and
costs related to a recall or withdrawal of our products from sale in the jurisdictions in which they are approved. We may also incur liability associated with
product manufacturing contracted by us or in support of any of our partners. We are required to maintain records and provide data and reports to regulatory
agencies related to our products (e.g., risk evaluation and mitigation strategies, track and trace requirements, and adverse events), and we may incur certain
promotional regulatory and government pricing risks, all of which could have a material adverse impact on our operations and financial condition. Similar
responsibilities would apply upon regulatory approval of any of our other product candidates currently under development.
In addition, we are subject to the federal Physician Payment Sunshine Act and certain similar physician payment and drug pricing transparency
legislation in various states. We are also subject to various federal and state laws pertaining to healthcare “fraud and abuse,” including both federal and
state anti-kickback and false claims laws. Outside of the United States, we may be subject to analogous foreign laws and regulations in the various
jurisdictions in which we operate. These laws and regulations apply to our and our partners’ operations, sales and marketing practices, price reporting, and
relationships with physicians and other customers and third-party payors. Although we seek to comply with these statutes, it is possible that our practices,
or those of our partners, might be challenged under healthcare fraud and abuse, anti-
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kickback, false claims or similar laws. Violations of the federal Physician Payment Sunshine Act and similar legislation or the fraud and abuse laws may be
punishable by civil or criminal sanctions, including fines and civil monetary penalties, and future exclusion from participation in government healthcare
programs.
The principal investigators for our clinical trials may serve as scientific advisors or consultants to us from time to time and receive compensation in
connection with such services. Under certain circumstances, we may be required to report some of these relationships to certain regulatory authorities,
including the FDA and comparable foreign regulatory authorities. Consequently, the FDA or other regulatory authority may conclude that a financial
relationship between us and a principal investigator creates a conflict of interest or otherwise affects interpretation of the study. In the event of a conflict of
interest with respect to a study, the integrity of the data generated at the applicable clinical trial site may be questioned or the utility of the clinical trial itself
may be jeopardized. This could result in a delay in approval, or rejection, of our marketing applications by the FDA or other regulatory authority, as the
case may be, and may ultimately lead to the denial of marketing approval of one or more of our product candidates.
The FDA and foreign regulatory authorities may also impose post-approval commitments on us for approved products, which we may not complete
successfully or on time for any number of reasons, including, but not limited to, lack of funds to complete the studies and insufficient interest by
appropriate sites, investigators or study subjects. We are currently subject to certain post-approval commitments and evolving FDA guidance. If we fail to
comply with any post-approval legal and regulatory requirements, we could be subject to penalties, and our products could be subject to continual
recordkeeping and reporting requirements, review and periodic inspections by the FDA and other regulatory bodies. Regulatory approval of a product may
be subject to limitations on the indicated uses for which the product may be marketed or to other restrictive conditions of approval that limit our ability to
promote, sell or distribute a product. Furthermore, the approval of our products and any other future product candidates may be subject to requirements for
costly post-approval testing and surveillance to monitor their safety or efficacy or certain post-approval labeling, packaging and storage requirements.
Advertising and promotion are subject to stringent oversight from the FDA and foreign regulators, and as an NDA holder, we may be held
responsible for any advertising and promotion that is not in compliance with applicable rules and regulations. Applicable regulatory authorities,
competitors, and other third parties may take the position that we are not in compliance with such regulations. In addition to medical education efforts, we
may offer patient support services to assist patients receiving treatment with our commercially approved products, and these support services have
increasingly become the focus of government investigation.
Adverse event information concerning approved products must be reviewed, and as an NDA holder, we are required to make expedited and periodic
adverse event reports to the FDA and other regulatory authorities. In addition, the research, manufacturing, distribution, sale and promotion of products are
potentially subject to regulation by various federal, state and local authorities in addition to the FDA, including the Centers for Medicare and Medicaid
Services (“CMS”), other divisions of HHS, the DOJ and individual U.S. Attorney offices within the DOJ, state and local governments, and foreign
equivalents of the foregoing. All of these activities are also potentially subject to healthcare false claims and fraud and abuse laws, as well as consumer
protection and unfair competition laws.
If our operations with respect to our products that are subject to healthcare laws and regulations are found to be in violation of any of the healthcare
fraud and abuse laws described above or in “Business—Government Regulation” in Part I, Item 1 of this report or any other governmental regulations that
apply to us, we may be subject to liability and penalties, including civil and criminal penalties, damages, fines, debarment or exclusion from participating
in government-funded healthcare programs such as Medicare or Medicaid, and the curtailment or restructuring of our operations. Any penalties, damages,
fines, debarment, exclusion, curtailment or restructuring of our operations could adversely affect our ability to operate our business and our financial
results. Although compliance programs can mitigate the risk of investigation and prosecution for violations of these laws, the risks cannot be entirely
eliminated. Any action against us for violation of these laws, even if we successfully defend against it, could cause us to incur significant legal expenses
and divert our management’s attention from the operation of our business. Moreover, achieving and sustaining compliance with all applicable fraud and
abuse laws may be costly.
We cannot predict the likelihood, nature or extent of government regulation or other measures that may arise from future legislation or administrative
or executive action, either in the United States or abroad.
The policies of the FDA and other regulatory authorities may change, including as a result of changes in presidential administration of the United
States, and additional government regulations or executive orders may be enacted that could
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prevent, limit or delay regulatory approval of our product candidates, change our continuing compliance obligations, or otherwise adversely affect our
business. If we are slow or unable to adapt to changes in existing requirements or the adoption of new requirements or policies, or if we are not able to
maintain regulatory compliance, we may lose any marketing approval that we may have obtained, and we may not achieve or sustain profitability. In
addition, significant tariffs or other restrictions imposed and related countermeasures taken by impacted foreign countries could adversely affect our
operations and financial results. We cannot predict the likelihood, nature or extent of government regulation or other measures that may arise from future
legislation or administrative or executive action, either in the United States or abroad.
Our employees, consultants and partners may engage in misconduct or other improper activities, including non-compliance with regulatory standards
and requirements, which could cause significant liability for us and harm our reputation.
We are subject to the risk of fraud or other misconduct by our employees, consultants and partners, including intentional or unintentional failures to
comply with FDA regulations or similar regulations of comparable other regulatory authorities, provide accurate information to the FDA or comparable
other regulatory authorities, comply with manufacturing standards we have established, comply with federal and state healthcare fraud and abuse laws and
regulations and similar laws and regulations established and enforced by comparable other regulatory authorities, report financial information or data
accurately or disclose unauthorized activities to us. Employee and consultant misconduct could also involve the improper use of information obtained in
the course of clinical trials, which could result in regulatory sanctions and serious harm to our reputation. It is not always possible to identify and deter
employee and consultant misconduct, whether intentional, reckless, negligent, or unintentional, and the precautions we take to detect and prevent this
activity may not be effective in controlling unknown or unmanaged risks or losses or in protecting us from governmental investigations or other actions or
lawsuits stemming from a failure to be in compliance with such laws, standards or regulations. If any such actions are instituted against us and we are not
successful in defending ourselves or asserting our rights, those actions could have a significant impact on our business and results of operations, including
the imposition of significant fines or other sanctions.
We and our partners may be subject to new legislation, regulatory proposals and healthcare payor initiatives that may increase our costs of compliance
and adversely affect our or our partners’ ability to market our products or develop our product candidates.
We are subject to new legislation, regulatory, and healthcare payor initiatives, including the PPACA, which made extensive changes to the delivery
of healthcare in the United States, as discussed in “Business—Government Regulation” in Part I, Item 1 of this report. The continuing efforts of the
government, insurance companies, managed care organizations and other payors of healthcare services to contain or reduce costs of healthcare could result
in decreased net revenues from our pharmaceutical products and decrease potential returns from our development efforts. In addition, pharmaceutical and
device manufacturers are also required to report and disclose certain payments and transfers of value to, and investment interests held by, physicians and
their immediate family members during the preceding calendar year. Failure to submit required information may result in civil monetary penalties for
payments, transfers of value, or ownership or investment interests not reported in an annual submission. Compliance with the PPACA and state laws with
similar provisions is difficult and time consuming, and companies that do not comply with these state laws face civil penalties. Because of the breadth of
these laws and the narrowness of the applicable safe harbors, it is possible that some of our business activities could be subject to challenge under one or
more of such laws. Such a challenge could have a material adverse effect on our business, financial condition, results of operations and growth prospects.
In addition, there have been a number of other legislative and regulatory proposals aimed at changing the pharmaceutical industry. For example,
legislation has been enacted in certain states and at a federal level that requires development of an electronic pedigree to track and trace each prescription
drug at the saleable unit level through the distribution system. Compliance with these electronic pedigree requirements may increase our operational
expenses and impose significant administrative burdens. In addition, our compliance may be deemed insufficient and we could face a material adverse
effect on our business, financial condition, results of operations and growth prospects. As a result of these and other new proposals, we may determine to
change our current manner of operation, provide additional benefits or change our contract arrangements, any of which could have a material adverse effect
on our business, financial condition and results of operations.
Adequate coverage and reimbursement in the United States and other markets is essential to the commercial success of our approved products.
Recently in the United States, there has been heightened governmental scrutiny over the manner in which manufacturers set prices for their marketed
products. For example, the IRA implements a number of drug pricing
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measures intended to lower the cost of prescription drugs and related healthcare reforms, including limits on price increases and subjecting an escalating
number of drugs to annual price negotiations with CMS. The IRA includes several provisions that will impact our business to varying degrees, including
provisions that reduced the out-of-pocket spending cap for Medicare Part D beneficiaries to $2,000 starting in 2025; impose new manufacturer financial
liability on all drugs in Medicare Part D; allow the U.S. Government to negotiate Medicare Part B and Part D pricing for certain high-cost drugs and
biologics without generic or biosimilar competition; require companies to pay rebates to Medicare for drug prices that increase faster than inflation; and
delay the rebate rule that would require pass through of pharmacy benefit manager rebates to beneficiaries. Further, under the IRA, orphan drugs are
exempted from the Medicare drug price negotiation program, but only if they have one orphan designation and for which the only approved indication or
indications are for that disease or condition.  If a product receives multiple rare disease designations or has multiple approved indications for more than one
disease or condition, it may not qualify for the orphan drug exemption.
We cannot be sure whether additional legislation or rule-making related to the IRA will be issued or enacted, how insurance pharmacy benefit
managers and other insurance providers that manage benefits for Medicare recipients will react to the IRA, or what impact, if any, such changes will have
on the insurance coverage and profitability of our products or any of our product candidates, if approved for commercial use, in the future. The full effect
of the IRA on our business and the healthcare industry in general is not yet known. The IRA or other government efforts to reduce the price of prescription
drugs or to limit the amount that governments pay for healthcare products and services could result in additional pricing pressure and have a significant
impact on our business.
In addition, regional healthcare authorities and individual hospitals are increasingly using bidding procedures to determine what pharmaceutical
products and which suppliers will be included in their prescription drug and other healthcare programs. Third-party payors are increasingly challenging the
prices charged for medical products and services and, in some cases, imposing restrictions on the coverage of particular drugs. Many third-party payors
negotiate the price of medical services and products and develop formularies which establish pricing and reimbursement levels. Exclusion of a product
from a formulary can lead to its sharply reduced usage in the third-party payor’s patient population. The process for obtaining coverage can be lengthy and
costly, and we expect that it could take several months before a particular payor initially reviews a product and makes a decision with respect to coverage.
For example, third-party payors may require cost-benefit analysis data from us in order to demonstrate the cost-effectiveness of our products or any other
product we might bring to market. For any individual third-party payor, we may not be able to provide data sufficient to gain reimbursement on a similar or
preferred basis to competitive products, or at all, which may have a material adverse effect on our business, financial condition and results of operations.
We may be subject to data privacy and security risks, and our actual or perceived failure to comply with regulations and other legal obligations related
to privacy and data protection could harm our business.
We may be subject to legal obligations at the federal, state, and local level related to privacy and data protection, as described in “Business—
Government Regulation—Data Privacy and Security Laws” in Part I, Item 1 of this report. Compliance with stringent and evolving U.S. data protection
laws and regulations could require us to take on more onerous obligations in our contracts, restrict our ability to collect, use, and disclose data, or in some
cases, impact our ability to operate in certain jurisdictions. For example, we may be subject to the CCPA, which gives California residents expanded rights
to access and require deletion of their personal data, opt out of certain personal data sharing, and receive detailed information about how their personal data
is used. The CCPA provides for civil penalties of up to $7,500 per violation and allows private litigants affected by certain data breaches to recover
significant statutory damages. Although the CCPA exempts some data processed in the context of clinical trials, the CCPA may increase compliance costs
and potential liability with respect to other personal data we may maintain about California residents.
We also may be subject to the GDPR in the EEA and similar legislation in the United Kingdom and Switzerland. See “Business—Government
Regulation—Data Privacy and Security Laws” in Part I, Item 1 of this report and “Risks Relating to Our Business—Risks Relating to International
Operations—Our actual or perceived failure to comply with European governmental laws and regulations and other legal obligations related to privacy,
data protection and information security could harm our business” in this section for additional discussion of privacy laws and regulations. Failure to
comply with these laws and regulations could result in government enforcement actions, private litigation, or harm to our reputation and our business.
Despite our efforts, our personnel or third parties on whom we rely may fail to comply with such data privacy and security obligations, which could
negatively impact our business operations. If we or the third parties on which we rely fail, or are perceived to have failed, to address or comply with
applicable data privacy and security obligations, we could
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face significant consequences, including, but not limited to, regulatory investigations or actions; litigation; fines and penalties; disruptions of our business
operations; reputational harm; loss of revenue or profits; and other adverse business consequences.
If, because of our use of hazardous materials, we violate any environmental controls or regulations that apply to such materials, we may incur
substantial costs and expenses in our remediation efforts.
Our research and development involves the controlled use of hazardous materials, chemicals and various radioactive compounds. We are subject to
federal, state and local laws and regulations governing the use, storage, handling and disposal of these materials and some waste products. Accidental
contamination or injury from these materials could occur. In the event of an accident, we could be liable for any damages that result, and any liabilities
could exceed our resources. Compliance with environmental laws and regulations or a violation of such environmental laws and regulations could require
us to incur substantial unexpected costs, which would materially and adversely affect our results of operations.
Intellectual Property Risks
If we fail to adequately protect or enforce our intellectual property rights, the value of those rights would diminish, and if we fail to secure the rights to
patents of others, it could adversely affect our business.
Our success will depend in part on our ability and the abilities of our partners to obtain, protect and enforce viable intellectual property rights
including, but not limited to, trade name, trademark and patent protection for our Company and its products, methods, processes and other technologies we
may license or develop, to preserve our trade secrets, and to operate without infringing the proprietary rights of third parties both domestically and abroad.
The patent position of biotechnology and pharmaceutical companies is generally highly uncertain, involves complex legal and factual questions and has
recently been the subject of much litigation. Neither the United States Patent and Trademark Office (“USPTO”), the Patent Cooperation Treaty offices, nor
the courts of the United States and other jurisdictions have consistent policies nor predictable rulings regarding the breadth of claims allowed or the degree
of protection afforded under many biotechnology and pharmaceutical patents. Further, we may not have worldwide patent protection for all of our product
candidates and our intellectual property rights may not be legally protected or enforceable in all countries throughout the world. In some jurisdictions, some
of our product candidates in certain programs, including our HAE program, may have short or no composition of matter patent life and we may therefore
rely on orphan drug exclusivity or data exclusivity. There can be no assurance that we will obtain orphan drug exclusivity or data exclusivity in every
jurisdiction. Further, in some jurisdictions, we may rely on formulation patents or method of use patents. Both the ability to achieve issuance and the
enforcement of formulation and method of use patents can be highly uncertain and can vary from jurisdiction to jurisdiction, and such patents may
therefore not adequately prevent competitors and potential infringers in some jurisdictions. The validity, scope, enforceability, and commercial value of the
rights protected by such patents, therefore, is highly uncertain.
We also rely on trade secrets to protect technology in cases when we believe patent protection is not appropriate or obtainable. However, trade
secrets are difficult to protect. In addition, increasing restrictions on non-compete agreements could increase the difficulty of protecting certain proprietary
information. If we cannot maintain the confidentiality of our technology and other confidential information in connection with our collaborators and
advisors, our ability to receive patent protection or protect our proprietary information may be imperiled.
We may be involved in legal proceedings to protect or enforce our patents, the patents of our partners or our other intellectual property rights, which
could be expensive, time consuming and unsuccessful.
Competitors may infringe or otherwise violate our patents, the patents of our licensors or our other intellectual property rights, or may design around
our patent claims to produce competitive products that fall outside the scope of our patents. For example, a third party may develop a competitive drug that
is similar to one or more of our products or product candidates but that has a different composition that falls outside the scope of our patent protection. To
counter infringement or unauthorized use, we may be required to file legal claims, which can be expensive, time-consuming, and unsuccessful. An adverse
result in any legal proceeding could put one or more of our patents at risk. Our success depends in part on avoiding the infringement of other parties’
patents and other intellectual property rights as well as avoiding the breach of any licenses relating to our technologies and products. In the United States,
patent applications filed in recent years are confidential for 18 months after the earliest effective filing date, while older applications are not published until
the patent issues. As a result, avoiding patent infringement may be difficult and we may inadvertently infringe third-party patents or proprietary rights.
These third parties could bring claims against us, our partners or our licensors that even if resolved in
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our favor, could cause us to incur substantial expenses and, if resolved against us, could additionally cause us to pay substantial damages. Further, if a
patent infringement suit were brought against us, our partners or our licensors, we or they could be forced to stop or delay research, development,
manufacturing or sales of any infringing product in the country or countries covered by the patent we infringe, unless we can obtain a license from the
patent holder. Such a license may not be available on acceptable terms, or at all, particularly if the third party is developing or marketing a product
competitive with the infringing product. Even if we, our partners or our licensors were able to obtain a license, the rights may be nonexclusive, which
would give our competitors access to the same intellectual property.
In addition, as described above in “Business—Government Regulation—FDA Regulation—Abbreviated New Drug Applications for Generic Drugs”
in Part I, Item 1 of this report, third parties may not file an ANDA for a generic drug with the FDA until the expiration of five years following the original
product approval unless the submission is accompanied by a Paragraph IV certification, in which case third parties may submit an ANDA four years
following the original product approval (referred to as the “NCE-1 date”). As the NCE-1 date for ORLADEYO was in December 2024, we anticipate that
third parties will challenge our applicable patents, which may result in our initiation of patent infringement litigation in response to such challenge. For
example, in January 2025, we received a Paragraph IV notice of certification from Annora Pharma Private Limited (“Annora”) advising that Annora has
submitted an ANDA to the FDA seeking approval to manufacture, use or sell a generic version of ORLADEYO in the United States prior to the expiration
of three patents listed in the FDA’s Orange Book, which expire in 2039. We intend to vigorously defend our intellectual property rights protecting
ORLADEYO. See Part I, Item 3 of this report for additional information. We cannot predict how any additional third party would address our listed
patents, whether we would sue on any such patents, or the outcome of any such suit. However, litigation to enforce or defend intellectual property rights is
complex, costly, and involves significant commitments of management’s time.
If we or our partners are unable or fail to adequately initiate, protect, defend or enforce our intellectual property rights in any area of commercial
interest or in any part of the world where we wish to seek regulatory approval for our products, methods, processes and other technologies, the value of our
products and product candidates to produce revenue would diminish. Additionally, if our products, methods, processes, and other technologies or our
commercial use of such products, processes, and other technologies, including, but not limited to, any trade name, trademark or commercial strategy
infringe the proprietary rights of other parties, we could incur substantial costs. The USPTO and the patent offices of other jurisdictions have issued to us a
number of patents for our various inventions, and we have in-licensed several patents from various institutions. We have filed additional patent applications
and provisional patent applications with the USPTO. We have filed a number of corresponding foreign patent applications and intend to file additional
foreign and U.S. patent applications, as appropriate. We have also filed certain trademark and trade name applications worldwide. We cannot assure you as
to:
•
the degree and range of protection any patents will afford against competitors with similar products;
•
if and when patents will issue;
•
if patents do issue, we cannot be sure that we will be able to adequately defend such patents and whether or not we will be able to adequately
enforce such patents; or
•
whether or not others will obtain patents claiming aspects similar to those covered by our patent applications.
If the USPTO or other foreign patent office upholds patents issued to others or if the USPTO grants patent applications filed by others, we may have
to:
•
obtain licenses or redesign our products or processes to avoid infringement;
•
stop using the subject matter claimed in those patents; or
•
pay damages.
We may initiate, or others may bring against us, litigation or administrative proceedings related to intellectual property rights, including proceedings
before the USPTO or other foreign patent office. Any judgment adverse to us in any litigation or other proceeding arising in connection with a patent or
patent application could materially and adversely affect our business, financial condition and results of operations. In addition, the costs of any litigation or
administrative proceeding may be substantial whether or not we are successful.
Our success is also dependent upon the skills, knowledge and experience, none of which is patentable, of our scientific and technical personnel. To
help protect our rights, we require all employees, consultants, advisors and partners to enter into confidentiality agreements that prohibit the disclosure of
confidential information to anyone outside of our Company and require disclosure and assignment to us of their ideas, developments, discoveries and
inventions. These
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agreements may not provide adequate protection for our trade secrets, know-how or other proprietary information in the event of any unauthorized use or
disclosure or the lawful development by others of such information, and if any of our proprietary information is disclosed, our business will suffer because
our revenues depend upon our ability to license or commercialize our products and product candidates and any such events would significantly impair the
value of such products and product candidates.
We have diversified our pipeline to include the development of protein therapeutics, which may create additional risks and challenges.
We have diversified our pipeline beyond small-molecule medicines to develop protein therapeutics. The development of protein therapeutics may
create additional risks and challenges, including, among others:
•
patent protection for protein therapeutics may be narrower in scope than for our small-molecule medicines, and our patents and patent
applications may not adequately protect our intellectual property, provide exclusivity for our protein therapeutic candidates or prevent others
from designing around our claims;
•
formulation issues with our protein therapeutic candidates may require redevelopment of the formulation, which may be time-consuming or
unsuccessful;
•
the patent applications that we own or in-license may fail to result in issued patents with claims that cover our protein therapeutic candidates
in the United States or in other countries;
•
our competitors may be able to more easily develop and seek patent protection on similar protein therapeutic candidates; and
•
orally-administered drugs are often less expensive and present a reduced treatment burden as compared to protein therapeutics and therefore
would have competitive advantages if they were developed and shown to be safe and effective for the indication that our protein therapeutic
product candidates are targeting.
Changes in U.S. patent law could diminish the value of patents in general, thereby impairing our ability to protect our products.
As is the case with other biotechnology and pharmaceutical companies, our success is heavily dependent on intellectual property, particularly
patents. Obtaining and enforcing patents in the biotechnology and pharmaceutical industries involves both technological and legal complexity. Therefore,
obtaining and enforcing such patents is costly, time consuming, and inherently uncertain. In addition, the United States has recently enacted and is currently
implementing wide-ranging patent reform legislation. Recent U.S. Supreme Court rulings have narrowed the scope of patent protection available in certain
circumstances and weakened the rights of patent owners in certain situations. Additionally, there have been recent proposals for additional changes to the
patent laws of the United States and other countries that, if adopted, could impact our ability to obtain patent protection for our proprietary technology or
our ability to enforce our proprietary technology. Depending on future actions by the U.S. Congress, the U.S. courts, the USPTO and the relevant law-
making bodies in other countries, the laws and regulations governing patents could change in unpredictable ways that would weaken our ability to obtain
new patents or to enforce our existing patents and patents that we might obtain in the future.
We may be subject to claims that our employees, consultants, or independent contractors have wrongfully used or disclosed confidential information of
third parties or that our employees have wrongfully used or disclosed alleged trade secrets of their former employers.
We employ certain individuals who were previously employed at universities or other biotechnology or pharmaceutical companies, including our
competitors or potential competitors. Our efforts to vet our employees, consultants, and independent contractors and prevent their use of the proprietary
information or know-how of others in their work for us may not be successful, and we may in the future be subject to claims that our employees,
consultants, or independent contractors have wrongfully used or disclosed confidential information of third parties. If we fail in defending any such claims,
in addition to paying monetary damages, we may lose valuable intellectual property rights or personnel, which could adversely impact our business. Even if
we are successful in defending against such claims, litigation could result in substantial costs and distract management and other employees.
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Product Liability Risks
We face an inherent risk of liability in the event that the use or misuse of our products or product candidates results in personal injury or death, and
our product liability insurance coverage may be insufficient.
If the use or misuse of any products we sell, or a partner sells, harms people, we may be subject to costly and damaging product liability claims
brought against us by consumers, healthcare providers, pharmaceutical companies, third-party payors or others. The use of our product candidates in
clinical trials, including post-marketing clinical studies, could also expose us to product liability claims. We cannot predict all of the possible harms or side
effects that may result from the use of our products or the testing of product candidates, and therefore, the amount of insurance coverage we currently have
may not be adequate to cover all liabilities or defense costs we might incur. A product liability claim or series of claims brought against us could give rise
to a substantial liability that could exceed our resources. Even if claims are not successful, the costs of defending such claims and potential adverse
publicity could be harmful to our business.
We face an inherent risk of product liability exposure related to the testing of our product candidates in human clinical trials and face even greater
risks upon commercialization by us of our products or product candidates. We have product liability insurance covering our clinical trials. Clinical trial and
product liability insurance is becoming increasingly expensive. As a result, we may be unable to obtain sufficient insurance or increase our existing
coverage at a reasonable cost to protect us against losses that could have a material adverse effect on our business. An individual may bring a product
liability claim against us if one of our products or product candidates causes, or is claimed to have caused, an injury or is found to be unsuitable for
consumer use. Any product liability claim brought against us, with or without merit, could result in:
•
liabilities that substantially exceed our product liability insurance, which we would then be required to pay from other sources, if available;
•
an increase of our product liability insurance rates or the inability to maintain insurance coverage in the future on acceptable terms, or at all;
•
withdrawal of clinical trial volunteers or patients;
•
damage to our reputation and the reputation of our products, resulting in lower sales;
•
regulatory investigations that could require costly recalls or product modifications;
•
litigation costs; and
•
the diversion of management’s attention from managing our business.
Risks Relating to Contractual Arrangements
We face risks related to our U.S. Government contracts, which may create a disadvantage and additional risks to us.
In September 2024, we entered into a contract with ASPR for the procurement of up to 95,625 doses over a five-year period of RAPIVAB for the
treatment of influenza. The contract is structured with a 12-month base ordering period and four optional 12-month ordering periods, which the U.S.
Government can exercise on an annual basis. While ASPR executed the first ordering period, there is no guarantee that the U.S. Government will exercise
any additional ordering periods. In addition, changes in U.S. Government budgets and agendas may result in the reduction, delay or elimination of funding
or in a decreased emphasis on the procurement of RAPIVAB. Even if any optional ordering period is exercised, there can be no assurance that we or our
manufacturers will be able to fully meet the demand for RAPIVAB with respect to this or any future arrangement.
We had contracts with the Biomedical Advanced Research and Development Authority within the U.S. Department of Health and Human Services
(“BARDA/HHS”) and the National Institute of Allergy and Infectious Diseases within HHS (“NIAID/HHS”) for the development of galidesivir as a
treatment for diseases caused by RNA pathogens, including Marburg virus disease, Yellow Fever and Ebola virus disease. In contracting with U.S.
Government agencies, we became subject to various U.S. Government contract requirements, including general clauses for a cost-reimbursement research
and development contract, which may limit our reimbursement. While all U.S. Government funding for galidesivir expired in 2022, we may still face risks
related to our U.S. Government contracts pending final close out of these contracts.
U.S. Government contracts typically contain a number of extraordinary provisions that would not typically be found in commercial contracts, and
which may create a disadvantage and additional risks to us as compared to competitors that do not have U.S. Government contracts. As a U.S. Government
contractor, we are subject to an increased risk of investigations, criminal prosecution, civil fraud, whistleblower lawsuits and other legal actions and
liabilities as compared
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to private sector commercial companies, and we could suffer serious harm to our reputation if allegations of impropriety were made against us. We could
be subject to severe penalties, including legal actions and liabilities, in the event that we are unable to comply with delivery requirements or any other
provision of a U.S. Government contract.
If we fail to reach milestones or to make annual minimum payments or otherwise breach our obligations under our license agreements, our licensors
may terminate our agreements with them and/or seek additional remedies.
If we are unable or fail to meet payment obligations, performance milestones relating to the timing of regulatory filings, product supply obligations,
post-approval commitments, or development and commercial diligence obligations; are unable or fail to make milestone payments or material data use
payments in accordance with applicable provisions; or fail to pay the minimum annual payments under any of our in-licenses relating to our products or
product candidates, our licensors may terminate the applicable license and/or seek other available remedies. As a result, our development of the respective
product candidate or commercialization of the product would cease.
Because continuing events of default exist under the PhaRMA Notes, the holders of the PhaRMA Notes may be able to foreclose on the collateral
securing the PhaRMA Notes and our equity interest in Royalty Sub. As a result, we may not realize the benefit of future royalty payments, if any, that
might otherwise accrue to us following repayment of the PhaRMA Notes and we could otherwise be adversely affected.
In March 2011, JPR Royalty Sub LLC, our wholly-owned subsidiary (“Royalty Sub”), issued $30.0 million in aggregate principal amount of
PhaRMA Senior Secured 14.0% Notes due on December 1, 2020 (the “PhaRMA Notes”). The PhaRMA Notes are secured principally by (i) certain royalty
and milestone payments under our agreement with Shionogi, pursuant to which Shionogi licensed from us the rights to market peramivir in Japan and
Taiwan and (ii) the pledge by us of our equity interest in Royalty Sub. Since September 1, 2014, payments from Shionogi have been insufficient for
Royalty Sub to service its obligations under the PhaRMA Notes, resulting in a continuing event of default with respect to the PhaRMA Notes since that
time. In addition, the PhaRMA Notes had a final legal maturity date of December 1, 2020, at which time the outstanding principal amount of the PhaRMA
Notes of $30.0 million, together with accrued and unpaid interest of $20.6 million, was due in full. The failure by Royalty Sub to repay these amounts at
the maturity date constituted an additional event of default under the PhaRMA Notes. As Royalty Sub has been unable to service its obligations under the
PhaRMA Notes and continuing events of default exist under the PhaRMA Notes, the holders of the PhaRMA Notes may be able to foreclose on the
collateral securing the PhaRMA Notes and our equity interest in Royalty Sub and may exercise other remedies available to them under the indenture or
other documents related to the PhaRMA Notes. In such event, we may not realize the benefit of future royalty payments, if any, that might otherwise accrue
to us following repayment of the PhaRMA Notes, we may incur legal costs, and we might otherwise be adversely affected.
We cannot predict whether holders of PhaRMA Notes will seek to pursue any remedies as a result of the continuing events of default with respect to
the PhaRMA Notes. The PhaRMA Notes are the obligation of Royalty Sub. Due to the non-recourse nature of the PhaRMA Notes, in the event of any
potential foreclosure, we believe the primary impact to us would be the loss of future royalty payments, if any, from Shionogi and the legal costs associated
with retiring the PhaRMA Notes. As a result, we do not currently expect the continuing events of default on the PhaRMA Notes to have a significant
impact on our future results of operations or cash flows. However, we cannot assure you that this will be the case or that we will not otherwise be adversely
affected as a result of the continuing events of default under the PhaRMA Notes or the failure by Royalty Sub to repay the PhaRMA Notes at maturity.
While Royalty Sub continues to pay the holders of the PhaRMA Notes any royalty payments received from Shionogi, which are immaterial, we wrote off
the balance due under the PhaRMA Notes to other income as a debt extinguishment as of December 31, 2021.
We have incurred significant indebtedness, which could adversely affect our business. Additionally, the Pharmakon Loan Agreement contains
conditions and restrictions that limit our flexibility in operating our business. We may be required to make a prepayment or repay our outstanding
indebtedness earlier than we expect if a prepayment event or an event of default occurs, including a material adverse change with respect to us, which
could have a material adverse effect on our business.
On April 17, 2023, we entered into the $450.0 million Pharmakon Loan Agreement (the “Pharmakon Loan Agreement”) with BioPharma Credit
Investments V (Master) LP and BPCR Limited Partnership, as lenders, and BioPharma Credit PLC, as collateral agent for the lenders, and closed on an
initial term loan thereunder in the principal amount of $300.0 million. As of December 31, 2024, we had an outstanding principal balance under the
Pharmakon Loan Agreement of $323.7 million, inclusive of the Pharmakon PIK Interest Payments (as defined in “Note 9—Debt—
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Pharmakon Loan Agreement” in the Notes to the Consolidated Financial Statements included in Part II, Item 8 of this report). Under the Pharmakon Loan
Agreement, we will be required to pay to Pharmakon, for the account of the lenders, a prepayment premium or a make-whole premium, as applicable, plus
certain fees or expenses set forth in the Pharmakon Loan Agreement in the event that we prepay, or are required to prepay, voluntarily or pursuant to a
mandatory prepayment obligation under the Pharmakon Loan Agreement (e.g., upon a change of control of the Company and specified other events,
subject to certain exceptions), all or part of the then-outstanding term loans under the Pharmakon Loan Agreement, in each case, subject to certain
exceptions set forth in the Pharmakon Loan Agreement.
Our indebtedness could have important consequences to our stockholders. For example, it:
•
increases our vulnerability to adverse general economic or industry conditions;
•
limits our flexibility in planning for, or reacting to, changes in our business or the industry in which we operate;
•
makes us more vulnerable to increases in interest rates, as borrowings under the Pharmakon Loan Agreement accrue interest at variable,
uncapped rates, such that increases in interest rates will increase the associated interest payments that we are required to make on outstanding
borrowings;
•
requires us to dedicate a portion of our cash flow from operations to interest payments, limiting the availability of cash for other purposes;
•
limits our ability to obtain additional financing or refinancing in the future for working capital or other purposes; and
•
places us at a competitive disadvantage compared to our competitors that have less indebtedness.
Furthermore, the Pharmakon Loan Agreement contains various covenants that limit our ability to engage in specified types of transactions. Subject
to certain exceptions, these covenants limit our ability to, among other things, dispose of assets; engage in certain mergers, acquisitions, and similar
transactions; incur additional indebtedness; grant liens; make investments; pay dividends or make distributions or certain other restricted payments in
respect of equity; prepay other indebtedness; enter into restrictive agreements; undertake fundamental changes; or amend certain material contracts.
The covenants contained in the Pharmakon Loan Agreement could cause us to be unable to pursue business opportunities that we or our stockholders
may consider beneficial without the lenders’ permission or without repaying all outstanding obligations under the Pharmakon Loan Agreement.
A breach of any of these covenants could result in an event of default under the Pharmakon Loan Agreement. An event of default will also occur if,
among other things, we fail to pay amounts due under the Pharmakon Loan Agreement, we fail to repay certain other indebtedness having an aggregate
principal amount in excess of a threshold amount, an insolvency event occurs with respect to us, judgments for the payment of money in excess of a
threshold amount are entered into against us, a material adverse change in our business, assets, properties, liabilities, or condition occurs, or a material
impairment of our ability to perform our obligations under the Pharmakon Loan Agreement occurs, certain negative regulatory events occur, including,
without limitation, certain withdrawal events with respect to ORLADEYO, or we fail to make required payments under our Royalty Purchase Agreements.
In the case of a continuing event of default under the Pharmakon Loan Agreement, the lenders under the Pharmakon Loan Agreement could elect to declare
all amounts outstanding to be immediately due and payable, proceed against the collateral in which we granted to the lenders a security interest, or
otherwise exercise the rights of a secured creditor. Amounts outstanding under the Pharmakon Loan Agreement are secured by a security interest in, subject
to certain exceptions, substantially all of our assets. Because substantially all of our assets are pledged to secure the Pharmakon Loan Agreement
obligations, our ability to incur additional secured indebtedness or to sell or dispose of assets to raise capital may be impaired, which could have an adverse
effect on our financial flexibility.
Risks Relating to International Operations
International expansion of our business exposes us to business, legal, regulatory, political, operational, financial, and economic risks.
Our business strategy includes international expansion, including the commercialization of products outside of the United States. In addition, we
currently conduct clinical studies and regulatory activities and have hired, and expect to
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continue hiring, employees outside of the United States. Doing business internationally involves a number of risks, including, but not limited to:
•
multiple, conflicting, and changing laws and regulations such as privacy and data regulations, transparency regulations, tax laws, export and
import restrictions, employment laws, regulatory requirements, and other governmental approvals, permits, and licenses;
•
introduction of new health authority requirements and/or changes in health authority expectations;
•
failure by us or our partners to obtain and maintain regulatory approvals for the use of our products in various countries;
•
complexities and difficulties in obtaining and maintaining protection for, and enforcing, our intellectual property;
•
difficulties in staffing and managing foreign operations;
•
complexities associated with managing multiple payor reimbursement regimes, government payors, or patient self-pay systems;
•
limits on our ability to penetrate international markets;
•
financial risks, such as longer payment cycles, difficulty collecting accounts receivable, the impact of local and regional financial crises on
demand and payment for our products, and exposure to foreign currency exchange rate fluctuations, which have been increasingly prevalent
alongside a fluctuating U.S. dollar;
•
natural disasters and political and economic instability, including wars, terrorism, political unrest, results of certain elections and votes, actual
or threatened public health emergencies and outbreak of disease, epidemics or pandemics (e.g., the COVID-19 pandemic), boycotts, adoption
or expansion of government trade restrictions, and other business restrictions;
•
certain expenses including, among others, expenses for travel, translation, and insurance;
•
regulatory and compliance risks that relate to maintaining accurate information and control over commercial operations and activities that
may fall within the purview of the U.S. Foreign Corrupt Practices Act, including its books and records provisions or anti-bribery provisions,
or the U.K. Bribery Act and similar foreign laws and regulations; and
•
regulatory and compliance risks relating to doing business with any entity that is subject to sanctions administered by the Office of Foreign
Assets Control of the U.S. Department of the Treasury.
Any of these factors could significantly harm our international expansion of operations and adversely affect our business and results of operations.
Additionally, in some countries, such as Japan and the countries of the European Union, the pricing of prescription pharmaceuticals is subject to
governmental control and access. In these countries, pricing negotiations with governmental authorities can take considerable time after the receipt of
marketing approval for a product. To obtain reimbursement or pricing approval in some countries, we or our partners may be required to conduct a clinical
trial that compares the cost-effectiveness of our product to other available therapies. If reimbursement of our products is unavailable or limited in scope or
amount, or if pricing is set at unsatisfactory levels, our business could be materially harmed.
Foreign currency exchange rate fluctuations could have an adverse impact on our results of operations, financial position, and cash flows.
We conduct operations in many countries outside of the United States involving transactions in a variety of currencies other than the U.S. dollar.
These transactions include, without limitation, commercial sales, contract manufacturing, and clinical trial activities. Although most of our revenues and
expenses are denominated in U.S. dollars, our commercial sales in Europe are primarily denominated in Euros and British Pounds. We also have foreign
currency exposure to fluctuations in other foreign currencies, such as the Swiss Franc, Danish Krone, Swedish Krona, Norwegian Krone, Japanese Yen and
Canadian Dollar. Changes in the value of these currencies relative to the U.S. dollar may impact our consolidated operating results, including our revenues
and expenses, causing fluctuations in our operating results from period to period and/or resulting in foreign currency transaction losses that adversely
impact our results of operations, financial position, and cash flows. As we continue to expand our operations internationally, our exposure to foreign
currency transaction gains or losses may become more significant. See “Quantitative and Qualitative Disclosures about
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Market Risk—Foreign Currency Risk” in Part II, Item 7A of this report for additional information about our foreign currency risk.
Our actual or perceived failure to comply with European governmental laws and regulations and other legal obligations related to privacy, data
protection and information security could harm our business.
Outside the United States, an increasing number of laws and regulations may govern data privacy and security. EU member states, the United
Kingdom, Switzerland and other countries have adopted data protection laws and regulations, which impose significant compliance obligations. These laws
include the GDPR and similar national legislation within the EEA, the United Kingdom GDPR, Switzerland’s Federal Data Protection Act, the EU Clinical
Trials Regulation, and the e-Privacy Directive (2002/58/EC), and are discussed in more detail in “Business—Government Regulation—Data Privacy and
Security Laws” in Part I, Item 1 of this report. Failure to comply with the requirements of these laws may result in significant fines. For example, the GDPR
or related national data protection laws, which may deviate from the GDPR, may result in significant fines of up to 4% of global revenues, or €20.0 million,
whichever is greater.
In addition to such fines, failure to comply with the requirements of the GDPR or similar national legislation may result in temporary or definitive
bans on data processing and other corrective actions and subject us to litigation and/or adverse publicity, which could have material adverse effects on our
reputation and business. As a result of the implementation of the GDPR, we are required to put in place additional mechanisms to ensure compliance with
the data protection rules. For example, the GDPR requires us to make more detailed disclosures to data subjects, requires disclosure of the legal basis on
which we can process personal data, makes it harder for us to obtain valid consent for processing, requires the appointment of a data protection officer
where sensitive personal data (i.e., health data) is processed on a large scale, introduces mandatory data breach notification throughout the European Union,
imposes additional obligations on us when we are contracting with service providers and requires us to adopt appropriate privacy governance including
policies, procedures, training and data audits. We depend on a number of third parties in relation to the provision of our services, a number of which
process personal data of EU individuals on our behalf. With each such provider, we are required to enter into contractual arrangements under which they
are contractually obligated to only process personal data according to our instructions, and conduct diligence to ensure that they have sufficient technical
and organizational security measures in place.
Compliance with evolving laws regarding the transfer of personal data to the United States and other countries also requires increased resources and
may result in increased exposure to regulatory actions, fines and penalties, the inability to transfer data and work with partners, vendors and other third
parties, and injunctions against our processing or transferring of personal data necessary to operate our business. We are also subject to evolving European
privacy laws on electronic marketing and cookies. The European Union is in the process of replacing the e-Privacy Directive (2002/58/EC) with a new set
of rules taking the form of a regulation that will be directly implemented in the laws of each EU member state. While this e-Privacy Regulation was
originally intended to be adopted on May 25, 2018, it is still going through the European legislative process and the timing of its adoption remains unclear.
Compliance with the requirements imposed by the GDPR and other such laws can be time-consuming, expensive and difficult, and may increase our
cost of doing business or require us to change our business practices, and despite our efforts we may not be successful in achieving compliance if our
personnel, collaborators, partners or vendors do not comply with applicable data protection obligations. Despite our efforts, our personnel or third parties
on whom we rely may fail to comply with such obligations, which could negatively impact our business operations. If we or the third parties on which we
rely fail, or are perceived to have failed, to address or comply with applicable data privacy and security obligations, we could face significant
consequences, including but not limited to: regulatory investigations or actions; litigation; fines and penalties; disruptions of our business operations;
reputational harm; loss of revenue or profits; and other adverse business consequences.
The United Kingdom’s decision to withdraw from the European Union could result in increased regulatory and legal complexity, which may make it
more difficult for us to do business in Europe and impose additional challenges in securing regulatory approval of our product candidates in Europe.
The United Kingdom’s exit from the European Union, or Brexit, has caused political and economic uncertainty, including in the regulatory
framework applicable to our operations and product candidates, and this uncertainty may persist for years. Brexit could, among other outcomes, disrupt the
free movement of goods, services and people between the United Kingdom and the European Union, and result in increased legal and regulatory
complexities, as well as potential higher costs of conducting business in Europe. The long-term effects of Brexit will depend in part on how the current and
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future trade agreements between the United Kingdom and the European Union take effect in practice. Changes in U.K. or EU regulations may cause
disruption or delays in granting clinical trial authorization or opinions for marketing authorization, disruption of importation and export of active substance
and other components of new drug formulations, and disruption of the supply chain for clinical trial product and final authorized formulations.
The cumulative effects of the disruption to the regulatory framework may add considerably to the development lead time to marketing authorization
and commercialization of products in the European Union and/or the United Kingdom. It is possible that there will be increased regulatory complexities,
which can disrupt the timing of our clinical trials and regulatory approvals. In addition, changes in, and legal uncertainty with regard to, national and
international laws and regulations may present difficulties for our clinical and regulatory strategy. Any delay in obtaining, or an inability to obtain, any
marketing approvals, as a result of Brexit or otherwise, would prevent us from commercializing our product candidates in the United Kingdom and/or the
European Union and restrict our ability to generate revenues and achieve and sustain profitability.
In addition, as a result of Brexit, other European countries may seek to conduct referenda with respect to their continuing membership with the
European Union. Given these possibilities and others we may not anticipate, as well as the absence of comparable precedent, it is unclear what financial,
regulatory and legal implications the withdrawal of the United Kingdom from the European Union will have and how such withdrawal will affect us, and
the full extent to which our business could be adversely affected.
Risks Relating to Technology
If our facilities, or the facilities of our third-party vendors, incur damage or power is lost for a significant length of time, our business will suffer.
We and our third-party vendors store commercial product, clinical and stability samples, and manufacturing data at our facilities that could be
damaged if the facilities incur physical damage or in the event of an extended power failure. We have backup power systems in addition to backup
generators to maintain power to all critical functions, but any loss of these products or samples could result in significant delays in our commercialization
or drug development process.
In addition, we store most of our preclinical and clinical data at our facilities. While duplicate copies of most clinical data are secured off-site, and a
significant portion of our data is included in regular backups of our systems, we could lose important data if our facilities incur damage, or if our vendor
data systems fail, suffer damage or are destroyed. Any significant degradation or failure of our computer systems could cause us to inaccurately calculate or
lose our data. Loss of data could result in significant delays in our drug development process, and any system failure could harm our business and
operations.
Cyber incidents and related disruptions in our or our third-party vendors’ information technology systems could adversely affect our business.
We are increasingly dependent on information technology systems to operate our business. In addition, the FDA and comparable foreign regulatory
authorities regulate, among other things, the record keeping and storage of data pertaining to potential pharmaceutical products. Like other companies in
our industry, our information technology systems and infrastructure (as well as those of our third-party providers) and our lab equipment and operations
technology may be vulnerable to cyber incidents, intrusions, and other similar activities that threaten the confidentiality, integrity, and availability of our
information. These threats come from a variety of sources, including by computer hackers, foreign governments, foreign companies, or competitors, or may
be breached by employee error, malfeasance or other disruption. These threats are prevalent, continue to rise, and are becoming increasingly difficult to
detect. Recently, there have been reports of disruptions in billing and data systems in healthcare (e.g., the cybersecurity incident affecting Change
Healthcare in February 2024). Such cybersecurity events which materially disrupt the healthcare system upon which our business relies could adversely
affect our business if such disruption is widespread and continues for an extended period of time.
Cyber incidents could also include the use of artificial intelligence (“AI”) and machine learning to launch more automated, targeted and coordinated
attacks on targets. Cyber incidents may lead to operational outages, loss of intellectual property due to industrial espionage, malware, and financial or data
attacks via social engineering. These risks have increased as we have experienced significant growth in the number of our employees and the scope of our
operations and as virtual and remote working have become more widely used, and sensitive data is accessed by employees working in less secure, home-
based environments. A breakdown, invasion, corruption, destruction, or interruption of information
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technology systems could negatively impact operations. If our systems are damaged, fail to function properly or otherwise become unavailable, we may
incur substantial costs to repair or replace them, and we may experience loss of critical data and interruptions or delays in our ability to perform critical
functions, which could adversely affect our business, financial condition or results of operations.
In addition, we rely on third-party service providers and technologies to operate significant information technology systems and business
infrastructure, and we currently use these providers to perform business critical information technology and business services. Supply-chain attacks have
increased in frequency and severity, and we cannot guarantee that third parties’ infrastructure in our supply chain or our third-party partners’ supply chains
have not been or will not be compromised.
We have experienced cybersecurity threats and incidents, which to date have not had a material impact on our reputation, business, financial
condition, or operations; however; there is no assurance that such impacts will not be material in the future.
Any compromise of our data security could also result in a violation of applicable privacy and other laws, significant legal, regulatory, and financial
exposure, damage to our reputation, loss or misuse of the information and a loss of confidence in our data security measures, which could harm our
business. Loss or misuse of our intellectual property, clinical trial data, or commercially sensitive data could adversely impact our business. While we have
implemented security measures designed to protect against security incidents and a significant portion of our data is included in regular backups of our
systems, there can be no assurance that our efforts to protect our data and information technology systems will prevent breakdowns or breaches in our
systems, or those of third parties with which we do business, and any such events could adversely affect our business.
From time to time, we use artificial intelligence in our business, and challenges with properly managing its use could adversely affect our business.
The increasing use of AI and machine learning technology in the biopharmaceutical industry, combined with an uncertain regulatory environment,
presents new risks and challenges. From time to time, we adopt and integrate AI solutions into our systems for specific use cases reviewed by legal and
information security, and applications of AI may become important in our operations over time. Our vendors may incorporate AI tools into their offerings
without disclosing this use to us, and the providers of these tools may not meet existing or rapidly evolving regulatory or industry standards with respect to
privacy and data protection. Moreover, the use of AI-based software may lead to the inadvertent release of confidential or proprietary information, which
may adversely impact our ability to realize the benefit of our intellectual property, cause us to incur liabilities as the result of any breaches of confidentiality
or impact our ability to comply with data security and privacy laws. Further, as the regulatory framework for these technologies evolves, it is possible that
new laws and regulations will be adopted, or that existing laws and regulations may be interpreted in ways that would affect our business, including as a
result of the cost to comply with such laws or regulations. Our competitors or other third parties may also incorporate AI into their businesses more
efficiently than us, which could impair our ability to compete effectively and adversely affect our results of operations. The rapid innovation and
developments surrounding AI, including potential government regulation of AI, may require significant resources to develop, test and maintain our
implementations of AI.
Other Operational Risks
Health epidemics or pandemics could materially adversely affect our business, operations, clinical development or commercialization plans and
timelines, or that of third parties with whom we conduct business, including, without limitation, our development partners, manufacturers, CROs, and
others, as well as the regulatory and government agencies with whom we work.
A health epidemic or pandemic, such as the COVID-19 pandemic, and related government orders or evolving business policies and procedures,
could cause disruptions to our business, operations, and clinical development or commercialization plans and timelines, as well as the business and
operations of third parties with whom we conduct business.
If our operations or those of third parties with whom we conduct business, such as development partners, manufacturers, CROs and others, are
impaired or curtailed as a result of such events, the development and commercialization of our products and product candidates could be stopped or
delayed, or the costs of such development
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and commercialization activities could increase, any of which could have a material adverse impact on our business. For example, our suppliers or other
vendors may be unable to meet their obligations to us or perform their services as expected. In such circumstances, we may not be able to enter into
arrangements with alternative suppliers or vendors or do so on commercially reasonable terms or in a timely manner. Such delays could adversely impact
our ability to meet our desired clinical development and any commercialization timelines.
In addition, our clinical trials were affected by the COVID-19 pandemic, and we may experience similar delays or interruptions due to health
epidemics or pandemics in the future, which could adversely impact our clinical trial operations. Health epidemics or pandemics could also affect the
operations of regulators and other health and governmental authorities, which could result in delays of reviews and approvals, inspections, or other
regulatory activities, including as we continue to expand internationally and bring ORLADEYO to additional global markets.
The global impact of a health epidemic or pandemic, such as the COVID-19 pandemic, could also materially affect global economies and financial
markets, which could reduce our ability to access the equity or debt capital markets or obtain other sources of capital if needed, which could negatively
affect our liquidity. In addition, a recession or market correction could materially affect our business and the value of our common stock. Health epidemics
or pandemics could also have the effect of heightening many of the other risks described in this report.
Our business, operations, clinical development or commercialization plans and timelines, and access to capital could be adversely affected by
unpredictable and unstable market and economic conditions.
Our business, operations, clinical development or commercialization plans and timelines, and access to capital could be adversely affected by
unpredictable and unstable market and economic conditions, including as a result of inflation, increased interest rates, disruption or instability in the
banking industry, foreign exchange rate fluctuations, potential U.S. Government shutdowns, instability in connection with changes in presidential
administration in the United States, geopolitical instability, actual or threatened public health emergencies, or outbreaks of disease, epidemics or pandemics
(such as the COVID-19 pandemic). The magnitude, duration and long-term effect of each of these factors, as well as the effects of actions taken by
governments to address them, are unknown at this time, but they could result in further significant disruption of the global economy and financial markets.
Our business may be adversely affected by any related economic downturn, volatile geopolitical and business environment, or continued market instability.
Unstable market and economic conditions could materially affect our ability to access the equity or debt capital markets or obtain other sources of
capital if needed in the future, which could negatively affect our liquidity. In addition, a recession or market correction could materially affect our business
and the value of our common stock.
Market and economic conditions continue to evolve, with the ultimate impacts being uncertain and subject to change. These effects could be
material, and we will continue to monitor the economic climate closely. We do not yet know the full extent and magnitude of the impacts that these
developments will have on our business, on the healthcare system, or on the global economy. In addition, unstable market conditions could have the effect
of heightening many of the other risks described in this report.
Insurance coverage is increasingly more costly and difficult to obtain or maintain.
While we currently have insurance for our business, property, directors and officers, and our products, insurance is increasingly more costly and
narrower in scope, and we may be required to assume more risk in the future. If we are subject to claims or suffer a loss or damage in excess of our
insurance coverage, we will be required to bear any loss in excess of our insurance limits. If we are subject to claims or suffer a loss or damage that is
outside of our insurance coverage, we may incur significant uninsured costs associated with loss or damage that could have an adverse effect on our
operations and financial position. Furthermore, any claims made on our insurance policies may impact our ability to obtain or maintain insurance coverage
at reasonable costs or at all.
If we fail to retain our existing key personnel or fail to attract and retain additional key personnel, the development of our product candidates, the
commercialization of our products, and the related expansion of our business will be delayed or stopped.
We are highly dependent upon our senior management and scientific team, the unexpected loss of whose services might impede the achievement of
our development and commercial objectives. Competition for key personnel with the experience that we require is intense and is expected to continue to
increase. Our inability to attract and retain the required
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number of skilled and experienced management, commercial, operational and scientific personnel would harm our business because we rely upon these
personnel for many important functions of our business.
If our risk management committee and other compliance methods are not effective, our business, financial condition and operating results may be
adversely affected.
Our ability to identify, manage and respond to the various risks related to our business is largely dependent on our established and maintained
compliance, risk, audit and reporting systems and procedures. The Board of Directors has ultimate responsibility for risk oversight of the Company and
carries out this duty through its committees. The Board of Directors may delegate oversight authority with respect to certain issues in a committee’s
applicable areas of expertise. At the Company level, our senior management team similarly monitors risk through the risk management committee and
other sub-committees focused on specific areas of risk (e.g., cybersecurity, quality assurance). Membership of the risk management committee consists
primarily of key department heads who are asked to bring to such committee relevant items for discussion that they or their teams have identified at the
numerous sub-committees these individuals chair or attend. The risk management committee, along with the other sub-committees in the Company,
identifies key risks and mitigation strategies which are reported directly to our senior management, the Audit Committee and to the full Board of Directors
on a regular basis.
If our policies, procedures, and compliance systems, including our risk management committee, are not effective, or if we are not successful in
monitoring or evaluating the risks to which we are or may be exposed, our business, reputation, financial condition and operating results could be
materially adversely affected. We cannot provide assurance that our policies and procedures will always be effective, or that our management or the risk
management committee would be able to identify any such ineffectiveness. If our compliance and risk management strategies are not effective, our
business, financial condition and operating results may be adversely affected.
Future acquisitions, strategic investments, partnerships, alliances, or divestitures could be difficult to identify and integrate, divert the attention of
management, disrupt our business, dilute stockholder value, materially change the risk profile of the Company and could fail to meet our expectations,
any of which could adversely affect our operating results and financial condition.
We may in the future seek to acquire or invest in businesses, products or technologies that we believe could complement or expand our portfolio or
otherwise offer growth opportunities. The pursuit of potential acquisitions may divert the attention of management and cause us to incur various expenses
in identifying, investigating and pursuing businesses or products. In addition, we may not be able to find and identify desirable acquisition targets or be
successful in entering into an agreement with any particular target or consummating any such agreement. Even if we do consummate an acquisition, in
connection therewith we may be required to issue equity (thereby diluting our current stockholders) or debt, we may not be able to integrate successfully
the acquired personnel, operations and technologies, or effectively manage the combined business following the acquisition, or the acquired business could
otherwise fail to meet our expectations, which, in each case, could have a material adverse effect on our business projections, financial condition, results of
operations and prospects.
In addition, we may divest or license all or a portion of certain business or product categories, which could cause a decline in revenue or profitability
and may make our financial results more volatile. We may be unable to complete any such divestiture or license on terms favorable to us, within the
expected timeframes, or at all. We may have continued financial exposure to divested or licensed businesses following the completion of any such
transaction, including increased costs due to potential litigation, contingent liabilities and indemnification of the buyer or licensee related to, among other
things, lawsuits, regulatory matters or tax liabilities. Such divestitures or licenses may also divert management’s attention from our core businesses and
lead to potential issues with employees, customers or suppliers.
Our business and operations could be negatively affected if we become subject to stockholder activism or hostile bids, which could cause us to incur
significant expense, hinder execution of our business strategy and impact our stock price.
Stockholder activism, which takes many forms and arises in a variety of situations, has been increasingly prevalent. Stock price declines may also
increase our vulnerability to unsolicited approaches. If we become the subject of certain forms of stockholder activism, such as proxy contests or hostile
bids, the attention of our management and our Board of Directors may be diverted from execution of our strategy. Such stockholder activism could give rise
to perceived uncertainties as to our future strategy, adversely affect our relationships with business partners and make it more difficult to attract and retain
qualified personnel. Also, we may incur substantial costs, including significant legal fees and other
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expenses, related to activist stockholder matters. Our stock price could be subject to significant fluctuation or otherwise be adversely affected by the events,
risks and uncertainties of any stockholder activism.
Risks Relating to Investing in Our Common Stock
Our existing principal stockholders hold a substantial amount of our common stock and may be able to influence significant corporate decisions,
which may conflict with the interest of other stockholders.
Some of our stockholders own greater than 5% of our outstanding common stock. Our top ten stockholders own approximately 45% of our common
stock and can individually, and as a group, influence our operations based upon their concentrated ownership and may also be able to influence the outcome
of matters requiring approval of the stockholders, including the election of our directors and other corporate actions.
Our stock price has been, and is likely to continue to be, highly volatile, which could cause the value of an investment in our common stock to decline
significantly.
The market prices for securities of biotechnology companies in general have been highly volatile and may continue to be highly volatile in the
future. Moreover, our stock price has fluctuated frequently, and these fluctuations are often not related to our financial results. For the twelve months ended
December 31, 2024, the 52-week range of the market price of our stock was from $4.03 to $8.88 per share. The following factors, in addition to other risk
factors described in this section, may have, and in some cases have had, a significant impact on the market price of our common stock:
•
announcements of technological innovations or new products by us or our competitors;
•
developments or disputes concerning patents or proprietary rights;
•
additional dilution through sales of our common stock or other derivative securities;
•
status of new or existing licensing or collaborative agreements and government contracts;
•
announcements relating to the status of our programs;
•
us or our partners achieving or failing to achieve development milestones;
•
publicity regarding actual or potential medical results relating to products under development by us or our competitors;
•
publicity regarding certain public health concerns for which we are or may be developing treatments;
•
regulatory developments in both the United States and foreign countries;
•
public concern as to the safety of pharmaceutical products;
•
actual or anticipated fluctuations in our operating results;
•
changes in financial estimates or recommendations by securities analysts and the comparison of such estimates to our actual results;
•
online automated financial platforms’ treatment or classification of our financial information;
•
changes in our public guidance;
•
changes in the structure of healthcare payment systems, including developments in price control legislation;
•
announcements by us or our competitors of significant acquisitions, strategic partnerships, joint ventures, capital commitments or other
monetization transactions;
•
additions or departures of key personnel or members of our Board of Directors;
•
purchases or sales of substantial amounts of our stock by existing stockholders, including officers or directors;
•
economic and other external factors or other disasters or crises; and
•
period-to-period fluctuations in our financial results.
This volatility could cause the value of an investment in our common stock to decline significantly. In addition, companies that have experienced
volatility in the market price of their stock in the past have been subject to securities class action litigation. Securities litigation, and any other type of
litigation, brought against us could result in substantial costs and divert our management’s attention from other business concerns, which could seriously
harm our business and adversely affect our results of operations.
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If we fail to maintain effective internal control over financial reporting, we may not be able to produce accurate and timely financial statements, which
may adversely affect investor confidence in us and our financial reporting, adversely affect our business and operating results and may negatively
impact the trading price of our common stock.
As a public company, we are required to maintain effective internal control over financial reporting (as described in “Controls and Procedures” in
Part II, Item 9A of this report), and effective disclosure controls and procedures. If we identify one or more material weaknesses in our internal control over
financial reporting, we will not be able to assert that our internal controls and procedures are effective. A material weakness, as defined in Rule 12b-2 under
the Securities Exchange Act of 1934, as amended (the “Exchange Act”), is a deficiency, or combination of deficiencies, in internal control over financial
reporting such that there is a reasonable possibility that a material misstatement of annual or interim financial statements will not be prevented or detected
on a timely basis. In 2023, we identified and timely reported two material weaknesses in our internal control over financial reporting, which management
determined to be subsequently remediated as of December 31, 2023 and September 30, 2024, respectively.
Although we believe the financial statements included in this report fairly present, in all material respects, our financial condition, results of
operations and cash flows for the periods presented in conformity with U.S. GAAP, any failure to maintain effective internal control over financial
reporting could severely inhibit our ability to accurately report our financial condition, results of operations or cash flows. If our internal control over
financial reporting is not effective, investors may lose confidence in the accuracy and completeness of our financial reports, the market price of our
common stock could decline, and we could be subject to sanctions or investigations by Nasdaq, the SEC or other regulatory authorities.
Future sales and issuances of securities may dilute the ownership interests of our current stockholders and cause our stock price to decline.
Future sales of our common stock by us or our current stockholders into the public market could cause the market price of our stock to fall. As of
December 31, 2024, there were 208,543,452 shares of our common stock outstanding. We may from time to time issue securities in relation to a license
arrangement, collaboration, merger or acquisition. We may also sell, for our own account, shares of common stock or other equity securities, from time to
time at prices and on terms to be determined at the time of sale.
As of December 31, 2024, there were 48,371,006 stock options and restricted stock units outstanding and 1,065,017 shares available for issuance
under our Amended and Restated Stock Incentive Plan, 5,980,503 stock options and restricted stock units outstanding and 1,698,932 shares available for
issuance under our Amended and Restated Inducement Equity Incentive Plan, and 5,042,369 shares available for issuance under our Amended and Restated
Employee Stock Purchase Plan. In addition, we could also make equity grants outside of our Amended and Restated Stock Incentive Plan or Amended and
Restated Inducement Equity Incentive Plan. The shares underlying existing stock options, restricted stock units and possible future stock options, stock
appreciation rights, restricted stock units and stock awards have been, or will be, registered pursuant to registration statements on Form S-8.
If some or all of such shares are sold or otherwise issued into the public market over a short period of time, our current stockholders’ ownership
interests may be diluted and the value of all publicly traded shares is likely to decline, as the market may not be able to absorb those shares at then-current
market prices. Additionally, such sales and issuances may make it more difficult for us to sell equity securities or equity-related securities in the future at a
time and price that our management deems acceptable, or at all.
We have anti-takeover provisions in our corporate charter documents that may result in outcomes with which you do not agree.
Our Board of Directors has the authority to issue up to 5,000,000 shares of undesignated preferred stock and to determine the rights, preferences,
privileges and restrictions of those shares without further vote or action by our stockholders. The rights of the holders of any preferred stock that may be
issued in the future may adversely affect the rights of the holders of common stock. The issuance of preferred stock could make it more difficult for third
parties to acquire a majority of our outstanding voting stock.
In addition, our Certificate of Incorporation provides for staggered terms for the members of the Board of Directors and supermajority approval of
the removal of any member of the Board of Directors and prevents our stockholders from acting by written consent. Our Certificate of Incorporation also
requires supermajority approval of any amendment of these
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provisions. These provisions and other provisions of our Amended and Restated By-Laws and of Delaware law applicable to us could delay or make more
difficult a merger, tender offer or proxy contest involving us.
We have never paid dividends on our common stock and do not anticipate doing so in the foreseeable future.
We have never paid cash dividends on our stock. We currently intend to retain all future earnings, if any, for use in the operation of our business.
Accordingly, we do not anticipate paying cash dividends on our common stock in the foreseeable future.
Our Amended and Restated By-Laws provide that the Court of Chancery of the State of Delaware will be the sole and exclusive forum for certain
litigation that may be initiated by our stockholders, which may limit a stockholder’s ability to obtain a favorable judicial forum for such disputes with
us or our directors, officers or employees.
Our Amended and Restated By-Laws provide that, unless we consent in writing to the selection of an alternative forum, the Court of Chancery of the
State of Delaware will be the sole and exclusive forum for (i) any derivative action or proceeding brought on our behalf, (ii) any action asserting a claim of
breach of a fiduciary duty owed by any of our directors, officers, stockholders, employees or agents to us or our stockholders, (iii) any action asserting a
claim against us or any of our directors, officers, stockholders, employees or agents arising out of or relating to any provision of the General Corporation
Law of Delaware or our Certificate of Incorporation or Amended and Restated By-Laws, or (iv) any action against us or any of our directors, officers,
stockholders, employees or agents governed by the internal affairs doctrine of the State of Delaware. This exclusive forum provision does not apply to
establish the Delaware Court of Chancery as the forum for actions or proceedings brought to enforce a duty or liability created by the Securities Act of
1933, as amended (the “Securities Act”) or the Exchange Act, or any other claim for which the federal courts have exclusive jurisdiction.
This exclusive forum provision may limit a stockholder’s ability to choose its preferred judicial forum for disputes with us or our directors, officers,
employees or agents, which may discourage the filing of lawsuits with respect to such claims. If a court were to find this exclusive forum provision to be
inapplicable or unenforceable in an action, we may incur additional costs associated with resolving such action in another jurisdiction, which could
adversely affect our business and financial condition.
General Risk Factors
Natural disasters, epidemic or pandemic disease outbreaks, trade wars, armed conflicts, political unrest or other events could disrupt our business or
operations or those of our development partners, manufacturers, regulators or other third parties with whom we conduct business now or in the future.
A wide variety of events beyond our control, such as natural disasters (including as a result of climate change), epidemic or pandemic disease
outbreaks (such as the COVID-19 pandemic), trade wars, armed conflict, political unrest, government shutdowns, instability in connection with changes in
presidential administration in the United States, or other events could disrupt our business or operations or those of our development partners,
manufacturers, regulatory authorities, or other third parties with whom we conduct business. These events may cause businesses and government agencies
to be shut down, supply chains or trade to be interrupted, slowed, or rendered inoperable, and individuals to become ill, quarantined, or otherwise unable to
work and/or travel due to health reasons or governmental restrictions. If our operations or those of third parties with whom we conduct business are
impaired or curtailed as a result of these events, the development and commercialization of our products and product candidates could be impaired or
halted, which could have a material adverse impact on our business. See, for example, “Risk Factors—Risks Relating to Our Business—Other Operational
Risks—Our business, operations, clinical development or commercialization plans and timelines, and access to capital could be adversely affected by
unpredictable and unstable market and economic conditions.” In addition, other events, such as the Ukraine-Russia and Middle East conflicts, or rising
tensions between China and Taiwan, could adversely impact our business. For example, the conflicts could lead to sanctions, embargoes, supply shortages,
regional instability, geopolitical shifts, cyber-attacks, other retaliatory actions, and adverse effects on macroeconomic conditions, currency exchange rates,
and financial markets, which could adversely impact our operations and financial results, as well as those of third parties with whom we conduct business.
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We are subject to legal proceedings, which could harm our reputation or result in other losses or unexpected expenditure of time and resources.
From time to time, we may be involved in disputes, including, without limitation, disputes with our employees, collaborative partners, and third-
party vendors. We may be called upon to initiate legal proceedings or to defend ourselves in such legal proceedings relating to our relationships with these
parties, our decisions and actions or omissions with respect thereto, and our business. In addition, if our stock price is volatile, we may become involved in
securities class action lawsuits in the future. Due to the inherent uncertainties in legal proceedings, we cannot accurately predict the ultimate outcome of
any such proceeding. An unfavorable outcome in any such proceeding could have an adverse impact on our business, financial condition and results of
operations. Any current or future dispute resolution or legal proceeding, regardless of the merits of any such proceeding, could harm our reputation and
result in substantial costs and a diversion of management’s attention and resources that are needed to successfully run our business.
ITEM 1B.    UNRESOLVED STAFF COMMENTS
None.
ITEM 1C.    CYBERSECURITY
We maintain a cybersecurity program that is reasonably designed to assess, identify, and manage risks from cybersecurity threats that may result in
material adverse effects on the confidentiality, integrity, and availability of our information systems.
Governance
Board of Directors
Our Board of Directors, directly and through its committees, oversees the Company’s risk management function. The Board of Directors has
delegated the primary responsibility to oversee cybersecurity matters to the Audit Committee. The Audit Committee reviews the measures implemented by
the Company to identify and mitigate data protection and cybersecurity risks. As part of such reviews, the Audit Committee regularly receives reports and
presentations from members of our Cybersecurity Steering Committee as appropriate, with a minimum frequency of once per year. These reports and
presentations address a wide range of topics including recent developments, status of ongoing and planned cybersecurity initiatives and strategies, evolving
standards, vulnerability assessments, third-party and independent reviews, the threat environment, security spend, technological trends and information
security considerations arising with respect to the Company’s peers and third parties. The Audit Committee reports to the Board of Directors on data
protection and cybersecurity matters. We have protocols by which certain cybersecurity incidents are escalated within the Company and, where appropriate,
reported to the Audit Committee, as well as ongoing updates regarding any such incident until it has been addressed.
Management
At the management level, the Chief Financial Officer and Chief Legal Officer attend meetings of the Company’s Cybersecurity Steering Committee
(discussed further below) to receive reports on ongoing cybersecurity matters. This ensures that management is involved in an ongoing dialogue regarding
the Company’s material risks from cybersecurity threats. In addition, members of the Cybersecurity Steering Committee provide updates on the Company’s
cybersecurity control and risk posture and the status of ongoing and planned cybersecurity initiatives and strategies to the Company’s senior management
team on an annual basis.
Cybersecurity Steering Committee
The Company has implemented a broad spectrum cross-functional approach to assessing, identifying, and managing risks from cybersecurity threats.
Our Cybersecurity Steering Committee has broad oversight of the Company’s cybersecurity risk management processes. The Cybersecurity Steering
Committee is composed of the Company’s Chief Financial Officer, Chief Legal Officer, Senior Vice President, Information Technology, senior
cybersecurity professionals, members of the finance and legal departments, and other individuals invited as appropriate on an ad hoc basis. On at least a
quarterly basis, the Cybersecurity Steering Committee meets to discuss recent cybersecurity events or threats, status of ongoing and planned cybersecurity
initiatives and strategies, external cybersecurity trends, and risk management measures
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implemented by the Company to identify and mitigate data protection and cybersecurity risks, among other topics. In addition to the scheduled meetings,
the Cybersecurity Steering Committee is informed of potentially material cybersecurity events as they arise.
Within the Cybersecurity Steering Committee, our virtual Chief Information Security Officer (vCISO) and our Senior Manager, Security
Engineering are primarily responsible for assessing, monitoring, and managing our cybersecurity risks. Our vCISO is a seasoned cyber consultant
providing CISO-level advisory services to the Company and reports to the Senior Vice President, Information Technology, who is directly managed by the
Chief Financial Officer. He has held CISO positions in several Fortune-500 companies across multiple industry sectors, has worked in information security
for over 23 years, is a Certified Information Systems Security Professional (CISSP), and has extensive experience with multiple commercial and
government security frameworks. He leads the Company’s information security program and sets the strategic direction for, and establishes and governs the
structure of, the program.
Our Senior Manager, Security Engineering is managed by the Company’s Vice President, IT Infrastructure, Service & Operations, who directly
reports to the Senior Vice President, Information Technology. He is the former Cloud Security Officer for IBM and has over 40 years of experience in
information security and data privacy and has CISSP and Cisco Certified Network Associate (CCNA) certifications. He implements and oversees processes
for the regular monitoring of our information systems and detection of cybersecurity vulnerabilities.
The Cybersecurity Steering Committee also works closely with members of the legal department to oversee compliance with legal and regulatory
security requirements. In addition, the Cybersecurity Steering Committee has implemented controls and procedures that provide for the prompt escalation
of certain cybersecurity incidents so that decisions regarding the public disclosure and reporting of such incidents can be made by management in a timely
manner.
Risk Management and Strategy
Cybersecurity Program
The Company’s cybersecurity program leverages the National Institute of Standards and Technology (NIST) Cybersecurity Framework (CSF) for
governance and program management and refers to the Center for Internet Security (CIS) guidelines when reviewing the Company’s security controls
posture. The Company uses certain advanced security measures, regular system audits, third party monitoring tools, and ongoing intelligence gathering on
the latest developments in cybersecurity to identify, assess, and manage potential vulnerabilities and risks. In addition, the Company engages third parties
to assist with assessing, identifying and managing material risks from cybersecurity threats. Once the relevant material risks have been identified, the
Company implements controls and processes to help manage these risks, including conducting tabletop exercises to simulate response to a cybersecurity
incident, regular testing (e.g., penetration tests, vulnerability scanning) and control gap analyses and assessments designed to confirm appropriate security
controls are in place and are maintaining functionality in accordance with the established policies.
We also employ systems and processes designed to oversee, identify, and reduce the potential impact of cybersecurity threats associated with any
third-party vendor, service provider or customer or otherwise implicating the third-party technology and systems we use.
Our cybersecurity program is integrated into the Company’s overall risk management framework to help identify, assess, educate, and manage the
Company’s cybersecurity risk. Our Board of Directors and the Audit Committee, in its role assisting the Board of Directors in its oversight of the
Company’s risk management function, consider cybersecurity threat risks alongside other Company risks as part of our overall risk assessment.
Incident Response
The Company has adopted a technology incident response plan (IRP) applicable to all Company employees and contractors, which sets forth the
process for responding to and documenting data and information technology-related incidents such as security breaches, system failures, data loss, and
service interruption. The IRP provides a standardized framework for investigating, containing, documenting and mitigating cybersecurity incidents,
including reporting findings and keeping senior management and other key stakeholders informed and involved as appropriate. The Company’s employees
are required to review the IRP and undergo additional cybersecurity training on a regular basis.
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Material Cybersecurity Risk, Threats & Incidents
As detailed elsewhere in this report, we rely on information technology systems and third-party providers to operate our business. Despite ongoing
efforts to continually improve our and our third-party providers’ ability to protect against cyber incidents, our networks and infrastructure may be
vulnerable to cyberattacks or intrusions, which could result in a violation of applicable privacy and other laws, significant legal and financial exposure,
damage to our reputation, loss or misuse of the information or a loss of confidence in our data security measures, among other consequences. While we
have not experienced any material cybersecurity threats or incidents, there can be no guarantee that we will not be the subject of future successful attacks,
threats, or incidents. See “Risk Factors—Risks Relating to Our Business—Risks Relating to Technology—Cyber incidents and related disruptions in our or
our third-party vendors’ information technology systems could adversely affect our business” in Part I, Item IA of this report for additional information on
cybersecurity risks we face, which should be read together with the foregoing information.
ITEM 2.    PROPERTIES
We lease property in both Durham, North Carolina and Birmingham, Alabama. Our headquarters, including our clinical and regulatory operations,
are based in Durham, while our principal research facility is located in Birmingham. We currently lease approximately 23,100 square feet in Durham
through leases expiring August 31, 2025 and June 30, 2026, and we lease approximately 49,000 square feet in Birmingham through July 31, 2030, with
options for additional extensions. We also contract for smaller offices in a number of other countries. We believe that our facilities are adequate for our
current and planned future operations.
ITEM 3.    LEGAL PROCEEDINGS
In January 2025, the Company received a Paragraph IV notice of certification (the “Notice Letter”) from Annora Pharma Private Limited
(“Annora”) advising that Annora has submitted an ANDA to the FDA seeking approval to manufacture, use or sell a generic version of ORLADEYO in the
United States prior to the expiration of three patents listed in the FDA’s Orange Book: U.S. Patent Nos. 10,662,160; 11,117,867; and 11,618,733 (the
“Challenged Patents”). The Notice Letter alleges that the Challenged Patents, which expire in 2039, are invalid, unenforceable and/or will not be infringed
by the commercial manufacture, use or sale of the generic product described in Annora’s ANDA. The Notice Letter does not challenge the following six
ORLADEYO Orange Book patents that expire in 2035: U.S. Patent Nos. 10,125,102; 10,329,260; 10,689,346; 11,230,530; 11,708,333; and 12,116,346.
The Company intends to vigorously defend its intellectual property rights protecting ORLADEYO.
ITEM 4.    MINE SAFETY DISCLOSURES
Not applicable.
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PART II
ITEM 5.    MARKET FOR REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER MATTERS AND ISSUER PURCHASES OF
EQUITY SECURITIES
Market Information
Our common stock trades on the Nasdaq Global Select Market under the symbol BCRX.
Holders
As of February 20, 2025, there were approximately 147 holders of record of our common stock.
Dividends
We have never paid cash dividends and do not anticipate paying cash dividends in the foreseeable future.
Stock Performance Graph
This performance graph is not “soliciting material,” is not deemed filed with the SEC and is not to be incorporated by reference in any filing by us
under the Securities Act or the Exchange Act, whether made before or after the date hereof and irrespective of any general incorporation language in any
such filing. The stock price performance shown on the graph is not necessarily indicative of future price performance.
PERFORMANCE GRAPH FOR BIOCRYST
Indexed Comparison Since 2019
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Beginning
Investment at
12/31/19
Investment at
12/31/20
Investment at
12/31/21
Investment at
12/31/22

Investment at
12/31/23
Investment at
12/31/24
BioCryst Pharmaceuticals,
Inc.
$
100.00  $
215.94  $
401.45  $
332.75  $
173.62  $
217.97 
Nasdaq Stock Market
(United States)
100.00 
121.27 
152.67 
122.55 
154.93 
192.86 
Nasdaq Pharmaceutical
Stocks
100.00 
110.52 
137.47 
153.08 
159.01 
172.62 
The above graph measures the change in a $100 investment in our common stock based on its closing price of $3.45 on December 31, 2019 and its
year-end closing price thereafter. Our relative performance is then compared with the CRSP Total Return Indexes for the Nasdaq Stock Market (United
States) and Nasdaq Pharmaceutical Stocks.
Recent Sales of Unregistered Securities
None.
Issuer Purchases of Equity Securities
There were no repurchases of our common stock during the fourth quarter of 2024.
ITEM 6.    RESERVED
ITEM 7.    MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
The following Management’s Discussion and Analysis (“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 audited financial statements and the accompanying
notes to the financial statements and other disclosures included in this report (including the “Cautionary Note Regarding Forward-Looking Statements” at
the beginning of this report and the “Risk Factors” section in Part I, Item 1A of this report).
Overview
We are a global biotechnology company with a deep commitment to improving the lives of people living with hereditary angioedema (“HAE”) and
other rare diseases. We leverage our expertise in structure-guided drug design with the goal of developing first-in-class or best-in-class oral small-molecule
and injectable protein therapeutics to target difficult-to-treat rare diseases. In addition to these discovery and development efforts, our business strategy
includes the successful commercialization of these drugs, as well as self-funding all of these efforts by achieving and increasing profitability. By focusing
primarily on rare disease markets, we believe that we can more effectively control the costs of, and our strategic allocation of financial resources toward,
post-approval commercialization.
Products and Product Candidates
ORLADEYO® (berotralstat)
ORLADEYO is an oral capsule, once-daily therapy discovered and developed by us for the prevention of HAE attacks. ORLADEYO is approved in
the United States and other global markets for the prevention of HAE attacks in adults and pediatric patients 12 years and older. In addition, the ongoing
APeX-P clinical trial, which is complete through the primary endpoint, is continuing to assess an oral granule formulation of ORLADEYO in pediatric
patients who are 2 to 11 years of age.
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We have built out our U.S. commercial infrastructure to support the launch and continued commercialization of ORLADEYO in the United States
and are continuing to build our commercial infrastructure to support launches in other markets. Based on proprietary analyses of HAE prevalence and
market research studies with HAE patients, physicians, and payors in the United States and Europe, and four full years of commercialization experience
with ORLADEYO, we anticipate that the global commercial market for ORLADEYO has the potential to reach a global peak of $1 billion in annual net
ORLADEYO revenues. We expect approximately 80 percent of our revenue at peak to come from the United States. These expectations are subject to
numerous risks and uncertainties that may cause our actual results, performance, or achievements to be materially different. There can be no assurance that
our commercialization methods and strategies will succeed, or that the market for ORLADEYO will develop in line with our current expectations. See
“Risk Factors—Risks Relating to Our Business—Risks Relating to Drug Development and Commercialization—There can be no assurance that our or our
partners’ commercialization efforts, methods, and strategies for our products or technologies will succeed, and our future revenue generation is uncertain”
in Part I, Item 1A of this report for further discussion of these risks.
Revenue from sales of ORLADEYO in 2024, which was our fourth full year of ORLADEYO sales, is discussed under “Results of Operations” in
this MD&A. Revenue from sales of ORLADEYO in future periods is subject to uncertainties and will depend on several factors, including the success of
our and our partners’ commercialization efforts in the United States and elsewhere, the number of new patients switching to ORLADEYO, patient retention
and demand, the number of physicians prescribing ORLADEYO, the rate of monthly prescriptions, reimbursement from third-party and government
payors, the number of patients receiving free product, the conversion of patients from our clinical trials and early access programs to commercial
customers, our pricing strategy, and market trends. We monitor and analyze this data on an ongoing basis as we continue to commercialize ORLADEYO.
BCX17725 (Netherton syndrome)
BCX17725 is a potent and selective investigational protein therapeutic KLK5 inhibitor designed to provide best-in-class, potentially disease-
modifying, treatment for people with Netherton syndrome. Netherton syndrome is a serious, rare, lifelong genetic disorder affecting the skin, hair, and
immune system, caused by lack of normal function of a natural inhibitor of KLK5. People with Netherton syndrome often have red, scaly, inflamed skin,
fragile hair, and are more likely to develop skin infections, severe food allergies, asthma and eczema. Netherton syndrome can be life-threatening,
especially during infancy when patients are vulnerable to dehydration and recurrent infections. Currently, there are no approved treatments for Netherton
syndrome.
Avoralstat
We are developing our investigational plasma kallikrein inhibitor, avoralstat, with Clearside Biomedical, Inc.’s SCS Microinjector to deliver
avoralstat to the back of the eye through the suprachoroidal space to treat patients with diabetic macular edema (“DME”). DME is an important cause of
vision loss in diabetes and is due to leakage of fluid from the blood vessels in the retina. While current treatments focus on vascular endothelial growth
factor (“VEGF”) inhibition, DME can develop from other mechanisms, such as the kallikrein-bradykinin pathway. This is supported by observations that
many DME patients have an incomplete response to intravitreal anti-VEGF therapies that are administered every four to eight weeks. Avoralstat targets the
kallikrein-bradykinin system on the retinal vascular endothelial cells and may result in less vascular leakage and less edema. Avoralstat, delivered to the
suprachoroidal space, is designed to provide high dose levels to the retinal vessels with long-lasting exposure, which could result in less frequent injections
and a reduced burden on patients and the healthcare system.
Complement Program
The goal of our overall complement program is to advance first-in-class and/or best-in-class compounds across multiple pathways in the
complement system to treat complement-mediated diseases. We are pursuing oral medicines and protein therapeutics directed at targets across the classical,
lectin, terminal, and alternative pathways of the complement system, including the therapies listed below.
Oral C5 Inhibitor. We are developing an oral C5 inhibitor that could be the first targeted oral therapy with competitive efficacy to currently-
approved injected and infused anti-C5 therapies, such as eculizumab and ravulizumab. A drug with this profile could enable patients to switch from infused
therapy and address their disease earlier in the treatment paradigm.
® 
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Oral C2 Inhibitor. We are developing a classical and lectin pathway complement inhibitor. An oral C2 inhibitor developed by us could be first-in-
class and allow patients to switch from infused therapy and address their disease earlier in the treatment paradigm.
Bifunctional Complement Inhibitor. We are developing a bifunctional complement inhibitor anti-C2 monoclonal antibody that could be a first-in-
class combined inhibitor of the classical, lectin and alternative pathways of the complement system to treat complex complement-mediated diseases that are
influenced by multiple complement pathways.
RAPIVAB®/RAPIACTA®/PERAMIFLU® (peramivir injection)
RAPIVAB (peramivir injection) is approved in the United States for the treatment of acute uncomplicated influenza for patients six months and
older. Since the 2009 H1N1 pandemic, RAPIVAB has been an important component of the U.S. Government’s influenza preparedness efforts. Peramivir
injection is also approved in Canada (RAPIVAB), Australia (RAPIVAB), Japan (RAPIACTA), Taiwan (RAPIACTA), and Korea (PERAMIFLU).
Revenues and Expenses
Our revenues are difficult to predict and depend on several factors, including those discussed in the “Risk Factors” section in Part I, Item 1A of this
report. For example, our revenues depend, in part, on regulatory approval decisions for our products and product candidates, the effectiveness of our and
our collaborative partners’ commercialization efforts, market acceptance of our products, particularly ORLADEYO, and the resources dedicated to our
products and product candidates by us and our collaborative partners, as well as entering into or modifying licensing agreements for our product candidates.
Furthermore, revenues related to our collaborative development activities are dependent upon the progress toward, and the achievement of, developmental
milestones by us or our collaborative partners.
Our operating expenses are also difficult to predict and depend on several factors, including research and development expenses, drug
manufacturing, clinical research activities, the ongoing requirements of our development programs, the costs of commercialization, the availability of
capital and direction from regulatory agencies, which are difficult to predict, and the factors discussed in the “Risk Factors” section in Part I, Item 1A of
this report. Management may be able to control the timing and level of research and development and selling, general and administrative expenses, but
many of these expenditures will occur irrespective of our actions due to contractually committed activities and/or payments.
As a result of these factors, we believe that period-to-period comparisons are not necessarily meaningful, and you should not rely on them as an
indication of future performance. Due to the foregoing factors, it is possible that our operating results will be below the expectations of market analysts and
investors. In such event, the prevailing market price of our common stock could be materially adversely affected.
Recent Developments
ORLADEYO (berotralstat)
On October 14, 2024, we announced new real-world evidence on the use of ORLADEYO demonstrating that patients with HAE in the United States
experience significant reductions in healthcare resource utilization, including significant reductions in hospitalizations, emergency room visits and use of
on-demand therapies, after beginning treatment with ORLADEYO.
On October 24, 2024, we announced new real-world comparative research on the use of ORLADEYO that found high rates of adherence and
persistence for ORLADEYO, similar to the rates observed with two other long-term prophylactic (“LTP”) therapies for HAE. We also announced new real-
world evidence showing statistically significant and sustained HAE attack rate reductions after initiating ORLADEYO in patients with HAE, regardless of
their C1-inhibitor deficiency status, and new findings from an HAE patient survey confirming patient preference for an oral LTP therapy.
On November 4, 2024, we announced that since launch, approximately half of patients who have started ORLADEYO have switched from another
prophylactic therapy. We have begun the observational Phase 4 APeX-T study, designed to generate real-world data to inform physicians on the best
individual approaches to support transition to ORLADEYO.
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On November 18, 2024, we announced that the Health Services Executive in Ireland recommended ORLADEYO for the routine prevention of
recurrent attacks of HAE in eligible patients 12 years and older.
On February 12, 2025, we announced that Infarmed in Portugal has recommended ORLADEYO for the routine prevention of recurrent attacks of
HAE in eligible patients 12 years and older. With this recommendation, ORLADEYO is now reimbursed in all major countries in Western Europe, except
the Netherlands, which is expected in the first half of 2025.
On February 24, 2025, we announced that a new market tracking survey of 60 HAE treaters showed that 97 percent are considering prescribing
ORLADEYO and 59 percent (up from 26 percent 18 months prior) of current prescribers indicate they are extremely likely to prescribe for more of their
patients. In addition, we announced that additional real-world studies with ORLADEYO show statistically significant HAE attack rate reductions
experienced by patients with C1-inhibitor deficiency and normal C1-inhibitor levels and function. Patient-reported outcomes also showed willingness to
change long-term prophylaxis and improved treatment satisfaction across varying levels of attack frequency and severity after ORLADEYO initiation.
On February 24, 2025, we also announced that we are on track to submit a new drug application in 2025 to the U.S. Food and Drug Administration
to expand the ORLADEYO label to children with HAE aged 2 to 11 using an oral granule formulation. Additional regulatory filings are planned in global
territories, including Europe, Japan and Canada. ORLADEYO would be the first targeted oral prophylactic therapy for children with HAE. In addition, we
announced positive results from an interim analysis of the ongoing APeX-P clinical trial evaluating an oral granule formulation of ORLADEYO in
pediatric patients with HAE aged 2 to 11.
BCX17725 (Netherton syndrome)
On November 4, 2024, we announced that we advanced BCX17725 into clinical trials and that we expect initial data from the program in 2025, and
we reaffirmed this on February 24, 2025.
Avoralstat
On November 4, 2024, we announced our expectation to advance avoralstat into a clinical trial of patients with DME in 2025, and we reaffirmed this
on February 24, 2025.
On February 24, 2025, we announced that initial clinical data from the avoralstat program is targeted by the end of 2025.
Results of Operations
The discussion below presents a summary of our results of operations for fiscal years 2024 and 2023. See Part II, Item 7, “Management’s Discussion
and Analysis of Financial Condition and Results of Operations—Results of Operations” of our Annual Report on Form 10-K for the fiscal year ended
December 31, 2023, filed with the SEC on February 27, 2024, for a summary of our results of operations for the fiscal year ended December 31, 2022.
Year Ended December 31, 2024 Compared to 2023
For the year ended December 31, 2024, total revenues were $450.7 million compared to $331.4 million for the year ended December 31, 2023. The
increase in total revenues was due to a $111.7 million increase in ORLADEYO net revenue, including royalties, primarily due to an increase in direct sales
of ORLADEYO due to both an increase in volume, driven by strong patient demand, and an increase in price. The increase in total revenues was also due
to an increase in other revenues of $7.6 million, primarily due to an increase in direct sales of RAPIVAB.
Cost of product sales for the years ended December 31, 2024 and 2023 was $12.3 million and $4.5 million, respectively. The increase in cost of
product sales was primarily due to increases in ORLADEYO and RAPIVAB direct sales and an increase in the inventory reserve in the current year period.
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The following table summarizes our research and development expenses for the periods indicated (in thousands). Certain prior period amounts have
been reclassified for consistency with the current year presentation. These reclassifications had no effect on the total research and development expenses.
Years Ended December 31,
2024
2023
Research and development expenses by program:
Berotralstat
$
45,033  $
42,835 
Factor D Program
24,072 
94,517 
BCX17725
32,417 
19,133 
Other research, preclinical and development costs
73,116 
60,081 
Total research and development expenses
$
174,638  $
216,566 
Research and development expenses decreased to $174.6 million for the year ended December 31, 2024 from $216.6 million for the year ended
December 31, 2023, primarily due to decreased expenses driven by the discontinuation and close-out of the Factor D programs, BCX10013 and BCX9930.
Investment in BCX17725 and other research, preclinical and development costs, comprised of avoralstat and other early-phase pipeline programs,
increased primarily due to investigational new drug application-enabling activities and the initiation of the Phase 1 trial evaluating BCX17725. Further,
there was an increase in stock-based compensation expense as a result of the Retirement Policy (as defined in “Note 12—Stock-Based Compensation—
Retirement Policy” in the Notes to Consolidated Financial Statements in Part II, Item 8 of this report) adopted in July 2024, and a decrease in research and
development expenses resulting from a decrease in general and administrative expense allocations.
Research and development expenses include all direct and indirect expenses and are allocated to specific programs at the point of development of a
lead product candidate. Direct expenses are charged directly to the program to which they relate, and indirect expenses are allocated based upon internal
direct labor hours dedicated to each respective program. Direct expenses consist of compensation for research and development personnel and costs of
outside parties to conduct laboratory studies, develop manufacturing processes and manufacture the product candidates, and conduct and manage clinical
trials, as well as other costs related to our clinical and preclinical studies. Additionally, direct expenses consist of those costs necessary to discontinue and
close out a development program, including termination fees and other commitments. Indirect expenses consist of lab supplies and services, facility
expenses, depreciation of development equipment and other overhead of our research and development efforts. Research and development expenses vary
according to the number of programs in clinical development and the stage of development of our clinical programs. Later stage clinical programs tend to
cost more than earlier stage programs due to the longer length of time of the clinical trials and the higher number of patients enrolled in these clinical trials.
Selling, general and administrative expenses for the year ended December 31, 2024 were $266.1 million compared to $213.9 million for the year
ended December 31, 2023. The increased investment was primarily driven by commercial expenses to support our growing ORLADEYO revenue, our
newly launched regions and expanded international operations, and global commercial support activities across finance, human resources, information
technology, and supply chain. Further, there was an increase in stock-based compensation expense as a result of the Retirement Policy adopted in July
2024, and an increase in general and administrative expenses resulting from an increase in general and administrative expense allocations.
Interest expense for the year ended December 31, 2024 was $98.5 million compared to $108.2 million for the year ended December 31, 2023. The
decrease in interest expense was primarily due to a decrease in the effective interest rate related to the 2021 RPI Royalty Purchase Agreement (as defined in
“Note 8—Royalty Financing Obligations—ORLADEYO and Factor D Inhibitors” in the Notes to Consolidated Financial Statements in Part II, Item 8 of
this report) and a decrease in interest expense associated with the borrowings under the Athyrium Credit Agreement (as defined below), which was repaid
on April 17, 2023, partially offset by an increase in interest expense associated with the interest accrued on the Tranche A Loan of $300.0 million under the
Pharmakon Loan Agreement (as defined below), which was funded on April 17, 2023.
Interest expense for the year ended December 31, 2024 was primarily comprised of $56.0 million of non-cash interest expense due to the
amortization of interest associated with the royalty financing obligations and $41.5 million of interest expense, including the amortization of the deferred
financing costs, associated with the borrowings under the
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Pharmakon Loan Agreement. Interest expense for the year ended December 31, 2023 was primarily comprised of $70.4 million of non-cash interest
expense due to the amortization of interest associated with the royalty financing obligations, $28.0 million of interest expense, including the amortization
of the deferred financing costs, associated with the borrowings under the Pharmakon Loan Agreement, and $9.5 million of interest expense, including the
amortization of the deferred financing, associated with the borrowings under the Athyrium Credit Agreement.
For the year ended December 31, 2024, interest income was $14.7 million compared to $15.8 million for the year ended December 31, 2023. Net
foreign currency losses were $0.6 million for the year ended December 31, 2024 compared to $1.0 million for the year ended December 31, 2023. For the
year ended December 31, 2023, loss on extinguishment of debt associated with the repayment of the term loans under the Athyrium Credit Agreement was
$29.0 million.
For the year ended December 31, 2024, income tax expense was $1.9 million compared to $0.3 million for the year ended December 31, 2023. The
increase in income tax expense was primarily due to a return to provision adjustment included in income tax expense for the year ended December 31,
2023, which reduced overall income tax expense for that period, and an increased presence in certain foreign countries that increased our overall foreign
income tax expense for the year ended December 31, 2024 compared to the prior year.
Liquidity and Capital Resources
Sources of Liquidity
Our operations have principally been funded through public offerings and private placements of equity securities; our credit facilities; revenues from
ORLADEYO; royalty financing transactions; and cash from collaborative and other research and development agreements, including U.S. Government
contracts. In addition to the above, we have received funding from other sources, including other collaborative and other research and development
agreements, government grants, equipment lease financing, facility leases, research grants, and interest income on our investments.
On April 17, 2023, we entered into a $450.0 million Loan Agreement (the “Pharmakon Loan Agreement”) with BioPharma Credit Investments V
(Master) LP and BPCR Limited Partnership, as lenders, and BioPharma Credit PLC, as collateral agent for the lenders. The Pharmakon Loan Agreement
provides for an initial term loan in the principal amount of $300.0 million (the “Tranche A Loan”), which was funded on April 17, 2023. We utilized the
proceeds from the Tranche A Loan to repay the approximate $241.8 million of outstanding indebtedness under the then-existing credit facility with
Athyrium Opportunities III Co-Invest 1 LP (the “Athyrium Credit Agreement”) and to pay transaction costs and fees, and we used the remaining net
proceeds of approximately $25.8 million for other general corporate purposes. The Pharmakon Loan Agreement also provided for three additional term
loan tranches in principal amounts of $50.0 million each, which we could have requested, at our option, on or prior to September 30, 2024. We chose not to
request any of the additional term loan tranches and the options have now expired. The maturity date of the Pharmakon Loan Agreement is April 17, 2028.
The Pharmakon Loan Agreement contains representations and warranties and affirmative and negative covenants customary for financings of this
type, as well as customary events of default. Certain of the customary negative covenants limit the ability of the Company and certain of its subsidiaries to,
among other things, dispose of assets; engage in mergers, acquisitions, and similar transactions; incur additional indebtedness; grant liens; make
investments; pay dividends or make distributions or certain other restricted payments in respect of equity; prepay other indebtedness; enter into restrictive
agreements; undertake fundamental changes; or amend certain material contracts, among other customary covenants, in each case subject to certain
exceptions. These covenants could cause us to be unable to pursue business opportunities that we or our stockholders may consider beneficial without the
lenders’ permission or without repaying all obligations outstanding under the Pharmakon Loan Agreement. A breach of any of these covenants could result
in an event of default under the Pharmakon Loan Agreement. As of December 31, 2024, we were in compliance with the negative covenants under the
Pharmakon Loan Agreement. See “Note 9—Debt—Pharmakon Loan Agreement” in the Notes to Consolidated Financial Statements in Part II, Item 8 of this
report for additional information about our obligations under the Pharmakon Loan Agreement.
In 2020 and 2021, we entered into the Royalty Purchase Agreements (as defined in “Note 8—Royalty Financing Obligations—ORLADEYO and
Factor D Inhibitors” in the Notes to Consolidated Financial Statements in Part II, Item 8 of this report) with RPI 2019 Intermediate Finance Trust (“RPI”)
and OCM IP Healthcare Holdings Limited, an affiliate of OMERS Capital Markets (“OMERS”). Under the Royalty Purchase Agreements, RPI and
OMERS are entitled to receive tiered, sales-based royalties on net product sales of ORLADEYO in the United States and certain key European markets
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(collectively, the “Key Territories”), and other markets where we sell ORLADEYO directly or through distributors. In addition, RPI and OMERS are
entitled to receive a tiered revenue share on amounts generally received by us on account of ORLADEYO sublicense revenue or net sales by licensees
outside of the Key Territories. Our required payments to OMERS commenced with the calendar quarter beginning October 1, 2023. See “Note 8—Royalty
Financing Obligations—ORLADEYO and Factor D Inhibitors” in the Notes to Consolidated Financial Statements in Part II, Item 8 of this report for
additional information about these financing transactions.
Our principal sources of liquidity at December 31, 2024 were approximately $104.7 million in cash and cash equivalents and approximately
$236.5 million in available-for-sale investments.
Cash Flows
The following table summarizes our cash flows for each period presented (in thousands):
Years Ended December 31,
2024
2023
Net cash (used in) provided by:
Operating activities
$
(52,020) $
(95,141)
Investing activities
52,593 
(131,498)
Financing activities
(5,761)
32,485 
Effect of exchange rates on cash, cash equivalents and restricted cash
(936)
362 
Decrease in cash, cash equivalents and restricted cash
$
(6,124) $
(193,792)
Operating Activities
During the year ended December 31, 2024, net cash used in operating activities of $52.0 million consisted primarily of a net loss of $88.9 million
and $87.3 million of changes in operating assets and liabilities, primarily due to payments under our Royalty Purchase Agreements, a decrease in accounts
payable, and increases in receivables and inventory, partially offset by $124.1 million of non-cash items. Non-cash items primarily consisted of
$67.6 million of non-cash interest expense and $65.4 million of stock-based compensation expense, partially offset by $11.5 million of amortization of
premiums and discounts on investments.
During the year ended December 31, 2023, net cash used in operating activities of $95.1 million consisted primarily of a net loss of $226.5 million
and $32.4 million of changes in operating assets and liabilities, primarily due to payments under our Royalty Purchase Agreements and increases in prepaid
expenses and other assets and receivables, partially offset by $163.8 million of non-cash items. Non-cash items primarily consisted of $85.8 million of non-
cash interest expense, $55.6 million of stock-based compensation expense, and the loss on extinguishment of debt associated with the repayment of the
term loans under the Athyrium Credit Agreement of $29.0 million, partially offset by $10.3 million of amortization of premiums and discounts on
investments.
Investing Activities
During the year ended December 31, 2024, net cash provided by investing activities of $52.6 million primarily related to maturities of investment
securities, partially offset by purchases of investment securities.
During the year ended December 31, 2023, net cash used in investing activities of $131.5 million primarily related to purchases of investment
securities, partially offset by maturities of investment securities.
Financing Activities
During the year ended December 31, 2024, net cash used in financing activities of $5.8 million primarily consisted of withholding taxes paid on
stock-based awards and principal payments on finance lease liabilities, partially offset by net proceeds from common stock issued under stock-based
compensation plans.
During the year ended December 31, 2023, net cash provided by financing activities of $32.5 million primarily consisted of net proceeds from the
Pharmakon Loan Agreement and net proceeds from common stock issued under stock-
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based compensation plans, partially offset by the repayment of the secured term loans under the Athyrium Credit Agreement, withholding taxes paid on
stock-based awards, and principal payments on finance lease liabilities.
Plan of Operation and Future Funding Requirements
We intend to contain costs and cash flow requirements by closely managing our third-party costs and headcount, leasing scientific equipment and
facilities, and contracting with other parties to conduct certain research and development projects. In addition, we reduced the size of our research and
development organization and postponed previously planned capital expenditures at our Discovery Center in Alabama in January 2024, which we believe
helped accelerate our path to profitability.
We may incur additional expenses, potentially resulting in significant losses, as we continue to pursue our research and development activities,
commercialize ORLADEYO, and hire additional personnel. We may incur additional expenses related to the filing, prosecution, maintenance, defense, and
enforcement of patent and other intellectual property claims and additional regulatory costs as our clinical programs advance through later stages of
development or as regulatory exclusivity for our products expires. The objective of our investment policy is to ensure the safety and preservation of
invested funds, as well as to maintain liquidity sufficient to meet cash flow requirements. We place our excess cash with high credit quality financial
institutions, commercial companies, and government agencies in order to limit the amount of our credit exposure. We have not realized any significant
losses on our investments.
In the future, we may finance our needs principally from the following:
•
our existing capital resources and interest earned on that capital;
•
revenues from product sales;
•
payments under current or future collaborative and licensing agreements with corporate partners;
•
lease, royalty, or loan financing; and
•
public or private equity and/or debt financing.
Our current and planned clinical trials, plus the related development, manufacturing, regulatory approval process requirements, and additional
personnel resources and testing required for the continuing development of our product candidates and the commercialization of our products will consume
significant capital resources and could increase our expenses.
Our expenses, revenues and cash utilization rate could vary significantly depending on many factors, including the development progress of our
collaborative agreements for our product candidates, the amount of funding or assistance, if any, we receive from new partnerships with third parties for the
development and/or commercialization of our products and product candidates, the amount and timing of funding we receive, if any, from U.S.
Government contracts, the progress and results of our current and proposed clinical trials for our most advanced product candidates, the progress made in
the manufacturing of our lead product candidates, the success of our commercialization efforts for, and market acceptance of, our products, and the overall
progression of our other programs.
Based on our expectations for revenue and operating expenses, we believe our financial resources will be sufficient to fund our operations for at least
the next 12 months. We have no immediate intentions to access the capital markets, and we did not draw down the additional debt available to us under the
Pharmakon Loan Agreement. However, we have sustained operating losses for the majority of our corporate history and expect to continue to incur
operating losses and negative cash flows until revenues reach a level sufficient to support ongoing operations. Our liquidity needs will be largely
determined by the success of operations in regard to the successful commercialization of our products and the future progression of our product candidates.
We regularly evaluate other opportunities to fund future operations, including: (1) out-licensing rights to certain of our products or product candidates,
pursuant to which we would receive cash milestone payments; (2) royalty or other monetization transactions; (3) obtaining additional product candidate
regulatory approvals, which would generate revenue, milestone payments and cash flow; (4) reducing spending on one or more research and development
programs, including by discontinuing development; (5) restructuring operations to change our overhead structure; and/or (6) securing U.S. Government
funding of our programs, including obtaining procurement contracts. We may, in the future, issue securities, including common stock, preferred stock,
depositary shares, purchase contracts, warrants, debt securities, and units, through private placement transactions or registered public offerings. Our future
liquidity needs, and our ability to address those needs, will largely be determined by the success of our products and product candidates; the timing, scope,
and magnitude of our research and development and commercial expenses; and key developments and regulatory events and our decisions in the future.
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Our long-term capital requirements and the adequacy of our available funds will depend upon many factors, including:
•
sustained market acceptance of approved products and successful commercialization of such products by either us or our partners;
•
our ability to perform under any government contracts and to receive reimbursement and stockpiling procurement contracts;
•
the progress and magnitude of our research, drug discovery and development programs;
•
changes in existing collaborative relationships;
•
our ability to establish additional collaborative relationships with academic institutions, biotechnology or pharmaceutical companies and
governmental agencies or other third parties;
•
the extent to which our partners will share in the costs associated with the development of our programs or run the development programs
themselves;
•
our ability to negotiate favorable development and marketing strategic alliances for certain products and product candidates;
•
any decision to build or expand internal development and commercial capabilities;
•
the scope and results of preclinical studies and clinical trials to identify and develop product candidates;
•
our ability to engage sites and enroll subjects in our clinical trials;
•
the scope of manufacturing of our products to support our commercial operations and of our product candidates to support our preclinical
research and clinical trials;
•
increases in personnel and related costs to support the development and commercialization of our products and product candidates;
•
the scope of manufacturing of our drug substance and product candidates required for future new drug application (“NDA”) filings;
•
competitive and technological advances;
•
the time and costs involved in obtaining regulatory approvals;
•
post-approval commitments for ORLADEYO, peramivir, and other products that receive regulatory approval; and
•
the costs involved in all aspects of intellectual property strategy and protection, including the costs involved in preparing, filing, prosecuting,
maintaining, defending, and enforcing patent claims.
We may, in the future, be required to raise additional capital to complete the development and commercialization of our products and product
candidates, and we may seek to raise capital in the future, including to take advantage of favorable opportunities in the capital markets. Additional funding
may not be available when needed or in the form or on terms acceptable to us. Our future working capital requirements, including the need for additional
working capital, will largely be determined by the advancement of our portfolio of product candidates and the commercialization of ORLADEYO. More
specifically, our working capital requirements will be dependent on the number, magnitude, scope and timing of our development programs; regulatory
approval of our product candidates; obtaining funding from collaborative partners; the cost, timing and outcome of regulatory reviews, regulatory
investigations, and changes in regulatory requirements; the costs of obtaining patent protection for our product candidates; the timing and terms of business
development activities; the rate of technological advances relevant to our operations; the efficiency of manufacturing processes developed on our behalf by
third parties; the timing, scope and magnitude of commercial spending; and the level of required administrative support for our daily operations. See “Risk
Factors—Risks Relating to Our Business—Financial and Liquidity Risks” and “Risk Factors—Risks Relating to Our Business—Risks Relating to Drug
Development and Commercialization—If we fail to obtain additional financing or acceptable partnership arrangements if and when needed, we may be
unable to complete the development and commercialization of our products and product candidates or continue operations” in Part I, Item 1A of this report
for further discussion of the risks related to obtaining additional capital.
Critical Accounting Estimates
We have established various accounting policies that govern the application of U.S. GAAP, which were utilized in the preparation of our
consolidated financial statements. Certain accounting policies involve significant judgments and assumptions by management that have or are reasonably
likely to have a material impact on the carrying value of certain assets and liabilities. Management considers such accounting policies to be critical
accounting policies. The judgments and assumptions used by management are based on historical experience and other factors, which are believed to be
reasonable under the circumstances. Because of the nature of the judgments and assumptions made by management, actual results could differ from these
judgments and estimates, which could have a material impact on the carrying values of assets and liabilities and the results of operations.
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While our significant accounting policies are more fully described in “Note 1—Significant Accounting Policies and Concentrations of Risk” in the
Notes to Consolidated Financial Statements in Part II, Item 8 of this report, we believe that the following accounting policies are the most critical to aid you
in fully understanding and evaluating our reported financial results and affect the more significant judgments and estimates that we use in the preparation of
our financial statements.
Revenue Recognition
Pursuant to Accounting Standards Codification (“ASC”) Topic 606, we recognize revenue to depict the transfer of promised 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. To achieve this
core principle, Topic 606 includes provisions within a five step model that includes (i) identifying the contract with a customer, (ii) identifying the
performance obligations in the contract, (iii) determining the transaction price, (iv) allocating the transaction price to the performance obligations, and (v)
recognizing revenue when, or as, an entity satisfies a performance obligation.
At contract inception, we identify the goods or services promised within each contract, assess whether each promised good or service is distinct and
determine those that are performance obligations. We recognize as revenue the amount of the transaction price that is allocated to the respective
performance obligation when the performance obligation is satisfied.
Product Sales, Net
Our principal sources of product sales are sales of ORLADEYO, which we began shipping to patients in December 2020 and sales of peramivir to
our licensing partners and the HHS. In the United States, we generally ship ORLADEYO directly to patients through a single specialty pharmacy, which is
considered our customer. Outside the United States, we sell ORLADEYO to specialty distributors and to hospitals and pharmacies, which collectively are
considered our customers.
We recognize revenue for sales when the customer obtains control of the product, which generally occurs upon delivery.
Net revenue from sales of ORLADEYO is recorded at net selling price (transaction price), which includes reserves for variable consideration such as
(i) estimated government rebates, such as Medicaid and Medicare Part D reimbursements, and estimated managed care rebates, (ii) estimated chargebacks,
(iii) estimated costs of co-payment assistance programs and (iv) product returns. These reserves, representing our best estimates of the amount of
consideration to which we are entitled based on the terms of the applicable contracts and statutory requirements, are based on the amounts earned or to be
claimed on the related sales and are classified as reductions of accounts receivable if no payments are required of us or a current liability if a payment is
required of us. Actual amounts of consideration may differ from our estimates. If actual results vary from estimates, these estimates are adjusted, which
would affect net product revenue and earnings in the period such variances become known.
Government and Managed Care Rebates. We contract with government agencies and managed care organizations or, collectively, third-party payors,
so that ORLADEYO will be eligible for purchase by, or partial or full reimbursement from, such third-party payors. We estimate the rebates we will
provide to third-party payors and deduct these estimated amounts from total gross product revenues at the time the revenues are recognized, resulting in a
reduction of product revenue and the establishment of a current liability. We estimate the rebates that we will provide to third-party payors based upon (i)
our contracts with these third-party payors, (ii) the government mandated discounts applicable to government-funded programs, and (iii) product
distribution information obtained from our specialty pharmacy regarding payor mix.
Chargebacks. Chargebacks are discounts that occur when certain contracted customers, pharmacy benefit managers, insurance companies, and
government programs purchase directly from our specialty pharmacy. These customers purchase our product under contracts negotiated between them and
our specialty pharmacy. The specialty pharmacy, in turn, charges back to us the difference between the price that the specialty pharmacy paid and the
negotiated price paid by the contracted customers, which may be higher or lower than the specialty pharmacy’s purchase price with us. We estimate
chargebacks and adjust gross product revenues and establish a current liability at the time revenues are recognized.
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Co-payment assistance and patient assistance programs. Patients who have commercial insurance and meet certain eligibility requirements may
receive co-payment assistance. Based upon the terms of the program and co-payment assistance utilization reports received from the specialty pharmacy,
we estimate the co-payment assistance amounts, which are recorded in the same period in which the related revenue is recognized, resulting in a reduction
of product revenue and establishment of a current liability. We also offer a patient assistance program that provides free drug product, for a limited period
of time, to allow a patient’s insurance coverage to be established. Based on patient assistance program utilization reports provided by the specialty
pharmacy, we record gross revenue of the product provided and a full reduction of the revenue amount for the free drug discount.
Product returns. We do not provide contractual return rights to our customers, except in instances where the product is damaged or defective. Non-
acceptance by the patient of shipped drug product by the specialty pharmacy is reflected as a reversal of sales in the period in which the sales were
originally recorded. Reserves for estimated non-acceptances by patients are recorded as a reduction of revenue in the period that the related revenue is
recognized, as well as a reduction to accounts receivable. Estimates of non-acceptance are based on quantitative information provided by the specialty
pharmacy.
Collaborative and Other Revenues
We have collaboration and license agreements with a number of third parties. Our primary sources of revenue from these collaborative and other
research and development arrangements are license, service and royalty revenues.
Revenue from license fees, royalty payments, milestone payments, and research and development fees are recognized as revenue when the earnings
process is complete and we have no further continuing performance obligations or we have completed the performance obligations under the terms of the
agreement.
Arrangements that involve the delivery of more than one performance obligation are initially evaluated as to whether the intellectual property
licenses granted by us represent distinct performance obligations. If they are determined to be distinct, the value of the intellectual property licenses would
be recognized up front while the research and development service fees would be recognized as the performance obligations are satisfied. For performance
obligations based on services performed, we measure progress using an input method based on the effort we expend or costs we incur toward the
satisfaction of the performance obligation in relation to the total estimated effort or costs. Variable consideration is assessed at each reporting period as to
whether it is not subject to significant future reversal and, therefore, should be included in the transaction price at the inception of the contract. If a contract
includes a fixed or minimum amount of research and development support, this also would be included in the transaction price. Changes to collaborations,
such as the extensions of the research term or increasing the number of targets or technology covered under an existing agreement, are assessed for whether
they represent a modification or should be accounted for as a new contract. For contracts with multiple performance obligations, revenue is allocated to
each performance obligation based on its relative standalone selling price. Standalone selling prices are based on observable prices at which we separately
sell the products or services. If a standalone selling price is not directly observable, then we estimate the standalone selling price using either an adjusted
market assessment approach or an expected cost plus margin approach, representing the amount that we believe the market is willing to pay for the product
or service. Analyzing the arrangement to identify performance obligations requires the use of judgment, and each may be an obligation to deliver services,
a right or license to use an asset, or another performance obligation.
Under certain of our license agreements, we receive royalty payments based upon our licensees’ net sales of covered products. Royalties are
recognized at the later of when (i) the subsequent sale or usage occurs, or (ii) the performance obligation to which some or all of the sales-based or usage-
based royalty has been satisfied.
Inventory
Our inventory primarily relates to ORLADEYO. Additionally, our inventory includes peramivir.
We value our inventory at the lower of cost or estimated net realizable value. We determine the cost of our inventory on a first-in, first-out (FIFO)
basis. Raw materials and work-in-process include all inventory costs prior to packaging and labeling, including raw material, active product ingredient, and
the drug product. Finished goods include packaged and labeled products. We classify inventory as long-term when consumption or sale of the inventory is
not expected to occur within 12 months from the balance sheet date.
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Our inventory is subject to expiration dating. At each reporting date, we evaluate the carrying value of our inventory and provide valuation reserves
for any estimated excess, obsolete, short-dated or unmarketable inventory. In addition, we may experience spoilage of our raw materials and supplies. Our
determination that a valuation reserve might be required, in addition to the quantification of such reserve, requires us to utilize significant judgment.
Additionally, our inventory is subject to strict quality control and monitoring that is performed throughout the manufacturing process, including release of
work-in-process to finished goods. In the event that certain batches or units of product do not meet quality specifications, we will record a write-down of
any potential unmarketable inventory to its estimated net realizable value and record the expense as cost of product in the Consolidated Statements of
Comprehensive Loss.
Prior to obtaining initial regulatory approval for an investigational product candidate, we expense costs relating to production of pre-launch
inventory as research and development expense in our Consolidated Statements of Comprehensive Loss in the period incurred. After regulatory approval
has been received, we capitalize inventory costs.
Research and Development Expenses and Related Accruals
Research and development expenses include, among other items, personnel costs, including salaries and benefits, manufacturing costs, clinical,
regulatory, and toxicology services performed by clinical research organizations (“CROs”), materials and supplies, and overhead allocations consisting of
various administrative and facilities related costs, as well as termination fees and other commitments associated with discontinued programs. Most of our
manufacturing and clinical and preclinical studies are performed by third-party CROs. Our research and development costs are charged to expense when
incurred. Research and development expenses include all direct and indirect development costs related to the development of our portfolio of product
candidates.
Additionally, we have license agreements with third parties, such as Albert Einstein College of Medicine of Yeshiva University, Industrial Research,
Ltd., and the University of Alabama at Birmingham (“UAB”), which require fees related to sublicense agreements. We accrue sublicense expenses as
incurred.
We group our research and development expenses into two major categories: direct expenses and indirect expenses. Direct expenses consist of
compensation for research and development personnel and costs of outside parties to conduct laboratory studies, develop manufacturing processes and
manufacture the product candidate, conduct and manage clinical trials, as well as other costs related to our clinical and preclinical studies. Additionally,
direct expenses consist of those costs necessary to discontinue and close out a development program, including termination fees and other commitments.
These costs are accumulated and tracked by active program. Indirect expenses consist of lab supplies and services, facility expenses, depreciation of
development equipment and other overhead of our research and development efforts. These costs apply to our discovery research efforts.
As part of the process of preparing our consolidated financial statements, we are required to estimate our accrued research and development
expenses. This process involves reviewing open contracts and purchase orders, communicating with our personnel and third-party vendors to identify
services that have been performed on our behalf 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. The majority of our service providers invoice us monthly in arrears for services performed.
We periodically confirm the accuracy of our estimates with the service providers and make adjustments if necessary. When evaluating the adequacy of
accrued expenses, we consider facts and circumstances known to us at the time, which can include assumptions such as expected patient enrollment, site
activation and estimated project duration. Examples of estimated accrued research and development expenses include (i) fees paid to CROs in connection
with preclinical and toxicology studies and clinical trials, (ii) fees paid to investigative sites in connection with clinical trials, (iii) fees paid to contract
manufacturers in connection with the production of our raw materials, drug substance, drug products, and product candidates, and (iv) professional fees.
The financial terms of our agreements are subject to negotiation, 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 milestones. We record liabilities under
these contractual commitments when we determine an obligation has been incurred, regardless of the timing of the invoice. In expensing service fees, we
estimate the time period over which services will be performed and the level of effort expended in each period. If the actual timing of the performance of
services or the level of effort varies from our estimate, we will adjust the accrual accordingly. If we do not identify costs that we have begun to incur or if
we underestimate or overestimate the level of these costs, our actual expenses could differ from our estimates.
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Stock-Based Compensation
All share-based payments, including grants of stock option awards and restricted stock unit awards, are recognized in our Consolidated Statements
of Comprehensive Loss based on their fair values. Stock-based compensation cost is estimated at the grant date based on the fair value of the award and is
recognized as expense on a straight-line basis over the requisite service period of the award. Determining the appropriate fair value model and the related
assumptions for the model requires judgment, including estimating the stock price volatility and the expected term. We utilize the Black-Scholes option-
pricing model to value our stock option awards and recognize compensation expense on a straight-line basis over the requisite service period. We reduce
stock-based compensation expense for estimated forfeitures. The estimation of share-based payment awards that will ultimately vest requires judgment, and
to the extent actual results or updated estimates differ from our current estimates, such amounts will be recorded as a cumulative adjustment in the period
estimates are revised. In addition, we have outstanding performance-based restricted stock unit awards for which no compensation expense is recognized
until it is probable that the performance condition will be achieved. Actual results, and future changes in estimates, may differ substantially from our
current estimates.
Interest Expense and Royalty Financing Obligations
The royalty financing obligations are eligible to be repaid based on royalties from net sales of ORLADEYO. Interest expense is accrued using the
effective interest rate method over the estimated period each of the related liabilities will be paid. This requires us to estimate the total amount of future
royalty payments to be generated from product sales over the life of the agreement. We impute interest on the carrying value of each of the royalty
financing obligations and record interest expense using an imputed effective interest rate. We reassess the expected royalty payments each reporting period
and account for any changes through an adjustment to the effective interest rate on a prospective basis. The assumptions used in determining the expected
repayment term of the debt and amortization period of the issuance costs requires that we make estimates that could impact the carrying value of each of
the liabilities, as well as the periods over which associated issuance costs will be amortized. A significant increase or decrease in forecasted net sales could
materially impact each of the liability balances, interest expense and the time periods for repayment.
Income Taxes
The liability method is used in our accounting for income taxes. Under this method, deferred tax assets and liabilities are determined based on
differences between financial reporting and tax bases of assets and liabilities and are measured using the enacted tax rates and laws that are expected to be
in effect when the differences are expected to reverse.
Significant management judgment is required in determining our provision for income taxes, deferred tax assets and liabilities and any valuation
allowance recorded against net deferred tax assets. We have recorded a valuation allowance against substantially all potential tax assets, due to uncertainties
in our ability to utilize deferred tax assets, primarily consisting of certain net operating losses carried forward, before they expire. The valuation allowance
is based on estimates of future earnings in each of the jurisdictions in which we operate and the period over which our deferred tax assets will be
recoverable.
We account for uncertain tax positions in accordance with U.S. GAAP. Uncertain tax positions are recorded based upon certain recognition and
measurement criteria. We re-evaluate uncertain tax positions and consider various factors, including, but not limited to, changes in tax law and the
measurement of tax positions taken or expected to be taken in tax returns. We adjust the amount of the liability to reflect any subsequent changes in the
relevant facts and circumstances surrounding the uncertain tax positions. We recognize interest and penalties related to income tax matters in income tax
expense.
Recent Accounting Pronouncements
“Note 1—Significant Accounting Policies and Concentrations of Risk” in the Notes to the Consolidated Financial Statements included in Part II,
Item 8 of this report discusses accounting pronouncements recently issued or proposed but not yet required to be adopted.
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ITEM 7A.    QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK.
Interest Rate Risk
We are subject to interest rate risk on our investment portfolio and borrowings under our Pharmakon Loan Agreement. The Tranche A Loan under
the Pharmakon Loan Agreement accrues interest each quarter at a rate equal to the three-month Secured Overnight Financing Rate (“SOFR”), which is
capped to be no less than 1.75%, plus 7.00% or, for each quarterly interest period in which a Pharmakon PIK Interest Payment (as defined in “Note 9—
Debt—Pharmakon Loan Agreement” in the Notes to the Consolidated Financial Statements included in Part II, Item 8 of this report) was made, SOFR plus
7.25%. Accordingly, increases in interest rates will increase the associated interest payments that we are required to make on the Tranche A Loan. For the
year ended December 31, 2024, interest was accrued at an effective rate of 13.14% on the $300.0 million borrowing under the Pharmakon Loan
Agreement.
We invest in marketable securities in accordance with our investment policy. The primary objectives of our investment policy are to preserve capital,
maintain proper liquidity to meet operating needs and earn a competitive level of return. Our investment policy specifies credit quality standards for our
investments and limits the amount of credit exposure to any single issue, issuer or type of investment. We place our excess cash with high credit quality
financial institutions, commercial companies, and government agencies in order to limit the amount of credit exposure. Some of the securities we invest in
may have market risk. This means that a change in prevailing interest rates may cause the principal amount of the investment to fluctuate.
Our investment exposure to market risk for changes in interest rates relates to the increase or decrease in the amount of interest income we can earn
on our portfolio, changes in the market value due to changes in interest rates and other market factors, as well as the increase or decrease in any realized
gains and losses. Our investment portfolio includes only marketable securities and instruments with active secondary or resale markets to help ensure
portfolio liquidity. A hypothetical 100 basis point increase or decrease in interest rates along the entire interest rate yield curve would not significantly
affect the fair value of our interest sensitive financial instruments, including our borrowings, but may affect our future earnings and cash flows. We
generally have the ability to hold our fixed-income investments to maturity and, therefore, do not expect that our operating results, financial position or
cash flows will be materially impacted due to a sudden change in interest rates. However, our future investment income may fall short of expectations due
to changes in interest rates, or we may suffer losses in principal if forced to sell securities which have declined in market value due to changes in interest
rates or other factors, such as changes in credit risk related to the securities’ issuers. To minimize this risk, we schedule our investments to have maturities
that coincide with our expected cash flow needs, thus avoiding the need to redeem an investment prior to its maturity date. Accordingly, we do not believe
that we have material exposure to interest rate risk arising from our investments. Generally, our investments are not collateralized. We have not realized any
significant losses from our investments.
We do not use interest rate derivative instruments to manage exposure to interest rate changes. We ensure the safety and preservation of invested
principal funds by limiting default risk, market risk and reinvestment risk. We reduce default risk by investing exclusively in investment grade securities.
Foreign Currency Risk
Most of our revenues and expenses are denominated in U.S. dollars. Our commercial sales in Europe are primarily denominated in Euros and the
British Pound, and our royalties from Torii are in Japanese Yen. We also had other transactions denominated in foreign currencies during the year ended
December 31, 2024, primarily related to operations in Europe, contract manufacturing and ex-U.S. clinical trial activities, and we expect to continue to do
so. Our limited foreign currency exposure relative to our European operations is to fluctuations in the Euro, British Pound, Swiss Franc, Danish Krone,
Swedish Krona, and Norwegian Krone. Additionally, we have operations in Canada and have foreign currency exposure relative to the Canadian Dollar.
We do not anticipate that foreign currency transaction gains or losses will be significant at our current level of operations. However, transaction
gains or losses may become significant in the future as we continue to expand our operations internationally. We have not engaged in foreign currency
hedging during 2024; however, we may do so in the future.
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Inflation Risk
Inflation generally impacts us by potentially increasing our operating expenses, including cost of product sales, clinical trial costs and selling
activities. We do not believe that inflation has had a material impact on our business or results of operations during the periods for which the consolidated
financial statements are presented in this report. Significant adverse changes in inflation could negatively impact our future results of operations.
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ITEM 8.    FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA
BIOCRYST PHARMACEUTICALS, INC.
CONSOLIDATED BALANCE SHEETS
(In thousands, except par value amounts)
December 31,
2024
2023
Assets
Current assets:
Cash and cash equivalents
$
104,713  $
110,643 
Restricted cash
210 
1,804 
Short-term investments
216,137 
278,344 
Trade receivables
79,069 
56,950 
Inventory, net
8,087 
28,683 
Prepaid expenses and other current assets
13,752 
19,542 
Total current assets
421,968 
495,966 
Long-term inventory, net
23,187 
— 
Property and equipment, net
7,777 
7,910 
Long-term investments
20,323 
— 
Right of use assets
12,008 
13,004 
Other assets
5,157 
80 
Total assets
$
490,420  $
516,960 
Liabilities and Stockholders’ Deficit
Current liabilities:
Accounts payable
$
11,644  $
20,893 
Accrued expenses
113,292 
102,882 
Operating lease liabilities
937 
1,058 
Finance lease liabilities
1,835 
1,590 
Royalty financing obligations
32,676 
23,565 
Total current liabilities
160,384 
149,988 
Operating lease liabilities
7,924 
8,390 
Finance lease liabilities
2,124 
2,845 
Royalty financing obligations
481,053 
508,034 
Secured term loan
314,869 
303,231 
Total liabilities
966,354 
972,488 
Stockholders’ deficit:
Preferred stock, $0.01 par value; shares authorized - 5,000; no shares issued and outstanding at December 31,
2024 and 2023
— 
— 
Common stock, $0.01 par value; shares authorized - 450,000; shares issued and outstanding – 208,543 and
205,771 at December 31, 2024 and 2023, respectively
2,085 
2,058 
Additional paid-in capital
1,291,100 
1,222,236 
Accumulated other comprehensive income
921 
1,337 
Accumulated deficit
(1,770,040)
(1,681,159)
Total stockholders’ deficit
(475,934)
(455,528)
Total liabilities and stockholders’ deficit
$
490,420  $
516,960 
See accompanying notes to consolidated financial statements.
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BIOCRYST PHARMACEUTICALS, INC.
CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS
(In thousands, except per share amounts)
Years Ended December 31,
2024
2023
2022
Revenues
$
450,712  $
331,412  $
270,827 
Expenses:
Cost of product sales
12,269 
4,481 
6,408 
Research and development
174,638 
216,566 
253,297 
Selling, general and administrative
266,132 
213,894 
159,371 
Royalty
216 
180 
186 
Total operating expenses
453,255 
435,121 
419,262 
Loss from operations
(2,543)
(103,709)
(148,435)
Other (expense) income:
Interest income
14,746 
15,777 
5,127 
Interest expense
(98,516)
(108,239)
(99,092)
Loss on extinguishment of debt
— 
(29,019)
— 
Foreign currency losses, net
(641)
(1,039)
(1,983)
Total other expense
(84,411)
(122,520)
(95,948)
Loss before income taxes
(86,954)
(226,229)
(244,383)
Income tax expense
1,927 
310 
2,733 
Net loss
$
(88,881) $
(226,539) $
(247,116)
Other comprehensive (loss) income:
Foreign currency translation adjustment
(776)
180 
890 
Unrealized gain (loss) on available for sale investments
360 
1,131 
(1,041)
Total other comprehensive (loss) income
(416)
1,311 
(151)
Net comprehensive loss
$
(89,297) $
(225,228) $
(247,267)
Basic and diluted net loss per common share
$
(0.43) $
(1.18) $
(1.33)
Weighted average shares outstanding
206,696 
192,198 
185,908 
See accompanying notes to consolidated financial statements.
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BIOCRYST PHARMACEUTICALS, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands)
Years Ended December 31,
2024
2023
2022
Cash flows from operating activities:
Net loss
$
(88,881)
$
(226,539)
$
(247,116)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation and amortization
1,246 
1,655 
1,437 
Inventory obsolescence
1,350 
422 
932 
Stock-based compensation expense
65,413 
55,615 
44,701 
Non-cash interest expense on royalty financing obligations and secured term loan and amortization of debt issuance costs
67,607 
85,803 
98,918 
Amortization of premium (discount) on investments, net
(11,473)
(10,263)
(1,777)
Loss on extinguishment of debt
— 
29,019 
— 
Loss on impairment
— 
1,548 
— 
Changes in operating assets and liabilities:
Receivables
(22,698)
(6,095)
(21,470)
Inventory
(4,164)
(1,450)
(12,423)
Prepaid expenses and other assets
1,959 
(6,820)
(2,583)
Accounts payable and accrued expenses
(62,379)
(16,806)
(22,360)
Deferred revenue
— 
(1,230)
(109)
Net cash used in operating activities
(52,020)
(95,141)
(161,850)
Cash flows from investing activities:
Acquisitions of property and equipment
(1,124)
(2,168)
(1,351)
Purchases of investments
(266,763)
(514,407)
(244,283)
Maturities of investments
320,480 
385,077 
117,396 
Net cash provided by (used in) investing activities
52,593 
(131,498)
(128,238)
Cash flows from financing activities:
Net proceeds from common stock issued under stock-based compensation plans
3,444 
8,340 
14,765 
Common stock issued to directors in lieu of cash retainer
34 
342 
190 
Withholding taxes paid on stock-based awards
(7,535)
(2,172)
— 
Net proceeds from secured term loans
— 
300,000 
73,072 
Repayment of Athyrium secured term loans principal
— 
(240,452)
— 
Prepayment and repayment fees on Athyrium secured term loans
— 
(21,261)
— 
Payment of debt issuance costs on Pharmakon Tranche A term loan
— 
(11,147)
— 
Principal payments on finance lease liabilities
(1,704)
(1,165)
— 
Net cash (used in) provided by financing activities
(5,761)
32,485 
88,027 
Effect of exchange rates on cash, cash equivalents and restricted cash
(936)
362 
566 
Decrease in cash, cash equivalents and restricted cash
(6,124)
(193,792)
(201,495)
Cash, cash equivalents and restricted cash:
Beginning of year
112,447 
306,239 
507,734 
End of year
$
106,323 
$
112,447 
$
306,239 
Reconciliation of cash, cash equivalents and restricted cash:
Cash and cash equivalents
$
104,713 
$
110,643 
$
304,767 
Restricted cash
210 
1,804 
1,472 
Restricted cash in other assets
1,400 
— 
— 
Total cash, cash equivalents and restricted cash
$
106,323 
$
112,447 
$
306,239 
Supplemental cash flow disclosure:
Cash paid for interest
$
30,383 
$
22,139 
$
— 
Cash paid for taxes
$
1,603 
$
1,434 
$
3,542 
Taxes withheld on stock-based awards included in accrued expenses
$
758 
$
4,199 
$
1,990 
See accompanying notes to consolidated financial statements.
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BIOCRYST PHARMACEUTICALS, INC.
CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ DEFICIT
(In thousands)
Common Stock
Additional
Paid-In

Capital
Accumulated
Other

Comprehensive

Income
Accumulated
Deficit
Total
Stockholders’

Deficit
Shares
Amount
Balance at December 31, 2021
184,350 
$
1,843 
$
1,098,498 
$
177 
$
(1,207,504)
$
(106,986)
Net loss
— 
— 
— 
— 
(247,116)
(247,116)
Other comprehensive loss
— 
— 
— 
(151)
— 
(151)
Exercise of stock options, net
2,573 
26 
11,874 
— 
— 
11,900 
Vesting of restricted stock units
439 
4 
(4)
— 
— 
— 
Employee stock purchase plan sales
260 
3 
2,859 
— 
— 
2,862 
Exercise of warrants
253 
3 
— 
— 
— 
3 
Issuance of shares to directors in lieu of cash retainer
31 
— 
190 
— 
— 
190 
Stock-based compensation expense
— 
— 
44,701 
— 
— 
44,701 
Balance at December 31, 2022
187,906 
$
1,879 
$
1,158,118 
$
26 
$
(1,454,620)
$
(294,597)
Net loss
— 
— 
— 
— 
(226,539)
(226,539)
Other comprehensive income
— 
— 
— 
1,311 
— 
1,311 
Exercise of stock options, net
1,276 
13 
6,101 
— 
— 
6,114 
Vesting of restricted stock units
1,276 
13 
(13)
— 
— 
— 
Shares withheld for taxes for vesting of restricted stock units
(59)
(1)
(369)
— 
— 
(370)
Employee stock purchase plan sales
338 
4 
2,592 
— 
— 
2,596 
Exercise of warrants
14,997 
150 
(150)
— 
— 
— 
Issuance of shares to directors in lieu of cash retainer
37 
— 
342 
— 
— 
342 
Stock-based compensation expense
— 
— 
55,615 
— 
— 
55,615 
Balance at December 31, 2023
205,771 
$
2,058 
$
1,222,236 
$
1,337 
$
(1,681,159)
$
(455,528)
Net loss
— 
— 
— 
— 
(88,881)
(88,881)
Other comprehensive income
— 
— 
— 
(416)
— 
(416)
Exercise of stock options
548 
5 
2,275 
— 
— 
2,280 
Vesting of restricted stock units
1,902 
19 
(19)
— 
— 
— 
Shares withheld for taxes for vesting of restricted stock units
(94)
(1)
(688)
— 
— 
(689)
Employee stock purchase plan sales
412 
4 
1,849 
— 
— 
1,853 
Issuance of shares to directors in lieu of cash retainer
4 
— 
34 
— 
— 
34 
Stock-based compensation expense
— 
— 
65,413 
— 
— 
65,413 
Balance at December 31, 2024
208,543 
$
2,085 
$
1,291,100 
$
921 
$
(1,770,040)
$
(475,934)
See accompanying notes to consolidated financial statements.
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BIOCRYST PHARMACEUTICALS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(In thousands)
Note 1— Significant Accounting Policies and Concentrations of Risk
The Company
BioCryst Pharmaceuticals, Inc. (the “Company”) is a global biotechnology company with a deep commitment to improving the lives of people living
with hereditary angioedema (“HAE”) and other rare diseases. The Company leverages its expertise in structure-guided drug design with the goal of
developing first-in-class or best-in-class oral small-molecule and injectable protein therapeutics to target difficult-to-treat rare diseases. The Company was
founded in 1986 and incorporated in Delaware in 1991, and its headquarters is located in Durham, North Carolina. The Company integrates the disciplines
of biology, crystallography, medicinal chemistry and computer modeling to discover and develop small molecule and protein therapeutics through the
process known as structure-guided drug design.
The Company’s marketed products include oral, once-daily ORLADEYO® for the prevention of HAE attacks and RAPIVAB® (peramivir injection)
for the treatment of acute uncomplicated influenza in the United States. ORLADEYO has received regulatory approval in the United States and other
global markets. The Company is commercializing ORLADEYO in each of these territories directly or through distributors, except in Japan where Torii
Pharmaceutical Co., Ltd. (“Torii”), the Company’s collaborative partner, conducts certain commercialization activities with respect to ORLADEYO for the
prevention of HAE attacks in exchange for certain royalty payments to the Company. In addition to its approval in the United States, peramivir injection
has received regulatory approvals in Canada, Australia, Japan, Taiwan and Korea.
Based on the Company’s expectations for revenue and operating expenses, the Company believes its financial resources available at December 31,
2024 will be sufficient to fund its operations for at least the next 12 months. The Company has sustained operating losses for the majority of its corporate
history and expects to continue to incur operating losses and negative cash flows until revenues reach a level sufficient to support ongoing operations. The
Company’s liquidity needs will be largely determined by the success of operations in regard to the successful commercialization of its products and the
progression of its product candidates in the future. The Company regularly evaluates other opportunities to fund future operations, including: (1) out-
licensing rights to certain of its products or product candidates, pursuant to which the Company would receive cash milestone payments; (2) royalty or
other monetization transactions; (3) obtaining additional product candidate regulatory approvals, which would generate revenue, milestone payments and
cash flow; (4) reducing spending on one or more research and development programs, including by discontinuing development; (5) restructuring operations
to change its overhead structure; and/or (6) securing U.S. Government funding of its programs, including obtaining procurement contracts. The Company
may, in the future, issue securities, including common stock, preferred stock, depositary shares, purchase contracts, warrants, debt securities and units,
through private placement transactions or registered public offerings. The Company’s future liquidity needs, and ability to address those needs, will largely
be determined by the success of its products and product candidates; the timing, scope and magnitude of its research and development and commercial
expenses; and key developments and regulatory events and its decisions in the future.
Basis of Presentation
The consolidated financial statements include the accounts of the Company and its subsidiaries. All intercompany transactions and balances among
the consolidated entities have been eliminated from the consolidated financial statements. The Company operates and manages its business as one
reportable and operating segment (see “Note 17—Segment Information”).
The Company’s consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United
States (“U.S. GAAP”). Such consolidated financial statements reflect all adjustments that are, in management’s opinion, necessary to present fairly, in all
material respects, the Company’s consolidated financial position, results of operations, and cash flows. There were no adjustments other than normal
recurring adjustments. Certain prior year amounts have been reclassified to conform to the current year presentation.
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Use of Estimates
The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the
reported amounts of assets, liabilities, revenues and expenses, and related disclosure of contingent assets and liabilities. Significant estimates in the
Company’s consolidated financial statements have been made relative to the calculation of net product sales, the ORLADEYO and Factor D inhibitors
royalty financing obligations, inventory reserves, certain accruals, primarily related to the Company’s research and development expenses, the valuation of
stock options and the valuation allowance for deferred tax assets resulting from net operating losses. These estimates are based on historical experience and
on various other assumptions that are believed 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 readily apparent from other sources. Actual results could differ from those estimates.
Revenue Recognition
The Company recorded the following revenues for the years ended December 31, 2024, 2023, and 2022 (in thousands):
Years Ended December 31,
2024
2023
2022
Product sales, net
$
442,668  $
324,696  $
267,710 
Collaborative and other revenues
8,044 
6,716 
3,117 
Total revenues
$
450,712  $
331,412  $
270,827 
Pursuant to Accounting Standards Codification (“ASC”) Topic 606, the Company recognizes revenue to depict the transfer of promised 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. To
achieve this core principle, Topic 606 includes provisions within a five step model that includes (i) identifying the contract with a customer, (ii) identifying
the performance obligations in the contract, (iii) determining the transaction price, (iv) allocating the transaction price to the performance obligations, and
(v) recognizing revenue when, or as, an entity satisfies a performance obligation.
At contract inception, the Company identifies the goods or services promised within each contract, assesses whether each promised good or service
is distinct and determines those that are performance obligations. The Company recognizes as revenue the amount of the transaction price that is allocated
to the respective performance obligation when the performance obligation is satisfied.
Product Sales, Net
The Company’s principal sources of product sales are sales of ORLADEYO, which the Company began shipping to patients in December 2020 and
sales of peramivir (RAPIVAB/RAPIACTA/PERAMIFLU) to the Company’s licensing partners and to the U.S. Department of Health and Human Services
(“HHS”). In the United States, the Company generally ships ORLADEYO directly to patients through a single specialty pharmacy, which is considered its
customer. Outside the United States, the Company sells ORLADEYO to specialty distributors and to hospitals and pharmacies, which collectively are
considered its customers.
The Company recognizes revenue for sales when the customer obtains control of the product, which generally occurs upon delivery.
Net revenue from sales of ORLADEYO is recorded at net selling price (transaction price), which includes reserves for variable consideration such as
(i) estimated government rebates, such as Medicaid and Medicare Part D reimbursements, and estimated managed care rebates, (ii) estimated chargebacks,
(iii) estimated costs of co-payment assistance programs and (iv) product returns. These reserves, representing the Company’s best estimates of the amount
of consideration to which it is entitled based on the terms of the applicable contracts and statutory requirements, are based on the amounts earned or to be
claimed on the related sales and are classified as reductions of accounts receivable if no payments are required of the Company or a current liability if a
payment is required of the Company. Actual amounts of consideration may differ from the Company's estimates. If actual results vary from estimates, these
estimates are adjusted, which would affect net product revenue and earnings in the period such variances become known.
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Government and Managed Care Rebates. The Company contracts with government agencies and managed care organizations or, collectively, third-
party payors, so that ORLADEYO will be eligible for purchase by, or partial or full reimbursement from, such third-party payors. The Company estimates
the rebates it will provide to third-party payors and deducts these estimated amounts from total gross product revenues at the time the revenues are
recognized, resulting in a reduction of product revenue and the establishment of a current liability. The Company estimates the rebates that it will provide to
third-party payors based upon (i) the Company's contracts with these third-party payors, (ii) the government mandated discounts applicable to government-
funded programs, and (iii) product distribution information obtained from the Company's specialty pharmacy regarding payor mix.
Chargebacks. Chargebacks are discounts that occur when certain contracted customers, pharmacy benefit managers, insurance companies, and
government programs purchase directly from the Company’s specialty pharmacy. These customers purchase the Company’s product under contracts
negotiated between them and the Company’s specialty pharmacy. The specialty pharmacy, in turn, charges back to the Company the difference between the
price that the specialty pharmacy paid and the negotiated price paid by the contracted customers, which may be higher or lower than the specialty
pharmacy’s purchase price with the Company. The Company estimates chargebacks and adjusts gross product revenues and establishes a current liability at
the time revenues are recognized.
Co-payment assistance and patient assistance programs. Patients who have commercial insurance and meet certain eligibility requirements may
receive co-payment assistance. Based upon the terms of the program and co-payment assistance utilization reports received from the specialty pharmacy,
the Company estimates the co-payment assistance amounts, which are recorded in the same period in which the related revenue is recognized, resulting in a
reduction of product revenue and establishment of a current liability. The Company also offers a patient assistance program that provides free drug product,
for a limited period of time, to allow a patient’s insurance coverage to be established. Based on patient assistance program utilization reports provided by
the specialty pharmacy, the Company records gross revenue of the product provided and a full reduction of the revenue amount for the free drug discount.
Product returns. The Company does not provide contractual return rights to its customers, except in instances where the product is damaged or
defective. Non-acceptance by the patient of shipped drug product by the specialty pharmacy is reflected as a reversal of sales in the period in which the
sales were originally recorded. Reserves for estimated non-acceptances by patients are recorded as a reduction of revenue in the period that the related
revenue is recognized, as well as a reduction to accounts receivable. Estimates of non-acceptance are based on quantitative information provided by the
specialty pharmacy.
Collaborative and Other Revenues
The Company has collaboration and license agreements with a number of third parties. The Company’s primary sources of revenue from these
collaborative and other research and development arrangements are license, service and royalty revenues.
Revenue from license fees, royalty payments, milestone payments, and research and development fees are recognized as revenue when the earnings
process is complete and the Company has no further continuing performance obligations or the Company has completed the performance obligations under
the terms of the agreement.
Arrangements that involve the delivery of more than one performance obligation are initially evaluated as to whether the intellectual property
licenses granted by the Company represent distinct performance obligations. If they are determined to be distinct, the value of the intellectual property
licenses would be recognized up front while the research and development service fees would be recognized as the performance obligations are satisfied.
For performance obligations based on services performed, the Company measures progress using an input method based on the effort it expends or costs it
incurs toward the satisfaction of the performance obligation in relation to the total estimated effort or costs. Variable consideration is assessed at each
reporting period as to whether it is not subject to significant future reversal and, therefore, should be included in the transaction price at the inception of the
contract. If a contract includes a fixed or minimum amount of research and development support, this also would be included in the transaction price.
Changes to collaborations, such as the extensions of the research term or increasing the number of targets or technology covered under an existing
agreement, are assessed for whether they represent a modification or should be accounted for as a new contract. For contracts with multiple performance
obligations, revenue is allocated to each performance obligation based on its relative standalone selling price. Standalone selling prices are based on
observable prices at which the Company separately sells the products or services. If a standalone selling price is not directly observable, then the Company
estimates the standalone selling price using either an adjusted market assessment approach or an expected cost plus margin approach,
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representing the amount that the Company believes the market is willing to pay for the product or service. Analyzing the arrangement to identify
performance obligations requires the use of judgment, and each may be an obligation to deliver services, a right or license to use an asset, or another
performance obligation.
Under certain of the Company’s license agreements, the Company receives royalty payments based upon its licensees’ net sales of covered products.
Royalties are recognized at the later of when (i) the subsequent sale or usage occurs, or (ii) the performance obligation to which some or all of the sales-
based or usage-based royalty has been satisfied.
Cash and Cash Equivalents
The Company generally considers cash equivalents to be all cash held in commercial checking accounts, money market accounts, or investments in
debt instruments and certificates of deposit with maturities of three months or less at the time of purchase. The carrying value of cash and cash equivalents
approximates fair value due to the short-term nature of these items.
Restricted Cash
Total restricted cash was $1,610 and $1,804 as of December 31, 2024 and 2023, respectively, and primarily consisted of $1,400 and $1,493 as of
December 31, 2024 and 2023, respectively, for a letter of credit the Company is required to maintain associated with its Birmingham lease. The letter of
credit associated with the Birmingham lease of $1,400 is reflected within other assets on the Consolidated Balance Sheets as of December 31, 2024.
Investments
The Company invests in high credit quality investments in accordance with its investment policy. The objectives of the Company’s investment
policy are to eliminate or greatly minimize the probability of a loss of principal value, maintain sufficient liquidity to meet cash flow requirements, and
earn a competitive level of return. The Company places its excess cash with high credit quality financial institutions, commercial companies, and
government agencies in order to limit the amount of its credit exposure. In accordance with its policy, the Company is able to invest in marketable debt
securities that may consist of U.S. Treasury obligations, U.S government agency securities, money market funds, certificates of deposits, corporate notes
and bonds, and commercial paper. The Company’s investment policy requires it to purchase high-quality marketable securities with a maximum individual
maturity of two years and requires an average portfolio maturity of no more than 12 months. Some of the securities in which the Company invests may
have market risk. This means that a change in prevailing interest rates may cause the principal amount of the investment to fluctuate. To minimize this risk,
the Company schedules its investments with maturities that coincide with expected cash flow needs, thus avoiding the need to redeem an investment prior
to its maturity date. Accordingly, the Company does not believe it has a material exposure to interest rate risk arising from its investments. Generally, the
Company’s investments are not collateralized. The Company has not realized any significant losses from its investments.
The Company classifies all of its investments as available-for-sale. Available-for-sale investments are reported at fair value at each balance sheet
date, and include any unrealized holding gains and losses in accumulated other comprehensive income, unless an unrealized loss is considered to be other
than temporary, in which case the unrealized loss is charged to operations. The Company reviews its investments for other than temporary declines in fair
value below cost basis at the end of each reporting period and whenever events or changes in circumstances indicate that the carrying amount of an asset
may not be recoverable. Factors considered to determine whether an unrealized loss is temporary include whether a decline in fair value below the
amortized cost basis is due to credit-related factors or non-credit-related factors, the financial condition and near-term prospects of the Company, and the
Company's intent and ability to hold the investment to allow for an anticipated recovery in fair value. A credit-related impairment is recognized as an
allowance on the balance sheet with a corresponding adjustment to earnings. Any impairment that is not credit-related is recognized in other comprehensive
income, net of applicable taxes unless deemed other than temporary. Realized gains and losses are reflected in interest and other income in the
Consolidated Statements of Comprehensive Loss and are determined using the specific identification method with transactions recorded on a settlement
date basis. Investments with original maturities at date of purchase beyond three months and which mature at or less than 12 months from the balance sheet
date are classified as current. Investments with a maturity beyond 12 months from the balance sheet date are classified as long-term.
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Fair Value Measurements
Assets and liabilities recorded at fair value on a recurring basis on the Consolidated Balance Sheets are categorized based upon the level of judgment
associated with the inputs used to measure their fair values. Fair value is defined as the exchange price that would be received for an asset or paid to
transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants
on the measurement date. Valuation techniques used to measure fair value must maximize the use of observable inputs and minimize the use of
unobservable inputs.
Assets measured at fair value on a recurring basis include investments (See “Note 3—Investments”). There were no liabilities measured at fair value
on a recurring basis as of December 31, 2024 and 2023. The carrying amounts reflected in the Consolidated Balance Sheets for cash and cash equivalents,
trade receivables, prepaid expenses and other current assets, accounts payable and accrued expenses approximate their fair values due to the short-term
nature of these assets and liabilities.
Trade Receivables
The majority of the Company’s trade receivables arise from product sales and primarily represent amounts due from its specialty pharmacy customer
in the United States and other third-party distributors, hospitals and pharmacies in the European Union, United Kingdom and elsewhere and have standard
payment terms that generally require payment within 30 to 90 days.
Receivables from collaborations are recorded for amounts due to the Company related to royalty receivables from the Company’s partners, including
Shionogi & Co., Ltd., Green Cross, and Torii (See “Note 15—Collaborative and Other Relationships”).
The Company provides reserves against trade receivables for estimated losses that may result from a customer's inability to pay. Receivables are
evaluated to determine if any reserve or allowance should be recorded based on consideration of the current economic environment, expectations of future
economic conditions, specific circumstances and the Company’s own historical collection experience. Amounts determined to be uncollectible are charged
or written-off against the reserve.
Inventory
The Company’s inventory primarily relates to ORLADEYO. Additionally, the Company’s inventory includes peramivir.
The Company values its inventory at the lower of cost or estimated net realizable value. The Company determines the cost of its inventory on a first-
in, first-out (FIFO) basis. Raw materials and work-in-process include all inventory costs prior to packaging and labeling, including raw material, active
product ingredient, and the drug product. Finished goods include packaged and labeled products. The Company classifies inventory as long-term when
consumption or sale of the inventory is not expected to occur within 12 months from the balance sheet date.
The Company’s inventory is subject to expiration dating. At each reporting date, the Company evaluates the carrying value of its inventory and
provides valuation reserves for any estimated excess, obsolete, short-dated or unmarketable inventory. In addition, the Company may experience spoilage
of its raw materials and supplies. The Company’s determination that a valuation reserve might be required, in addition to the quantification of such reserve,
requires it to utilize significant judgment. Additionally, the Company’s inventory is subject to strict quality control and monitoring that is performed
throughout the manufacturing process, including release of work-in-process to finished goods. In the event that certain batches or units of product do not
meet quality specifications, the Company will record a write-down of any potential unmarketable inventory to its estimated net realizable value and record
the expense as cost of product in the Consolidated Statements of Comprehensive Loss.
Prior to obtaining initial regulatory approval for an investigational product candidate, the Company expenses costs relating to production of pre-
launch inventory as research and development expense in its Consolidated Statements of Comprehensive Loss in the period incurred. After regulatory
approval has been received, the Company capitalizes inventory costs.
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Property and Equipment
Property and equipment are recorded at cost. Depreciation is computed using the straight-line method over the estimated useful lives of the assets.
Computer equipment and office equipment are depreciated over a life of three years. Laboratory equipment, software, and furniture and fixtures are
depreciated over a life of five years. Leasehold improvements are amortized over their estimated useful lives or the expected lease term, whichever is less.
Construction in progress reflects amounts incurred for construction or improvements of property and equipment that have not been placed in service.
The Company periodically reviews its property and equipment for impairment when events or changes in circumstances indicate that the carrying
amount of such assets may not be recoverable. Determination of recoverability is based on an estimate of undiscounted future cash flows resulting from the
use of the asset and its eventual disposition. In the event that such cash flows are not expected to be sufficient to recover the carrying amount of the assets,
the assets are written down to their estimated fair values. Property and equipment to be disposed of are reported at the lower of carrying amount or fair
value less cost to sell.
Accrued Expenses
The Company enters into contractual agreements with third-party vendors who provide research and development, manufacturing, distribution, and
other services in the ordinary course of business. Some of these contracts are subject to milestone-based invoicing, and services are completed over an
extended period of time. The Company records liabilities under these contractual commitments when it determines an obligation has been incurred,
regardless of the timing of the invoice. This process involves reviewing open contracts and purchase orders, communicating with applicable Company
personnel to identify services that have been performed on its behalf and estimating the level of service performed and the associated cost incurred for the
service when the Company has not yet been invoiced or otherwise notified of actual cost. The majority of service providers invoice the Company monthly
in arrears for services performed. The Company makes estimates of accrued expenses as of each balance sheet date in its financial statements based on the
facts and circumstances, which can include assumptions such as expected patient enrollment, site activation and estimated project duration. The Company
periodically confirms the accuracy of its estimates with the service providers and makes adjustments if necessary. Examples of estimated accrued expenses
include (i) fees paid to clinical research organizations (“CROs”) in connection with preclinical and toxicology studies and clinical trials; (ii) fees paid to
investigative sites in connection with clinical trials; (iii) fees paid to contract manufacturers in connection with the production of the Company’s raw
materials, drug substance, drug products, and product candidates; and (iv) professional fees.
The Company bases its expenses related to clinical trials on its estimates of the services received and efforts expended pursuant to contracts with
multiple research institutions and CROs that conduct and manage clinical trials on the Company’s behalf. The financial terms of these agreements are
subject to negotiation, 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 trial milestones. In accruing service fees, the Company estimates the time
period over which services will be performed and the level of effort expended in each period. If the actual timing of the performance of services or the level
of effort varies from the estimate, the Company will adjust the accrual accordingly. If the Company underestimates or overestimates the level of these costs,
actual expenses could differ from such estimates. As of December 31, 2024 and 2023, the carrying value of accrued expenses approximates their fair value
due to their short-term settlement.
Cost of Product Sales
Cost of product sales includes the cost of producing and distributing inventory that is related to product revenue during the respective period,
including freight. In addition, shipping and handling costs for product shipments are recorded as incurred. Finally, cost of product sales may also include
costs related to excess or obsolete inventory adjustment charges.
Research and Development Expenses
Research and development expenses consist of costs associated with research activities as well as those with the Company’s product development
efforts, conducting preclinical trials, clinical trials and manufacturing activities. Research and development expenses are expensed as incurred. Most of the
Company’s manufacturing and clinical and preclinical studies are performed by third-party CROs. Costs for studies performed by CROs are accrued by the
Company over the service periods specified in the contracts, and estimates are adjusted based upon the Company’s ongoing review of the
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level of services actually performed. Advance payments for goods or services that will be used or rendered for future research and development activities
are deferred and capitalized. Such amounts are recognized as expense when the related goods are delivered or the related services are performed.
The Company groups its research and development expenses into two major categories: direct expenses and indirect expenses. Direct expenses
consist of compensation for research and development personnel and costs of outside parties to conduct laboratory studies, develop manufacturing
processes and manufacture the product candidate, conduct and manage clinical trials, as well as other costs related to the Company’s clinical and preclinical
studies. Additionally, direct expenses consist of those costs necessary to discontinue and close out a development program, including termination fees and
other commitments. These costs are accumulated and tracked by active program.
Indirect costs of the Company’s clinical programs include lab supplies and services, facility expenses, depreciation of development equipment and
an allocation of its general and administrative overhead costs that support the Company’s research and development efforts.
Additionally, the Company has license agreements with third parties, such as Albert Einstein College of Medicine of Yeshiva University, Industrial
Research, Ltd., and the University of Alabama at Birmingham (“UAB”), which require fees related to sublicense agreements. The Company accrues
sublicense expenses as incurred.
Selling, General and Administrative Expenses
Selling, general and administrative expenses are primarily comprised of compensation and benefits associated with sales and marketing, finance,
human resources, legal, information technology and other administrative personnel. Additionally, selling, general and administrative expenses are
comprised of market research, marketing, advertising and legal expenses, including patent costs, licenses and other general and administrative costs.
Advertising costs related to ORLADEYO of $13,566, $14,404 and $14,891 were expensed as incurred for the years ended December 31, 2024, 2023
and 2022, respectively.
All patent related costs are expensed to selling, general and administrative expenses when incurred as recoverability of such expenditures is
uncertain.
Leases
The Company leases certain assets under operating and finance leases, which consist of real estate leases, laboratory equipment leases and office
equipment leases as of December 31, 2024. The Company determines whether a contract is, or contains, a lease at inception. The Company accounts for
lease obligations in accordance with ASU 2016-02: Leases (Topic 842), which requires a lessee to recognize a right-of-use asset and a lease liability on its
balance sheet for most leases. The Company elected the practical expedient that exempts leases with an initial lease term of twelve months or less, as well
as the practical expedient that allows companies to select, by class of underlying asset, not to separate lease and non-lease components.
Certain of the Company’s operating leases provide for renewal options, which can vary by lease. The right-of-use asset and lease liabilities on the
Company’s Consolidated Balance Sheets represent payments over the lease term, which include renewal options for certain real estate leases that the
Company is likely to exercise. As part of the Company’s assessment of the lease term, the Company elected the hindsight practical expedient, which allows
companies to use current knowledge and expectations when determining the likelihood to extend lease options. Certain operating leases include rent
escalation provisions, which the Company recognizes as expense on a straight-line basis. Lease expense for leases with an initial term of twelve months or
less was not material.
The discount rate used to determine the Company’s right-of-use asset and lease liability is the Company’s incremental borrowing rate on a
collateralized basis over a similar term and amount in a similar economic environment, as generally an implicit rate in the lease is not readily determinable.
The Company has not made any residual value guarantees related to its leases; therefore, the Company has no corresponding liability recorded on its
Consolidated Balance Sheets.
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Stock-Based Compensation
All share-based payments, including grants of stock option awards and restricted stock unit awards, are recognized in the Company’s Consolidated
Statements of Comprehensive Loss based on their fair values. Stock-based compensation cost is estimated at the grant date based on the fair value of the
award and is recognized as expense on a straight-line basis over the requisite service period of the award. Determining the appropriate fair value model and
the related assumptions for the model requires judgment, including estimating the stock price volatility and the expected term. The Company utilizes the
Black-Scholes option-pricing model to value its stock option awards and recognize compensation expense on a straight-line basis over the requisite service
period. The Company reduces stock-based compensation expense for estimated forfeitures. The estimation of share-based payment awards that will
ultimately vest requires judgment, and to the extent actual results or updated estimates differ from the Company’s current estimates, such amounts will be
recorded as a cumulative adjustment in the period estimates are revised. In addition, the Company has outstanding performance-based restricted stock unit
awards for which no compensation expense is recognized until it is probable that the performance condition will be achieved. Actual results, and future
changes in estimates, may differ substantially from the Company’s current estimates.
Interest Expense, Deferred Financing Costs and Royalty Financing Obligations
Interest expense primarily relates to the royalty financing obligations (see “Note 8—Royalty Financing Obligations”) and the term loan borrowings
under the Pharmakon Loan Agreement (see “Note 9—Debt”) during the year ended December 31, 2024 and to the secured term loan borrowings under the
Athyrium Credit Agreement (see Note 9—Debt”) during the years ended December 31, 2023 and 2022.
Costs directly associated with the borrowings have been capitalized and are netted against the corresponding debt liabilities on the Consolidated
Balance Sheets. These costs are being amortized to interest expense over the terms of the corresponding borrowings using the effective interest rate
method. When utilizing the effective interest method, in periods in which payment-in-kind (“PIK”) interest was designated and added to the outstanding
principal balance of the borrowing, the amortization of the deferred debt fees and issuance costs was accretive.
The royalty financing obligations are eligible to be repaid based on royalties from net sales of ORLADEYO. Interest expense is accrued using the
effective interest rate method over the estimated period each of the related liabilities will be paid. This requires the Company to estimate the total amount of
future royalty payments to be generated from product sales over the life of the agreement. The Company imputes interest on the carrying value of each of
the royalty financing obligations and records interest expense using an imputed effective interest rate. The Company reassesses the expected royalty
payments each reporting period and accounts for any changes through an adjustment to the effective interest rate on a prospective basis. The assumptions
used in determining the expected repayment term of the debt and amortization period of the issuance costs require that the Company make estimates that
could impact the carrying value of each of the liabilities, as well as the periods over which associated issuance costs will be amortized. A significant
increase or decrease in forecasted net sales could materially impact each of the liability balances, interest expense and the time periods for repayment.
Income Taxes
The liability method is used in the Company’s accounting for income taxes. Under this method, deferred tax assets and liabilities are determined
based on differences between financial reporting and tax bases of assets and liabilities and are measured using the enacted tax rates and laws that are
expected to be in effect when the differences are expected to reverse.
Significant management judgment is required in determining the Company’s provision for income taxes, deferred tax assets and liabilities and any
valuation allowance recorded against net deferred tax assets. The Company has recorded a valuation allowance against substantially all potential tax assets,
due to uncertainties in its ability to utilize deferred tax assets, primarily consisting of certain net operating losses carried forward, before they expire. The
valuation allowance is based on estimates of future earnings in each of the jurisdictions in which the Company operates and the period over which its
deferred tax assets will be recoverable.
The Company accounts for uncertain tax positions in accordance with U.S. GAAP. Uncertain tax positions are recorded based upon certain
recognition and measurement criteria. The Company re-evaluates uncertain tax positions and considers various factors, including, but not limited to,
changes in tax law and the measurement of tax positions taken or expected to be taken in tax returns. The Company adjusts the amount of the liability to
reflect any subsequent changes in
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the relevant facts and circumstances surrounding the uncertain tax positions. The Company recognizes interest and penalties related to income tax matters
in income tax expense.
Beginning in fiscal year 2021, the Company began accruing for U.S. state taxes and foreign income taxes as a result of increased nexus in both U.S.
state and foreign jurisdictions where historically the Company had no presence and where no net operating losses had historically been established.
In addition, starting in 2022, amendments to Section 174 of the Internal Revenue Code of 1986, as amended (“IRC”), no longer permit an immediate
deduction for research and development expenditures in the tax year that such costs are incurred. Instead, these IRC Section 174 development costs must
now be capitalized and amortized over either a five-year period for activities performed within the U.S. or a 15-year period for activities performed outside
the U.S. The new amortization period begins with the midpoint of any taxable year that IRC Section 174 costs are first incurred, regardless of whether the
expenditures were made prior to or after July 1, and runs until the midpoint of year six for activities conducted in the U.S. or year sixteen in the case of
development conducted on foreign soil.
Certain countries in which the Company has operations have adopted legislation influenced by the Organization for Economic Cooperation and
Development (“OECD”) Pillar Two rules, including a minimum tax rate of 15%. It is uncertain whether the U.S. will enact legislation to adopt the Pillar
Two framework. While the Company is currently not within the scope of the rules, it is continuing to review and evaluate additional guidance released by
the OECD, along with the pending legislative adoption by additional individual countries where the Company operates.
Foreign Currency
The functional currency of each of the Company’s foreign subsidiaries is primarily the local currency of the country in which the subsidiary
operates. The Company’s asset and liability accounts are translated at the current exchange rate as of the balance sheet date. Revenue and expense accounts
are translated at the average exchange rate over the period. Adjustments resulting from the translation of the financial statements of the Company’s foreign
subsidiaries into U.S. dollars are accumulated as a separate component of stockholders’ equity within accumulated other comprehensive income. Gains or
losses resulting from transactions denominated in foreign currencies are included in foreign currency losses, net, within the Consolidated Statement of
Comprehensive Loss.
Net Loss Per Share
Basic net loss per share is based upon the weighted average number of common shares outstanding during the period. Diluted net loss per share is
computed by dividing net loss by the weighted average number of common shares outstanding during the period, after giving consideration to the dilutive
effect of potentially dilutive common shares. The Company has generated a net loss in all periods presented, so the diluted net loss per share is equivalent
to basic net loss per share for all periods presented herein because common equivalent shares from unexercised stock options and common shares expected
to be issued under the Company’s equity compensation plans would be anti-dilutive. The Company excluded the following potential common shares,
presented based on amounts outstanding as of December 31, 2024 and 2023, from the computation of diluted net loss per share attributable to common
stockholders for the years ended December 31, 2024 and 2023 because including them would have had an anti-dilutive effect:
December 31,
2024
2023
Outstanding stock options
44,240 
41,032 
Unvested restricted stock unit awards
10,112 
6,507 
Total
54,352 
47,539 
Accumulated Other Comprehensive Income
Accumulated other comprehensive income is comprised of cumulative foreign currency translation adjustments and unrealized gains and losses on
available-for-sale investments and is disclosed as a separate component of stockholders’ equity. Realized gain and loss amounts on available-for-sale
investments are reclassified from accumulated other comprehensive income and recorded as interest and other income on the Consolidated Statements of
Comprehensive Loss. There were no realized gains or losses reclassified out of accumulated other comprehensive income for the years ended
December 31, 2024, 2023 and 2022.
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Significant Customers and Other Risks
Significant Customers
The Company’s primary sources of revenue and cash flow are the sales of ORLADEYO in the United States.
ORLADEYO is generally distributed through an arrangement with a single specialty pharmacy in the United States. The specialty pharmacy
subsequently sells ORLADEYO to its customers (pharmacy benefit managers, insurance companies, government programs and group purchasing
organizations) and dispenses product to patients. The specialty pharmacy’s inability or unwillingness to continue these distribution activities could
adversely impact the Company’s business, results of operations and financial condition.
The Company is distributing ORLADEYO in other global markets directly or through distributors, except in Japan where Torii (See “Note 15—
Collaborative and Other Relationships”), the Company’s collaborative partner, has the exclusive right to commercialize ORLADEYO.
Additionally, HHS is the primary customer for peramivir. The Company was awarded a procurement contract in 2024 (See “Note 15—Collaborative
and Other Relationships”). HHS exercised the remaining options for the purchase of peramivir under the historical procurement contract during 2022 (See
“Note 15—Collaborative and Other Relationships”).
Further, the Company’s drug development activities are performed by a limited group of third-party vendors. If any of these vendors were unable to
perform its services, this could significantly impact the Company’s ability to complete its drug development activities.
Risks from Third-Party Manufacturing and Distribution Concentration
The Company relies on a single source manufacturer for active pharmaceutical ingredient and finished drug product manufacturing of product
candidates in development and on a single specialty pharmacy for distribution of approved drug product in the United States. Delays or disruption in the
manufacture or distribution of any product could adversely impact the future procurement stockpiling of the Company’s commercial product, commercial
revenue and product candidates.
Credit Risk
Cash equivalents and investments are financial instruments that potentially subject the Company to concentration of risk to the extent recorded on
the Consolidated Balance Sheets. The Company deposits excess cash with major financial institutions in the United States. Balances may exceed the
amount of insurance provided on such deposits. The Company believes it has established guidelines for investment of its excess cash relative to
diversification and maturities that maintain safety and liquidity. To minimize the exposure due to adverse shifts in interest rates, the Company maintains a
portfolio of investments with an average maturity of approximately 12 months or less.
The Company’s receivables from sales of ORLADEYO are primarily due from one customer, resulting in a concentration of credit risk. Sales of
ORLADEYO from the Company to the specialty pharmacy usually only occur once an order of product has been received by the specialty pharmacy from
one of its customers, which include pharmacy benefit managers, insurance companies, government programs and group purchasing organizations.
Recently Adopted Accounting Pronouncements
In November 2023, the Financial Accounting Standards Board issued Accounting Standards Update (“ASU”) 2023-07, Segment Reporting (Topic
280): Improvements to Reportable Segment Disclosures, which expands reportable segment disclosure requirements on an annual and interim basis,
primarily through enhanced disclosures about significant segment expenses. ASU 2023-07 requires disclosure of the title and position of the chief operating
decision maker and requires that public entities with a single reportable segment provide all disclosures required by this update and existing disclosures in
Topic 280. ASU 2023-07 is effective for fiscal years beginning after December 15, 2023, and interim periods within fiscal years beginning after December
15, 2024, with early adoption permitted. Retrospective application is required to all prior periods presented in the financial statements. The Company
adopted ASU 2024-07 as of January 1, 2024. The adoption of this standard resulted in additional disclosures but did not have a material effect on the
Company’s consolidated balance sheet, statement of comprehensive loss, or statement of cash flows (see “Note 17—Segment Information”).
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New Accounting Pronouncements Not Yet Adopted
In December 2023, the Financial Accounting Standards Board issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax
Disclosures, which requires public entities, on an annual basis, to provide disclosure of specific categories in the rate reconciliation, as well as disclosure of
income taxes paid disaggregated by jurisdiction. ASU 2023-09 is effective for fiscal years beginning after December 15, 2024, with early adoption
permitted. The Company expects adoption of this ASU will result in additional disclosures but does not expect it will have a material effect on the
Company’s consolidated balance sheet, statement of comprehensive loss, or statement of cash flows.
In November 2024, the Financial Accounting Standards Board issued ASU 2024-03, Income Statement - Reporting Comprehensive Income -
Expense Disaggregation Disclosures (Subtopic 220-40): Disaggregation of Income Statement Expenses, which requires public entities, on an annual and
interim basis, to provide disaggregated disclosure of certain income statement expenses into specified categories within the footnotes to the financial
statements. ASU 2024-03 is effective for fiscal years beginning after December 15, 2026, and interim periods within fiscal years beginning after December
15, 2027, with early adoption permitted. The Company is evaluating the impact of adopting ASU 2024-03.
Note 2— Revenue
The Company recorded the following revenues for the years ended December 31, 2024, 2023, and 2022 (in thousands):
Years Ended December 31,
2024
2023
2022
ORLADEYO:
U.S.
$
385,961  $
288,361  $
226,358 
Outside of U.S.
51,699 
37,629 
25,275 
Total ORLADEYO
437,660 
325,990 
251,633 
Other revenues
13,052 
5,422 
19,194 
Total revenues
$
450,712  $
331,412  $
270,827 
ORLADEYO revenues represent total revenues from product sales, collaborative revenues, and royalties. Other revenues primarily relate to the
Company’s product sales and royalties for peramivir.
Note 3— Investments
Fair value is an exit price, representing the amount that would be received from the sale of an asset or paid to transfer a liability in an orderly
transaction between market participants. Fair value is determined based on observable and unobservable inputs. Observable inputs reflect readily obtainable
data from independent sources, while unobservable inputs reflect certain market assumptions. As a basis for considering such assumptions, U.S. GAAP
establishes a three-tier value hierarchy, which prioritizes the inputs used to develop the assumptions and for measuring fair value as follows: (Level 1)
observable inputs such as quoted prices in active markets for identical assets; (Level 2) inputs other than the quoted prices in active markets that are
observable either directly or indirectly; and (Level 3) unobservable inputs for which there is little or no market data, which requires the Company to
develop its own assumptions. This hierarchy requires the Company to use observable market data, when available, and to minimize the use of unobservable
inputs when determining fair value.
The Company’s financial instruments that are measured at fair value on a recurring basis consist of fixed income investments. These valuations are
based on observable direct and indirect inputs, primarily quoted prices of similar, but not identical, instruments in active markets or quoted prices for
identical or similar instruments in markets that are not active. These fair values are obtained from independent pricing services.
Assets measured at fair value on a recurring basis were as follows (in thousands):
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December 31, 2024
Quoted Price in
Active Markets
(Level 1)
Significant Other
Observable Inputs
(Level 2)
Significant
Unobservable
Inputs (Level 3)
Total
Assets:
Obligations of U.S. Government and its agencies
$
—  $
236,460  $
—  $
236,460 
Total assets
$
—  $
236,460  $
—  $
236,460 
December 31, 2023
Quoted Price in
Active Markets
(Level 1)
Significant Other
Observable Inputs
(Level 2)
Significant
Unobservable
Inputs (Level 3)
Total
Assets:
Obligations of U.S. Government and its agencies
$
—  $
277,358  $
—  $
277,358 
Certificates of deposit
— 
986 
— 
986 
Total assets
$
—  $
278,344  $
—  $
278,344 
As of December 31, 2024, the Company had four securities with a total estimated fair market value of $44,100 in an unrealized loss position. The
Company believes the individual unrealized losses represent temporary declines primarily resulting from interest rate changes. The Company does not have
an intent to sell these investments, and it is more likely than not that the investments will be held until recovery of their amortized cost basis. As such, no
allowance was recognized.
The following tables summarize the fair value of the Company’s investments by type (in thousands):
December 31, 2024
Amortized Cost
Accrued Interest
Gross Unrealized
Gains
Gross Unrealized
Losses
Estimated Fair
Value
Obligations of U.S. Government and its
agencies
$
234,902  $
1,121  $
451  $
(14) $
236,460 
Total investments
$
234,902  $
1,121  $
451  $
(14) $
236,460 
December 31, 2023
Amortized Cost
Accrued Interest
Gross Unrealized
Gains
Gross Unrealized
Losses
Estimated Fair
Value
Obligations of U.S. Government and its
agencies
$
277,151  $
121  $
150  $
(64) $
277,358 
Certificates of deposit
980 
14 
— 
(8)
986 
Total investments
$
278,131  $
135  $
150  $
(72) $
278,344 
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The following table summarizes the scheduled maturity for the Company’s investments at December 31, 2024 and 2023 (in thousands):
December 31,
 
2024
2023
Maturing in one year or less
$
216,137  $
278,344 
Maturing after one year through two years
20,323 
— 
Total investments
$
236,460  $
278,344 
Note 4— Trade Receivables
Product Sales
Receivables from product sales are recorded for amounts due to the Company related to sales of ORLADEYO and RAPIVAB. At December 31,
2024 and 2023, receivables, net of reserves, related to sales of ORLADEYO were $76,282 and $54,149, respectively. At December 31, 2024 and 2023,
receivables related to sales of RAPIVAB were $564 and $505, respectively.
Collaborations
At December 31, 2024 and 2023 receivables from collaborations related to receivables from our royalty partners and were $2,223 and $2,296,
respectively.
Note 5— Inventory
At December 31, 2024 and 2023, the Company’s inventory primarily related to ORLADEYO. Inventory also included peramivir, which is primarily
manufactured for the Company’s partners.
The Company’s inventories consisted of the following (in thousands):
December 31,
2024
2023
Raw materials
$
10,006  $
6,449 
Work-in-process
16,152 
17,591 
Finished goods
7,765 
6,242 
Total inventory
33,923 
30,282 
Reserves
(2,649)
(1,599)
Total inventory, net
$
31,274  $
28,683 
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Note 6— Property and Equipment
Property and equipment consisted of the following (in thousands):
December 31,
2024
2023
Furniture and fixtures
$
1,463  $
1,384 
Office equipment
729 
719 
Software
1,252 
1,252 
Laboratory equipment
6,222 
5,559 
Leasehold improvements
10,363 
10,206 
Construction in progress
97 
— 
Total property and equipment
20,126 
19,120 
Less accumulated depreciation and amortization
(12,349)
(11,210)
Property and equipment, net
$
7,777  $
7,910 
Depreciation expense for the years ended December 31, 2024, 2023, and 2022 was $1,246, $1,655, and $1,437, respectively. During the year ended
December 31, 2023, the Company recorded an impairment loss of $1,548 and contract termination fees of $440 related to the discontinuation of the
Birmingham research facilities expansion, which was recognized in research and development expenses during the year ended December 31, 2023. The
Company did not record any impairment losses during the years ended December 31, 2024 and December 31, 2022.
Note 7— Accrued Expenses
Accrued expenses consisted of the following (in thousands):
December 31,
2024
2023
Compensation and benefits
$
48,631  $
36,518 
Revenue-related reserves for discounts and allowances
32,116 
26,509 
Royalties payable
14,590 
18,524 
Development costs
9,198 
13,677 
Other
8,757 
7,654 
Total accrued expenses
$
113,292  $
102,882 
Note 8— Royalty Financing Obligations
ORLADEYO and Factor D Inhibitors
On December 7, 2020, the Company and RPI 2019 Intermediate Finance Trust (“RPI”) entered into a Purchase and Sale Agreement (the “2020 RPI
Royalty Purchase Agreement”), pursuant to which the Company sold to RPI the right to receive certain royalty payments from the Company for a purchase
price of $125,000 in cash (the “2020 RPI Royalty Sale”). Under the 2020 RPI Royalty Purchase Agreement, RPI is entitled to receive tiered, sales-based
royalties on net product sales of ORLADEYO in the United States and certain key European markets (collectively, the “Key Territories”), and other
markets where the Company sells ORLADEYO directly or through distributors (collectively, the “Direct Sales”) in an amount equal to: (i) 8.75% of
aggregate annual net sales of ORLADEYO for annual net sales up to $350,000 and (ii) 2.75% of annual net sales for annual net sales between $350,000
and $550,000. No royalty payments are payable on annual Direct Sales over $550,000.
Under the 2020 RPI Royalty Purchase Agreement, RPI is also entitled to receive a tiered revenue share on ORLADEYO sublicense revenue or net
sales by licensees outside of the Key Territories (the “Other Markets”) equal to: (i) 20% of the proceeds received by the Company for upfront license fees
and development milestones for ORLADEYO in the Other Markets, (ii) 20% of proceeds received on annual net sales of up to $150,000 in the Other
Markets, and (iii) 10% of
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proceeds received by the Company on annual net sales between $150,000 and $230,000 in the Other Markets. No royalty payments are payable on annual
net sales above $230,000 in the Other Markets.
On November 19, 2021, the Company and RPI entered into (i) a Purchase and Sale Agreement (the “2021 RPI Royalty Purchase Agreement” and
together with the 2020 RPI Royalty Purchase Agreement, the “RPI Royalty Purchase Agreements”), pursuant to which the Company sold to RPI the right
to receive certain royalty payments from the Company for a purchase price of $150,000 in cash, and (ii) a Purchase and Sale Agreement with OCM IP
Healthcare Holdings Limited, an affiliate of OMERS Capital Markets (“OMERS”) (the “OMERS Royalty Purchase Agreement” and collectively with the
RPI Royalty Purchase Agreements, the “Royalty Purchase Agreements”), pursuant to which the Company sold to OMERS the right to receive certain
royalty payments from the Company for a purchase price of an additional $150,000 in cash.
Under the 2021 RPI Royalty Purchase Agreement, RPI is entitled to receive tiered, sales-based royalties on Direct Sales in an amount equal to: (i)
0.75% of aggregate annual net sales of ORLADEYO for annual net sales up to $350,000 and (ii) 1.75% of annual net sales of ORLADEYO for annual net
sales between $350,000 and $550,000. No royalty payments are payable on Direct Sales over $550,000. RPI is also entitled to receive a tiered revenue
share on ORLADEYO sublicense revenue or net sales by licensees in the Other Markets in an amount equal to (i) 3.0% of proceeds received by the
Company on annual net sales of up to $150,000 in the Other Markets and (ii) 2.0% of proceeds received by the Company on annual net sales between
$150,000 and $230,000 in the Other Markets. No royalty payments are payable on annual net sales above $230,000 in the Other Markets.
Under the 2021 RPI Royalty Purchase Agreement, RPI is also entitled to receive tiered, sales-based royalties on net product sales of BCX10013 in
an amount equal to: (i) 3.0% of worldwide aggregate annual net sales up to $1,500,000 and (ii) 2.0% of worldwide aggregate annual net sales between
$1,500,000 and $3,000,000. No royalty payments are payable on annual net sales above $3,000,000. RPI is also entitled to receive tiered profit share
amounts of up to 3.0% from certain other permitted sales in certain other markets. On August 5, 2024, the Company announced that it plans to discontinue
development of BCX10013.
The royalties payable under the 2021 RPI Royalty Purchase Agreement are in addition to the royalties payable to RPI under the 2020 RPI Royalty
Purchase Agreement.
Under the OMERS Royalty Purchase Agreement, for the calendar quarter beginning October 1, 2023, OMERS was entitled to receive tiered, sales-
based royalties on Direct Sales in an amount equal to: (i) 7.5% of aggregate annual net sales of ORLADEYO for annual net sales up to $350,000 and (ii)
6.0% of annual net sales of ORLADEYO for annual net sales between $350,000 and $550,000 (with no royalty payments payable on annual Direct Sales
over $550,000). Commencing with the calendar quarter beginning January 1, 2024, OMERS is entitled to receive tiered, sales-based royalties on Direct
Sales in an amount equal to: (i) 10.0% of aggregate annual net sales of ORLADEYO for annual net sales up to $350,000 and (ii) 3.0% of annual net sales
of ORLADEYO for annual net sales between $350,000 and $550,000 (with no royalty payments payable on annual Direct Sales over $550,000).
Under the OMERS Royalty Purchase Agreement, OMERS is also entitled to receive a tiered revenue share on ORLADEYO sublicense revenue or
net sales by licensees in the Other Markets in an amount equal to: (i) 20.0% of the proceeds received by the Company for upfront license fees and
development milestones for ORLADEYO in the Other Markets, (ii) 20.0% of proceeds received by the Company on annual net sales of up to $150,000 in
the Other Markets, and (iii) 10.0% of proceeds received by the Company on annual net sales between $150,000 and $230,000 in the Other Markets. No
royalty payments are payable on annual net sales above $230,000 in the Other Markets. OMERS is also entitled to receive profit share amounts of up to
10% from certain other permitted sales in certain other markets.
Under the 2020 RPI Royalty Purchase Agreement, the Company is required to make royalty payments of amounts owed to RPI each calendar
quarter following the first commercial sale of ORLADEYO in any country. Under the 2021 RPI Royalty Purchase Agreement, the Company is required to
make payments to RPI in respect of net sales or sublicense revenue in each calendar quarter from and after October 1, 2021. Under the OMERS Royalty
Purchase Agreement, the Company is required to make payments to OMERS in respect of net sales or sublicense revenue in each calendar quarter from and
after October 1, 2023. OMERS will no longer be entitled to receive any payments on the date in which aggregate payments actually received by OMERS
equals 155.0% of the $150,000 purchase price.
The transactions contemplated by each of the Royalty Purchase Agreements are referred to herein as the “Royalty Sales.”
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Under the Royalty Purchase Agreements, the Company has agreed to specified affirmative and negative covenants, including covenants regarding
periodic reporting of information by the Company to RPI and OMERS, third-party audits of royalties paid under the Royalty Purchase Agreements, and
restrictions on the ability of the Company or any of its subsidiaries to incur indebtedness other than certain royalty sales and as was permitted to be
incurred under the terms of the Athyrium Credit Agreement (as defined in Note 9 herein) through its payoff and termination on April 17, 2023 or,
subsequent to that date, the Pharmakon Loan Agreement (as defined in Note 9 herein), as applicable. See “Note 9—Debt” for further details on the
Athyrium Credit Agreement and the Pharmakon Loan Agreement. The restrictions under the Royalty Purchase Agreements on the ability of the Company
or any of its subsidiaries to incur indebtedness are eliminated after the achievement of certain specified milestones in the Royalty Purchase Agreements.
The cash consideration obtained pursuant to the Royalty Purchase Agreements is recorded in “Royalty financing obligations” on the Company’s
Consolidated Balance Sheets. The fair value for the royalty financing obligations at the time of the transactions was based on the Company’s estimates of
future royalties expected to be paid to the counterparty over the life of the arrangement. The Company subsequently records the obligations at their carrying
value using the effective interest method. As of December 31, 2024 and 2023, the carrying value of the royalty financing obligations under the Royalty
Purchase Agreements approximated fair value and was measured based on the Company’s current estimates of future payments to RPI and OMERS over
the lives of the agreements, which are considered Level 3 inputs. The Company utilizes the prospective method to account for subsequent changes in the
estimated future royalties to be paid by the Company to the counterparty over the life of the arrangement. Under the prospective method, a new effective
interest rate is determined based on the revised estimate of remaining cash flows. The new rate is the discount rate that equates the present value of the
revised estimate of remaining cash flows with the carrying amount of the debt, and it will be used to recognize interest expense for the remaining periods.
The Company periodically assesses the amount and timing of expected royalty payments using internal projections of future net product sales, which are
based on key assumptions, including paid patients and price. To the extent such payments are greater or less than the Company’s initial estimates or the
timing of such payments is materially different than its original estimates, the Company will prospectively adjust the amortization of the royalty financing
obligations and the effective interest rate. On a quarterly basis, the Company assesses the projected royalty payments relative to the projected interest
accretion for the next twelve months to determine if the royalty liability balance is reduced relative to the current outstanding liability, which would signify
a repayment of the principal. In such case of excess payments relative to interest accretion for the next twelve months, the excess payments are considered
to be a short-term liability and classified within current liabilities on the Company’s Consolidated Balance Sheets.
During the year ended December 31, 2024, there were no significant changes to the amount and timing of expected royalties under the Royalty
Purchase Agreements based on the Company’s latest forecasts related to ORLADEYO sales. There was a decrease in the estimated amount and timing of
expected royalties under the 2021 RPI Royalty Purchase Agreement based on the Company's latest forecasts for its research and development programs as
there are no longer any forecasted future royalties for BCX10013 due to the Company's announced plan to discontinue development of that program.
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The following table shows the royalty financing obligations activity for the years ended December 31, 2024, 2023, and 2022 (in thousands) as well
as the effective interest rate as of December 31, 2024:
 
2020 RPI Royalty
Agreement
2021 RPI Royalty
Agreement
OMERS Royalty
Agreement
Total
Balance as of December 31, 2021
$
147,224 
$
153,377 
$
148,774 
$
449,375 
Deferred financing costs
— 
(34)
— 
(34)
Non-cash Interest expense on Royalty financing obligations
39,994 
22,239 
14,249 
76,482 
Royalty revenues paid and payable
(22,237)
(1,931)
— 
(24,168)
Balance as of December 31, 2022
$
164,981 
$
173,651 
$
163,023 
$
501,655 
Non-cash Interest expense on Royalty financing obligations
38,267 
14,188 
17,901 
70,356 
Royalty revenues paid and payable
(28,768)
(2,494)
(9,150)
(40,412)
Balance as of December 31, 2023
$
174,480 
$
185,345 
$
171,774 
$
531,599 
Non-cash Interest expense on Royalty financing obligations
39,585 
— 
16,384 
55,969 
Royalty revenues paid and payable
(33,652)
(4,205)
(35,982)
(73,839)
Balance as of December 31, 2024
$
180,413 
$
181,140 
$
152,176 
$
513,729 
 
 
 
 
 
Effective interest rate
21.5 %
— %
9.9 %
Deferred financing costs pursuant to the Royalty financing obligations, which consist primarily of advisory and legal fees, totaled $8,532 as of
December 31, 2024 and 2023. The Royalty financing obligations liabilities and the associated deferred issuance costs are amortized using the effective
interest method over the term of the arrangement.
Concurrent with entering into the 2021 RPI Royalty Purchase Agreement, the Company and RPI entered into a Common Stock Purchase Agreement
pursuant to which the Company sold common stock to RPI for a premium of $4,269. This premium has been deferred and is being amortized through
interest expense using the effective interest method over the term of the applicable arrangement.
Note 9—Debt
Pharmakon Loan Agreement
On April 17, 2023, the Company entered into a $450,000 Loan Agreement (the “Pharmakon Loan Agreement”) with BioPharma Credit Investments
V (Master) LP and BPCR Limited Partnership, as lenders, and BioPharma Credit PLC, as collateral agent for the lenders. Certain of the Company’s
wholly-owned subsidiaries are guarantors to the Pharmakon Loan Agreement. The Pharmakon Loan Agreement provides for an initial term loan in the
principal amount of $300,000 (the “Tranche A Loan”) funded on April 17, 2023 (the “Tranche A Closing Date”). The Company used a portion of the
proceeds from the Tranche A Loan to repay the $241,787 of outstanding indebtedness (principal and interest due as of April 17, 2023) under the then-
existing Athyrium Credit Agreement (defined below) and to pay associated transaction costs and fees, and used the remaining net proceeds of $25,805 for
other general corporate purposes.
The Pharmakon Loan Agreement also provided for three additional term loan tranches, at the Company’s option, in principal amounts of $50,000
each (each a “Subsequent Tranche Loan” and, collectively with the Tranche A Loan, the “Pharmakon Term Loans” and each, a “Pharmakon Term Loan”),
which could have been requested on or prior to September 30, 2024. The Company chose not to request any Subsequent Tranche Loans and the options
have since expired. The maturity date of the Pharmakon Loan Agreement is April 17, 2028 (the “Maturity Date”), the fifth anniversary of the Tranche A
Closing Date.
The Pharmakon Loan Agreement provides for quarterly interest-only payments until the Maturity Date, with the unpaid principal amount of the
outstanding Pharmakon Term Loans due and payable on the Maturity Date. During the first 18 months following the Tranche A Closing Date, the Company
had the option to make a portion of the applicable interest
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payment on the Tranche A Loan in-kind (a “Pharmakon PIK Interest Payment”) by capitalizing as principal up to 50% of the amount of interest accrued on
the Tranche A Loan during the applicable interest period. The Pharmakon Term Loans bear interest at a rate equal to the three-month Secured Overnight
Financing Rate (“SOFR”), which shall be no less than 1.75%, plus 7.00%, per annum or, for each interest period in which a Pharmakon PIK Interest
Payment was made, with respect to the Tranche A Loan, SOFR plus 7.25%, per annum.
The Tranche A Loan accrued interest at an effective interest rate of 13.14% and 13.30% for the years ended December 31, 2024 and 2023,
respectively.
The Company is required to make a mandatory prepayment of the Pharmakon Term Loans (i) upon the occurrence of a change of control and (ii)
prior to any repayment of any convertible debt that the Company may issue in the future, subject to certain exceptions. The Company may make voluntary
prepayments in whole or in part, in minimum $25,000 increments. Prepayments are subject to a prepayment premium equal to, (i) with respect to any
prepayment made prior to the second anniversary of the applicable Pharmakon Term Loan borrowing date, the sum of (1) 3.00% of the principal amount of
the Pharmakon Term Loan being prepaid plus (2) the aggregate amount of all interest that would have accrued on the principal amount of the Pharmakon
Term Loan being prepaid from the date of prepayment through and including the second anniversary of the date of the borrowing of such Pharmakon Term
Loan; (ii) with respect to any prepayment made on or after the second anniversary and prior to the third anniversary of the applicable Pharmakon Term
Loan borrowing date, 3.00% of the principal amount of the Pharmakon Term Loan being prepaid; (iii) with respect to any prepayment made on or after the
third anniversary and prior to the fourth anniversary of the applicable Pharmakon Term Loan, 2.00% of the principal amount of the Pharmakon Term Loan
being prepaid; and (iv) with respect to any prepayment made on or after the fourth anniversary of the applicable Pharmakon Term Loan borrowing date and
before the Maturity Date, 1.00% of the principal amount of the Pharmakon Term Loan being prepaid. In addition, if the Company had requested any
Subsequent Tranche Loans, certain funding fees would have been required to be paid.
The Pharmakon Loan Agreement also contains representations and warranties and affirmative and negative covenants customary for financings of
this type, as well as customary events of default. Certain of the customary negative covenants limit the ability of the Company and certain of its
subsidiaries to, among other things, dispose of assets, engage in mergers, acquisitions, and similar transactions, incur additional indebtedness, grant liens,
make investments, pay dividends or make distributions or certain other restricted payments in respect of equity, prepay other indebtedness, enter into
restrictive agreements, undertake fundamental changes or amend certain material contracts, among other customary covenants, in each case subject to
certain exceptions.
A failure to comply with the covenants in the Pharmakon Loan Agreement, or an occurrence of any other event of default, could permit the lenders
under the Pharmakon Loan Agreement to declare the borrowings thereunder, together with accrued interest and fees, and any applicable prepayment
premium, to be immediately due and payable.
The Company’s obligations under the Pharmakon Loan Agreement are secured by a security interest in, subject to certain exceptions, substantially
all of the Company’s assets.
As of December 31, 2024, the Company had total borrowings of $300,000 under the Pharmakon Loan Agreement. Interest expense on the Tranche
A Loan for the year ended December 31, 2024 was $39,874. As allowable under the Pharmakon Loan Agreement, the Company designated and accounted
for 50% of the quarterly interest payments for each of the three months ended March 31, 2024 and June 30, 2024 as a Pharmakon PIK Interest Payment and
the total amount of $10,041 has been added to the outstanding principal balance of the borrowing. The Company did not elect to account for 50% of the
quarterly interest payment for the three months ended September 30, 2024 as a Pharmakon PIK Interest Payment. The remaining 50% of the total quarterly
interest payments for the three months ended March 31, 2024 and June 30, 2024 and the full quarterly interest payments for the three months ended
September 30, 2024 and December 31, 2024 totaling $29,833 in aggregate have been paid at the end of each quarterly period. As of December 31, 2024,
borrowings, including the Pharmakon PIK Interest Payments, totaled $323,704.
As of December 31, 2023, the Company had total borrowings of $300,000 under the Pharmakon Loan Agreement. Interest expense on the Tranche
A Loan for the year ended December 31, 2023 was $27,326. As allowable under the Pharmakon Loan Agreement, the Company designated and accounted
for 50% of the quarterly interest payments for the year ended December 31, 2023 as a Pharmakon PIK Interest Payment and the total amount of $13,663
has been added to the outstanding principal balance of the borrowing. The remaining 50% of the total quarterly interest payments of $13,663 was paid at
the end of each quarterly period. As of December 31, 2023, borrowings, including the Pharmakon PIK Interest Payments, totaled $313,663.
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The fair value of the debt approximates its carrying value based on prevailing interest rates as of the balance sheet date and is considered as Level 2
in the fair value hierarchy.
Incurred debt fees and issuance costs associated with the Tranche A Loan under the Pharmakon Loan Agreement totaled $11,147 and have been
deferred and are being amortized as interest expense on an effective interest rate method over the remaining term of the Tranche A Loan. Deferred
financing amortization of $1,597 and $715 was recognized for the years ended December 31, 2024 and 2023, respectively.
Athyrium Credit Agreement
On December 7, 2020, the Company entered into a $200,000 Credit Agreement (the “Athyrium Credit Agreement”) with Athyrium Opportunities III
Co-Invest 1 LP (“Athyrium”), as lender and as administrative agent for the lenders. Certain of the Company’s direct and indirect subsidiaries were
guarantors to the Athyrium Credit Agreement. The Athyrium Credit Agreement provided for an initial term loan in the principal amount of $125,000 (the
“Term A Loan”), which was received by the Company on December 7, 2020 and is recorded in “Secured term loan” on the Company’s balance sheet. The
Company used a portion of the proceeds from the Term A Loan to repay $43,298 of outstanding indebtedness, including accrued interest, under its prior
credit facility with MidCap Financial Trust.
The Athyrium Credit Agreement also provided for two additional term loans, at the Company’s option, in the respective principal amounts of
$25,000 (the “Term B Loan”) and $50,000 (the “Term C Loan” and, collectively with the Term A Loan and the Term B Loan, the “Athyrium Term Loans”).
Having achieved all required revenue-based milestones, the Company exercised its option to draw upon the additional funding available under the
Athyrium Credit Agreement, borrowing the principal amounts of $25,000 under the Term B Loan and $50,000 under the Term C Loan. Both the Term B
Loan and the Term C Loan were funded on July 29, 2022 in the aggregate principal amount of $75,000. The Company incurred deferred debt fees and
issuance costs associated with the Term B and Term C Loans of $3,428. The Term B Loan and the Term C Loan were subject to all the provisions under the
Athyrium Credit Agreement.
On November 19, 2021, the Company entered into an amendment to the Athyrium Credit Agreement to, among other things, (i) permit the Company
to enter into the 2021 RPI Royalty Purchase Agreement, the OMERS Royalty Purchase Agreement, and the other definitive documentation related thereto
and to perform its obligations thereunder; and (ii) require the Company to pay to Athyrium, for the account of the lenders, a make-whole premium plus
certain fees set forth in the Athyrium Credit Agreement in the event that the Company prepaid or repaid, or was required to prepay or repay, voluntarily or
pursuant to mandatory prepayment obligations under the Athyrium Credit Agreement (e.g., with the proceeds of certain asset sales, certain ORLADEYO
out-licensing or royalty financing transactions (excluding the Royalty Sales), extraordinary receipts, debt issuances, or upon a change of control of the
Company and specified other events, subject to certain exceptions), all of the then-outstanding Athyrium Term Loans, in each case, subject to certain
exceptions set forth in the Athyrium Credit Agreement.
The Athyrium Credit Agreement provided for quarterly interest-only payments until the maturity date, with the unpaid principal amount of the
outstanding Athyrium Term Loans due and payable on the maturity date. For each of the first eight full fiscal quarters following December 7, 2020, the
Company had the option to make the applicable interest payment-in-kind (an “Athyrium PIK Interest Payment”) by capitalizing the entire amount of
interest accrued during the applicable interest period with the unpaid original principal amount outstanding on the last day of such period. The Athyrium
Term Loans accrued interest at a rate equal to the three-month LIBOR rate, which was no less than 1.75% and no more than 3.50% (“LIBOR”), plus
8.25%, or for each interest period in which an Athyrium PIK Interest Payment was made, LIBOR plus 10.25%. The quarter ended December 31, 2022 was
the last period eligible for the Athyrium PIK Interest Payment designation.
The Athyrium Term Loans accrued interest at an effective interest rate of 13.71% during the period in which the debt was outstanding for the year
ended December 31, 2023 compared to 12.87% for the year ended December 31, 2022.
Quarterly interest payments under the Athyrium Credit Agreement for the year ended December 31, 2023 totaled $8,476. Quarterly interest
payments under the Athyrium Credit Agreement for the year ended December 31, 2022 totaled $23,387 and were designated and accounted for as
Athyrium PIK Interest Payments and added to the outstanding principal balance of the borrowing. From the Athyrium Term Loans’ inception through
December 31, 2022, the quarterly interest payments were designated and accounted for as Athyrium PIK Interest Payments and added to the outstanding
principal balance of the borrowing. The quarter ended December 31, 2022 was the last period eligible for the Athyrium PIK Interest
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Payment designation. Deferred financing amortization of $1,069 and $916 was recognized for the years ended December 31, 2023 and 2022, respectively.
On April 17, 2023, the outstanding principal of the Athyrium Term Loans, including the Athyrium PIK Interest Payments of $240,452 along with
interest accrued of $1,335 for the first 17 days of the quarterly interest period ended June 30, 2023, was repaid with the funding received through the
Pharmakon Loan Agreement.
In accordance with the Athyrium Credit Agreement, upon the prepayment or repayment of all or any of the Athyrium Term Loans, the Company was
obligated to pay an exit fee in an amount equal to 2.00% of the principal amount of the Athyrium Term Loans prepaid or repaid. In addition, each Athyrium
Term Loan was subject to a 1.00% commitment fee at its respective borrowing date. As a result, the Company incurred prepayment and final payment fees
of $17,261 upon repayment of the Athyrium Term Loans. Additionally, unamortized deferred financing costs of $11,758 associated with the Athyrium
Term Loans were written off at the time of repayment. Collectively, the prepayment and final payment fees and unamortized deferred financing costs
totaled $29,019 and are reflected as a one-time loss on extinguishment of debt on the Consolidated Statements of Comprehensive Loss for the year ended
December 31, 2023.
Note 10— Lease Obligations
The Company leases certain assets under operating leases, which primarily consist of real estate leases, and finance leases, which generally consist
of laboratory equipment leases and office equipment leases, as of December 31, 2024. Renewal options for the Company’s real estate leases are three years
in length and begin from 2025 through 2030.
Lease expense under operating and finance leases was as follows (in thousands):
Years Ended December 31,
2024
2023
2022
Operating lease expense
$
2,301  $
2,018  $
1,578 
Finance lease expense:
Amortization of right-of-use assets
1,766 
1,212 
816 
Interest on lease liabilities
316 
201 
138 
Total finance lease expense
$
2,082  $
1,413  $
954 
Other supplemental information related to leases was as follows:
As of December 31,
2024
2023
Weighted average remaining lease term:
Operating leases
9.0 years
9.7 years
Finance leases
2.6 years
3.0 years
Weighted average discount rate:
Operating leases
10.91 %
10.88 %
Finance leases
8.66 %
7.46 %
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The following table summarizes the presentation in the Consolidated Balance Sheets of the Company’s operating leases (in thousands):
As of December 31,
Balance Sheet Location
2024
2023
Operating lease assets:
Operating lease assets, net
Right of use assets
$
8,061  $
8,682 
Operating lease liabilities:
Current operating lease liabilities
Operating lease liabilities – current liabilities
$
937  $
1,058 
Non-current operating lease liabilities
Operating lease liabilities – long-term liabilities
7,924 
8,390 
Total operating lease liabilities
$
8,861  $
9,448 
The following table summarizes the presentation in the Consolidated Balance Sheets of the Company’s finance leases (in thousands):
As of December 31,
Balance Sheet Location
2024
2023
Finance lease assets:
Finance lease assets, net
Right of use assets
$
3,947  $
4,322 
Finance lease liabilities:
Current finance lease liabilities
Finance lease liabilities – current liabilities
$
1,835  $
1,590 
Non-current finance lease liabilities
Finance lease liabilities – long-term liabilities
2,124 
2,845 
Total finance lease liabilities
$
3,959  $
4,435 
Operating lease assets are recorded net of accumulated amortization of $6,065 and $4,794 as of December 31, 2024 and 2023, respectively. Finance
lease assets are recorded net of accumulated amortization of $4,059 and $2,293 as of December 31, 2024 and 2023, respectively.
Maturities of lease liabilities as of December 31, 2024 are as follows (in thousands):
Operating Leases
Finance Leases
2025
$
1,857  $
2,106 
2026
1,742 
1,279 
2027
1,650 
809 
2028
1,383 
257 
2029
996 
— 
Thereafter
6,922 
— 
Total lease payments
14,550 
4,451 
Less imputed interest
(5,689)
(492)
Total
$
8,861  $
3,959 
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Supplemental cash flow information related to leases was as follows (in thousands):
Years Ended December 31,
2024
2023
2022
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows for finance leases
$
316  $
201  $
898 
Operating cash flows for operating leases
$
2,156  $
1,920  $
1,555 
Financing cash flows for finance leases
$
1,704  $
1,165  $
— 
Operating lease assets obtained in exchange for operating lease liabilities:
$
438  $
4,695  $
755 
Finance lease assets obtained in exchange for finance lease liabilities:
$
1,391  $
2,971  $
1,302 
Non-cash increase to operating lease assets due to remeasurement of operating lease
liabilities:
$
254  $
924  $
— 
Note 11— Stockholders’ Equity
Sales of Common Stock
On February 27, 2024, the Company filed an automatic shelf registration statement on Form S-3 with the SEC. This shelf registration statement
became effective automatically upon filing and allows the Company to sell an indeterminate number of securities, including common stock, preferred
stock, depositary shares, purchase contracts, warrants, debt securities, and units, from time to time at prices and on terms to be determined at the time of
sale.
On October 23, 2023, certain entities affiliated with Baker Bros. Advisors LP (the “Baker Entities”) net exercised the remaining balance of the pre-
funded warrants held by such Baker Entities that were issued on November 21, 2019. Additionally, certain of the Baker Entities net exercised all of the pre-
funded warrants that were issued on June 1, 2020. The exercises resulted in the issuance of 14,997 common shares.
Shares Reserved for Future Issuance of Common Stock
The Company had reserved shares of common stock for issuance as follows (in thousands):
December 31,
2024
2023
Shares reserved for exercises of outstanding stock options
44,240 
41,032 
Shares reserved for vesting of restricted stock units
10,112 
6,507 
Shares reserved for future issuance under the Stock Incentive Plan
1,065 
3,376 
Shares reserved for future issuance under the Inducement Equity Incentive Plan
1,699 
1,651 
Shares reserved for future issuance under the Employee Stock Purchase Plan
5,042 
5,454 
Total shares reserved for future issuance
62,158 
58,020 
Note 12— Stock-Based Compensation
As of December 31, 2024, the Company had three stock-based employee compensation plans: the Amended and Restated Stock Incentive Plan
(“Incentive Plan”), the Amended and Restated Inducement Equity Incentive Plan (“Inducement Plan”) and the Amended and Restated Employee Stock
Purchase Plan (“ESPP”). The Incentive Plan was most recently amended and restated on April 22, 2024 and approved by the Company’s stockholders on
June 12, 2024. The Inducement Plan was most recently amended and restated by the Company’s Board of Directors on October 26, 2023. The ESPP was
most recently amended and restated by the Company’s Board of Directors on July 7, 2023.
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The Company recorded the following stock-based compensation expense (in thousands):
Years Ended December 31,
2024
2023
2022
Incentive Plan
$
56,207  $
44,581  $
36,716 
Inducement Plan
8,414 
9,958 
6,550 
ESPP
792 
1,076 
1,435 
Stock-based compensation expense
$
65,413  $
55,615  $
44,701 
Total stock-based compensation was allocated as follows:
Years Ended December 31,
2024
2023
2022
Research and development
$
31,285  $
29,377  $
24,936 
Selling, general and administrative
34,128 
26,238 
19,765 
Total stock-based compensation expense
$
65,413  $
55,615  $
44,701 
Retirement Policy
In July 2024, the Company adopted the BioCryst Pharmaceuticals, Inc. Equity Award Retirement Policy (the “Retirement Policy”). The Retirement
Policy provides for the continued vesting of certain unvested awards granted more than one year prior to the date of retirement according to the original
vesting schedule of the award. Employees are eligible for the Retirement Policy upon meeting age, service, and notice period requirements and receipt of
notice of their eligibility from the Company. The Company considered the adoption of the Retirement Policy to be a modification of existing awards under
ASC Topic 718, Compensation - Stock Compensation. The modification did not result in any incremental compensation cost. However, the adoption of the
Retirement Policy resulted in a new estimate of the requisite service period for certain awards. In connection with the modification as a result of the
adoption of the Retirement Policy, the Company accelerated the recognition of stock-based compensation expense of $7,569 during the year ended
December 31, 2024.
Stock Incentive Plan
The Company grants stock option awards and restricted stock unit awards to its employees, directors, and consultants under the Incentive Plan.
Under the Incentive Plan, stock option awards are granted with an exercise price equal to the market price of the Company’s common stock at the date of
grant. Stock option awards and restricted stock unit awards granted to employees generally vest 25% each year until fully vested after four years.
Stock option awards and restricted stock unit awards granted to non-employee directors of the Company generally vest over one year. Stock option
awards granted to new non-employee directors when they first join the Company’s Board of Directors generally vest, subject to the terms of the Incentive
Plan, in 36 equal monthly installments over a three-year period measured from the grant date. All stock option awards have contractual terms of 10 years.
Restricted stock unit awards granted to new non-employee directors when they first join the Company’s Board of Directors generally vest, subject to the
terms of the Incentive Plan, in three equal annual installments beginning on the first anniversary of the grant date. The vesting and exercise provisions of all
awards granted under the Incentive Plan are subject to acceleration in the event of certain stockholder-approved transactions, or upon the occurrence of a
change in control as defined in the Incentive Plan.
The following table summarizes stock option activity under the Incentive Plan:
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Shares
(in thousands)
Weighted Average
Exercise Price per
Share
Weighted Average
Remaining
Contractual Term

(in years)
Aggregate Intrinsic
Value

(in thousands)
Outstanding at December 31, 2023
35,505  $
8.24 
Granted
7,106 
7.32 
Exercised
(350)
4.56 
$
863 
Cancelled or Forfeited
(3,179)
9.99 
Outstanding at December 31, 2024
39,082  $
7.96 
6.71 $
30,075 
Exercisable at December 31, 2024
24,462  $
7.99 
5.29 $
24,280 
Vested and expected to vest at December 31, 2024
37,302  $
7.95 
6.61 $
29,384 
The total intrinsic value of stock option awards exercised under the Incentive Plan was $3,601 and $21,150 during the years ended December 31,
2023 and 2022, respectively. The aggregate intrinsic value represents the total proceeds (calculated as the difference between the exercise price of the
underlying stock options and the estimated fair value of the Company’s common stock on the date of exercise for those stock options that had exercise
prices lower than the fair value of the Company’s common stock on the exercise date) received by all individuals who exercised stock option awards during
the period.
The following table summarizes restricted stock unit activity under the Incentive Plan:
Shares 

(in thousands)
Weighted Average
Grant Date Fair
Value
Unvested at December 31, 2023
5,592  $
8.67 
Granted
5,942 
7.32 
Vested
(1,686)
9.12 
Forfeited
(559)
8.61 
Unvested at December 31, 2024
9,289  $
7.73 
For restricted stock unit awards granted under the Incentive Plan, the fair value of the awards is determined based on the market value of the
Company’s shares on the grant date. The weighted average grant date fair value of these awards granted during 2024, 2023, and 2022 was $7.32, $6.71, and
$11.20, respectively. The fair value of the restricted stock unit awards is amortized to expense over the vesting periods using a straight-line expense
attribution method.
As of December 31, 2024, total unrecognized compensation cost related to unvested restricted stock unit awards granted under the Incentive Plan
was $58,333, which is expected to be recognized over a weighted average period of 1.9 years.
Inducement Equity Incentive Plan
The Company has the ability to grant stock option and restricted stock unit awards to newly-hired employees as inducements material to each
employee entering employment with the Company. Awards granted to newly hired employees generally vest 25% each year until fully vested after four
years and are subject to the terms and conditions of the Inducement Plan. All stock option awards have contractual terms of 10 years. The vesting and
exercise provisions of all awards granted under the Inducement Plan are subject to acceleration in the event of certain stockholder-approved transactions, or
upon the occurrence of a change in control as defined in the Inducement Plan.
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The following table summarizes stock option activity under the Inducement Plan:
Shares
(in thousands)
Weighted Average
Exercise Price per
Share
Weighted Average
Remaining
Contractual Term

(in years)
Aggregate Intrinsic
Value

(in thousands)
Outstanding at December 31, 2023
5,527  $
8.77 
Granted
522 
6.40 
Exercised
(198)
3.45 
$
495 
Cancelled or Forfeited
(693)
10.98 
Outstanding at December 31, 2024
5,158  $
8.44 
6.94 $
7,354 
Exercisable at December 31, 2024
3,292  $
7.70 
6.17 $
6,543 
Vested and expected to vest at December 31, 2024
4,790  $
8.31 
6.85 $
7,218 
The total intrinsic value of stock option awards exercised under the Inducement Plan was $1,803 and $3,710 during the years ended December 31,
2023 and 2022, respectively. The aggregate intrinsic value represents the total proceeds (calculated as the difference between the exercise price of the
underlying stock options and the estimated fair value of the Company’s common stock on the date of exercise for those stock options that had exercise
prices lower than the fair value of the Company’s common stock on the exercise date) received by all individuals who exercised stock option awards during
the period.
The following table summarizes restricted stock unit activity under the Inducement Plan:
Shares

(in thousands)
Weighted Average
Grant Date Fair
Value
Unvested at December 31, 2023
915  $
9.90 
Granted
324 
6.51 
Vested
(216)
10.25 
Forfeited
(200)
9.68 
Unvested at December 31, 2024
823  $
8.53 
For restricted stock unit awards granted under the Inducement Plan, the fair value of the awards is determined based on the market value of the
Company’s shares on the grant date. The weighted average grant date fair value of these awards granted during 2024, 2023, and 2022 was $6.51, $7.81, and
$13.21, respectively. The fair value of the restricted stock unit awards is amortized to expense over the vesting periods using a straight-line expense
attribution method.
As of December 31, 2024, total unrecognized compensation cost related to unvested restricted stock unit awards granted under the Inducement Plan
was $4,948, which is expected to be recognized over a weighted average period of 1.6 years.
Weighted Average Assumptions for Stock Option Awards Granted to Employees and Directors under the Incentive and Inducement Plans
For stock option awards granted under the Incentive Plan and the Inducement Plan, the fair value is estimated on the date of grant using a Black-
Scholes option pricing model and the assumptions noted below. The fair value of the stock option awards is amortized to expense over the vesting periods
using a straight-line expense attribution method.
Historically, the expected life was based on the average of the assumption that all outstanding stock option awards will be exercised at full vesting
and the assumption that all outstanding stock option awards will be exercised at the midpoint of the current date (if already vested) or at full vesting (if not
yet vested) and the full contractual term. Effective
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July 1, 2023, the expected life is based on the historical settlement of options by taking into account exercises and post-vesting terminations and weighing
them based on the number of options settled. This change in approach did not have a significant impact on the value of the stock option awards granted.
The expected volatility represents the historical volatility on the Company’s publicly-traded common stock. The Company has assumed no expected
dividend yield, as dividends have never been paid to stock or option holders and will not be paid for the foreseeable future. The weighted average risk-free
interest rate is the implied yield currently available on zero-coupon government issues with a remaining term equal to the expected term.
Stock Incentive Plan
The following table summarizes the key assumptions used by the Company to value the stock option awards granted under the Incentive Plan during
the years ended December 31, 2024, 2023, and 2022:
Years Ended December 31,
2024
2023
2022
Expected Life in Years
5.7
5.7
5.5
Expected Volatility
83.5 %
82.5 %
84.2 %
Expected Dividend Yield
0.0 %
0.0 %
0.0 %
Risk-Free Interest Rate
4.5 %
3.9 %
3.6 %
Weighted average grant date fair value per share
$
5.28 
$
4.75 
$
7.57 
The total fair value of the stock option awards vested under the Incentive Plan was $35,151, $33,731, and $28,916 during the years ended
December 31, 2024, 2023, and 2022, respectively. As of December 31, 2024, total unrecognized compensation cost related to unvested stock option awards
granted under the Incentive Plan was $66,658, which is expected to be recognized over a weighted average period of 1.6 years.
Inducement Equity Incentive Plan
The following table summarizes the key assumptions used by the Company to value the stock option awards granted under the Inducement Plan
during the years ended December 31, 2024, 2023, and 2022:
Years Ended December 31,
2024
2023
2022
Expected Life in Years
5.8
5.6
5.5
Expected Volatility
83.3 %
83.5 %
84.2 %
Expected Dividend Yield
0.0 %
0.0 %
0.0 %
Risk-Free Interest Rate
4.2 %
4.0 %
3.2 %
Weighted average grant date fair value per share
$
4.61 
$
5.79 
$
9.54 
The total fair value of the stock option awards vested under the Inducement Plan was $7,225, $7,698, and $4,659 during the years ended
December 31, 2024, 2023, and 2022, respectively. As of December 31, 2024, total unrecognized compensation cost related to unvested stock option awards
granted under the Inducement Plan was $8,612, which is expected to be recognized over a weighted average period of 1.4 years.
Employee Stock Purchase Plan
The Company has reserved a total of 7,975 shares of common stock to be purchased under the ESPP, of which 5,042 shares remain available for
purchase at December 31, 2024. Eligible employees may authorize up to 15% of their salary to purchase common stock at the lower of 85% of the
beginning or 85% of the ending price during six-month purchase intervals. No more than three thousand shares may be purchased by any one employee at
each purchase date, and no employee may purchase stock having a fair market value at the commencement date of $25 or more in any one calendar year.
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During the years ended December 31, 2024, 2023, and 2022, the Company issued 412, 338, and 260 shares of common stock under the ESPP,
respectively, at a weighted average price per share of $4.50, $7.68, and $11.03, respectively. Compensation expense for shares purchased under the ESPP
related to the purchase discount and the “look-back” option were determined using a Black-Scholes option pricing model. The weighted average grant date
fair values of shares granted under the ESPP during the years ended December 31, 2024, 2023, and 2022, were $1.99, $3.82, and $6.02, respectively.
Note 13— Income Taxes
The components of loss before provision for income taxes were as follows (in thousands):
Years Ended December 31,
2024
2023
2022
Domestic
$
(62,515) $
(206,674) $
(225,127)
Foreign
(24,439)
(19,555)
(19,256)
Loss before provision for income taxes
$
(86,954) $
(226,229) $
(244,383)
The components of the (benefit) expense for income taxes were as follows (in thousands):
Years Ended December 31,
2024
2023
2022
Current expense (benefit) provision:
U.S. Federal and state
$
1,118  $
(45) $
2,430 
Foreign
1,163 
1,037 
292 
Total current expense provision
2,281 
992 
2,722 
Deferred expense (benefit) provision:
U.S. Federal and state
79 
(120)
11 
Foreign
(433)
(562)
— 
Total deferred expense provision
(354)
(682)
11 
Total expense provision
$
1,927  $
310  $
2,733 
The differences between the Company’s effective tax rate and the statutory tax rate in 2024, 2023, and 2022 were as follows (in thousands):
Years Ended December 31,
2024
2023
2022
Income tax benefit at federal statutory rate (21% for 2024, 2023 and 2022)
$
(18,260) $
(47,328) $
(51,321)
State and local income taxes net of federal tax benefit
1,393 
(3,477)
(1,816)
Permanent items
3,716 
3,015 
(1,608)
Research and development tax credits
(1,413)
(3,301)
(9,793)
Foreign rate differential
2,353 
2,255 
1,862 
Other
2,496 
1,656 
(5,485)
Change in valuation allowance
11,642 
47,490 
70,894 
Income tax expense
$
1,927  $
310  $
2,733 
The Company recognizes the impact of a tax position in its financial statements if it is more likely than not that the position will be sustained on
audit based on the technical merits of the position. The Company has concluded that it has an uncertain tax position pertaining to its research and
development and orphan drug credit carryforwards. The Company has established these credits based on information and calculations it believes are
appropriate and the best estimate of the
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underlying credit. Any changes to the Company’s unrecognized tax benefits are offset by an adjustment to the valuation allowance and there would be no
impact on the Company’s financial statements. The Company does not expect its unrecognized tax benefits to change significantly over the next 12 months.
If recognized, none of these tax benefits would affect the effective tax rate due to the valuation allowance.
A reconciliation of the beginning and ending amount of unrecognized tax benefits is as follows (in thousands):
2024
2023
Balance at January 1,
$
14,362  $
13,844 
Additions to current period tax positions
353 
825 
Reductions to prior period tax provisions
— 
(307)
Balance at December 31,
$
14,715  $
14,362 
The Company’s ability to utilize the net operating loss and tax credit carryforwards in the future may be subject to substantial restrictions in the
event of past or future ownership changes as defined in Section 382 of the IRC and similar state tax law.
Significant components of the Company’s deferred tax assets and liabilities are as follows (in thousands):
December 31,
2024
2023
Deferred tax assets:
Net federal and state operating losses
$
105,865  $
108,753 
Research and development credits
87,287 
88,390 
Royalty income
117,570 
122,391 
Stock-based compensation
34,486 
26,113 
Capitalized R&D
82,476 
75,081 
Leasing obligations
2,806 
3,076 
Other
22,693 
17,515 
Total deferred tax assets
453,183 
441,319 
Deferred tax liabilities:
Fixed assets
(797)
(678)
Right of use asset
(2,620)
(2,872)
Total deferred tax liabilities
(3,417)
(3,550)
Valuation allowance
(448,740)
(437,098)
Net deferred tax assets
$
1,026  $
671 
The majority of the Company’s deferred tax assets relate to net operating loss and research and development carryforwards that can only be realized
if the Company is profitable in future periods. It is uncertain whether the Company will realize any tax benefit related to these carryforwards. Accordingly,
the Company has provided a valuation allowance against substantially all the net deferred tax assets due to uncertainties as to their ultimate realization. The
valuation allowance will remain at the full amount of the deferred tax assets until it is more likely than not that the related tax benefits will be realized. The
Company’s valuation allowance increased by $11,642, $47,490, and $70,894 in 2024, 2023, and 2022, respectively.
As of December 31, 2024, the Company had U.S. federal operating loss carryforwards of $403,528, state operating loss carryforwards of $177,492,
foreign net operating losses of $93,275, and U.S. research and development and orphan drug credit carryforwards of $102,001, which will expire at various
dates from 2025 through 2044. Federal losses, state losses, and research and development credit carryforwards began expiring in 2021. The foreign net
operating losses have an indefinite carryforward period.
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Tax years 2021-2024 remain open to examination by the major taxing jurisdictions to which the Company is subject. Additionally, years prior to
2021 are also open to examination for loss and credit carryforwards from those years. The Company recognizes interest and penalties accrued related to
unrecognized tax benefits as components of its income tax provision. However, there were no provisions or accruals for interest and penalties in 2024,
2023, and 2022.
As of December 31, 2024, the Company has minimal accumulated undistributed earnings generated by its foreign subsidiaries which have already
been subject to local and U.S. tax as part of the global intangible low-taxed income provisions. The Company intends to indefinitely reinvest these
earnings, as well as future earnings from its foreign subsidiaries, to fund its international operations. In addition, the Company expects future U.S. cash
generation will be sufficient to meet future U.S. cash needs.
Note 14— Employee 401(k) Plan
In January 1991, the Company adopted an employee retirement plan (“401(k) Plan”) under Section 401(k) of the IRC covering all employees.
Employee contributions may be made to the 401(k) Plan up to limits established by the Internal Revenue Service. Company matching contributions may be
made at the discretion of the Board of Directors. The Company made matching contributions of $6,030, $5,716, and $3,758 in 2024, 2023, and 2022,
respectively.
Note 15— Collaborative and Other Relationships
ORLADEYO
Torii Pharmaceutical Co., Ltd. (“Torii”)
On November 5, 2019, the Company entered into a Commercialization and License Agreement with Torii (the “Original Torii Agreement”), granting
Torii the exclusive right to commercialize ORLADEYO for the prevention of HAE attacks in Japan. Under the Original Torii Agreement, the Company
received an upfront, non-refundable payment of $22,000. The Company received an additional milestone payment of $15,000 in the second quarter of 2021
upon receipt from the Japanese National Health Insurance System of a reimbursement price approval for ORLADEYO. In addition, the Company was
entitled to receive tiered royalty payments, ranging from 20% to 40% of annual net sales of ORLADEYO in Japan during each calendar year. Torii’s
royalty payment obligations were subject to customary reductions in certain circumstances, but could not be reduced by more than 50% of the amount that
otherwise would have been payable to the Company in the applicable calendar quarter.
The Company identified performance obligations under the Original Torii Agreement related to (i) the license to develop and commercialize
ORLADEYO, (ii) regulatory approval support, and (iii) reimbursement pricing approval support. These were each determined to be distinct from the other
performance obligations. The Company allocated the $22,000 upfront consideration to the identified performance obligations using estimation approaches
to determine the standalone selling prices under ASC Topic 606. Specifically, in determining the value related to the license, a valuation approach utilizing
risk adjusted discounted cash flow projections was used, and an expected cost plus margin approach was utilized for the other performance obligations.
On November 30, 2023, the Company entered into an Amended and Restated Commercialization and License Agreement with Torii (as amended,
the “Torii Agreement”). Under the Torii Agreement, the Company is entitled to receive tiered royalty payments, ranging from 20% to 80% of annual net
sales of ORLADEYO in Japan during each calendar year. The Company is now responsible for all commercial promotion activities to support
ORLADEYO sales in Japan, and Torii is responsible for HAE disease awareness activities in Japan. The Company will receive a 20% royalty on annual
Japanese sales below a prespecified threshold and an 80% royalty on annual Japanese sales above the prespecified threshold.
Torii’s updated royalty payment obligations commenced on November 30, 2023 and expire upon the later of (i) the tenth anniversary of the date of
first commercial sale of ORLADEYO in Japan, (ii) the expiration of the Company’s patents covering ORLADEYO, and (iii) the expiration of regulatory
exclusivity for ORLADEYO in Japan.
The Company determined that the Torii Agreement represented a contract modification to be accounted for as if it were part of the Original Torii
Agreement under ASC Topic 606. As the performance obligations under the Original Torii Agreement had been fully satisfied, the Company was not
required to adjust revenue previously recognized.
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Peramivir Injection (RAPIVAB, RAPIACTA, PERAMIFLU)
U.S. Department of Health and Human Services (“HHS”)
In September 2024, the HHS awarded the Company up to a $69,388 contract for the procurement of up to 95.6 thousand doses over a five-year
period of RAPIVAB (peramivir injection) for the treatment of influenza. The contract, awarded by the HHS Office of the Administration for Strategic
Preparedness and Response (“ASPR”), will supply the Center for the Strategic National Stockpile, the nation’s largest supply of life-saving
pharmaceuticals and medical supplies for use in a public health emergency. The contract is structured with a 12-month base ordering period and four
optional 12-month ordering periods, which the government can exercise on an annual basis. ASPR executed the first ordering period for $13,878 and the
Company plans to supply 19.1 thousand doses to fulfill this option by September 29, 2025. The Company delivered 2.3 thousand doses of RAPIVAB under
this contract in the fourth quarter of 2024 and recorded revenue of $1,672 for the year ended December 31, 2024.
In September 2018, HHS awarded the Company a $34,660 contract for the procurement of up to 50,000 doses of RAPIVAB (peramivir injection)
over a five-year period. The Company initially delivered 20,000 doses of RAPIVAB under this contract in 2019 for a total price of approximately $13,864.
The Company further delivered 20,000 and 9,980 doses of RAPIVAB in 2022 and 2021, respectively, and recorded revenue of $13,864 and $6,918 for the
years ending December 31, 2022 and 2021, respectively. As of December 31, 2022, the Company had delivered a total of 49,980 RAPIVAB doses of the
50,000 RAPIVAB doses available under the contract, effectively completing the contract with HHS.
Shionogi & Co., Ltd. (“Shionogi”)
In February 2007, the Company entered into an exclusive license agreement with Shionogi to develop and commercialize peramivir in Japan for the
treatment of seasonal and potentially life-threatening human influenza. Under the terms of the agreement, Shionogi obtained rights to injectable
formulations of peramivir in Japan. In October 2008, the Company and Shionogi amended the license agreement to expand the territory covered by the
agreement to include Taiwan. Shionogi has commercially launched peramivir under the commercial name RAPIACTA in Japan and Taiwan. The Company
developed peramivir under a license from UAB and will owe sublicense payments to UAB on any future milestone payments and/or royalties received by
the Company from Shionogi.
Green Cross Corporation (“Green Cross”)
In June 2006, the Company entered into an agreement with Green Cross to develop and commercialize peramivir in Korea. Under the terms of the
agreement, Green Cross is responsible for all development, regulatory, and commercialization costs in Korea and the Company is entitled to share in profits
resulting from the sale of peramivir in Korea, including the sale of peramivir to the Korean government for stockpiling purposes. Furthermore, Green Cross
will pay the Company a premium over its cost to supply peramivir for development and any future marketing of peramivir products in Korea.
Other Collaborations
Clearside Biomedical, Inc. (“Clearside”)
On November 3, 2023, the Company announced that it entered into a license agreement (the “Clearside Agreement”) with Clearside, enabling the
Company to develop its investigational plasma kallikrein inhibitor, avoralstat, with Clearside’s SCS Microinjector® to deliver avoralstat to the back of the
eye through the suprachoroidal space to treat patients with diabetic macular edema.
Under the Clearside Agreement, Clearside received a $5,000 upfront license fee from the Company, which was recognized in research and
development expenses during the year ended December 31, 2023. Clearside is eligible to receive up to an additional $30,000 in clinical and regulatory
milestone payments, and up to a total of $47,500 in three post-approval sales-based milestone payments as annual global net sales progress to $2,000,000.
The Company will pay Clearside tiered mid-single digit royalties on annual global net product sales, at three tiers, including a top tier of >$1,500,000.
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Note 16— Workforce Reduction
In January 2024, the Company announced a reduction of workforce. The majority of the impacted employees had a termination date in January
2024, with certain employees exiting later in 2024. The Company notified the impacted employees in January 2024.
The Company incurred costs related to employee severance, benefits, and related costs which were accounted for as ongoing terminations benefits
under ASC Topic 712, Nonretirement Postemployment Benefits. As of December 31, 2023, it was considered probable that payment would be owed and the
amount of payment was considered to be reasonably estimable, which resulted in the recognition of $3,380 of costs related to the workforce reduction
during the year ended December 31, 2023, of which $3,026 was recognized in research and development expenses and $354 was recognized in selling,
general and administrative expenses in the Consolidated Statement of Comprehensive Loss. All of these costs were paid during the year ended
December 31, 2024.
In addition, the employees impacted by the workforce reduction received an amount equal to the bonus amount the employee would have received
through continued employment with the Company, which was considered a one-time termination benefit pursuant to ASC Topic 420, Exit or Disposal
Costs. As a result, $1,264 was recognized during the three months ended March 31, 2024, the period in which the communication occurred, of which
$1,201 was recognized in research and development expenses, and $63 was recognized in selling, general and administrative expenses in the Consolidated
Statement of Comprehensive Loss. All of these costs were paid during the three months ended March 31, 2024.
The following table summarizes the accrued liability activity recorded in connection with the workforce reduction for the year ended December 31,
2024 (in thousands):
Balance at December 31, 2023
$
3,380 
Workforce reduction expense recorded during the year ended December 31, 2024
1,264 
Amounts paid during the year ended December 31, 2024
(4,644)
Balance at December 31, 2024
$
— 
The Company does not expect to incur any additional significant costs related to this workforce reduction.
Note 17— Segment Information
The Company operates as one operating and reportable segment, centered around its commercialized product, ORLADEYO, and its pipeline with
the goal of developing first-in-class or best-in-class oral small-molecule and injectable protein therapeutics to target difficult-to-treat rare diseases. The
determination of a single segment is consistent with the consolidated financial information regularly provided to the Company’s chief operating decision
maker (“CODM”). The Chief Executive Officer, as the CODM, uses consolidated, single-segment financial information for purposes of evaluating
performance, making operating decisions, allocating resources, and planning and forecasting for future periods.
The CODM assesses performance and decides how to allocate resources based on consolidated net loss. This measure is used to monitor budget
versus actual results to evaluate the performance of the segment. The CODM uses consolidated cash, cash equivalents and investments as the measure of
segment assets. As of December 31, 2024 and 2023, the Company’s cash, cash equivalents, and investments were $341,173 and $388,987, respectively.
The following table illustrates information about segment revenues, significant segment expenses, and segment net loss for the years ended
December 31, 2024, 2023, and 2022 (in thousands):
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Years Ended December 31,
2024
2023
2022
Revenues
$
450,712  $
331,412  $
270,827 
Less :
Cost of product sales
12,269 
4,481 
6,408 
Research and development
Berotralstat
45,033 
42,835 
32,637 
Factor D Program
24,072 
94,517 
174,234 
BCX17725
32,417 
19,133 
— 
Other research, preclinical and development costs
73,116 
60,081 
46,426 
Selling, general and administrative
266,132 
213,894 
159,371 
Royalty
216 
180 
186 
Other segment items
641 
30,058 
1,983 
Interest income
(14,746)
(15,777)
(5,127)
Interest expense
98,516 
108,239 
99,092 
Income tax expense
1,927 
310 
2,733 
Segment net loss
(88,881)
(226,539)
(247,116)
Reconciliation of segment profit or loss:
Adjustments and reconciling items
— 
— 
— 
Consolidated net loss
$
(88,881) $
(226,539) $
(247,116)
The significant expense categories and amounts align with the segment-level information that is regularly provided to the CODM.
Other segment items included in Segment net loss include loss on extinguishment of debt and foreign currency losses, net.
All material long-lived assets of the Company reside in the U.S. For geographic information about the Company’s product revenues, see “Note 2—
Revenue”.
Note 18— Commitments and Contingencies
Abbreviated New Drug Application
In January 2025, the Company received a Paragraph IV notice of certification (the “Notice Letter”) from Annora Pharma Private Limited
(“Annora”) advising that Annora has submitted an Abbreviated New Drug Application (“ANDA”) to the FDA seeking approval to manufacture, use or sell
a generic version of ORLADEYO in the United States prior to the expiration of three patents listed in the FDA’s Orange Book: U.S. Patent Nos.
10,662,160; 11,117,867; and 11,618,733 (the “Challenged Patents”). The Notice Letter alleges that the Challenged Patents, which expire in 2039, are
invalid, unenforceable and/or will not be infringed by the commercial manufacture, use or sale of the generic product described in Annora’s ANDA. The
Notice Letter does not challenge the following six ORLADEYO Orange Book patents that expire in 2035: U.S. Patent Nos. 10,125,102; 10,329,260;
10,689,346; 11,230,530; 11,708,333; and 12,116,346. The Company intends to vigorously defend its intellectual property rights protecting ORLADEYO.
Note 19— Subsequent Events
The Company considers events or transactions that occur after the balance sheet date but prior to the issuance of the consolidated financial
statements to provide additional evidence for certain estimates or to identify matters that require additional disclosure. The Company has concluded that no
subsequent events have occurred that require disclosure.
1
2
1 
2 
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Report of Independent Registered Public Accounting Firm
To the Stockholders and the Board of Directors of BioCryst Pharmaceuticals, Inc.
Opinion on the Financial Statements
We have audited the accompanying consolidated balance sheets of BioCryst Pharmaceuticals, Inc. (the Company) as of December 31, 2024 and 2023, the
related consolidated statements of comprehensive loss, stockholders’ deficit and cash flows for each of the three years in the period ended December 31,
2024, and the related notes (collectively referred to as the “consolidated financial statements”). In our opinion, the consolidated financial statements present
fairly, in all material respects, the financial position of the Company at December 31, 2024 and 2023, and the results of its operations and its cash flows for
each of the three years in the period ended December 31, 2024, in conformity with U.S. generally accepted accounting principles.
We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) (PCAOB), the Company's
internal control over financial reporting as of December 31, 2024, based on criteria established in Internal Control—Integrated Framework issued by the
Committee of Sponsoring Organizations of the Treadway Commission (2013 framework), and our report dated February 25, 2025 expressed an unqualified
opinion thereon.
Basis for Opinion
These financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion on the Company’s financial
statements based on our audits. We are a public accounting firm registered with the PCAOB and are required to be independent with respect to the
Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the
PCAOB.
We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable
assurance about whether the financial statements are free of material misstatement, whether due to error or fraud. Our audits included performing
procedures to assess the risks of material misstatement of the financial statements, whether due to error or fraud, and performing procedures that respond to
those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the financial statements. Our audits
also included evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation of the
financial statements. We believe that our audits provide a reasonable basis for our opinion.
Critical Audit Matter
The critical audit matter communicated below is a matter arising from the current period audit of the financial statements that was communicated or
required to be communicated to the audit committee and that: (1) relates to accounts or disclosures that are material to the financial statements and (2)
involved our especially challenging, subjective or complex judgments. The communication of the critical audit matter does not alter in any way our opinion
on the consolidated financial statements, taken as a whole, and we are not, by communicating the critical audit matter below, providing a separate opinion
on the critical audit matter or on the accounts or disclosures to which it relates.
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Royalty Financing Obligations
Description of the
Matter
As described in Note 8 to the consolidated financial statements, the Company entered into Royalty Purchase Agreements with third
parties and received proceeds of approximately $425 million in exchange for the right to receive royalty payments based on future
net revenues of the Company’s commercialized drug, ORLADEYO, and other drug candidates as specified in the agreements.

The Company recorded the Royalty Purchase Agreements as liability instruments (royalty financing obligations) on the balance
sheet at their carrying value of $513.7 million as of December 31, 2024, and imputed interest expense, totaling $56.0 million for the
year ending December 31, 2024, associated with these liabilities using the effective interest method. Under the prospective method,
a new effective interest rate is determined based on the revised estimate of remaining cash flows. The Company periodically
assesses the amount and timing of expected royalty payments using internal projections of future net product sales.

Auditing the royalty financing obligations was judgmental due to the estimation uncertainty in determining the future net product
sales included in the effective interest rate model. In particular, future net product sales are impacted by significant assumptions,
including paid patients and price, which are affected by future market conditions.
How We Addressed
the Matter in Our
Audit
We obtained an understanding, evaluated the design and tested the operating effectiveness of controls over the Company’s processes
to account for the royalty financing obligations, including controls over management’s review of the internal projections of future
net product sales.

To evaluate the royalty financing obligations, our audit procedures included, among others, assessing the projections of future net
product sales. We compared the significant assumptions noted above to historical, current industry, market and economic trends. We
recalculated the current year interest expense based on the amortization schedules and estimates of royalties using the effective
interest method and performed sensitivity analyses to evaluate the changes in the royalty financing obligations, and associated
interest expense, that would result from changes in the significant assumptions.
/s/ Ernst & Young LLP
We have served as the Company’s auditor since 1993.
Raleigh, North Carolina
February 25, 2025
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Report of Independent Registered Public Accounting Firm
To the Stockholders and the Board of Directors of BioCryst Pharmaceuticals, Inc.
Opinion on Internal Control Over Financial Reporting
We have audited BioCryst Pharmaceuticals, Inc.’s internal control over financial reporting as of December 31, 2024, based on criteria established in
Internal Control—Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (2013 framework) (the
COSO criteria). In our opinion, BioCryst Pharmaceuticals, Inc. (the Company) maintained, in all material respects, effective internal control over financial
reporting as of December 31, 2024, based on the COSO criteria.
We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) (PCAOB), the consolidated
balance sheets of the Company as of December 31, 2024 and 2023, the related consolidated statements of comprehensive loss, stockholders’ deficit and
cash flows for each of the three years in the period ended December 31, 2024, and the related notes and our report dated February 25, 2025 expressed an
unqualified opinion thereon.
Basis for Opinion
The Company’s management is responsible for maintaining effective internal control over financial reporting and for its assessment of the effectiveness of
internal control over financial reporting included in the accompanying Management’s Annual Report on Internal Control Over Financial Reporting. Our
responsibility is to express an opinion on the Company’s internal control over financial reporting based on our audit. We are a public accounting firm
registered with the PCAOB and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the
applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.
We conducted our audit in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable
assurance about whether effective internal control over financial reporting was maintained in all material respects.
Our audit included obtaining an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, testing and
evaluating the design and operating effectiveness of internal control based on the assessed risk, and performing such other procedures as we considered
necessary in the circumstances. We believe that our audit provides a reasonable basis for our opinion.
Definition and Limitations of Internal Control Over Financial Reporting
A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting
and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. A company’s internal control
over financial reporting includes those policies and procedures that (1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly
reflect the transactions and dispositions of the assets of the company; (2) provide reasonable assurance that transactions are recorded as necessary to permit
preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the company are
being made only in accordance with authorizations of management and directors of the company; and (3) provide reasonable assurance regarding
prevention or timely detection of unauthorized acquisition, use, or disposition of the company’s assets that could have a material effect on the financial
statements.
Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of
effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of
compliance with the policies or procedures may deteriorate.
/s/ Ernst & Young LLP
Raleigh, North Carolina
February 25, 2025
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ITEM 9.    CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE
None.
ITEM 9A.    CONTROLS AND PROCEDURES
Evaluation of Disclosure Controls and Procedures
We maintain a set of disclosure controls and procedures that are designed to ensure that information required to be disclosed by us in the reports that
we file or submit under the Securities Exchange Act of 1934, as amended (the “Exchange Act”), is recorded, processed, summarized and reported, within
the time periods specified in the SEC’s rules and forms. Our disclosure controls and procedures include, without limitation, controls and procedures
designed to ensure that information required to be disclosed by us in the reports that we file or submit under the Exchange Act is accumulated and
communicated to management, including our principal executive and principal financial officers, as appropriate to allow timely decisions regarding
required disclosure. We carried out an evaluation as required by paragraph (b) of Rule 13a-15 or Rule 15d-15 under the Exchange Act, under the
supervision and with the participation of management, including our Chief Executive Officer and Chief Financial Officer, of the effectiveness of the design
and operation of our disclosure controls and procedures (as defined in Rule 13a-15(e) or Rule 15d-15(e) under the Exchange Act). Based on that
evaluation, our Chief Executive Officer and Chief Financial Officer concluded that, as of December 31, 2024, our disclosure controls and procedures were
effective.
Management’s Annual Report on Internal Control Over Financial Reporting
Our management is responsible for establishing and maintaining adequate internal control over financial reporting and for the assessment of the
effectiveness of internal control over financial reporting. As defined in Rule 13a-15(f) or Rule 15d-15(f) under the Exchange Act, internal control over
financial reporting is a process designed by, or under the supervision of, our principal executive and principal financial officers and effected by our Board
of Directors, management and other personnel, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of the
financial statements in accordance with U.S. GAAP. Internal control over financial reporting includes policies and procedures that (1) pertain to the
maintenance of records that, in reasonable detail, accurately and fairly reflect our transactions and the dispositions of our assets; (2) provide reasonable
assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with U.S. GAAP, and that our receipts and
expenditures are being made only in accordance with authorizations of our management and directors; and (3) provide reasonable assurance regarding
prevention or timely detection of unauthorized acquisition, use or disposition of our assets that could have a material effect on our financial statements.
Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any
evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree
of compliance with the policies or procedures may deteriorate.
In connection with the preparation of our annual financial statements, management has undertaken an assessment of the effectiveness of our internal
control over financial reporting as of December 31, 2024, based on criteria established in Internal Control — Integrated Framework issued by the
Committee of Sponsoring Organizations of the Treadway Commission (2013 Framework) (the COSO Framework). Management’s assessment included an
evaluation of the design of our internal control over financial reporting and testing of the operational effectiveness of those controls.
Based on this assessment, management has concluded that, as of December 31, 2024, our internal control over financial reporting was effective.
Management believes our internal control over financial reporting will provide reasonable assurance regarding the reliability of financial reporting and the
preparation of financial statements for external purposes in accordance with U.S. GAAP.
Ernst & Young LLP, the independent registered public accounting firm that audited our financial statements included in this report, has issued an
attestation report on the effectiveness of the Company’s internal control over financial reporting as of December 31, 2024, a copy of which is included in
this Annual Report on Form 10-K.
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Changes in Internal Control over Financial Reporting
There have been no changes in our internal control over financial reporting that occurred during the quarter ended December 31, 2024 that have
materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
ITEM 9B.    OTHER INFORMATION
Director and Officer Trading Arrangements
During the three months ended December 31, 2024, none of the Company’s directors or officers adopted or terminated a “Rule 10b5-1 trading
arrangement” or “non-Rule 10b5-1 trading arrangement” (as each of those terms is defined in Item 408(a) of Regulation S-K).
ITEM 9C.    DISCLOSURE REGARDING FOREIGN JURISDICTIONS THAT PREVENT INSPECTIONS
Not applicable.
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PART III
ITEM 10.    DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE
We have adopted an Insider Trading Policy which governs the purchase, sale, and other dispositions of the Company’s securities by us and our
directors, officers, employees, and other covered persons. We believe this policy is reasonably designed to promote compliance with insider trading laws,
rules and regulations and listing standards applicable to the Company. A copy of our Insider Trading Policy is filed as Exhibit 19 to this Annual Report on
Form 10-K.
The other information required by this item is set forth under the captions “Items to be Voted upon — 1. Election of Directors,” “Executive Officers,”
and “Corporate Governance” in our definitive Proxy Statement for the 2025 Annual Meeting of Stockholders and incorporated herein by reference.
ITEM 11.    EXECUTIVE COMPENSATION
The information required by this item is set forth under the captions “Compensation Discussion and Analysis,” “Executive Compensation,” “2024
Director Compensation,” “Compensation Committee Interlocks and Insider Participation,” and “Compensation Committee Report” in our definitive Proxy
Statement for the 2025 Annual Meeting of Stockholders and incorporated herein by reference.
ITEM 12.    SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED STOCKHOLDER
MATTERS
The information required by this item is set forth under the captions “Equity Compensation Plan Information” and “Security Ownership of Certain
Beneficial Owners and Management” in our definitive Proxy Statement for the 2025 Annual Meeting of Stockholders and incorporated herein by reference.
ITEM 13.    CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR INDEPENDENCE
The information required by this item is set forth under the caption “Corporate Governance” in our definitive Proxy Statement for the 2025 Annual
Meeting of Stockholders and incorporated herein by reference.
ITEM 14.    PRINCIPAL ACCOUNTING FEES AND SERVICES
Our independent registered public accounting firm is Ernst & Young LLP, Raleigh, NC, Auditor Firm ID: 42.
The information required by this item is set forth under the caption “Items to be Voted upon — 2. Ratification of Appointment of Independent
Registered Public Accountants for 2025” in our definitive Proxy Statement for the 2025 Annual Meeting of Stockholders and incorporated herein by
reference.
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PART IV
ITEM 15.    EXHIBITS, FINANCIAL STATEMENT SCHEDULES
(a) Financial Statements
The following financial statements appear in Item 8 of this report:
Page in
Form 10-K
Consolidated Balance Sheets at December 31, 2024 and 2023
77
Consolidated Statements of Comprehensive Loss for the years ended December 31, 2024, 2023, and 2022
78
Consolidated Statements of Cash Flows for the years ended December 31, 2024, 2023, and 2022
79
Consolidated Statements of Stockholders’ Deficit for the years ended December 31, 2024, 2023, and 2022
80
Notes to Consolidated Financial Statements
81
Report of Independent Registered Public Accounting Firm on Consolidated Financial Statements
113
Report of Independent Registered Public Accounting Firm on Internal Control
115
No financial statement schedules are included because the information is either provided in the consolidated financial statements or is not required
under the related instructions or is inapplicable and such schedules therefore have been omitted.
(b) Exhibits
Number
Description
3.1
Third Restated Certificate of Incorporation of BioCryst Pharmaceuticals, Inc. Incorporated by reference to Exhibit
3.1 to the Company’s Form 8-K filed December 22, 2006.
3.2
Certificate of Amendment to the Third Restated Certificate of Incorporation of BioCryst Pharmaceuticals, Inc.
Incorporated by reference to Exhibit 3.1 to the Company’s Form 8-K filed July 24, 2007.
3.3
Certificate of Amendment to the Third Restated Certificate of Incorporation of BioCryst Pharmaceuticals, Inc.
Incorporated by reference to Exhibit 3.1 to the Company’s Form 8-K filed May 7, 2014.
3.4
Certificate of Elimination of the Series B Junior Participating Preferred Stock. Incorporated by reference to Exhibit
3.1 to the Company’s Form 8-K filed May 13, 2020.
3.5
Certificate of Amendment to the Third Restated Certificate of Incorporation of BioCryst Pharmaceuticals, Inc.
Incorporated by reference to Exhibit 3.2 to the Company’s Form 8-K filed May 13, 2020.
3.6
Amended and Restated By-Laws of BioCryst Pharmaceuticals, Inc., effective January 16, 2024. Incorporated by
reference to Exhibit 3.1 to the Company’s Form 8-K filed January 18, 2024.
4.1
Description of Securities. Incorporated by reference to Exhibit 4.1 to the Company’s Form 10-K filed March 1,
2021.
4.2
Indenture, dated as of March 9, 2011 by and between JPR Royalty Sub LLC and U.S. Bank National Association,
as trustee. Incorporated by reference to Exhibit 4.3 to the Company’s Form 10-Q filed May 6, 2011.
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10.1&
BioCryst Pharmaceuticals, Inc. Stock Incentive Plan (as amended and restated March 8, 2014). Incorporated by
reference to Exhibit 10.1 to the Company’s Form 8-K filed May 5, 2014.
10.2&
BioCryst Pharmaceuticals, Inc. Stock Incentive Plan (as amended and restated May 23, 2016).  Incorporated by
reference to Exhibit 10.1 to the Company’s Registration Statement on Form S-8, filed May 23, 2016.
10.3&
BioCryst Pharmaceuticals, Inc. Stock Incentive Plan (as amended and restated April 3, 2017). Incorporated by
reference to Exhibit 10.1 to the Company’s Form 8-K filed May 30, 2017.
10.4&
BioCryst Pharmaceuticals, Inc. Stock Incentive Plan (as amended and restated September 17, 2018). Incorporated
by reference to Exhibit 10.1 to the Company’s Form 8-K filed October 31, 2018.
10.5&
BioCryst Pharmaceuticals, Inc. Stock Incentive Plan (as amended and restated April 12, 2019). Incorporated by
reference to Exhibit 10.1 to the Company’s Form 8-K filed June 4, 2019.
10.6&
BioCryst Pharmaceuticals, Inc. Stock Incentive Plan (as amended and restated March 19, 2020). Incorporated by
reference to Exhibit 10.1 to the Company’s Form 8-K filed May 13, 2020.
10.7&
BioCryst Pharmaceuticals, Inc. Stock Incentive Plan (as amended and restated April 1, 2021). Incorporated by
reference to Exhibit 10.1 to the Company’s Form 8-K filed May 26, 2021.
10.8&
BioCryst Pharmaceuticals, Inc. Stock Incentive Plan (as amended and restated as of April 18, 2022). Incorporated
by reference to Exhibit 10.1 to the Company’s Form 8-K filed June 7, 2022.
10.9&
BioCryst Pharmaceuticals, Inc. Stock Incentive Plan (as amended and restated as of April 24, 2023). Incorporated
by reference to Exhibit 10.1 to the Company’s Form 8-K filed June 14, 2023.
10.10&
BioCryst Pharmaceuticals, Inc. Stock Incentive Plan (as amended and restated as of April 22, 2024). Incorporated
by reference to Exhibit 10.1 to the Company’s Form 8-K filed June 13, 2024.
10.11&
Form of Notice of Grant of Non-Employee Director Automatic Stock Option and Stock Option Agreement under
the BioCryst Pharmaceuticals, Inc. Stock Incentive Plan. Incorporated by reference to Exhibit 10.4 to the
Company’s Form 10-K filed March 4, 2008.
10.12&
Form of Notice of Grant of Stock Option and Stock Option Agreement under the BioCryst Pharmaceuticals, Inc.
Stock Incentive Plan. Incorporated by reference to Exhibit 10.5 to the Company’s Form 10-K filed March 4, 2008.
10.13&
Standard Stock Option Agreement under the BioCryst Pharmaceuticals, Inc. Stock Incentive Plan. Incorporated by
reference to Exhibit 10.7 to the Company’s Form 10-K filed March 2, 2015.
10.14&
Form of Notice of Grant of Non-Employee Director Stock Option and Stock Option Agreement under the BioCryst
Pharmaceuticals, Inc. Stock Incentive Plan. Incorporated by reference to Exhibit 10.3 to the Company’s 10-Q filed
August 5, 2022.
10.15&
Form of Notice of Grant of Restricted Stock Unit Award and Restricted Stock Unit Agreement under the BioCryst
Pharmaceuticals, Inc. Stock Incentive Plan. Incorporated by reference to Exhibit 10.8 of the Company’s Form 10-K
filed March 2, 2015.
10.16&
Form of Notice of Grant of Restricted Stock Unit Award and Restricted Stock Unit Agreement under the BioCryst
Pharmaceuticals, Inc. Stock Incentive Plan. Incorporated by reference to Exhibit 10.2 to the Company’s Form 10-Q
filed May 7, 2021.
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10.17&
Form of Notice of Grant of Restricted Stock Unit Award and Restricted Stock Unit Agreement under the BioCryst
Pharmaceuticals, Inc. Stock Incentive Plan. Incorporated by reference to Exhibit 10.14 to the Company’s Form 10-
K filed February 28, 2022.
10.18&
Form of Notice of Grant of Non-Employee Director Restricted Stock Unit Award and Restricted Stock Unit
Agreement under the BioCryst Pharmaceuticals, Inc. Stock Incentive Plan. Incorporated by reference to Exhibit
10.4 to the Company’s Form 10-Q filed August 5, 2022.
10.19&
Form of Notice of Performance-Based Restricted Stock Unit Award and Performance-Based Restricted Stock Unit
Agreement under the BioCryst Pharmaceuticals, Inc. Stock Incentive Plan. Incorporated by reference to Exhibit
10.4 to the Company’s Form 10-Q filed August 6, 2024.
10.20&
BioCryst Pharmaceuticals, Inc. Employee Stock Purchase Plan (as amended and restated as of July 7, 2023).
Incorporated by reference to Exhibit 10.3 to the Company’s Form 10-Q filed August 7, 2023.
10.21&
BioCryst Pharmaceuticals, Inc. Inducement Equity Incentive Plan (effective as of April 24, 2019). Incorporated by
reference to Exhibit 99.1 to the Company’s Form S-8 (File No. 333-231108) filed April 29, 2019.
10.22&
BioCryst Pharmaceuticals, Inc. Inducement Equity Incentive Plan (as amended and restated February 7, 2020).
Incorporated by reference to Exhibit 10.2 of the Company’s Form 10-Q filed May 11, 2020.
10.23&
BioCryst Pharmaceuticals, Inc. Inducement Equity Incentive Plan (as amended and restated July 17, 2020).
Incorporated by reference to Exhibit 99.1 to the Company’s Form S-8 (File No. 333-245024) filed August 12, 2020.
10.24&
BioCryst Pharmaceuticals, Inc. Inducement Equity Incentive Plan (as amended and restated July 23, 2021).
Incorporated by reference to Exhibit 99.1 to the Company’s Form S-8 (File No. 333-259919) filed September 30,
2021.
10.25&
BioCryst Pharmaceuticals, Inc. Inducement Equity Incentive Plan (as amended and restated August 31, 2022).
Incorporated by reference to Exhibit 99.1 to the Company’s Form S-8 (File No. 333-267193) filed August 31, 2022.
10.26&
BioCryst Pharmaceuticals, Inc. Inducement Equity Incentive Plan (as amended and restated as of October 26,
2023). Incorporated by reference to Exhibit 10.2 to the Company’s Form 10-Q filed November 8, 2023.
10.27&
Form of Notice of Grant of Stock Option and Standard Stock Option Agreement under the BioCryst
Pharmaceuticals, Inc. Inducement Equity Incentive Plan. Incorporated by reference to Exhibit 10.16 to the
Company’s Form 10-K filed March 1, 2021.
10.28&
Form of Notice of Grant of Restricted Stock Unit Award and Restricted Stock Unit Agreement under the BioCryst
Pharmaceuticals, Inc. Inducement Equity Incentive Plan. Incorporated by reference to Exhibit 10.25 to the
Company’s Form 10-K filed February 27, 2023.
10.29&
BioCryst Pharmaceuticals, Inc. Non-Employee Director Compensation Policy, effective April 18, 2022.
Incorporated by reference to Exhibit 10.2 to the Company’s Form 10-Q filed May 9, 2022.
10.30&
First Amendment to the BioCryst Pharmaceuticals, Inc. Non-Employee Director Compensation Policy, effective
June 10, 2024. Incorporated by reference to Exhibit 10.2 to the Company’s Form 10-Q filed on August 6, 2024.
10.31&
BioCryst Pharmaceuticals, Inc. Annual Incentive Plan (effective as of December 16, 2020). Incorporated by
reference to Exhibit 10.1 to the Company’s Form 8-K filed December 17, 2020.
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10.32&
Executive Relocation Policy. Incorporated by reference to Exhibit 10.2 to the Company’s Form 10-K filed March 4,
2008.
10.33&
Amended and Restated Employment Letter Agreement between BioCryst Pharmaceuticals, Inc. and Jon P.
Stonehouse, dated February 14, 2007. Incorporated by reference to Exhibit 10.12 to the Company’s Form 10-K filed
March 14, 2007.
10.34&
Amended and Restated Employment Letter Agreement between BioCryst Pharmaceuticals, Inc. and Alane P.
Barnes, dated August 4, 2021. Incorporated by reference to Exhibit 10.6 to the Company’s Form 10-Q filed August
9, 2021.
10.35&
Employment Letter Agreement between BioCryst Pharmaceuticals, Inc. and Charles Gayer, dated January 14, 2020.
Incorporated by reference to Exhibit 10.26 to the Company’s Form 10-K filed March 1, 2021.
10.36&
Amendment No. 1 to the Employment Letter Agreement between BioCryst Pharmaceuticals, Inc. and Charles
Gayer, dated September 24, 2021. Incorporated by reference to Exhibit 10.10 to the Company’s Form 10-Q filed
November 4, 2021.
10.37&
Employment Letter Agreement between BioCryst Pharmaceuticals, Inc. and Anthony Doyle, dated March 29, 2020.
Incorporated by reference to Exhibit 10.1 to the Company’s Form 10-Q filed May 11, 2020.
10.38&
Amendment No. 1 to the Employment Letter Agreement between BioCryst Pharmaceuticals, Inc. and Anthony
Doyle, dated September 24, 2021. Incorporated by reference to Exhibit 10.8 to the Company’s Form 10-Q filed
November 4, 2021.
10.39&
Employment Letter Agreement between BioCryst Pharmaceuticals, Inc. and Dr. Helen M. Thackray, dated February
18, 2021. Incorporated by reference to Exhibit 10.1 to the Company’s Form 10-Q filed May 7, 2021.
10.40&
Amendment No. 1 to the Employment Letter Agreement between BioCryst Pharmaceuticals, Inc. and Dr. Helen M.
Thackray, dated September 24, 2021. Incorporated by reference to Exhibit 10.9 to the Company’s Form 10-Q filed
November 4, 2021.
10.41†
License, Development and Commercialization Agreement dated as of February 28, 2007, by and between the
Company and Shionogi & Co., Ltd. Incorporated by reference to Exhibit 10.28 to the Company’s Form 10-K filed
March 1, 2021.
10.42†
First Amendment to License, Development and Commercialization Agreement, effective as of September 30, 2008,
between the Company and Shionogi & Co., Ltd. Incorporated by reference to Exhibit 10.29 to the Company’s Form
10-K filed March 1, 2021.
10.43
Purchase and Sale Agreement, dated as of March 9, 2011 between BioCryst Pharmaceuticals, Inc. and JPR Royalty
Sub LLC. Incorporated by reference to Exhibit 10.1 of the Company’s Form 10-Q filed May 6, 2011.
10.44
Pledge and Security Agreement, dated as of March 9, 2011 between BioCryst Pharmaceuticals, Inc. and U.S. Bank
National Association, as trustee. Incorporated by reference to Exhibit 10.2 of the Company’s Form 10-Q filed May
6, 2011.
10.45†*
Purchase and Sale Agreement, dated as of December 7, 2020, between BioCryst Pharmaceuticals, Inc. and RPI
2019 Intermediate Finance Trust. Incorporated by reference to Exhibit 10.91 to the Company’s Form 10-K filed
March 1, 2021.
122

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10.46†*
Purchase and Sale Agreement, dated as of November 19, 2021, between BioCryst Pharmaceuticals, Inc. and RPI
2019 Intermediate Finance Trust. Incorporated by reference to Exhibit 10.102 to the Company’s Form 10-K filed on
February 28, 2022.
10.47†*
Purchase and Sale Agreement, dated as of November 19, 2021, between BioCryst Pharmaceuticals, Inc. and OCM
IP Healthcare Holdings Limited. Incorporated by reference to Exhibit 10.103 to the Company’s Form 10-K filed on
February 28, 2022.
10.48†*
Common Stock Purchase Agreement, dated as of November 19, 2021, between BioCryst Pharmaceuticals, Inc. and
RPI Intermediate Finance Trust. Incorporated by reference to Exhibit 10.104 to the Company’s Form 10-K filed on
February 28, 2022.
10.49†*
Loan Agreement, dated as of April 17, 2023, by and among BioCryst Pharmaceuticals, Inc., as borrower, the
guarantors signatory thereto or otherwise party thereto from time to time, BioPharma Credit PLC, as collateral
agent for the lenders, and BPCR Limited Partnership and BioPharma Credit Investments V (Master) LP, as lenders.
Incorporated by reference to Exhibit 10.1 to the Company’s Form 10-Q filed on August 7, 2023.
(10.50)
Joinder Agreement, dated as of February 24, 2025, by and between BioCryst UK Limited and BioPharma Credit
PLC.
10.51&
BioCryst Pharmaceuticals, Inc. Equity Award Retirement Policy, effective July 1, 2024, as updated October 31,
2024. Incorporated by reference to Exhibit 10.1 to the Company’s Form 10-Q filed on November 5, 2024.
(19)
BioCryst Pharmaceuticals, Inc. Insider Trading Policy.
(21)
Subsidiaries of the Registrant.
(23)
Consent of Ernst & Young, LLP, Independent Registered Public Accounting Firm.
(31.1)
Certification of the Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
(31.2)
Certification of the Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
(32.1)**
Certification of the Chief Executive Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906
of the Sarbanes-Oxley Act of 2002.
(32.2)**
Certification of the Chief Financial Officer pursuant to 18.U.S.C. Section 1350, as adopted pursuant to section 906
of the Sarbanes-Oxley Act of 2002.
97
BioCryst Pharmaceuticals, Inc. Rule 10D-1 Clawback Policy. Incorporated by reference to Exhibit 97 to the
Company’s Form 10-K filed on February 27, 2024.
(101)
Financial statements from the Annual Report on Form 10-K of BioCryst Pharmaceuticals, Inc. for the fiscal year
ended December 31, 2024, formatted in Inline XBRL: (i) Consolidated Balance Sheets, (ii) Consolidated
Statements of Comprehensive Loss, (iii) Consolidated Statements of Cash Flows, (iv) Consolidated Statements of
Stockholders’ Equity and (v) Notes to Consolidated Financial Statements.
(104)
Cover Page Interactive Data File – The cover page from this annual report on Form 10-K for the fiscal year ended
December 31, 2024 is formatted in Inline XBRL (contained in Exhibit 101).
123

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†
Certain identified information has been omitted pursuant to Item 601(b)(10) of Regulation S-K because it is both
not material and would likely cause competitive harm to the Company if publicly disclosed.
*
Certain personally identifiable information has been omitted from this exhibit pursuant to Item 601(a)(6) of
Regulation S-K.
**
The certification is being furnished solely to accompany this Annual Report on Form 10-K pursuant to 18 U.S.C.
Section 1350, and will not be deemed “filed” for purposes of Section 18 of the Exchange Act, except to the extent
that the Company specifically incorporates it by reference.
&
Management contracts.
( )
Filed herewith.
ITEM 16.    FORM 10-K SUMMARY.
None.
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SIGNATURES
Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed
on its behalf by the undersigned, thereunto duly authorized on February 25, 2025.
BIOCRYST PHARMACEUTICALS, INC.
By:
/s/ Jon P. Stonehouse
Jon P. Stonehouse
Chief Executive Officer
Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the
registrant and in the capacities indicated on February 25, 2025:
Signature
Title(s)
/s/ Jon P. Stonehouse
President, Chief Executive Officer and Director
Jon P. Stonehouse
(Principal Executive Officer)
/s/ Anthony J. Doyle
Chief Financial Officer
Anthony J. Doyle
(Principal Financial Officer and Interim Principal Accounting Officer)
/s/ Nancy J. Hutson
Chairperson of the Board, Director
Nancy J. Hutson, Ph.D.
/s/ George B. Abercrombie
Director
George B. Abercrombie
/s/ Stephen J. Aselage
Director
Stephen J. Aselage
/s/ Steven K. Galson
Director
Steven K. Galson, M.D.
/s/ Theresa M. Heggie
Director
Theresa M. Heggie
/s/ Alan G. Levin
Director
Alan G. Levin
/s/ Amy E. McKee
Director
Amy E. McKee, M.D.
/s/ Vincent J. Milano
Director
Vincent J. Milano
/s/ Machelle Sanders
Director
Machelle Sanders
125

Exhibit 10.50
JOINDER AGREEMENT
This JOINDER AGREEMENT, dated as of February 24, 2025, is delivered in connection with Sections 5.12 and 5.13 of the Loan
Agreement, dated as of April 17, 2023, by and among BIOCRYST PHARMACEUTICALS, INC., a Delaware corporation (“Borrower”), and the other
Persons from time to time party thereto as Grantors or Guarantors, in favor of BIOPHARMA CREDIT PLC (together with its successors and permitted
assigns, the “Collateral Agent”) on behalf of Lenders and each of the other Secured Parties (as such agreement may be amended, restated, supplemented or
otherwise modified from time to time, the “Loan Agreement”). Capitalized terms used herein without definition are used as defined in the Loan Agreement.
By executing and delivering this Joinder Agreement, the undersigned, as provided in Sections 5.12 and 5.13 of the Loan Agreement,
hereby becomes a party to the Loan Agreement as a “Guarantor” thereunder with the same force and effect as if originally named as a “Guarantor” (as the
case may be) therein and, without limiting the generality of the foregoing, hereby assumes all obligations and liabilities of a “Guarantor” thereunder (as
applicable). Each of the undersigned hereby agrees to be bound as a “Guarantor” for the purposes of the Loan Agreement. Notwithstanding anything to the
contrary in this Joinder Agreement and/or the Loan Agreement, the guarantee provided by any Guarantor incorporated in England and Wales shall not
apply to any liability to the extent that it would constitute unlawful financial assistance within the meaning of sections 678 or 679 of the Companies Act
2006 or any equivalent and applicable provisions under the laws of England and Wales.
In connection with this Joinder Agreement, the undersigned have delivered to the Collateral Agent a completed Perfection Certificate
duly executed by the undersigned. The information set forth in Annex 1-A is hereby added to the information set forth in the Disclosure Letter. By
acknowledging and agreeing to this Joinder Agreement, each of the undersigned hereby agrees that this Joinder Agreement may be attached to the Loan
Agreement and the Perfection Certificate delivered herewith by the undersigned shall constitute a “Perfection Certificate” referred to in Section 4.6 of the
Loan Agreement.
Each of the undersigned hereby represents and warrants that each of the representations and warranties contained in Article 4 of the Loan
Agreement applicable to it, if any, is true and correct on and as the date hereof as if made on and as of such date.
The parties hereto agree that, to the extent any Default or Event of Default may have occurred prior to the date hereof due to the
Guarantor not being joined as a Guarantor prior to the date hereof or not providing any Collateral prior to the date hereof, such Default and/or Event of
Default is hereby waived effective as of the date hereof.
In witness whereof, each of the undersigned have caused this Joinder Agreement to be duly executed and delivered as of the date first
above written.
[Signature pages follow]

BIOCRYST UK LIMITED
By: /s/ Luke Robinson
Name: Luke Robinson
Title: Director
[Signature Page for Loan Agreement Joinder]

ACKNOWLEDGED AND AGREED
as of the date first above written:
BIOPHARMA CREDIT PLC,
as Collateral Agent
By: Pharmakon Advisors, LP,
its Investment Manager
By: Pharmakon Management I, LLC,
its General Partner
By:     /s/ Pedro Gonzalez de Cosio
Name:     Pedro Gonzalez de Cosio
Title:     Managing Member
[Signature Page for Loan Agreement Joinder]

Annex 1-A
Supplement to Disclosure Letter
[see attached]

Schedule 6.2(c)
Accounts

Exhibit 19
BIOCRYST PHARMACEUTICALS, INC.
Insider Trading Policy
1.0     PURPOSE
1.1 BioCryst Pharmaceuticals, Inc. (the “Company”) has adopted this Insider Trading Policy (the “policy”), which
provides guidelines for trading in Company and other securities, in order to comply with federal and state securities laws
governing trading in securities while aware of material nonpublic information, as well as tipping or disclosing material
nonpublic information to outsiders. The policy also is intended to prevent even the appearance of improper insider trading
or tipping.
2.0    SCOPE
2.1 Insiders.
1. This policy covers all Directors, Officers and employees of the Company and its subsidiaries, as well as their
spouses and minor children, persons with whom they share a household, persons who are their economic
dependents, and any other person or entity (including any corporations, partnerships or trusts) over whose
securities trading decisions the Director, Officer or employee exercises substantial influence or control
(collectively, “Related Persons” and collectively with Directors, Officers and employees of the Company and its
subsidiaries, “Insiders”).
2. This policy also covers any outsiders (e.g., consultants, contractors, etc.) whom the Chief Legal Officer may
designate as Insiders because they have access to material nonpublic information concerning the Company
(“designated outsiders”).
3. Portions of this policy continue to apply to certain transactions in Company securities even after termination of
service to the Company. If an Insider is aware of material nonpublic information when his or her service
terminates, such Insider (and any of such Insider’s Related Persons) may not trade in Company securities until that
information has become public or is no longer material.
4. Each Director, Officer and employee of the Company and its subsidiaries is responsible for making sure that he or
she complies with this policy and that his or her Related Persons also comply with this policy. Each Insider is
responsible for determining whether he or she is aware of material nonpublic information and should use good
judgment at all times. Any action by or on behalf of the Company, the Chief Legal Officer (or such officer’s
designee), or any other person pursuant to this policy (or otherwise) does not constitute legal advice or protect an
Insider from liability under applicable securities laws.
2.2 Transactions and Securities Covered. The policy applies to any and all transactions in the Company’s securities,
including its common stock, options, restricted stock units

or warrants to purchase common stock, and any other type of securities that the Company may issue, including, but
not limited to, preferred stock, convertible debentures or other derivative securities, as well as derivative securities
that are not issued by the Company, such as exchange-traded options or swaps. Section 6.1 also applies to transactions
in the securities of other companies.
2.3 Availability; Acknowledgment. The policy will be delivered to all Directors, Officers and employees of the Company
and its subsidiaries and to all designated outsiders upon its adoption or revision by the Company, and to all new
Directors, Officers, employees and designated outsiders at the start of their employment or relationship with the
Company. The policy also is available in the “Securities and Corporate Governance” section of the Legal &
Compliance page on the Company’s intranet. Upon first receiving a copy of the policy or any revisions thereto, each
Insider must sign an acknowledgment that he or she has received a copy and agrees to comply with the policy’s terms.
Section 16 Individuals, as defined in Section 3.1, may be required to certify compliance with the policy on an annual
basis.
3.0     SECTION 16 INDIVIDUALS
3.1 The Company has designated all Directors and Officers listed in Appendix A of this policy (collectively referred to as
“Section 16 Individuals”) as subject to the reporting provisions and trading restrictions of Section 16 of the Securities
Exchange Act of 1934, as amended (the “Exchange Act”), and the underlying rules and regulations promulgated by
the U.S. Securities and Exchange Commission (the “SEC”).
4.0     INSIDER TRADING COMPLIANCE OFFICER
4.1 Insider Trading Compliance Officer. The Company has designated the Chief Legal Officer as the Insider Trading
Compliance Officer responsible for the administration of this policy. The Chief Legal Officer will be available to
review proposed trades by Section 16 Individuals. The Chief Legal Officer may, from time to time, consult with
outside legal counsel on particular issues relating to Section 16 compliance.
4.2 Duties of the Insider Trading Compliance Officer. In addition to the trading review duties, the duties of the Chief
Legal Officer will include the following:
1. Administering this policy and monitoring and enforcing compliance with all policy provisions and procedures.
2. Responding to all inquiries relating to this policy and its procedures.
3. Designating and announcing special trading blackout periods during which designated Insiders (as defined in
Section 6.1.3 below) may not trade in Company securities.
4. Administering and monitoring compliance with all federal and state insider trading laws and regulations, including
without limitation Sections 10(b), 16, 20A and 21A of the Exchange Act and the rules and regulations
promulgated

thereunder, and Rule 144 under the Securities Act of 1933, as amended (the “Securities Act”); and assisting in the
preparation and filing of all required SEC reports relating to insider trading in Company securities, including
without limitation Forms 3, 4, 5 and 144.
5. Recommending revisions to the policy as necessary to reflect changes in federal or state insider trading laws and
regulations and developing practices.
6. Maintaining as Company records originals or copies of all documents required by the provisions of this policy or
the procedures set forth herein, and copies of all required SEC reports provided to the Company by an Insider
relating to insider trading, including without limitation Forms 3, 4, 5, 144 and Schedules 13D and 13G.
7. Updating the list of Section 16 Individuals contained in Appendix A periodically as necessary to reflect additions
to or deletions from each category of individuals.
4.3 Delegation of Duties. The Chief Legal Officer may designate one or more individuals who may perform some or all
(as determined by the Chief Legal Officer) of the Chief Legal Officer’s duties under this policy.
5.0     DEFINITION OF “MATERIAL NONPUBLIC INFORMATION”
5.1 “Material” Information. Information about the Company is material if it would be expected to affect the investment
or voting decisions of a reasonable stockholder or investor, or if the disclosure of the information would be expected
to significantly alter the total mix of the information in the marketplace about the Company. In simple terms, material
information is any type of information which would reasonably be expected to affect the price (positively or
negatively) of Company securities. While it is not possible to identify all information that would be deemed material,
the following types of information ordinarily would be considered material:
1. Financial performance, especially quarterly and year-end earnings or losses, and significant changes in financial
performance or liquidity.
2. Company projections and strategic plans to the extent such projections and plans differ materially from analysts’
estimates.
3. Potential mergers, acquisitions and joint ventures or the sale of Company assets or subsidiaries.
4. Information about major contracts, orders, suppliers, customers, partners, licenses or finance sources.
5. Major discoveries or significant changes or developments in products or product lines, research or technologies,
including animal studies, human clinical trial results, synthesis of compounds and regulatory decisions.

6. Significant changes or developments in supplies or inventory, including significant product defects or side effects,
recalls or product returns.
7. Stock splits, public or private securities/debt offerings and other financing arrangements.
8. Significant changes in senior management, Directors or independent accountants, particularly where a
disagreement with management is involved.
9. Actual or threatened major litigation, or the resolution of such litigation.
10. A significant cybersecurity incident, such as a data breach, or any other significant disruption in the Company’s
operations or loss, potential loss, breach or unauthorized access of its property or assets, whether at its facilities or
through its information technology infrastructure.
5.2 “Nonpublic” Information. Material information is nonpublic if it has not been widely disseminated to the public in the
Company’s SEC filings or through major newswire services, national news services or financial news services.
Information would likely not be considered widely disseminated if it is available only to the Company’s employees, or
if it is only available to a select group of analysts, brokers and institutional investors. For the purposes of this policy,
information will be considered public after the close of trading on the first full trading day following the Company’s
widespread public release of the information. Depending on the particular circumstances, the Company may
determine that a longer or shorter period should apply to the release of specific material nonpublic information.
5.3 Guidance. Any Insiders who are unsure whether the information that they are aware of is material or nonpublic are
encouraged to consult the Chief Legal Officer (or such officer’s designee) for guidance before trading in any
Company securities. All inquiries from outsiders regarding material nonpublic information about the Company must
be forwarded to the Chief Legal Officer (or such officer’s designee).
6.0     STATEMENT OF COMPANY POLICY AND PROCEDURES
6.1 Prohibited Activities
1. No Trading While Aware of Material Nonpublic Information. No Insider may trade in Company securities while
aware of material nonpublic information concerning the Company, except as otherwise specified in Section 6.4
and Section 6.5 below. In addition, no Insider who, in the course of his or her relationship with the Company,
obtains material nonpublic information relating to, or otherwise impacting, another company (such as a customer,
vendor, supplier, other business partner, potential business partner, potential acquisition target, or competitor) may
(a) trade in the securities of such company or (b) engage in any other action to take advantage of, engage in
tipping (as discussed in Section 6.1.4 below) of, or give trading advice (as discussed in Section 6.1.5 below) while
aware of, that material nonpublic information.

2. No Trading Outside of Trading Windows. No Insider may trade in Company securities outside of the applicable
trading windows described in Section 6.2 below or during any applicable special trading blackout periods
designated by the Chief Legal Officer (or such officer’s designee).
3. No Trading Without Pre-Clearance. No designated Insider (or any Related Person of such designated Insider) may
trade in, or make or receive gifts of, Company securities without first obtaining written pre-clearance of the
transaction in accordance with the procedures outlined in Section 6.3 below. All Insiders shall be “designated
Insiders” under this policy unless otherwise determined, and notified in writing, by the Chief Legal Officer (or
such officer’s designee).
4. No Tipping. No Insider may “tip” or disclose material nonpublic information concerning the Company to any
other person unless required as part of that Insider’s regular duties for the Company and authorized by the Chief
Legal Officer (or such officer’s designee). In any instance in which such information is disclosed to outsiders, the
Company will take such steps as are necessary to preserve the confidentiality of the information, including
requiring the outsider to agree in writing to comply with the terms of this policy and/or to sign a confidentiality
agreement. Insiders also should use care to avoid inadvertently disclosing material nonpublic information (e.g., by
not discussing such information in public places where it can be overheard by others, such as in restaurants,
airplanes, taxicabs or elevators). Liability in tipping cases can extend both to the “tippee” (the person to whom the
Insider disclosed material nonpublic information) and to the “tipper” (the person disclosing the material nonpublic
information). In such cases, the tipper can be held liable for his or her own transactions, as well as the transactions
by a tippee or a tippee’s tippee, regardless of whether any monetary benefit is received.
5. No Trading Advice. No Insider may give trading advice of any kind about the Company to anyone while aware of
material nonpublic information about the Company; except that Insiders should advise others not to trade if doing
so might violate the law or this policy. The Company strongly discourages all Insiders from giving trading advice
concerning the Company to third parties even when the Insiders are not aware of material nonpublic information
about the Company.
6. No Short Sales or Hedging. No Insider may engage in any type of short sale or purchase any financial instrument
(including prepaid variable forward contracts, equity swaps, collars and exchange-traded funds) or engage in any
transaction that, in either case, hedges or offsets, or is designed to hedge or offset, any decrease in the market
value of the Company’s equity securities. Insiders may engage in other derivative transactions only if it is
determined, to the satisfaction of the Chief Legal Officer (or such officer’s designee), that such transactions are
consistent with applicable rules, laws, and this policy.
7. No Purchase of Company Securities on Margin or Pledging Without Advance Written Approval. No Insider may
pledge Company securities as collateral for a

loan or purchase Company securities on margin without obtaining the advance written approval of the Chief Legal
Officer (or such officer’s designee).
6.2 Trading Windows and Blackout Periods
1. Trading Window. Insiders may trade in Company securities only during the period beginning when the Chief
Legal Officer (or such officer’s designee) sends notice via email that the trading window is open (typically at the
close of trading on the first or second full trading day following the Company’s widespread public release of
quarterly or year-end earnings or losses) and ending at the close of trading on the last day of the fiscal quarter. Any
exceptions must be pre-cleared by the Chief Legal Officer (or such officer’s designee).
2. No Trading During Trading Windows While Aware of Material Nonpublic Information. No Insider aware of
material nonpublic information concerning the Company may trade in Company securities even during applicable
trading windows.
3. No Trading During Blackout Periods. No Insider may trade in Company securities outside of the applicable
trading windows or, for any designated Insider, during any special blackout periods that the Chief Legal Officer
(or such officer’s designee) may designate. No Insider may disclose to any other person that a special blackout
period has been designated.
6.3 Pre-Clearance Procedures
1. Requesting Pre-Clearance of Transactions. Designated Insiders (as defined in Section 6.1.3 above) must submit a
request for pre-clearance in accordance with the Company’s pre-clearance procedures at least two business days
before any proposed transaction in Company securities by such designated Insider (or any Related Person of such
designated Insider) (including during applicable trading windows) and must comply with any other procedures
established by the Chief Legal Officer (or such officer’s designee). If the request for pre-clearance is denied, the
requesting Insider (or such Insider’s Related Person, as applicable) must refrain from engaging in any transaction
in Company securities and may not disclose such restriction to any other person.
2. Executing Transactions after Pre-Clearance Approval. If pre-clearance approval is obtained, the approved
transaction must be executed no later than the day after receipt of the pre-clearance approval (or such other length
of time as approved); if the transaction is not executed during that time, a new pre-clearance approval is required
before the trade may be executed. If the designated Insider learns of material nonpublic information after
obtaining pre-clearance approval but before execution of the approved transaction, the designated Insider must
inform the approver and the transaction may not be completed. Obtaining pre-clearance does not, in any
circumstance, relieve anyone of his or her legal obligation to refrain from trading in Company securities while
aware of material nonpublic information.

3. 10b5-1 Trading Plan Exception. The pre-clearance procedures described in this section do not apply to
transactions under approved 10b5-1 Trading Plans (as defined in Section 6.5.1 below).
6.4 Employee Benefit Plans
1. Transactions by Benefit Plans. The trading prohibitions and restrictions set forth in this policy do not apply to
periodic contributions by the Company or employees to employee benefit plans (e.g., pension or 401(k) plans)
which are used to purchase Company securities pursuant to the employee’s advance instructions. However, no
Officers or employees may alter their instructions to an employee benefits plan regarding the purchase or sale of
Company securities while aware of material nonpublic information.
2. Stock Incentive Plans. The trading prohibitions and restrictions of this policy apply to all sales of securities
acquired through the exercise of stock options or the vesting of restricted stock units or other restricted stock
awards granted by the Company, including any sale as part of a broker assisted cashless exercise or any other
market sale for the purpose of generating the cash needed to pay the exercise price of a stock option or applicable
tax withholding obligations. The trading prohibitions and restrictions of this policy do not apply to the exercise of
an employee stock option pursuant to the Company’s plans if no shares are to be sold, or to the exercise of any
applicable tax withholding right pursuant to which the Company withholds shares subject to an option or other
equity award to satisfy tax withholding obligations.
3. Employee Stock Purchase Plan. The trading prohibitions and restrictions of this policy apply to all sales of stock
acquired through the Employee Stock Purchase Plan (the “Plan”). The trading prohibitions and restrictions of this
policy do not apply to acquisitions of stock through the Plan resulting from an Insider’s periodic contribution of
money to the Plan pursuant to an election made at the time of enrollment in the Plan in accordance with the terms
of the Plan and the Company’s policies and procedures.
6.5 10b5-1 Trading Plans
1. 10b5-1 Trading Plan Requirements. The trading prohibition provisions of this policy, including without limitation,
Sections 6.1.1, 6.1.2, 6.1.3 and Section 6.2, shall not apply to trades in the Company’s securities which are
effected by an Insider pursuant to the terms of a predetermined written trading plan that meets the requirements of
Rule 10b5-1 under the Exchange Act (a “10b5-1 Trading Plan”), provided that the 10b5-1 Trading Plan (i) was
established in good faith, in compliance with the requirements of Rule 10b5-1 at a time when the Insider was not
aware of material nonpublic information about the Company and the Company had not imposed any trading
blackout period; (ii) provides for a specified cooling-off period, as required by Rule 10b5-1, between the date it is
established and the date of the first sale thereunder; (iii) specifies the amount of

securities to be sold, the dates on which they are to be sold and the prices at which they are to be sold in advance,
such that the Insider has no direct or indirect influence over the timing or terms; and (iv) was reviewed and
approved in writing in accordance with the Company’s pre-approval procedures for 10b5-1 Trading Plans prior to
establishment of the plan to confirm compliance with all relevant Company policies and the securities laws.
2. 10b5-1 Trading Plans for Section 16 Individuals. Section 16 Individuals who wish to trade Company securities are
encouraged to do so pursuant to an approved 10b5-1 Trading Plan.
6.6 Company Transactions. From time to time, the Company may engage in transactions in its own securities. It is the
Company’s policy to comply with applicable securities and state laws (including appropriate approvals by the Board
of Directors or appropriate committee, if required) when engaging in transactions in the Company’s securities.
7.0     POTENTIAL CIVIL, CRIMINAL AND DISCIPLINARY SANCTIONS
7.1 Civil and Criminal Penalties. The consequences of prohibited insider trading or tipping can be severe. Persons
violating insider trading or tipping rules may be required to disgorge the profit made or the loss avoided by the trading
(whether received by an Insider or a tippee), pay the loss suffered by the person who purchased securities from or sold
securities to the insider tippee, pay civil penalties up to three times the profit made or loss avoided, pay a criminal
penalty of up to $5 million and serve a jail term of up to twenty years. The Company and/or the supervisors of the
person violating the rules also may be required to pay major civil or criminal penalties.
7.2 Company Discipline. Violation of this policy or federal or state insider trading or tipping laws by any Insider may
subject the Insider to disciplinary action by the Company up to and including termination for cause.
7.3 Reporting Violations. Any Insider who learns of a violation of this policy must report the violation immediately to the
Chief Legal Officer (or such officer’s designee).
8.0     INQUIRIES
8.1 Please direct all inquiries regarding any of the provisions or procedures of this policy to the Chief Legal Officer (or
such officer’s designee).

Appendix A
Section 16 Individuals
Chief Executive Officer
Chief Financial Officer
Chief Commercial Officer
Chief Research and Development Officer
Chief Legal Officer
Principal Accounting Officer
Members of the Company’s Board of Directors

Exhibit 21
Subsidiaries of the Registrant
Subsidiary
Jurisdiction of Incorporation
BioCryst Canada, ULC
British Columbia
BioCryst España S.L.
Spain
BioCryst France SAS
France
BioCryst Ireland Limited
Ireland
BioCryst Italia S.r.l.
Italy
BioCryst Japan K.K.
Japan
BioCryst Netherlands B.V.
Netherlands
BioCryst Pharma Deutschland GmbH
Germany
BioCryst Schweiz GmbH
Switzerland
BioCryst UK Limited
England and Wales
BioCryst US Sales Co., LLC
Delaware
JPR Royalty Sub LLC
Delaware

Exhibit 23
Consent of Independent Registered Public Accounting Firm
We consent to the incorporation by reference in the following Registration Statements:           
•
Registration Statements (Form S-8 Nos. 333-231108, 333-239078, 333-245024, 333-259919, 333-267193, and 333-275401)
pertaining to the BioCryst Pharmaceuticals, Inc. Inducement Equity Incentive Plan, as amended and restated,
•
Registration Statements (Form S-3 Nos. 333-145638, 333-153084, 333-217859, and 333-277417) of BioCryst Pharmaceuticals, Inc.,
•
Registration Statements (Form S-8 Nos. 333-120345, 333-39484, 333-30751, and 333-136703) pertaining to the BioCryst
Pharmaceuticals, Inc. 1991 Stock Option Plan, as amended and restated,
•
Registration Statements (Form S-8 Nos. 333-90582, 333-239077, and 333-256624) pertaining to the BioCryst Pharmaceuticals, Inc.
Employee Stock Purchase Plan, as amended and restated,
•
Registration Statement (Form S-8 No. 333-145627) pertaining to the BioCryst Pharmaceuticals, Inc. Stock Incentive Plan, as
amended and restated, and the Employment Letter Agreement dated April 2, 2007 between BioCryst Pharmaceuticals, Inc. and
David McCullough,
•
Registration Statements (Form S-8 Nos. 333-176096, 333-211529, 333-218360, 333-228296, 333-231942, 333-239076, 333-256625,
333-266132, 333-273042, and 333-281294) pertaining to the BioCryst Pharmaceuticals, Inc. Stock Incentive Plan, as amended and
restated, and
•
Registration Statements (Form S-8 Nos. 333-152570, 333-167830, 333-187193, and 333-195869) pertaining to the BioCryst
Pharmaceuticals, Inc. Stock Incentive Plan and the Employee Stock Purchase Plan, each as amended and restated,
of our reports dated February 25, 2025, with respect to the consolidated financial statements of BioCryst Pharmaceuticals, Inc. and the
effectiveness of internal control over financial reporting of BioCryst Pharmaceuticals, Inc. included in this Annual Report (Form 10-K) of
BioCryst Pharmaceuticals, Inc. for the year ended December 31, 2024.
/s/ Ernst & Young LLP
Raleigh, North Carolina
February 25, 2025

Exhibit 31.1
CERTIFICATIONS
I, Jon P. Stonehouse, certify that:
1.
I have reviewed this annual report on Form 10-K of BioCryst Pharmaceuticals, Inc.;
2.
Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the
statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this
report;
3.
Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the
financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
4.
The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in
Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-
15(f)) for the registrant and have:
a.
designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to
ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those
entities, particularly during the period in which this report is being prepared;
b.
designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our
supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for
external purposes in accordance with generally accepted accounting principles;
c.
evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the
effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and
d.
disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent
fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to
materially affect, the registrant’s internal control over financial reporting; and
5.
The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to
the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):
a.
all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably
likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and
b.
any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal
control over financial reporting.
Date: February 25, 2025
/s/ Jon P. Stonehouse
Jon P. Stonehouse
Chief Executive Officer
(Principal Executive Officer)

Exhibit 31.2
CERTIFICATIONS
I, Anthony J. Doyle, certify that:
1.
I have reviewed this annual report on Form 10-K of BioCryst Pharmaceuticals, Inc.;
2.
Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the
statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this
report;
3.
Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the
financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
4.
The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in
Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-
15(f)) for the registrant and have:
a.
designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to
ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those
entities, particularly during the period in which this report is being prepared;
b.
designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our
supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for
external purposes in accordance with generally accepted accounting principles;
c.
evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the
effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and
d.
disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent
fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to
materially affect, the registrant’s internal control over financial reporting; and
5.
The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to
the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):
a.
all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably
likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and
b.
any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal
control over financial reporting.
Date: February 25, 2025
/s/ Anthony J. Doyle
Anthony J. Doyle
Chief Financial Officer
(Principal Financial Officer)

Exhibit 32.1
CERTIFICATION PURSUANT TO
18 U.S.C. SECTION 1350,
AS ADOPTED PURSUANT TO
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002
In connection with the Annual Report of BioCryst Pharmaceuticals, Inc. (the “Company”) on Form 10-K for the period ending December 31, 2024
as filed with the Securities and Exchange Commission on the date hereof (the “Report”), I, Jon P. Stonehouse, Chief Executive Officer of the Company,
certify, pursuant to 18 U.S.C. § 1350, as adopted pursuant to § 906 of the Sarbanes-Oxley Act of 2002, that, to the best of my knowledge:
(1) The Report fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934; and
(2) The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the
Company.
Date: February 25, 2025
/s/ Jon P. Stonehouse
 
Jon P. Stonehouse
 
Chief Executive Officer
 
(Principal Executive Officer)
This certification is furnished with this Report on Form 10-K pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 and shall not, except to the
extent required by such Act, be deemed filed by the Company for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the
“Exchange Act”). Such certification will not be deemed to be incorporated by reference into any filing under the Securities Act of 1933, as amended, or the
Exchange Act, except to the extent that the Company specifically incorporates it by reference.

Exhibit 32.2
CERTIFICATION PURSUANT TO
18 U.S.C. SECTION 1350,
AS ADOPTED PURSUANT TO
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002
In connection with the Annual Report of BioCryst Pharmaceuticals, Inc. (the “Company”) on Form 10-K for the period ending December 31, 2024
as filed with the Securities and Exchange Commission on the date hereof (the “Report”), I, Anthony J. Doyle, Chief Financial Officer of the Company,
certify, pursuant to 18 U.S.C. § 1350, as adopted pursuant to § 906 of the Sarbanes-Oxley Act of 2002, that, to the best of my knowledge:
(1) The Report fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934; and
(2) The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the
Company.
Date: February 25, 2025
/s/ Anthony J. Doyle
Anthony J. Doyle
Chief Financial Officer
(Principal Financial Officer)
This certification is furnished with this Report on Form 10-K pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 and shall not, except to the
extent required by such Act, be deemed filed by the Company for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the
“Exchange Act”). Such certification will not be deemed to be incorporated by reference into any filing under the Securities Act of 1933, as amended, or the
Exchange Act, except to the extent that the Company specifically incorporates it by reference.